To provide specialist expertise in the psychological care of kidney patients on an inpatient and outpatient basis. To provide specialist psychological and cognitive assessment (the latter is dependent on the post holders competencies) to clients referred to the service based upon the appropriate use, interpretation and integration of complex data from a variety of sources including psychological assessments, self-report measures, rating scales, direct and indirect structured observations and semi-structured interviews with clients, family members and others involved in the clients care. To formulate and implement plans for the psychological treatment and/or management of clients presenting with a variety of complex problems based upon an appropriate conceptual framework and employing evidence-based interventions across a range of settings such as cognitive behavioural therapy. To implement a range of psychological interventions for individuals, carers and families, adjusting and refining psychological formulations drawing upon different explanatory models and maintaining a number of provisional hypotheses. Interventions may include group work. To evaluate and make decisions about treatment options taking into account both theoretical and therapeutic models and highly complex factors concerning historical and developmental processes that have shaped the individual, family or group. Produce detailed reports based upon the results of psychological assessment (and cognitive assessment where applicable). In addition to summarising assessment data, these reports will require integration of these data with the analysis and interpretation of highly complex psychological and emotional factors. Reports will describe the clinical formulation and outline appropriate recommendations for intervention or further liaison as necessary. To provide specialist psychological advice, guidance and consultation to other professionals contributing directly to clients formulation, diagnosis and treatment plan. To contribute directly and indirectly to a psychologically based framework of understanding and care to the benefit of all clients of the service, across all settings and agencies serving the client group. To undertake risk assessment (risk of harm to self and others) and risk management for individual clients and to provide advice to other professions on psychological aspects of risk assessment and risk management. To liaise with referrers, GPs, and other professionals concerned with clients in order to develop and review care plans. To communicate in a skilled and sensitive manner, information concerning the assessment, formulation and treatment plans of clients under their care and to monitor progress during the course of both uni- and multi-disciplinary care. To work flexibly, including providing psychological input to ward rounds, multidisciplinary outpatient clinics, and annual reviews, where appropriate. To respond to urgent referrals to support the management of challenging interactions between staff and inpatients. To make referrals for further work as appropriate and liaison work with other departments within the hospital and the community agencies as necessary. To undertake liaison work with educational teams and employers on behalf of patients, where necessary. To work as an autonomous professional within the Health Care Professions Council (HCPC) and BPS guidelines and the policies and procedures of the service, taking full responsibility for own work including treatment and discharge decisions. To manage patients challenging behaviour in a proactive and positive manner to ultimately decrease the frequency of highly distressing and emotional circumstances. To facilitate staff support and reflective practice groups, as agreed with senior team members