To be responsible for the assessment of care needs and the development, implementation and evaluation of programmes of care, within Scope of Professional Practice. Demonstrate high level of judgemental/analytical skills when interpreting and performing patient assessments and care planning. Maintain accurate and up to date nursing records, maintaining patient confidentiality, and statistical records as required by the service. Negotiate and agree with Patient, Carers and other care professionals, individual roles and responsibilities with regard to actions to be taken and outcomes to be achieved, referring on to other services or professionals as appropriate. Challenge professional and organisational boundaries, identifying areas for skill/ knowledge development and apply these to practices to provide continuity and high quality patient centred health care.