1. CLINICAL RESPONSIBILITIES To have overall accountability for the planning and management of a highly complex and specialist outpatient respiratory clinical caseload Using expert specialist knowledge to undertake complex therapy assessments including evaluation of the impact of patients' diagnoses, stage of disease and agreed treatment plans on their ability to function and overall quality of life and make clinical decisions on the most appropriate form of intervention, both short and long term To reflect on clinical practice both individually and with peers identifying strengths and needs and providing evidence of sound clinical judgements based on research and evidence-based practice To facilitate the production of clear and evidence-based resources for patients and carers, for use locally, regionally or nationally To be competent in the use of relevant equipment. This may include training of other healthcare professionals in its correct use To provide expert advice to all members of the multidisciplinary team in a range of forums To participate in on call duties as an autonomous practitioner within the Trustand actively participate in the weekend service 2. RESPONSIBILITY FOR PATIENTS To facilitate patient involvement in decision making ensuring that they have consented to therapy intervention in line with Trust policies and the relevant Code of Professional Conduct To provide expert therapeutic advice to patients, carers and clinicians using evidence-based practice or advanced clinical judgment acquired through professional expertise To use highly advanced communication, motivational interviewing and behaviour change skills to negotiate therapy interventions in situations where sensitive information needs to be discussed To translate highly complex scientific, medical, biochemical and therapeutic information into simple and easily understood practical information and advice for patients, their carers and families To monitor and review the progress of clients/ patients against goals and outcomes set and to modify these as appropriate 3. RESPONSIBILITY FOR POLICY AND SERVICE DEVELOPMENT To contribute to service planning in liaison with other team leads, clinical lead and/or the therapy service inpatient manager. To contribute to the production of relevant evidence-based departmental literature in the specialist clinical area To participate in uni-professional or multidisciplinary working groups, questioning and evaluating current clinical practice to provide consistently high standards of patient care To support in developing patient-focussed, clinically effective and evidence-based standards, procedures and policies To participate in local and national initiatives relating to the specialist clinical area, e.g. National Service Frameworks and NICE guidance To work alongside the clinical lead and in their absence be responsible for representing the profession in developing Trust clinical policies and services within the specialist clinical area To demonstrate an understanding and assist in implementing appropriate Clinical Governance and Risk Management strategies To undertake a training needs analysis for the team, ensuring that training needs are identified and action plans initiated To participate in the development of competencies and standard work objectives To ensure safe practice through documentation and reporting of critical incidents as outlined in the Trust policy To actively participate in local professional specialist groups to promote best practice across the profession To comply with the relevant Code of Professional Conduct, professional standards, Trust and departmental policies To maintain strict confidentiality in accordance with departmental and Trust policy and Health Professions Council standards To participate in the appraisal process and develop own strategy for undertaking continuing professional development. To maintain a professional portfolio in line with departmental and national guidelines 4. RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCES To assist in the recruitment and selection of permanent Therapy staff within the Therapy team 5. RESPONSIBILITY FOR LEADING AND MANAGING To ensure that all Therapy staff within the team plan their leave appropriately and that records are maintained via e-roster To assist in annual staff appraisals and facilitate identification of training and development needs. Ensure Therapy staff undertake continuing professional development appropriate to their clinical role and personal development in order to maintain professional competence including mandatory training and ensure continued registration with the Health Professions Council To be responsible for ensuring that staff comply with HR and other Trust policies and procedures To undertake mentoring and clinical supervision of members of staff To ensure all relevant operational matters are communicated to clinical leads To chair team meetings and facilitate development of team strategies and objectives. 6. RESPONSIBILITY FOR INFORMATION RESOURCES To use Trust IT resources to maintain accurate statistical information. To maintain knowledge of policies such as sickness, performance, maternity etc 7. RESPONSIBILITY FOR RESEARCH AND DEVELOPMENT To act as a resource to healthcare professionals outside the Trust on the specialist clinical area, where required To participate in the training, supervision and assessment of student, junior therapists and other MDT members To initiate and participate in audit, research and QI, in line with departmental and Trust research and audit procedures, in order to advance clinical practise and disseminate results appropriately To actively participate in relevant Trust/regional/national meetings to increase awareness of new developments in specialist clinical area and feed back information to relevant professionals