Ashford & St. Peter's Hospitals NHS Foundation Trust
This is an exciting opportunity for a Complex Discharge Facilitator to join the Complex Discharge team on its mission to support the wards delivering safe, timely, and effective discharge for our patients and work collaboratively with the MDT to reduce Long Length of Stays in the Acute Hospital. Working within the Integrated Discharge Bureau (IDB), you will be part of a team providing support on Complex Discharges to the Trust and assisting patients, relatives, and staff through admission to discharge. This is an exciting opportunity for anyone who has worked in a ward area and now wants to develop their skills further by specializing in the Complex Discharge field. This post is 37.5 hours a week covering a 7-day service (including Bank Holidays and Weekends) plus one duty shift a week, which you will work until 6pm. If you are successful, full local induction and adequate training will be provided.
Main duties of the job
To support and co-ordinate discharges through the D2A process by multi-agency coordination and working with patients and families to discharge in a timely manner. Responsibility for a cohort of patients along with a discharge co-ordinator and responsibility for co-ordinating their timely discharges. Managing all data and recording of discharge information for a cohort of patients.
Offer advice and support to patients and relatives on funding, placements, and care packages. Provide guidance on services to aid in discharge, such as Action for Carers and Home Safe Plus. With the Discharge Co-ordinator and in their absence, co-ordinate the discharge of patients engaging the IDB and MDT in any concerns or provision of needs. Work autonomously within their scope, providing comprehensive discharge advice and information to ward staff, patients, and relatives. Identify critical delays in the entire diagnostic, treatment, and care processes and be proactive in generating solutions that could be out of the norm that will speed up the process, e.g., escalating to departments and Manager, thinking of services that can stop gap or be purchased in a different manner and bringing it to the attention of The Team Leader for consideration. Cover ward areas as directed by Team Leads or Managers in the absence of other Discharge Team members. Attend board rounds daily and facilitate meetings with staff around discharge.
About us
Ashford and St. Peters Hospitals NHS Foundation Trust serves a population of more than 410,000 people living in North-West Surrey, parts of Hounslow, and beyond. Over 3,700 highly trained doctors, nurses, midwives, therapists, healthcare scientists, and other support staff make up our workforce, providing a wide range of services across our two hospital sites, Ashford, Surrey, and St Peter's, Chertsey, Surrey.
We also run many specialist clinics in the community and local community hospitals and other healthcare facilities. Our vision is to be one of the best healthcare Trusts in the country. There has never been a better time to join us in the NHS at ASPH. We are committed to providing continuous professional development and flexibility to shape our workforce around our patient care.
We are expanding our theatres at Ashford Hospital and moving towards this becoming our dedicated elective centre. We want to create a state-of-the-art centre for excellence for planned surgical procedures.
We can offer you the full range of NHS benefits/discounts and in addition:
* Excellent pension scheme and annual leave entitlement
* On-site Nurseries
* On-site staff cafes
* On-site parking
* Salary Sacrifice schemes including wage stream, lease cars, Cycle to Work schemes, and home electronics
Adverts may close early, so applicants are encouraged to submit an application as soon as possible.
For more information about a career at ASPH please visit: www.asph-careers.org
Job responsibilities
MAIN DUTIES AND RESPONSIBILITIES OF THE POST: To support and co-ordinate discharges through the D2A process by multi-agency coordination and working with patients and families to discharge in a timely manner. Responsibility for a cohort of patients along with a discharge co-ordinator and responsibility for co-ordinating their timely discharges. Managing all data and recording of discharge information for a cohort of patients. Offer advice and support to patients and relatives on funding, placements, and care packages. Provide guidance on services to aid in discharge, such as Action for Carers and Home Safe Plus. With the Discharge Co-ordinator and in their absence, co-ordinate the discharge of patients engaging the IDB and MDT in any concerns or provision of needs. Work autonomously within their scope, providing comprehensive discharge advice and information to ward staff, patients, and relatives. Identify critical delays in the entire diagnostic, treatment, and care processes and be proactive in generating solutions that could be out of the norm that will speed up the process, e.g., escalating to departments and Manager, thinking of services that can stop gap or be purchased in a different manner and bringing it to the attention of The Team Leader for consideration. Cover ward areas as directed by Team Leads or Managers in the absence of other Discharge Team members. Attend board rounds daily and facilitate meetings with staff around discharge. Follow the Trust's Discharge Policy and in liaison with Community, Social Services, and other healthcare colleagues, facilitate timely, appropriate, and safe discharge of patients to the community. Ensure patient confidentiality is maintained by keeping all written and electronic documentation complete, accurate, and up-to-date. Handle and share sensitive information strictly on a need-to-know basis. Report any safeguarding concerns and complete Datix incident reports as necessary. Support multi-disciplinary meetings in response to complex discharges with the goal to resolve any outstanding blocks to a successful discharge. Assist in identifying patients who meet the criteria for Continuing Health Care, particularly those with high-intensity health needs. Support referrals by helping wards complete Fast Tracks and navigate the referral process. Identify when there is a need to resolve disputes or disagreements around discharge planning or leaving the hospital to come to a resolution to avoid delayed discharge, being autonomous in this, escalating any issues unable to resolve to the Complex Discharge Team Managers/Lead. Support on any administration roles and rehab roles where required. Have knowledge and understanding of Power of Attorney and Court of Protection and how these impact on patients' discharge plans. (Power of Receivership), Mental Capacity Act, Deprivation of Liberty, and other legal frameworks. Information and Reporting Record accurate data entry into IT systems using the correct response times on IPPTL and Cerner. Participate in the audit of the effectiveness of discharge planning within the acute Trust and collect and analyze relevant data as required. Participate in MFFD calls and the tracking of patients. Staff Training Facilitate and support Complex Discharge Training and processes for all ward staff, ensuring they are kept informed of any updates and changes. Arrange shadowing opportunities for new staff and Ward Flow Navigators with the Complex Discharge Team. Educate and assist ward staff in completing Discharge to Assess (D2A) referrals, including exporting data from Cerner and submitting it to the D2A Duty Triage inbox for review. Promote adherence to discharge policies and ensure ward staff complete safe discharge checklists on Cerner, with the go-live date to be confirmed. Service Delivery: Fulfill defined responsibilities across a seven-day period to address the needs of the service, ensuring smooth patient flow and supporting discharges to Community Rehabilitation and Block Contract Beds. Support the Complex Discharge Team Lead and Divisional Heads of Nursing in maintaining safe discharges. Keep accurate records for audit purposes and liaise to review feedback by service users to evaluate the effectiveness of the service.
Person Specification
Written and verbal
* Significant specialty knowledge gained by education or relevant clinical experience
* Multi-disciplinary working and ability to lead in inter-disciplinary decision making
* Patient-facing roles - be able to understand an individual's communication, physical & emotional needs; recognize their needs and preferences
* Planning and organizing own workload
* Managing conflict
* Knowledge of D2A process and current NHS guidance and knowledge of relevant evidence required to support discharge
* RGN, NVQ AHP. Evidence of recent study in the health field
* Substantial and relevant experience within the NHS
* Training in Mental capacity assessments.
Written and Verbal
* Substantial knowledge of discharge planning
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Employer name
Ashford & St. Peter's Hospitals NHS Foundation Trust
Catherine Courtney-Grayson and Eileen Romero
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