*Working within the Nursing and Midwifery guidelines to have responsibility for the care of a defined Community Nursing Support Service caseload within one or more GP practices in the absence of the team leader. *Work with a high degree of autonomy and professional accountability. *Deal empathetically with sensitive information, to include discussing patient's changing condition with patient and/or carer. *The post holder will take responsibility for managing, co-ordinating patient care and utilising other services. *You will participate in inter-professional working and the development, implementation and evaluation of the delivery of health care services. *Safely manage high risk area including: *Lone working in the community *Patient handling in challenging environment where the principles of best practice regarding patient handling may be compromised. *Challenging behaviour situations *Driving self *Handling medical sharps and adhere to infection control policy *Handling body fluids and other hazardous material *You will have responsibility for providing the highest standards of patient care through on-going assessment, planning, implementation and evaluation of programmes of care. *Working with the Community Nursing Support Service and other agencies you will use your advanced person-centred assessment skills for the health and well-being of patients with complex needs. *To provide a nursing service in the patient's own home and other community settings to include: *First contact: acute assessment, nursing diagnosis and care, treatment, and referral. *Palliative Care: symptom management including assessment of acute symptom onset, care for the patient and their family/carers. *Continuing care: Intermediate Care, rehabilitation, chronic disease management and contributes to the delivery of the National Service Frameworks. *Public health: health protection and promotion programmes that improve and reduce inequalities. *To actively safeguard and promote the welfare of children and adults.