The Community Nursing Service will provide:- Ongoing assessment, planning and evaluation of client care including making relevant and timely referrals to other services; Management of PICC lines and other venous access devices; chronic wound management; Other clinical activities such as catheter and stoma care; The provision of chronic disease management activities such as preparing a management plan, care coordination through discharge planning from the inpatient services and review through the case review process and the provision of self-management strategies and Assessment and appropriate referral of clients and carer's physical, psychosocial, emotional and environmental health needs. Supporting Hospital with early discharge and avoidable hospitalisation.