To provide a nursing service within palliative care by receiving direct referrals and undertaking assessments based on specialist palliative care needs not diagnosis. To use advanced clinical judgement to plan, implement and evaluate care for patients with complex physical and psychological problems. To manage an agreed caseload, under the supervision of the Nurse Consultant, using in depth knowledge of the patient / client group and acting as the key worker where appropriate. To provide essential advisory and psychological care to patients referred to the palliative care team. To document all care given using the Trust guidelines and guidelines relevant to community palliative care providers. To act as an expert role model in nursing care to other nurses within the extended team. To contribute to the development of nursing guidelines/protocols at a local/ network level. To foster communications between patients, families, carers and health professionals and to provide relevant support, information, education and counselling as required and within an advocacy role. To work within a flexible approach that is responsive to patient/client need. For full responsibilities see job description