Job responsibilities Provide autonomous decision making as a practitioner adjunct to the shared decision-making responsibility of a member of the multidisciplinary team. Maintain the clinical governance framework to support the quality objectives of the unit, reflecting on care standards using clinical incident reviews, national benchmarking and taking responsibility in implementing the results of this practice. Align role to deliver care according to national service frameworks and tackling and preventing health inequalities. Support the multi-agency team on the ground with emphasis on a soundcommunication network. Encourage and facilitate junior practitioners to participate in the delivery of various health care programmes and models of practice. Facilitate the development of the skills and knowledge of health practitioner assistants through clinical supervision. Ensure that the organisation of the department supports the efficient and effective delivery of care e.g., that the environment is clean, safe and supports privacy, dignity and confidentiality to patients. Observe, assess and evaluate what is influencing the workload i.e., level of patient demand. Manage unproductive time and operational duties. Participate in own PDR with team lead to establish objectives, reporting arrangements, supervision and ongoing development. Demonstrates own role to new starters and students from a variety of different disciplines. Participation in mandatory training events Work with groups to improve patient participation and involvement. Provide high quality, evidence-based care, integrating the multi-agency approach in the delivery of services to meet patients needs. Perform duties, including a comprehensive history, taking decisions to discharge patients and/or refer to a specialist service. Carry out emergency procedures i.e., resuscitation, defibrillation and anaphylaxis. Be proactive in following agreed national and local protocols and pathways to manage specific diseases. Take the decision to discharge patients and/or refer for a specialist opinion. Manage an effective discharge according to DOH and Trust process, pathways and practice guidelines. Refer patients to mainstream services on discharge e.g.: GP, pharmacist, NHS Direct. Adhere to Trust policy for reporting sickness/absence and with emphasis on managing risk and infection control. Sustain an effective communication network by interacting with multi-agency professionals, clients relatives and carers, and facilitate multidisciplinary case conferences, Undertake additional education and training to undertake patient management. Work and reflect the principles laid down by the code of professional conduct and scope of practice of the NMC. Participate in caseload reviews, clinical audit, pressure monitoring and critical incident analysis when required.