Job description
Holistic bespoke assessment of patients in their own homes, establishing a baseline overview of health, clinical, mental health, and environmental needs, guided by clinical templates Support and input to care planning and collaborative decision making alongside community service colleagues including Community Nurses, Mental Health Practitioners, Specialist Nurses, Community-Based Therapy Teams, Social Prescribers, Adult Social Care, Hospice Services and Home Visiting Paramedic Practitioners Leads and participates in multidisciplinary care team meetings Clinical Triage, supported by robust protocol and clinical templates, in our Community Single Point of Access (CSPA) Proactive assessment of patients in their own homes, to identify the increasingly frail patient in an attempt to input support prior to any further decline in health, social and care needs. Subsequent participation and coordination of a dynamic Consultant-Led multidisciplinary meeting to agree care plans of action