Specific duties and responsibilities include To provide an in-reach social care function to support timely hospital discharges including 1 in 3 Weekends i.e., 5/7 days per week, on a Rota basis. To work in a responsive, integrated way with our acute health partners, including Health in-reach services and the ASC Flow & Triage Advanced Practitioner. To provide proactive social care support at Acute Hospital front door for admission avoidance, To provide proactive social care support to achieve a reduction in length of stay To proactively identify barriers to discharge and find solutions to these. To undertake proportionate assessment, and sharing of information with MDT colleagues To identify carers, and signpost customers to appropriate support services To support Care Transfer Hub function including gathering of information required by Flow & Triage Advanced Practitioner To represent ASC on Care Transfer Hub calls on weekends and make joint decisions with the MDT regarding discharge pathways. To provide on-call in-reach support to acute hospital partners at weekends (1 weekend in 3) To undertake person-centred assessments (including Mental Capacity Assessments) with customers and to plan for the provision of support and/ or services with customers in order to assist them meet their outcomes and to live as independently as possible, fulfilling their individual potential. To ensure accurate and timely recording of all information/assessment activity onto the Social Care records database in accordance with work targets set by the Hospital Team Manager and Supervisor. To gather sufficient information about customers in order to be able to accurately assess their needs. To ensure that local knowledge about universally available services is up to date including what is available within the voluntary and community sector, as well as the Departments commissioned and contracted services and to signpost/advocate for customers accordingly. To have a well-developed understanding of assessment and the management of risks for individuals and to be able to apply Council policy and support customers to manage risk appropriately. To identify where vulnerable adults may be at risk and to act in accordance with the Departments Safeguarding policies and procedures. To be able to undertake the Investigating Officer role in accordance with Departments Safeguarding policies and procedures. To work as part of a multi-disciplinary team, with health and social care colleagues to ensure effective communication/information sharing and to support assessment/decision making process.