The post holder will work as part of the Integrated Care Team and will share responsibility for the Triaging of patient referrals into the Locality Access Point for both the Integrated Care Team and wider community services. The post holder will undertake Integrated Care Team assessments within the community setting focusing specifically on those patients proactively identified as requiring Anticipatory Interventions/Frailty. The post holder must be able to demonstrate the ability to complete a comprehensive assessment and have an understanding of Frailty as a recognised syndrome. The postholder will partake in both the Integrated Care Team Meetings and Anticipatory Interventions Meeting and demonstrate an ability to communicate effectively with wider members of the Multidisciplinary Team and service users. The post holder will be responsible for completing onward referrals within both health and social care settings and liaising as required with services. Share the responsibility for the day to day running of the caseload with other members of the Integrated Care Team. Liaise with relatives, carers and health care professionals to prevent and minimise the risk of acute hospital admission where appropriate, working in partnership with secondary care discharge co-ordinating services. Must be autonomous in practice Ensure resources are utilised in a cost-effective manner. Ensure all professional/clinical practices are in line with Salus policies Ensure appropriate and accurate records are maintained. Be accountable for own professional actions according to NMC Code of Professional Code. Maintain your Continuous Professional Development according to NMC Code of Professional Code and Revalidation requirements.