Clinical Practice: Apply competency-based treatment techniques/care to patients under guidance of a qualified practitioner following a prescribed plan. Demonstrate awareness of any barriers to communication such as poor hearing, language difficulties, and physical impairments for example. Ensure patient held records are completed for each session and that healthcare records are completed in line with Trust policy. Communicate with patients/carers by exchanging basic factual information, reassurance, tact and empathy. Feedback observations and concerns to appropriate qualified practitioner in a timely manner. Establish and maintain appropriate working relationships with colleagues, patients, carers and other health professionals. Work with qualified practitioners with group work/clinics under guidance. Provide basic information in order to support health promotion/education as required, e.g. diet and exercise, falls etc. Demonstrate competent IT (texting, Internet, email) and standard keyboard skills as per Trust policy. There will be tasks delivered via indirect supervision. This may include group work and clinics. Carry out specified observation and information gathering to contribute to the clinicians assessment, for example blood pressure measurements, supporting patient when assisting with feeding. Follow specific behaviour guidelines for management of inappropriate verbal and physical behaviour, seeking clarification and support where necessary. To have a broad understanding of the various conditions, and associated problems which patients may present with. Provide holistic and individualistic care to patients. Recognise rights of patients/people to be consulted about their care and any change to the intervention plans. Use appropriate methods of communication with patients, families and carers in order to maximise rehabilitation and understand their conditions. Barriers to effective communication will regularly be evident (e.g. expressive and receptive dysphasia, cognitive impairment, loss of hearing, pain and depression) and a variety of communication methods may be required. Demonstrate dexterity and coordination when undertaking treatment of patients where accuracy is important, e.g. taking blood sugars, taking blood pressures, supervising transfers, passive exercises. Be responsible for ensuring equipment is used safely, following relevant training, and that it is maintained appropriately. Contribute to the requisitioning of supplies and equipment through electronic ordering systems. Demonstrate an awareness and understanding of consent, and gain consent as appropriate following organisational policies. Share responsibility for maintaining store cupboards, pool cars, cleaning specialist equipment and general housekeeping tasks. Will be exposed to bodily fluids, infected material, blood products on a daily basis, therefore must utilise universal precautions and adhere to infection control policies. Professional: The post holder will: Attend and contribute to multidisciplinary team meetings and other meetings where appropriate. Attend in-house training as required to develop current job role. Be able to make own travel arrangements to patients, clinics, base and meetings as required. Be aware of limitations of own scope of practice, and when to involve more senior practitioner, both in daily practice and in emergency situations. Acknowledge and recognise peoples expressed beliefs, preferences, and choices. Demonstrate an awareness of clinical governance, quality assurance and risk management, and apply to work situation. Actively contribute to team working and express ideas on improving services for users and the team. Will be required to demonstrate own duties to students, all other trainees, new starters and/or less experienced staff; and be involved in induction programmes for new staff/students and trainees as required. Programs may include washing and dressing practice, kitchen practice, wheelchair practice, splinting, behaviour management, community living skills and readjustment, community visits and integration activities, exercise programs, gait re-education, wheelchair mobility, bed mobility, cognitive function programs, speech and language therapy programs, posture management, group activities. Contribute to service development. Service development: To propose development and/or changes to team procedures in relation to own area of work. Communicate to qualified staff issues relating to service shortfalls, potential risks and service pressures. To assume delegated activities as requested by senior staff in relation to service development. To support senior staff across the integrated pathway with service improvement ideas. Have commitment to work within a changing environment; responding positively to new demands and service changes. Communication: To communicate effectively and collaboratively with colleagues across health/voluntary and social sectors to ensure the delivery of a coordinated multidisciplinary integrated service. This will include case conferences, handovers, patient held documentation and documentation in service records. To maintain sensitivity at all times to the emotional needs of patients and their families/carers. To have an understanding of the issues that could affect patient capacity in order to gain valid, informed consent. Education, Training and Supervision: To continue to develop competencies through reflective practices, clinical supervision and performance reviews. To attend relevant training and development in order to maintain and develop skills and knowledge required for the role within the team. Participate in rotation through the other elements of the service, the type and duration to be negotiated on an individual basis according to professional development and service needs.