To provide a comprehensive nursing service for adult patients with heart failure. To manage a specified case load of patients, providing education, information and support. To improve patients understanding of their condition to enable them to make informed choices about their care and understand the rationale of investigations and treatments. To work closely with the Consultants, medical and nursing staff, multi-disciplinary team and Heads of Department within the Directorate. To ensure that patients are seen within recommended time scales and targets where these are in place. To develop protocols and standard operating procedures (SOP) defining heart failure care pathways, including IV diuretics, admission avoidance, shortening length of stay (including early discharge or early admission to shorten length of stay), up-titration of medication and any other relevant clinical processes and pathways. To visit inpatients on the wards as appropriate to ensure continuity of care and to give advice/support. To accept referrals from medical/nursing staff within the Trust for newly-diagnosed and existing patients with heart failure. To appropriately discharge patients from their caseload who are stable within divisional guidelines. To respond to telephone enquiries and facilitate/co-ordinate admission or changes in appointment dates as warranted by the patients clinical condition. This includes operation of a patient telephone helpline whilst focussing on ambulatory/day case/outpatient care, liaising with, and working directly within, the Aylsham Medical Day Unit (AMDU). To administer intravenous diuretics and other medication as clinically indicated and facilitate the optimisation of medication and other treatments. Please refer to the Job Description for the full specification of responsibilities and requirements for this post.