Undertake duties under the supervision of the District Nurse. Deliver evidence based planned care, which is safe, effective, in a manner which is caring, compassionate and enables individuals to reach an optimum level of functioning, independence, rehabilitation and recovery. Adapt and provide a wide range of nursing care in home and community based settings. Be accountable for assessing, planning, implementing and evaluating care for patients, reporting and escalating relevant information to appropriate health and social care professionals. Work in in an integrated and partnership way with primary, secondary, social care, the independent and voluntary sector and others to improve the health and care of individuals, families and communities, particularly the most vulnerable. Undertake and maintain the required statutory, mandatory and core training and preparation to meet the specific clinical needs of the service. Participate with the training of learners and participate in staff inductions where appropriate. Delegate work to other staff members within the team. Establish good working relationships with the Primary Health Care Teams. Act as the named nurse under the supervision of the District Nurse. This includes the first and continuing assessment, planning, implementing and evaluation of care given to individuals in their own homes. In the absence of the District Nurse, manage the caseload and the District Nurse Team, monitoring standards of care and deploying and supervising team members as appropriate. Participate in the planning and delivery of packages of care, including liaison with other health professionals and statutory and voluntary agencies to deliver skilled nursing care and support any changes. Record all patient contacts and activities accurately and contemporaneously maintaining accurate records and statistical returns as required by the Trust including entering data onto the Trusts systems within the required timeframes. Advise patients on health promotion issues in order to achieve pre-determined local and national health targets. Participate in health screening programmes and disease management of patients under the direction of the District Nurse. To be a skilled communicator establishing and maintaining excellent relationships with members of the Primary Health Care Team and other Health and Social Care professionals, initiating referrals where appropriate to ensure adequate support for patients and carers. Advise patients on health promotion issues in order to achieve pre-determined local and national health targets. For full details of the role please see the supporting documents attached.