To ensure high quality and safe care of acute medical patients resulting in excellent clinical outcomes. To contribute to the improvement of the acute medical service by developing admission avoidance and ambulatory care pathways. To contribute to the care of patients on the acute medical floor and the new same day emergency care unit, extending the acute medicine consultant presence across these areas. To contribute to the out-of-hours provision of acute medicine on a rota alongside consultant colleagues from diabetes & endocrinology and respiratory medicine. To show clinical leadership in patient care, service development and clinical governance. To work co-operatively and effectively as part of the wider acute medicine team, being held to account for clinical, service development and training outcomes. To contribute to the education and training of staff from a variety of disciplines, particularly in the management of acute illness. To work closely with the colleagues in related clinical areas, in particular the emergency department, other medical and acute surgical specialties and with colleagues in primary care and those at the interface e.g. the primary care access line team. These posts have been developed specifically to work on pathways of care which avoid the need for admission to hospital, and where admission occurs to ensure that early discharge to an ambulatory form of care.