Job Description

To be responsible for a clinical caseload working within multidisciplinary team (MDT), ensuring patients and carers receive optimum level of therapy and holistic care within available resources. To undertake timely, holistic assessments of patients, involving functional and environmental factors. To be able undertake assessments autonomously as well as working with other members of the MDT. To be able to undertake assessment and interventions within a community unit as well as at home, either supporting people to remain in their own home safely or supporting discharge from the acute setting/hospital.



To be able to work with a person/friends and family to identify person centred SMART goals (care plan), using clinical reasoning and evidence based practise. To be able to make rapid decisions where required, using clinical reasoning skills, knowledge and experience, with support as appropriate. To be able to complete basic observations on a person, interpret these results and act on them appropriately, with support from other members of the MDT. Willingness and enthusiasm to work toward cross-disciplinary capabilities.



To be able to monitor a persons progress and adapt treatment plans and intervention/recommendations as appropriate, using outcome measures and reflective practice. To have an awareness of local community services and be able to refer to these appropriately and in a timely manner. To contribute to the development of information that enables a person to understand and self-manage their condition whenever possible. Please refer to the attached and Person Specification for more details.