Make a specialist assessment of a patients health status and occupational health needs (by history, physical examination, clinical procedures and relevant tests). Obtain or arrange for additional medical or paramedical information from specialists or relevant therapists. Make a functional assessment of the patients physical and psychological capability for their job (or the job they might be asked to do) and make highly specialist clinical decisions following assessment of complex cases. Assess the impact of a patients work on their health. Assess the risk a patients health or fitness poses to the safety of themselves and others. Provide patients with information on their health, its occupational impact and the steps needed to control and reduce their personal risks. Communicate respectfully with patients and ensure they are fully informed. Provide advice on the relevant options for treatment, rehabilitation and redeployment to both clients and managers as appropriate. Advise on the short- and long-term modifications to a patients work dictated by their state of health Keep a clear, concise and contemporaneous patient record that details the clinical findings, the results of tests, reports given and received, decisions made, and advice given to patients and others, and relevant details of treatments and referrals. Involve other health and occupational health professionals where appropriate, including the patients general practitioner. To provide advice to other specialists/professionals and to non-specialists within the clinical field and to give advice to Occupational Health Advisers. Communicate with human resources and line managers about the patient in an ethical and meaningful way, while maintaining the important requirement of medical confidentiality.