Critically analyse and interpret history, presenting symptoms, physical findings, and diagnostic information to develop the differential diagnosis. Performing diagnostic examinations to a high competency level, as agreed by the clinical lead. Use highly developed specialised knowledge to take informed consent from patients by informing them of the benefits, risks, complications and effects of the intended examination, and any alternative treatments. Lead highly complex clinical situations, recognising and initiating pathways in patients experiencing deterioration in clinical condition both physical & psychological. Communicate highly complex and highly sensitive information to patients and their relatives at the appropriate level of understanding about issues surrounding their medical condition. Overcoming any communication barriers, demonstrating excellent levels of verbal and non verbal communication skills.