1. Communication and relationship skills Provide and receive complex information. Exchange condition related information with patients and relatives, who may have communication difficulties. To be able to independently encourage patients and families to engage in therapeutic activities and to reassure. To keep up to date and accurate records outlining your contact with the individual child/family. To liaise with colleagues across the multi-disciplinary team to coordinate care and input. 2. Knowledge, training and experience To have qualification of NVQ level 3 or equivalent experience. To have an understanding of a minimum of three therapeutic specialities eg OT, speech & language and physiotherapy. To have an understanding of a multidisciplinary team approach and the benefits this has to the child and their family. To have a good understanding of all red flags and know when to refer back to qualified practitioner. 3. Analytical and judgement skills To be able to evaluate patients general conditions adapting treatment as necessary. 4. Planning and organisational skills To be able to plan a nursery session under the guidance of the nursery nurse and ensure resources are suitable. To be able to make adjustments to treatment plan/approach through direct liaison with qualified staff. To ensure consent is gained for all treatment. 5. Physical skills To be able to deliver therapeutic treatment by using a very broad spectrum of skills including physical manipulation, sensory skills, communication skills and moving and handling of children both in and out of equipment and orthoses. 6. Responsibility for patient / client care To implement holistic therapeutic treatment in one package of care using skills from all five professionals (physiotherapy, occupational therapy, speech & language, dietitian and podiatry) in line with the prescribed therapy care program. To be able to work independently in education settings but understand a clear pathway of responsibility back to qualified staff should the treatment plan need long term change. 7. Responsibility for policy and service development implementation To implement holistic therapeutic treatment in one package of care using skills from all five professions (physiotherapy, occupational therapy, speech & language, dietitian and podiatry) in line with the prescribed therapy care program. You will follow policies and procedures and may participate in discussion regarding proposed changes. 8. Responsibilities for financial and physical resources Ensure the safe use of equipment within the clinic setting. 9. Responsibilities for human resources (HR) To demonstrate own duties to other support workers and students and provide practical training to any level of staff if appropriate. 10. Responsibilities for information resources To update the childs records and attend any meetings deemed necessary by the professional lead. 11. Responsibilities for research and development (R&D) Participate in any departmental audit and make suggestion on areas requiring audit. 12. Freedom to act To work autonomously within a controlled environment and to support Nursery Lead during external visits. 13. Physical effort (refer to effort factor questionnaire) To be able to use moderate effort over a full shift with appropriate breaks. This physical effort is required to assist to walk, stand or crawl plus other therapeutic activities. Some treatment happens on the floor and requires working at this level following the assessment. 14. Mental effort (refer to effort factor questionnaire) To be able to concentrate over a full shift with mainly predictable work patterns. 15. Emotional effort (refer to effort factor questionnaire) To be able to deal calmly and effectively with highly distressed families and children. Often working with children who have challenging behaviour. Occasionally working in unpleasant environments. 16. Working conditions (refer to effort factor questionnaire) Occasional/frequent exposure to highly unpleasant working conditions.