To be professional and legally accountable for all aspects of your work including the delivery of highly specialist therapy intervention and caseload management of patients in your care. To use specialist professional and clinical knowledge across a range of procedures based on a sound knowledge of evidence-based practice and treatment options, using clinical assessment, reasoning skills and knowledge of treatment skills. To undertake comprehensive holistic assessment of patients to determine suitable management of their rehabilitation needs. Use clinical reasoning skills to triage and risk assess appropriate therapeutic intervention response times for patients referred to Home 1st. To assess patient understanding of treatment proposals, gain valid informed consent and have the capacity to work within a legal framework with patients who lack capacity to consent to treatment. Use a range of verbal or non-verbal communication tools to communicate effectively with patients, relatives carers and other health and social care professionals to progress rehabilitation and treatment programmes as required. This will include patients who may have difficulties in understanding or communicating. To manage clinical risk within the Home 1st Therapy waiting list to prevent the deterioration of patients requiring therapeutic input. To be able to prescribe, order and review the equipment needs for patients requiring supported discharge On completion of risk assessments, be able to make recommendations to the multi-professional teams, about the level of support need required to meet individualised packages of care on discharge. To be able to promote a risk enabling approach to staff to encourage therapeutic intervention and functional activities, preventing deconditioning and reducing length of stay. To be responsible for the safe and competent use of all appropriate equipment. Work collaboratively with the multi-professional teams, including GPs, other clinicians, medical and therapy colleagues, social services and the voluntary sector to ensure needs led comprehensive treatment plans are in place. Provide a comprehensive and highly specialist level of communication / liaison between the CNWL Single Point of Access (SPA), Acute Adult Frailty Team (AAFT), Seacole Inpatient Units and the Virtual ward team to promote patients therapy requirements in treatment and discharge planning. To attend the Virtual Ward / AAFT / Inpatient multidisciplinary meetings as required. Ensure accurate electronic records are maintained timely and effectively. To manage data required for the organisational management of the PW1 services. To allocate service capacity by delegating workload to the appropriate workforce for response. To work with members of the Home 1st team to deliver seamless therapeutic treatment plans in the transition from hospital to home. Take part in service audit to assess the effectiveness of the Home 1st clinical pathways. To work collaboratively in partnership with CNWL, MKUH and BLMK ICB to implement system flow response as part of escalation processes. To actively seek patient and carer feedback, to enable informed decision-making when reviewing service interventions. To take responsibility for analysis of Datix incidents regarding patient discharge from hospital and implement recommended actions to prevent recurrent risk