Principal Responsibilities: Empower The Life Rooms users to enable and support their self-management and health and wellbeing. Support individuals to maintain their independence; this could include referral to recovery learning, vocational opportunities, volunteering and paid employment. Support admission and re-admission prevention activity across the Trust by working closely with clinical services and teams. Support effective hospital discharge and transfer of care across the Trust clinical services and teams; working with clinical colleagues towards the integration agenda. In liaison with partners, assist with developing and implementing shared data and outcomes for the locality; including locality dashboards and performance metrics. Encourage the Trust clinical services and teams to engage and work effectively with systems transformation; to ensure that all system changes (information, technology and digital) are implemented and embedded. Liaise and maintain links with the locality partners and wider Trust clinical services and teams in order to understand local need and risk, resulting in the development of joint action plans. Promote The Life Rooms social model of health across locality partners and the wider Trust clinical services and teams. Map all support interventions available within the locality and update resources as required. Monitor and support partner activity ensuring effective evaluation of services. Work side by side with users of The Life Rooms to develop and evaluate the Life Rooms social model of health. Effectively collect, interpret and report on all data from The Life Rooms social model of health.