To act as an autonomous, registered practitioner who is legally and professionally accountable for own unsupervised actions guided by the professional code of conduct and Trust guidelines and protocols. The post holder will have full registration with a licence to practice on the General Medical Council (GMC). Further professional knowledge will have been gained through accredited courses, workshops, study and in house training programmes. To be responsible, and accountable, for service delivery to clients/patients. To be able to assess and develop care plans to meet the complex needs of patients with a variety of conditions. This includes chronic, acute and palliative care within own competencies, recognising own limitations and seeking advice when necessary. This will include continuously evaluating and acting on outcomes. To be able to initiate referrals to other health professional specialist services and agencies. To provide patients and relatives with information and education thus ensuring they have meaningful choices that promote dignity, independence and quality of life. To ensure practice is supported by research, evidence based practice, literature and peer review.