Detect early signs of patient deterioration through basic observations and holistic approved assessment Increase patient confidence and understanding in their own health Reduce crisis situations unplanned admissions and carer breakdowns Support safe and effective use of medicine using a non-medical patient centred approach Exploring patients understanding of their medications Support medicine reviews by feeding back to clinicians Complete sarcopenia assessments to identify early risk to prevent falls and muscle wastage Promote and support a proactive approach in patient care, working with INT coordinators to identify patients from risk stratification tool and highlighted frequent attenders at A&E Support patients that are not managing their long term conditions, signposting to relevant services and highlighting concerns to GP practice Support patients highlighted in need of reactive support, working with the rest of INT team to ensure that needs are supported accordingly Liaise with PCN services, GP practices, community teams and voluntary services to support patients Support discussion and provide feedback to MDT meetings Where appropriate highlight ReSPECT form process with patients Bridging the gap between GPs and realities patients face at home encompassing what really matters to them Promote the image of the organisation and services by ensuring that all information and communication is up to date and suitably presented Take responsibility for ensuring that internal and external communication systems are fit for purpose Respond to telephone, email and written queries on behalf of the service area including call handling where appropriate Demonstrate flexibility and adaptability to meet changing priorities within a dynamic operational environment Be proactive and contribute ideas for improvement in the way the service is delivered Support in providing telephone cover during annual leave, sickness or peak demand periods, including answering incoming calls, booking appointments, taking messages and signposting patients appropriately Ensure that all complaints, compliments, concerns, comments and suggestions are escalated appropriately Able to work on own initiative, prioritising work within defined policies and procedures to set timescales Manage specific projects as requested by the PCN Operational manager and provide updates on progress Develop use of community hubs for drop in BP monitoring sessions identifying hypertensive patients