To be professional and legally accountable for all aspects of your work including the 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 assessment of patients, with frail and complex presentation, using clinical reasoning skills and manual assessment techniques in order to diagnose clinical need. 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. To allocate and delegate work safely and appropriately to the therapy team. providing leadership responsibilities for service provision on a daily basis Support the inpatient teams with advice and training to meet the needs of a patient with complex presentation Ensure the participation of patients families and carers in decision making and planning mutually agreed objectives 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. This will include patients who may have difficulties in understanding or communicating. To manage clinical risk within the Home 1st therapy caseload. To be responsible for the safe and competent use of all appropriate equipment. Work collaboratively with the MDT with discharge planning. To comply and uphold standards of the HCPC and the Royal College of Occupational Therapists To be responsible for maintaining own competency to practice through CPD activities and to maintain a portfolio which reflects personal development. To be responsible for attending and participating in formal supervision, including clinical supervision, in accordance with Trust policies and procedures and the standards of the RCOT. To participate in the staff appraisal scheme as an appraisee and be responsible for complying with your agreed personal development programmes to meet knowledge and competency requirements. To undertake the measurement and evaluation of your work and current practices through the use of evidence-based practice projects, audit and outcome measures in conjunction with the Home 1st Lead Occupational Therapist. To be an active member of the in-service training programme by attendance at, and participation in, in-service training programmes, tutorials and individual training sessions. To be responsible for planning own caseload, prioritising workload as situations arise. Acquire an understanding of CNWL-MK clinical and HR policy and procedures. To supervise designated team members and complete appraisals, maintaining accurate documentation.