Autonomously manage a complex caseload of stroke and neurological patients using clinical reasoning, critical thinking, reflection and analysis to support assessment and treatment. To undertake comprehensive assessment of patients with a range of complex health and social care needs. This will require specialist assessment of all aspects of occupational performance (physical, cognitive, mental, social and environmental needs). To develop collaborative treatment programmes with patients, carers and colleagues, demonstrating client-centred reasoning and specialist problem solving techniques. Implement the appropriate occupational therapy intervention to enable the individual to achieve his/her optimum level of independence. Evaluate patient progress, reassess and review treatment programmes as required through the monitoring of medical and rehabilitation needs and adjusting as required. This will involve determining the potential for rehabilitation and future care and support needs. Plan and prioritise own workload and delegate tasks where appropriate to ensure effective use of time. Supervise junior staff and assistants to plan their work effectively. Facilitate the safe transfer of people and using equipment and approved moving and handling techniques. Identify and undertake routine and complex risk assessments, of individuals and their environment. Advise the multi-disciplinary team in determining appropriate management relating to moving and handling and safe use of equipment. Fit, adjust and safely use a range of equipment. Ensure patients, junior staff and assistants under your supervision attain competency in the safe use of all equipment. Provide support and education to patients and carers regarding all aspects of Occupational Therapy. To work flexibly across the ward and the community service as required. To manage and review effectiveness of therapy run groups Triage referrals into the inpatient and early supported discharge service when required