Work with patients and the Centre Manager to find flexible solutions to difficulties in effecting discharges. Identifying the requirement for interim placement where necessary. Assist patients and community teams in the identification and procurement of suitable interim placements. Participate in ad-hoc support of outpatients with Case Management issues and attend meetings in the community where necessary. Evaluate patients social, psychological and physical well-being and refer to colleagues and other professionals as appropriate. Work with patients and their families who are experiencing challenging situations. Co-ordinate all goal planning and case conference meetings, and chair as appropriate. Co-ordinate/attend other meetings as required. Negotiate with community professionals and RNOH staff to acquire funding and provision of appropriate, cost-effective accommodation, equipment, support and care packages, where providers have budgetary constraints and conflicting priorities. Write complex reports to support patients needs where required. Ensure provision of a cost-effective Case Management service. Assist in the supervision of the LSCIC Reintegration practitioners (RP). Co-ordinate the effective provision of the RP service. Facilitate practical training of Community based carers using the RPs. Maintain regular and accurate records of appropriate assessment and outcome measures e.g. Needs Assessment Checklist and Functional Independence Measure, Decision support tools and London Health Need Assessments.