To manage a specialist caseload of both conservatively and surgically treated plastics Inpatients and Outpatients with trauma and elective hand and upper limb injuries using clinical reasoning, critical thinking, reflection and analysis to support assessments using a client-centred approach and current evidence base to assess, treat, implement, evaluate and document Hand Therapy interventions. Assessments and Therapeutic interventions may occur in the Hand Therapy Department, wards, outpatient clinics. To be responsible for Hand Therapy interventions within Hand Therapy and Plastic Surgery. To develop positive and collaborative working relationships across Health and Social Care. To be responsible for the maintenance and development of CPD and continuous learning To supervise and develop Junior Hand Therapy Staff and assistants. To be responsible for the education of Occupational Therapy and physiotherapy Students on Fieldwork Practice.