Undertakes and provides specialist clinical leadership, assessment of patients needs, implementation and evaluation of patients care package which are evidence based. Utilising all available resources taking into consideration the lifestyle gender and cultural background and ensure involvement with the patient and family. Takes direct referrals from primary and secondary care. Following patient assessment and assessment of Dexascan recommends new and changes in treatment to GP and secondary care. Provides specialist advice to GPs and medical teams within the hospital re starting and changing treatments.