Core Clinical Function Provide a welcoming, compassionate, and professional service to all patients. Offer guidance and reassurance during procedures or assessments. Ensure patients dignity, privacy, and confidentiality are always respected Aid in identifying patients with highly complex needs who would benefit from intervention Manage and oversee management and care of service users with highly complex needs Act as the key accessible professional for the MDT proactively managing a clinical caseload. This will necessitate high levels of autonomy and advocacy, using analytical and judgemental skills in undertaking differential diagnosis to ensure the delivery of appropriate care Work as an autonomous practitioner providing an expert level of care, developing own and others knowledge within the speciality Proactively manage a caseload of patients within speciality and prioritise workload to meet patient and service need Take the lead in the development and implementation of Individualised management plans for the speciality through holistic needs assessment, planning and evaluation of care and all care interventions Effectively manages pathways of care, adapting to patients emerging needs by ensuring a planned and co-ordinated approach to care, reducing inappropriate admissions to improve patient experience and safety Receive and act upon referrals directly from health care professionals and makes referrals to other team members and specialist departments as necessary to ensure optimal quality of care Ensure that patients individual needs are expressed and valued, and individual care plans are understood. Act as a patient advocate to facilitate the process of shared decision making in respect to health, choice of treatment and care. Use interpersonal and communication skills where there may be significant barriers to build confidence. Advise on the complex disease and symptom management for patients Evaluate response to interventions and advise on the adaptation of management. Empower patients to self-manage their condition, undertaking risk stratification todetermine those who can self-manage following education, those who will need guided support to self-manage and those who will need on-going face to face support. Work autonomously in the development and delivery of clinics in line with Nationalguidance and local service need. Provide clinical advice and input to commissioning in relation to complex services. Act as a resource providing clinical expertise, specialist advice and support acrossservice boundaries to ensure optimum liaison and co-ordination of care. Undertake clinical competencies relevant to this specialist service to demonstrateexpertise in extended clinical roles. Assess and effectively manage individual psychological reactions to diagnosis, treatment and associated side effects of interventions and medication Produce accurate and timely documentation, conduct and manage the maintenanceof accurate and timely documentation / records on all service users in line with yourProfessional Code of Conduct and PCN / Practice policy Management & Leadership Work with partner agencies including commissioners and influence their strategies in health and personal care of which complex will be a part of. Be a credible and visible source of clinical expertise and leadership to others across the organisation, acting as a role model demonstrating high standards of holistic care. Supervise the patient caseloads of more junior members of the clinical team assuming overall responsibility where applicable. Lead and line manage junior members of the team of specialist clinicians including responsibility for annual appraisal where applicable. Contribute to budget management where appropriate. Analyse complex information including trends to support the delivery of complex services and review performance against defined targets. Lead or contribute to annual service review and write annual report to reflect service activity and development. Contribute to service re-design, leading on areas where appropriate. Promote an ethos of continual service improvement and lead specific projects, monitoring progress in terms of milestones and key measures of performance. Demonstrate transformational leadership through open communication, transparent decision making, seeking to motivate and involve others in developments in the speciality. Embed public and patient involvement within the sphere of practice. Lead on elements of the clinical governance agenda where appropriate to service. Help scope, develop and implement the frailty strategy/service Support the further development of complex conditions Represent the PCN by contributing to and participating in meetings locally, regional and nationally relating to the speciality.