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Detailed job description and main responsibilities

Clinical

• To act as an expert source of knowledge, offering specialist clinical advice and support to other healthcare professional and agencies across organisational boundaries.

• To work autonomously to manage a defined highly complex patient caseload whilst working as part of the wider multidisciplinary team.

• To contribute to the delivery of the service in a variety of defined clinical settings, which may include in-patient wards, out-patient and community clinics and the patient’s home.
• To respect the individuality, values, cultural and religious diversity of patients, contributing to the provision of a service sensitive to these needs.
• To utilise highly advanced communication skills to ensure clinical advice and treatment programmes are delivered sensitively, taking into consideration the needs of carers.
• To gain consent for treatment and motivate patients to comply with treatment programmes, overcoming barriers such as dementia, cognitive impairment, hearing, visual or speech impairment.
• To comply with the Mental Capacity Act to gain valid and informed consent to specific treatment and intervention for patients who lack capacity to consent themselves.

• To undertake highly specialist clinical assessment, taking into account all relevant information and clinical reasoning to formulate evidence based individualised treatment plans in agreement with the patient.
• To implement highly specialist individual and/or group interventions for patients with diverse presentations and highly complex needs.
• To monitor progress and review treatment plans and interventions to facilitate the achievement of goals.
• To provide appropriate oral and written information for patients and carers where relevant.
• To develop and maintain good working relationships with other healthcare professions, social care and other appropriate agencies, to ensure integrated and high quality patient outcomes.
• To work as a member of the multidisciplinary team, contributing to decisions with regard to patient care programmes through attendance at ward rounds, case conferences and other multidisciplinary meetings.
• To provide accurate and timely written information and reports to referring agents and other agencies where appropriate.
• To record and submit clinical activity data as required by the Trust in an accurate and timely manner.
• To ensure the safe and timely discharge of patients from the caseload liaising with other agencies as required.
• To be responsible for safe and competent use of equipment including the provision of support, education and training to other staff, patients and carers as required.
• To identify appropriate equipment and adaptation needs, liaising with equipment providers, completing paperwork and complying with any tracking, stock control and maintenance systems as required
• To be an active member of the weekend rostered service in stroke care
• To give and request second opinions where appropriate.