Provide nursing assessment of patients and organising appropriate tests and investigations in a timely manner. Act under indirect supervision of the Clinical Lead for stone disease using current guidelines to plan and implement individualised treatment. Demonstrate competence, knowledge and skills in a wide range of practical procedures. To delegate/refer to other practitioners when this will improve health outcomes or when risk and needs are beyond own competence and scope of practice. Manages his/her own caseload of patients whilst working as part of the Urological Multidisciplinary team. Provide clinical advice and support to health care professionals within and across organizational boundaries. Act as a role model. Initiates changes in management of care, assessing and analyzing a range of options. Participates in case conferences/Urology Stones MDT in relation to future management or discharge arrangements. Maintains accurate patient records and ensures all relevant information is documented in medical and nursing note.