To provide support and follow-up to complex patients including paediatrics, following training and assessment to provide community and clinic base directly observed therapy (DOT) and undertake random urine sample checks and pill counts in order to help assess patients compliance. This will involve visiting patients in their homes and providing directly observed therapy (DOT) in a variety of community settings including homeless hostels. To visit non attendees at home to encourage attendance at further appointments and clinics. To work alongside TB Nurse Specialists to provide support and follow-up care to TB patients and their families To identify specific needs in education of patients, relatives, and staff and facilitate meeting these requirements. To offer an individualised service respecting the many diverse cultural and spiritual backgrounds of each family, offering confidentiality, and maintaining trust. To assist in the prevention and control of spread of TB. To link with primary care, local authority, voluntary and other agencies such as Find and Treat to provide access to support, and facilities needed for TB treatment. Many TB patients are socially excluded and therefore this post will aim to improve access to all primary healthcare and other services. To participate in raising the profile of TB to local health care workers and others. To access and manage charitable funds for patients who require support and incentives. To manage patient access to Video Observed Therapy.