As a senior occupational therapist I have experience working in an acute complex discharge planning setting and in mission avoidance team, assessing and clinically managing independently specialised clinical caseload. I use recognised outcome measures to evaluate the effect of Occupational Therapy interventions and ensure that treatment programmes are progressing appropriately. I am able to assess patients’ capacity, gain valid informed consent to treatment and where such capacity is lacking or absent i work within a legal framework in the management of the patient ; acting in their best interest by advocating for their best needs and communicating with multidisciplinary/multi-agency team meetings and case conferences to ensure the co-ordination of patient care. This may include the review of patient progress and discharge planning I am also responsible for supervising designated members of staff within the team, including students and apprentices on placement.