To be a proficient member of the multidisciplinary team (MDT), contributing towards clinical decisions. To liaise with other MDT professionals, statutory organisations such as: Local Authority Social Services, Housing and voluntary organisations effectively and as appropriate regarding individual patient care. This information can be highly complex and sensitive and requires the therapist to have advanced negotiating skills in order to secure appropriate treatment and discharge plans including care and/or adaptive equipment for individual patients. To ensure that up to date written and electronic (patient) records and activity data are maintained in accordance with Professional and Trust standards and provide specialist therapy reports relevant to practice setting. To advise and monitor the development of documentation and written patient information. To provide highly specialised professional help and advice to therapy colleagues, other members of the MDT and to relatives and the community teams carers on a daily basis, facilitating effective communication. To communicate assessment and treatment outcomes to the relevant disciplines via the most appropriate methods e.g. reports, letters, medical notes and ensure self and others maintain high standards. To screen and prioritise referrals for therapy treatment, including those of highly complex patients. To screen, assess and formulate treatment plans for unwell respiratory patients in allocated clinical areas, and appropriately escalate to the MDT and PARRT (Patient At Risk & Resuscitation Team). To have a major role in ensuring appropriate risk management occurs within designated area, such as risk assessment and timely completion of incident forms (IR1), reporting back to Clinical lead. To assess patients current functional ability and occupational needs and make independent decisions using advanced clinical reasoning skills, to determine safety for discharge. To refer, provide and arrange appropriate services to improve functional independence and ensure safe discharge and evaluate appropriateness of these treatments. To interpret and analyse clinical and non-clinical data to form accurate diagnoses and prognoses in a wide range of highly complex conditions. From this analysis, to recommend the best course of intervention, and to develop comprehensive management and discharge plans. To formulate individualised treatment plans, using highly developed clinical reasoning and utilising a wide range of treatment skills and options to formulate a highly specialised program of care. To monitor, evaluate and modify treatment in order to measure progress and ensure effectiveness of intervention. To be additionally responsible for the clinical management of patients with multidimensional complex needs within their specialist team. To apply a high level of understanding of the effect of disability and provide training and advice on lifestyles changes and adaptations to the clients social and physical environment. To apply a high level of understanding of general medical and surgical conditions and the impact on patients functioning. To be responsible for equipment used in carrying out therapy duties and to adhere to departmental policies. This includes competence to use equipment and to ensure the safe use of equipment by others through teaching training and supervision of practice. To ensure that self and other team members are able to identify those patients who pose a high manual handling risk. To utilise departmental systems and guidelines to facilitate manual handling risk assessments and develop treatment and management plans accordingly. To implement current departmental priority tool for work area balancing other patient related and professional demands. To have clinical responsibility for a highly specialised caseload of patients, organizing this effectively and efficiently with regard to clinical priorities and time management, supporting more junior staff to do likewise. To take a lead role in the advanced assessment, treatment and management of patients, who frequently have complex and/or chronic conditions. This may include psychosocial and emotional issues as well as physical components and will involve using investigative and analytical skills. To interpret and analyse clinical and non-clinical data to form accurate diagnoses and prognoses in a wide range of highly complex conditions. From this analysis, to recommend the best course of intervention, and to develop comprehensive management and discharge plans. To formulate individualised treatment plans, using highly developed clinical reasoning and utilising a wide range of treatment skills and options to formulate a highly specialised program of care. To be responsible for planning and delivering a client centred therapy service for patients with complex physical and psychosocial needs, grading services where necessary. To manage a caseload of clients with complex needs, taking on the role of care coordinator and/or vocational lead where relevant. To work as an autonomous practitioner, with access to expert advice and support from experienced clinicians as required.