To work within the acute therapy service, developing effective clinical interventions within the speciality of respiratory in order to contribute to the clinical practice in the team in line with current evidence base. To manage autonomously a clinical workload of patients at a specialist level, assessing and treating patients and maintaining clinical records. To have specialist assessment and treatment skills in the areas listed but not limited to: Critically ill and complex patients Acute respiratory patients Patients with complex needs e.g. spinal injury, bariatric patients Acute patients following surgery Patients with chronic lung disease in both inpatient and outpatient settings Early rehab in ICU setting Discharge and transfer of care planning and co-ordination Paediatric inpatients To apply evidence-based knowledge within the specialist clinical area acquired through experience and academic study to a specialist postgraduate level. To act, within the acute therapy service, as a resource and provide advice for physiotherapists, other professionals and colleagues within the MDT about the assessment, treatment, management and care of patients who have a multi-pathological illness and/or complex psychosocial need. To work collaboratively with health and social care community and acute colleagues. To work with other members of the MDT to ensure effective care pathways and transfer of care/discharges. To proactively and appropriately facilitate a seamless transfer of care and continuing therapeutic management of surgical and respiratory patients between care settings. To work collaboratively in an interdisciplinary manner within the MDT, being able to debate the blurring of boundaries across profession and where competent take on aspects of blurred boundary working, where appropriate. To develop specialist programmes of assessment, treatment and intervention for respiratory and surgical patients in the acute hospital setting and in an outpatient setting. To manage and prioritise own clinical workload as appropriate, working efficiently to manage professional time and delegate according to the training and competency levels of other team members to ensure the effective delivery of the service. To participate in the supervision process with staff on a daily basis and for students as required. To ensure a high standard of patient care is provided including implementing and reviewing clinical standards relevant to the work undertaken. To provide specialist assessment and advice for the multidisciplinary team and actively participate in MDT meetings as appropriate. To work across a 7 day therapy service including weekends and bank holidays. To be a manual handling key trainer.