Participate as a member of the inter-disciplinary team in assessing, planning, implementing, evaluating care and meeting the needs of patients: hygiene, elimination, nutritional, mobilising, pain, maintaining independence. Work as part of a team to provide psychological, emotional, spiritual and social support to patients and families whose lives are affected by illness, loss and grief To act as a resource to patients and their families in the community, providing telephone advice and support. To provide a rapid response visit to patients with urgent palliative or end of life care needs. To be responsive to changing patient needs and flexibly visit according to suggested triaged response time. To work shifts including overnight, triaging calls and visiting patients as necessary, often as a lone worker. Ensure that all medication is administered in accordance with St Helena policy and NMC regulations Ensure patient records are accurately written, in line with NMC and St Helena regulations, (i.e. patient records incident/accident reports, computer records). To maintain and promote effective and efficient working and communication with other community professionals, hospital professionals, voluntary, private, and statutory agencies and other hospices. Demonstrate effective communication with patients key workers in order to ensure continuity of care for patients across all sectors. To verify death following training and when it is appropriate to do so in line with St Helena policy. Perform Last Offices to deceased patients including safe custody of valuables and belongings. Assist at times with the post-bereavement family visit to collect certificate and view deceased. Participate positively in Clinical Supervision in order to develop standards of clinical practice and for support. Develop awareness of emotional needs of patients and families and the sensitivity and communication skills to meet these needs. Act as co-worker for patients providing effective communication with keyworkers in order to ensure continuity of care for patients across St Helena services. Demonstrate effective communication with patients key workers in order to ensure continuity of care for patients across all sectors.