Clinical & Professional Duties Support and ensure the integrated provision and continuity of health and social care at all times, to enhance existing services for patients and carers in the local community and in the development of effective integrated, holistic care programs. To work closely within the integrated service based in CCC including EPUT physical and mental health triage and assessment clinicians and Essex County Council Adult Social Care. Participates in the clinical rota for CCC, UCRT and/or Virtual Hospital and will triage referrals and provide specific clinical advice to GPs, EEAST, and other health and care professionals with regard to access and interventions providing out of hospital care to the West Essex population. Responsible to provide clinical oversight, knowledge and experience to undertake appropriate clinical assessments both remotely and face to face and provide a solution focused approach to the most appropriate care pathway. To work with system partners to coordinate complex referrals to ensure the patient and or carer is supported at the right time, and place. To ensure effective use of out of hospital health and care pathways to avoid unnecessary admissions. To liaise with the acute hospitals, who support West Essex patients and provide advice and support to ensure access to OOH pathways. Provide clinical expertise to the development of the system patient and capacity tracker across West Essex, working collaboratively to develop the Care Co-ordination Centre. To act as an accountable role model through the provision of professional leadership and demonstration of competent practice. Take responsibility for the short-term case management of patients whilst on the Urgent Community Response caseload Directly working with 111/999 and local community teams and Primary Care Networks