* To coordinate the delivery and development of the specialist service through the use of effective evidence based practice in line with agreed national standards for patient safety and monitoring. * To be accountable for the planning and delivery of safe, effective and compassionate patient care in relation to dedicated pathways of care, working as an autonomous practitioner. * To work autonomously, assessing individual patient needs, initiating investigations, with support determining a differential diagnosis and initiating appropriate holistic, evidence based treatment and care. Refer patients who require medical intervention to the appropriate services. * Manage care at the interface for patients in their own homes and Care Homes, preventing avoidable admissions. * To continuously improve clinical care standards in line with the clinical governance framework. * To exercise accountability as set out in the NMC Code. * Provide specialist clinical advice and support to the patients and clinical staff on the management and care of patients. * To provide direct access for patients, either face to face or telephone consultation. Along with telephone triage where appropriate. * To support GPs and ANP in care home ward rounds, to review patients and play a key role in optimising complex treatment regimes and preventing avoidable hospital admissions. * To ensure effective communication internally and externally regarding patient care and resources. * To play a key role in ensuring that national and local standards/targets for the specialist area are met. * To comply with the practices vision, values and behavioural compact. * Deliver public health initiatives as prioritised by service lead. * Ensure effective communication with patients, relatives and carers, taking into consideration level of understanding, culture and background. * Escalate any concerns to the Clinical Supervisor. * Encourage relatives to take an active interest in the welfare and care of the patient. * Respond to informal complaints by patients, relatives or carers in the course of day to-day duties, in line with local policy and procedures and escalate concerns you are unable to resolve to an appropriate person. * Ensure all documentation and record keeping is accurate, legible and completed in a timely manner, in accordance to NMC and local policy. * Maintain effective links with community, intermediate services and other nurse practitioners, utilising their skills and knowledge. * Actively participate in professional forums including Practice meetings, multi-professional meetings. * Have the courage to raise concerns regarding quality and patient safety and act upon/escalate these, following relevant national and local policy.