The ratio of allocated time will be up to 80% clinical practice with the remaining time appropriately planned to ensure all of the required pillars of Advanced Nurse practice are met. Conduct advanced physical assessments, examinations and investigations to identify highly complex and unstable health needs, andaid diagnoses and develop a comprehensive and appropriate plan of care. Recognise symptoms that would suggest differentialdiagnosis. Use advanced clinical assessment skills to autonomously manage patients to ensure that optimal physical and psychological careneeds are met. Use autonomous decision-making including judgements involving complex facts or situations requiring analysis, interpretation andcomparison of a range of options in relation to the care and management needs of the patients on a day-to-day basis within the clinicalenvironment. Will support the redesigning services for older and/or frail people programme and subsequent workstreams and projects, and have overallresponsibility for supervising and leading the Nurse Practitioner team. To balance conflicting demands on time and choosing between strategic work priorities. Manage and prioritise the diverse and challenging workload within a multidisciplinary organisation. There will be a requirement to deal with conflict and confrontational professionals reluctant to acknowledge and embrace the national strategy and standards required for the provision of safe and effective care to patients. Maintain an awareness of developments, specialist expertise knowledge within a rapidly moving agenda to enable the provision of highly specialised expert advice based on interpretation of robust reliable evidence. Respond to demands for advice, reports and briefs with short time frames. Key working relationships will include: Frailty Consultant Nurse/ Senior Nurse Head and Deputy Head of Service Consultants/medical team/Specialist teams across ABUHB Multidisciplinary Team, Community Admissions Avoidance Therapies Team (CAATT), Home First, Red Cross. Patients families and Carers Advanced Nurse Practitioners/Nurse Practitioners in ABUHB Nursing staff, Operational flow teams include SPA. Ward Managers National Advanced Practice Forums and networks.