Duties and Responsibilities Communication and Key Working Relationships *Operation service manager for stroke services. *Rehabilitation Team members *Ward staff *Patients, families and carers. *Other care staff including those from other agencies, eg Social Services, Community nurses, Care agencies, as part of clinical work. Planning and Organisation *Taking account of allocated workload, to organise own day to day activities and to feed back to delegating therapist in the event that difficulties occur. Analytics *To enter data electronically according to Integrated Support Service procedures. *To record electronic patient data for professional staff as requested. Responsibility for Patient / Client Care, Treatment & Therapy *To undertake treatment programmes with individual patients/groups as specified by the team's therapists and nurses. This follows direct handover from the delegating therapist(s) or reading and implementing written treatment plans. *To assist therapists with treatment programmes, working with the individual patient's/groups. *To carry out work in a range of locations, including hospital departments, patients' own homes and other community locations as directed. *To use a range of verbal and non-verbal communication tools (e.g. explanation, negotiation, persuasion, motivation) to communicate effectively with patients to implement rehabilitation and treatment programmes following guidance from professionals. This will include patients who may have difficulties in understanding or communicating. *To observe and evaluate patients' response to treatment activities and decide on appropriate action e.g. seek further advice from occupational therapist, physiotherapist, community nurse and / or senior nursing staff, discontinue treatment activity, instigate emergency procedure. *To provide feedback to professionals on patients' progress, changes in functional ability, medical, social, emotional etc., on a daily basis. *To gather initial information for therapy documentation by telephone from patients within the community, or from care plans/medical records for in-patients prior to assessment, as directed by the therapist/ nursing staff. *To be aware of and appropriately manage sensitive and/or complicated information. To deal sensitively with patients who have high levels of anxiety and aggression caused by pain, dementia and limited mobility. This will include patients with challenging behaviour, terminal illness and degenerative disease. *To employ practical skills e.g. occupation skills -- cooking, household tasks/ exercise/mobility programmes as a routine part of patient treatment programmes *Use manual handling techniques requiring moderate physical effort as part of treatment interventions on a daily basis, as directed by therapists. This will take place in a range of environments such as hospital wards, home, work environments and cars where space available and environments may be awkward and confined. *To issue, demonstrate, adjust and ensure safe use of personal aids/equipment for patients, as prescribed and directed by therapists to support functional ability. E.g. mobility aids, toilet aids and to be aware of current safety alert notices. *To work with patients in their own homes and the community, therapy clinics and wards to implement treatment programmes, record observations and intervention. This may include encountering distressed and abusive patients/carers. For further details see attached JD