Job responsibilities We Listen, We Learn, We Lead Contribute to, support and promote ECCHs, strategic direction, values and culture in relation to proactive and reactive services Discuss all treatment options with sensitivity, knowledge and expertise and to act as a patient advocate when appropriate and respecting patient confidentiality with privacy and respect for diverse cultural backgrounds and requirements. Proactively develop and oversee a goal-oriented ethos with patients and encouraging others to take on this role. Plan and organise a range of complex activities in a wide range of settings to ensure best practice is delivered across the designated area of responsibility and the wider community Offer a supportive service to patients and their carers from diagnosis through all stages of the disease process, in conjunction with other healthcare professional using a range of communication skills to manage care and information empathetically. Understand and support the achievement of ECCH business plan objectives, performance targets, initiate and participate in screening and needs assessment as required. Identify the potential for service developments, risk and deficits and inform line manager making recommendations based on specialist knowledge. Plan and organise a range of complex activities in a wide range of settings to ensure best practice is delivered across your designated area of responsibility and the wider community. To provide clinical leadership within Intermediate Care and the wider integrated Community Care teams including Primary, Social Care, and all other provider organisations to provide high standards of care to patients and where appropriate. To be a key driver for establishing Integrated Therapies both practically and behaviourally. Assist with the implementation of pathways and guidelines to develop and deliver new innovative models for service delivery, ensuring a leading-edge approach to service development in-line with evidence based practice, national guidance at a local level. Develop systems to monitor, evaluate and audit service quality mechanisms to meet nationally and local targets. Maintain a high level of performance and be goal and outcome focussed when faced with opposition or when working under conditions or pressure. Monitor and maintain standards or provide benchmarking data to allow comparison with other healthcare providers and identifying ongoing workforce development needs. Participate in teaching and clinical supervision within Therapy services and MDT staff as required Critically evaluate research findings, national guidelines and implement changes in clinical practice as appropriate. Be responsible for participating and maintaining a learning environment and maximise opportunities for education and development in the clinical area to enhance individual development and performance in the delivery of high standards of care. My Accountability, My Responsibility To apply specialist skills and knowledge to manage a caseload of complex cases using evidence based or patient centred principles to assess, plan implement and evaluate interventions. Take responsibility for your own personal and professional development; maintain competence, knowledge and skills commensurate with role. Using advanced clinical practice skills assess the physical and psychosocial needs of a defined client group. Critically analyse complex clinical data and information to inform diagnosis and, where appropriate, order investigations and/or instigate therapeutic treatments to inform clinical decision making and improve health outcomes. Provide individualised care plans for a complex patient caseload and ensuring that any delegated workload is completed by staff with the appropriate competencies. Analyse complex patient situations and needs, either as part of a complex caseload or to provide advice and support to others within Intermediate Care. Use assessment tools or skills that will ensure an appropriate level of therapeutic intervention so that patients who present with highly complex needs are timely referred to the appropriate specialist services or interventions. Maintain legible, accurate and contemporaneous patient records in accordance with ECCH Policy. Assist with the investigations of complaints, participate in the risk management process, critical incident reporting, evaluation, dissemination and change in practice. Be responsible for understanding, following and implementing ECCH policies and procedures, and influencing working practices to support this accordingly. Contribute to the clinical governance agenda through participation in clinical risk assessment and management, clinical audit. Create an environment conducive to effective working, respecting and supporting staff to deliver high quality clinical services. Take responsibility to ensure compliancy with Health and Safety Policy, Fire and Environmental Waste Regulations. Respect Our Resources: People, Time and Money Take responsibility for the cost-effective management and use of expensive and highly complex equipment, provide recommendations for effective use of resources and contribute to the effective delivery of cost improvement planning. Analyse, interpret, compare and contrast complex information, service requirements and options, ensuring the effective approaches to service delivery and team working. Evaluate the impact of training programmes designed for patient and carers, to ensure that they provide the necessary knowledge and skills to gain independence, safely manage changing circumstances and plan for unavoidable progression of conditions. Contribute to the on-going review of equipment provision and guidance, acting as an authoriser for equipment provision within Intermediate Care and wider system. Work Together, Achieve Together To work with patients to identify patient goals embedding the health coaching approach to patient care and encourage others to use this approach. Demonstrate responsibility and accountability for the clinical caseload and co-ordinate care across the whole patient pathway within ECCH. This included ensuring a robust relationship and constant interface with health and social care services across the geographical footprint. Working with partners in Primary and Social care to develop a model of care which identifies self-management and a health coaching ethos. Negotiate and agree with the patient carers and other healthcare professionals, individual roles and responsibilities with actions to be taken and outcomes to be achieved, referring on to other services or professionals as appropriate. Work in partnership with the patients to empower them to make informed choices about their healthcare and support choices. Establish local networks in partnership with other health and social professionals/agencies and national links to develop protocols according to national and local guidelines for the safe and effective provision of therapy services. Provide professional expertise and clinical leadership, acting as a resource to other professionals within and outside your own organisation, regarding clinical issues to ensure continuous service provision and inter-professional working. Work with ECCH Colleagues, and other partner agencies and stakeholders including the acute trust to contribute to the development and delivery of new innovative models of service delivery, ensuring a leading-edge approach to service development in-line with evidence based practice. All roles within East Coast Community Healthcare CIC (ECCH) require staff to demonstrate our Values and Signature Behaviours in the care and service they provide to patients, service users, stakeholders and colleagues. All members of staff should consider these as an essential part of their job role. Our Values outline the core behaviours that we can all achieve and are summarised as an acronym within the word CARE. These stand for: Compassion, Action, Respect and Everyone. Underpinning our Values are our Signature Behaviours which highlight by taking the right actions we continue to build a strong culture. Our four Signature Behaviours are: Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together .