To have an up-to-date knowledge of the multidisciplinary management of the patient and discharge plan of all allocated patients. To have an understanding of clinical conditions and terminology. To gather and collate information from the medical notes, patients and multi-disciplinary team colleagues to enable aclear plan for discharge to be followed. To demonstrate the required understanding of manual handling issues and assist patients where required following guidelines for safe moving and handling in order to assess patients for the most appropriate transport. To take note of the expected date of discharge (EDD) and update the white board if required. If this had not been identified, to contact the relevant clinician(s) and ensure this is added to the white board and the medical record. To assist in ensuring that all patients have an accurate EDD, identify whether the patient is unwell or fit and if fit retentionreason. To work closely with the multi-disciplinary team:- to check the management plan for each patient, identifying if the team have been involved- to make any identified referrals in liaison with ward staff- to identify any patients who are likely to have complex discharge arrangements and involve complex dischargeteam if applicable. Anticipate potential delays and take action to prevent them, e.g. anticipate the need to make referrals and after checking with an appropriate clinician, make the referral. Ensure all necessary referrals are made and received and assist those receiving the referrals to prioritise, supplying useful and relevant information. To ensure pharmacists are aware of patients requiring TTOs with alternative packaging / instruction for TTOs are notified in advanceEnsure TTOs are prescribed, requested and obtained before transport arrives. To organise ambulance transport To discuss discharge planning with patients and relatives/carers ensuring that ward staff and MDT members are informed as appropriate. To communicate effectively and appropriately with patients, carers and families and to show awareness in relation to sensitive issues and to deal with difficult situations as appropriate. To be aware of barriers to effective communication e.g. hearing loss, altered perception, expressive and receptive dysphasia, dementing illness, cognitive impairment, memory loss, pain and fear and the effective use of verbal / nonverbal communication as appropriate. Attend and participate in the ward MDT meetings undertaking any appropriate follow up action required. To document actions taken and communications carried out in the medical record and on the white board in line withTrust policies. To develop a rapport with senior members of staff on the ward maintaining an awareness of ward objectives. To facilitate effective communication and coordination of care between all multidisciplinary team members involvedwith each patient. To develop an understanding of the contributions made by the multidisciplinary team. To develop effective working relationships with team members, being prepared to encourage and support their contributions as well as sensitively and diplomatically raising any concerns. To liaise with community services and be able to refer and communicate in order to facilitate discharge. Raise issues impacting upon delays directly with relevant Trust managers. To maintain contemporaneous and accurate patient records in line with legal and departmental requirements inmedical documents. To have responsibility for liaison with members of the multidisciplinary team, social services and voluntary agencies, to ensure effective communication and seamless service.