Main Duties & Responsibilities.As part of the Urgent Community Response (UCR) Team you will be required: To work within the Urgent Community Response Team to prevent unnecessaryadmission to hospital. To assess and prescribe care pathways for patients in a crisis situation withlong term conditions, the frail & elderly, palliative and end of life care and/orrehabilitation needs, to achieve quality of life and independence wherepossible, with support from Senior colleagues within the wider UrgentCommunity Response Team. To act as the patients advocate, facilitating choice and patient empowerment. To provide evidence based clinical/therapeutic interventions based on bestpractice. To work within the Urgent Community Response Team to support earlydischarge from hospital. To work with all health care professionals, and statutory/non statutory agenciesto provide a seamless, integrated service to our service users. To triage referrals on a rotational basis for the Urgent Community ResponseTeam. ClinicalThe post holder will:1.Assess, plan, implement and evaluate all aspects of patient care, and developtreatment/care pathways that may need to be delivered from a range of options.2.Follow a holistic assessment, devise an individualised care pathway for eachpatient, modifying it as required.3.Be aware of Assistive Technology and utilise where required.4.Assess patients holistic needs, communicating complex and sensitiveinformation to patients and carers as to their assessment, diagnosis, prognosis andtreatment plan.5.Where there are barriers to understanding, such as hearing impairment, mentalcapacity impairment and other difficulties in comprehension, explanations requireadjustments in order to gain understanding, consent and concordance.6.Establish and maintain therapeutic relationships with patients and carers,incorporating motivation, encouragement and confidence building to enablepatients to engage in their treatment/care/management plan.7.Liaise with GPs, Social Services, inpatient teams, other allied health careprofessionals and the voluntary sector to ensure identified needs are met and careco-ordinated appropriately.8.Be required to undertake risk assessments and act upon them appropriately.9.Participate in multi-disciplinary/multi-agency meetings as appropriate, e.g. GoldStandard Framework.10.Ensure activity data and clinical information is recorded on SystmOne andcompleted on a daily basis.11.Demonstrate dexterity and co-ordination when using specialist equipment andfine tools, advanced sensory skills, manual and mobilising skills.12.Order equipment and supplies via the electronic ordering systems used withinthe team.13.Ensure informed consent is obtained prior to initiating interventions.14.Be exposed to bodily fluids, infected material, blood products on a daily basis,therefore must utilise universal precautions and adhere to infection control policies.