health role care community support learning knowledge skills social Working nurses ensure CLDNs nursing specialist skill key agree lot services post Nurse education varied CLDN important individual point person professionals service registration physical lack lead mental areas disability great chat meet leadership interesting practice teams term things thinking Totally process qualification pathways roles intervention led local needed minutes clarity commissioning courses Big access ability focus forget forward found develop exercise family evidence experience eat difficult disabilities episodic evolving developing development dream final Glenn HEIs holistically identified assessment Advanced articulate benefit delivering complete complex confidence clinical manage Lots negotiate NMC North mince offer life learn issues LDNs interventions joining SPQ standards set scope scoping partnership pies Practitioner providers providing training tiers wider Thanks suppose years Yeah works team Starting strong worked wellbeing understanding professions recognised quality range reduce referral referrals regional profession registered prevent posts policy PBS pathway oversight patient patients