To process and manage referrals appropriately within designated waiting times and this is delegated to the multidisciplinary team effectively and efficiently. To undertake interventions consistent with evidence-based practice, transferring and applying knowledge and skills to meet patients needs. To use skills and knowledge to make referrals for diagnostic tests and instigate investigations in conjunction with the patients GP or consultant. To liaise with the Newham Hospital (Barts Health) Heart Failure Service and attend relevant Multidisciplinary Team (MDT) meetings. To be aware of vulnerability within the patient/carer caseload and report potential safeguarding situations according to local policy. To collaborate with patients and their carers to enable them to make informed decisions regarding their health and healthcare. To support patients, their carers and relatives by providing up to date information on secondary prevention (which meet British Association of Cardiovascular Rehabilitation and Prevention Standards). To utilise a variety of strategies to communicate effectively with patients and those involved in their care. To evaluate outcomes of screening procedures, and be able to interpret clinical results and review patient holistically and take action as appropriate to the patients needs. patients and those involved in their care. To provide a seamless services between primary and secondary care. To support the Team in running the Education and Exercises classes across site in the locality. To run Secondary Prevention clinics in the community. To do home visits as part of the service specs.