Performs an advanced musculo-skeletal assessment of plastic surgery/hand patients including those with highly complex presentations and from this formulates a diagnosis and treatment plan, which is carried out as an autonomous practitioner. Takes a lead role in the supervision, teaching and appraisal of senior, junior and assistant physiotherapists / occupational therapists, physiotherapy /OT students (including those at Masters level) and other members of the multi disciplinary team. As team leader, is responsible for operational management and overall development of designated team especially in regard to all aspects of clinical governance and deputises for service manager as required. Supervises, initiates and participates in evidence based projects and is responsible for implementing changes within designated team/area and setting and monitoring standards of practice