To practice autonomously within the designated speciality area to provide patient-centred clinical care. This will encompass the skills of advanced clinical assessment, examination, diagnosis and treatment within an agreed scope of practice throughout the directorate. Work autonomously as an advanced practitioner within the specialty, managing a caseload of patients delivering individualised direct patient care. Direct responsibility for assessment, examination, investigation and diagnosis of patients within their area of work. Appropriately treat patients, resulting in the sage management and appropriate referral or discharge of patients with undifferentiated and undiagnosed presentations. Undertake a variety of clinical skills and proved treatment/advice as per speciality and scope of practice. Using agreed protocols of clinical practice and professional guidelines. This service maybe provided within community/home care settings Within scope of practice and clinical competence request and or undertake diagnostic procedures and clinical investigation related to plans of care. Utilise scope of practice and provide on medicine management issues associated with the patient specialty group. Provide a seamless, high quality service from referral through to assessment, diagnosis treatment and review, referring to other specialists as required.