Division of duties between managerial and clinical activities, supporting the Home First & Urgent Community response Operational Pathway Lead in managing the service facilitating efficiency, effective and safe activity of Home First service activity. Support Operational Pathway Lead with service management activities: appraisal and supervision of B6 staff, approving annual leave, reporting on sickness using Health Roster. Promote a holistic, supportive, and patient centred service that facilitates an intervention approach to promote change, acceptance and promotes self-management aiming to optimises functional improvement Work with Home First: supporting with triage, patient care pathway, and sharing knowledge related to the discharge to assess and admission avoidance strategies Work with patients, carers and families, and other statutory health related services Work autonomously and within the MDT team delivering individualised treatment interventions and management programmes Be flexible in the approach to delivering treatment and advice, have skills to deliver a variety of treatment interventions Have advanced communication skills that would include motivational and emotional support skills To have expert knowledge and understanding of long-term conditions and symptoms, and prognosis Manage a patient through the entirety of their care episode in relation to Home First assessment, symptom management, support and discharge. Where appropriate to work collaboratively with primary and secondary health care services, third sector services and social prescribing, education and social services, to ensure the delivery of a seamless and high-quality service. Have a broad skill set which can include advanced skills in delivering therapy intervention in order to provide a 2-hour urgent response for patients in a crisis. Manage severe complex, house bound patients. The CIS Home First service offers a domiciliary service to severely affected individuals; this requires collaborative working with social services and other attending care agencies. Be able to recognise the signs and symptoms of a deteriorating patient, having the skills to escalate accordingly. Be an advocate for the patient. Knowledge of where to sign-post patients for support, e.g. local or national support groups To be responsible for a caseload and work without direct supervision, and provide peer support for members of the MDT To ensure patient care and planned interventions are supported by available evidence base and experiential knowledge and are in accordance with Code of Professional conduct. To keep up to date and monitor literature related to Discharge to Assess and Crisis Response. To carryout risk assessment in line with Trust/National Protocol.