To provide specialist psychological assessments of patients referred to the District Nursing service. These assessments should be based upon the appropriate use, interpretation, and integration of complex data from a variety of sources including psychological and neuropsychological tests, self-report measures, rating scales, direct and indirect structured observations and semi-structured interviews with clients, family members and others involved in the client's care. To formulate and implement plans for the formal psychological treatment and I or management of the cognitive, emotional, behavioural, physical, and psychological health of people utilising a bio-psychosocial model, based upon an appropriate conceptual framework of the patient's problems, employing psychotherapeutic methods based upon evidence of efficacy, across the full range of care settings. To implement a range of psychological interventions both therapeutic and psycho-educational, for individuals, carers, families, and groups, employed individually and in synthesis, adjusting and refining psychological formulations drawing upon different explanatory models and maintaining several provisional hypotheses. To see housebound people under the district nurses care in their own home with their families to provide psycho-education, brief family interventions, and carers support for families, to help all members minimise the negative impact of their condition on their lives, and to maximise the families and the individuals' potential to cope positively and improve their quality of life.