Work autonomously, providing an effective nurse-led service as needs dictate. Demonstrate comprehensive holistic assessment of patients utilising a variety of advanced clinical skills, while acting as a role model, in line with the Clinical Nurse Specialist role for the service. To assess and diagnose specific symptoms within your scope of practice. Advise medical and nursing staff and/or prescribe medications according to patients requirements, writing a record in the medical notes and reassessing according to the individual patient needs. Provide an effective and accessible telephone advice service for patients and families and their carers. Support innovations and change related to improvement of clinical services in relation to the speciality. To participate in reviews of performance against Key Performance Indicators and co-operate in addressing areas of concern, in conjunction with the multi-disciplinary team. Collaborate in the development and monitoring of a job plan to ensure role and personal effectiveness.