KEY ROLE - MANAGE CARE Work in collaboration with the Team Leader, and other members of the team to assess individuals health and social care needs, Provide time limited programmes of care for individuals: to prevent unnecessary admission to hospital or to facilitate early discharge from hospital or to meet rehabilitation needs to promote and maintain independence Contribute to the planning, implementation, monitoring and review of programmes of care for individuals with the Team Leader, and other members of the team and ensure a smooth transition of care to other providers e.g. District Nurse, Home Care Manage and Co-ordinate caseload in absence of Team Leader or Sister. Assess risk, which affects the health and safety of individuals, and care givers. Ensure agreed standards of care are achieved To support individuals in self-management of long term conditions Promote peoples equality, diversity and rights. Enable people to manage disability, loss and change. Contribute to the protection of individuals from abuse. Develop innovative approaches to engage traditionally hard to reach and challenging groups Work in collaboration with other agencies to develop pathways of care for individuals to facilitate early discharge from hospital or prevent unnecessary admissions to hospital. For further information and full details of the job role please see the attached job description and person specification.