Duties across all settings Function as an essential member of the specialist palliative care teams throughout the county. Provide expert advice and support regarding complex ethical and clinical decision making. Work collaboratively with other palliative care consultants to provide consultant advice, support and clinical expertise to CDDFT Monday to Friday 9-5pm including contributing to the trust wide palliative care telephone advice rota. Provide a 1 in seven commitment to the Out of Hours Advice Service for professionals (all the senior doctors contribute). Undertake administrative duties associated with the care of patients (including activity data as required) in line with Trust Policy. Setting specific Duties Hospital Provide expert advice and support to health care professionals caring for patients with palliative and end of life care needs. Provide clinical leadership and support for the hospital palliative care team Community Provide expert advice and support to health care professionals providing care to patients with palliative and end of life care needs e.g. specialist palliative care teams, primary care teams, community nurses and care home staff. Lead specialist palliative care multi-disciplinary team (MDT) and clinical review meetings as required. Undertake domiciliary visits to patients in their usual place of residence (including community hospitals, care homes and prisons) as required. Work with community hospital clinicians to provide appropriate identification, assessment and review of patients with palliative care needs in community hospitals. Support and attend as appropriate Primary Care Team palliative care register meetings. Hospice Provide expert advice and support to the hospice multidisciplinary team through weekly ward rounds and weekly in-patient unit MDTs. 6.2 Leadership Provide leadership to the multi-professional specialist palliative care team, including hospice teams and primary care colleagues. Provide supervision of other doctors within the service including appraisal. Provide strategic leadership within local Network groups as appropriate. Provide leadership and support in the development of generalist and specialist palliative care services across all settings including leadership of service developments and change initiatives. Contribute to CDDFT, local, and regional Network initiatives to support the development and improvement of palliative care and end of life care services. 6.3 Clinical Governance Contribute to the clinical governance activities of the specialist palliative care team, including regular audit, development of appropriate trust-wide standards and annual appraisal. Participate and lead on local and national audit as agreed with the service. Participate and lead on quality improvement initiatives. Provide significant contribution to the management of clinical risk and patient safety. Contribute to the development, implementation and response to local and national policy and guidance. Lead on governance issues relating to the appraisal and revalidation for palliative medicine colleagues. 6.4 Education Maintain continuing professional development in accordance with the requirements of the Royal College of Physicians/the Royal College of General Practitioners. Contribute to the planning and delivery of undergraduate medical education and GP trainees in all aspects of palliative, end of life care, communication skills and ethics. Contribute to Specialty training in Palliative medicine as appropriate Contribute to the development and implementation of a palliative and end of life Care education strategy for CDDFT and partner organisations. Support the continuing professional development of specialist palliative care nurses. Support the continuing professional development of specialist palliative care medical staff. Participate inundergraduate, postgraduate and multi-professional education programmes across primary care and within the Trust. Lead on and/or participate in Specialist Palliative Care Service education sessions 6.5 Research Identify research proposals applicable to palliative care. Develop links with academic centres and Trust Leads to support local research studies as appropriate. Develop and implement research projects and programmes as appropriate.