The post holder will undertake comprehensive assessment of the physical and psycho-social care needs of frail patients who may also have complex chronic disease. Formulating a clinical management plan. This will involve gathering and interpreting information, performing tests and analysing the results, arranging onward referral if deemed necessary. The post holder will coordinate care and services to be delivered within primary care for patients during an acute episode of illness also if appropriate supporting discharge from hospital. Working in partnership with primary, secondary care and other appropriate agencies, including the voluntary sector. The post holder will prescribe safe effective and appropriate medication as defined by legislative framework and/or agreed protocols and guidelines. They will role model compassionate and inclusive leadership in order to shape the creation of a collective leadership culture within the trust. This means demonstrating a consistent leadership style which (a) engages, enables and empowers others (b) uses coaching to promote ownership of learning and quality improvement and (c) facilitates team working andcollaboration within teams / departments and across organisational boundaries.