Take referrals from Care Co-Ordinators, GP Practices and Neighbourhood Team Assess aids around the house and outdoors to increase/maintain independency Assess, plan, implement and evaluate treatment plans with an aim to increase independence to prevent or delay the need for care and support Work with patients to plan realistic, outcome-focused goals Effectively manage a caseload of patients as part of a multi-disciplinary team (MDT) providing specialist and evidence-based assessment and interventions to patients in both a stable and acute phase of their condition, ensuring the physical, psychosocial, behavioural, perceptual, cognitive, sensory and environmental needs of patients are addressed. Utilise specialist knowledge and clinical reasoning to plan and provide clinical interventions in consultation with other colleagues in the MDT and to work in a range of settings as appropriate (eg patients home or other community setting) Adopt a patient-centred and sensitive approach to therapy, collaborating with patients (and/or carers where appropriate) in all aspects of the therapy process (assessment, planning, intervention, evaluation, reporting) Have a good level of knowledge of a variety of conditions including neurological, orthopaedic, musculoskeletal, care of the elderly, respiratory and falls and specialist knowledge of at least one of these areas. Maintain accurate, contemporaneous healthcare records approlpriate to the consultation, ensuring accurate completion of all necessary documentation associated with patient health care and registration with the practice. Works as part of a multi-disciplinary community team to support patients effectively To utilise individual and/or group work skills as appropriate in order to achieve therapeutic goals. Engage with community partners enabling patients to access social activities to enhance their health and well-being, and to ensure effective, safe care Work collaboratively with Social Services and third sector providers Manage your own caseload and contribute to service development Assist in the quality and activity monitoring systems to support evaluation of the effectiveness of the service Assist in the maintenance and development of the Occupational Therapy service for the PCN Attend practice meetings of the four member practices if required, as well as Core Group Meetings (Community MDTs etc) Attend any training courses and supervision sessions as required Provide training to the member practices on relevant therapies or interventions if required and as appropriate