Operating within the framework of the Hospital Discharge Services guidance (Aug
2020), the post holder will work in partnership with colleagues in the acute sector, social
services, continuing care and other community health services to ensure that
appropriate patients from the acute setting are assessed and transferred safely to
appropriate community based services in a timely and seamless manner. For
appropriate pathways there is an aim to support transfer from hospital to community
within 2 hours or on the same day.
To be responsible for ensuring smooth daily operations at the acute hospital bases and
to act as a key point of contact and subject matter expert for community services to
support with complex discharge queries. To lead daily huddles as required.
Make judgements involving highly complex facts requiring interpretation and analysis.
To prevent avoidable admission to acute care by undertaking autonomous, holistic clinical, functional and risk assessments and liaising with community practitioners and A&E staff to initiate the provision of appropriate services in the community
To prevent premature admission to long-term care by creative problem solving to find appropriate alternatives, using highly developed skills and knowledge of assessment and communication.
To support and enable the process of safe discharge from secondary to Community care and assist in bridging the gap from hospital to home.
To proactively promote a seamless and multidisciplinary approach to health and social care
provision.
Professional Standards
All staff must comply with the Central London Community Healthcare (CLCH) NHS Trust Staff Code of Conduct and demonstrate the Trust’s Values and Behaviours. Senior Managers must also comply with the NHS Code of Conduct for Managers, based on the Nolan principles of public accountability. All staff employed in recognised professions are required to ensure they work to the professional standards and/or Codes of Practice set out for their professional group. In addition, staff are required to demonstrate the Customer Care Standards of the organisation.
• To work as a core member of the acute based multi-agency Discharge Hub team to build and deliver the shared Vision for a Hospital Discharge Service. Where necessary, to act as a the CLCH on-site Team Leader and to be responsible for day to day management of the community health based elements of service delivery; including acting as a line manager for any other CLCH staff within the team.
• To provide highly skilled and autonomous care to a designated caseload including taking responsibility for the assessment (if needed), management and liaison (external and internal) to patients in an acute setting.
• To act as a pro-active community health service advocate, on behalf of CLCH and other Providers, through extensive knowledge of relevant community based pathways within the area of operation and ability to support effective discharge planning.
• To act as a key point of contact for acute clinicians including Consultants, members of the Discharge Hub team and other community based clinicians/services.
To work within and across professional and organisational boundaries, liaising with
Consultants, ward managers, other professionals and statutory and voluntary agencies to deliver individualised and expert assessment and discharge guidance to a high standard, and leading communication with all stakeholders.
• Take designated responsibility for discrete areas of operational management/ clinical practice.
• To support the Discharge Hub Clinical Lead and colleagues in delivering high quality care that delivers best value and meets the requirements of the Hospital Discharge Service guidance.
This advert closes on Thursday 13 Feb 2025