To perform highly specialist assessment and treatment of hand and wrist patients, to facilitate a smooth, efficient and effective patient pathway To determine a clinical diagnosis and develop, deliver, evaluate and modify individualised treatment programmes and/or provide highly specialist advice, ensuring appropriate pathways of care and communication via liaison and referral to other agencies as required. To manage own highly specialist caseload in this area. Establish relationships with other stakeholders and services involved in the care of hand and wrist patients. To educate and train Physiotherapists and qualified and non-qualified healthcare / social services / education staff including medical staff. To work autonomously within Trust policies and standards of professional practice, maintaining accurate and comprehensive up to date records. To assist the Team Leader in the daily operational management of the Out-Patient Physiotherapy Team Previous NHS physiotherapy experience either as an undergraduate or postgraduate is essential to role.