The post holder will:1. Assess, plan, implement and evaluate all aspects of patient care, and developtreatment/care pathways that may need to be delivered from a range of options.2. Follow a holistic assessment, devise an individualised care pathway for eachpatient, modifying it as required.3. Be aware of Assistive Technology and utilise where required.4. Assess patients holistic needs, communicating complex and sensitiveinformation to patients and carers as to their assessment, diagnosis, prognosisand treatment plan.5. Where there are barriers to understanding, such as hearing impairment, mentalcapacity impairment and other difficulties in comprehension, explanationsrequire adjustments in order to gain understanding, consent and concordance.6. Establish and maintain therapeutic relationships with patients and carers,incorporating motivation, encouragement and confidence building to enablepatients to engage in their treatment/care/management plan.7. Liaise with GPs, Social Services, inpatient teams, other allied health careprofessionals and the voluntary sector to ensure identified needs are met andcare co-ordinated appropriately.8. Be required to undertake risk assessments and act upon them appropriately.9. Participate in multi-disciplinary/multi-agency meetings as appropriate, e.g. GoldStandard Framework.10.Plan and organise specialist services within the Urgent Community ResponseTeam.11.Ensure activity data and clinical information is recorded on SystmOne andcompleted on a daily basis.12.Demonstrate dexterity and co-ordination when using specialist equipment andfine tools, advanced sensory skills, manual and mobilising skills.