The post holder will provide day-to-day clinical nursing/therapy expertise and co-ordination to a multi-disciplinary integrated discharge hub based at the Newham Hospital working in partnership to facilitate timely discharge of patients from hospitals. The team consists of nurses, therapists, social workers and admins.
The post holder will:
1. Undertake 'in reach' triage assessments for patients on the acute Wards at Newham Hospital to ensure rapid discharge. Undertake generic IDH clinical assessment and coordination tasks and functions.
2. Coordinate and chair meetings face to face or virtually held at different times on weekdays and weekends with system partners and discharge hubs.
3. Liaise with the Discharge Coordinator Team in NUHT and other system partners to identify and facilitate the discharge of patients from the acute hospital setting to community services.
4. Effectively liaise and maintain relationships with other system partners to ensure that appropriate equipment, POC and support systems are put in place to meet the health and social care needs of patients. This may include restarts or new POC and equipment to support patients to return home or the provision of interim, step-down or permanent residential placements.
5. Participate in shift work, covering either 8-4, 9-5, 10-6 or 12-8pm, with rota'd weekends and BHs as the service operates 365 days per year.
Main duties of the job
To maintain clinical direction and leadership; coordinating a team of clinical staff for the continuous and consistent provision of high-quality patient care in acute and in the community.
To proactively maintain safeguarding knowledge and ensure risk assessment, co-ordinate, review, case manage and facilitate discharges into community services as part of the integrated discharge hub.
To be aware of professional boundaries and the need to access expert and specialist opinions when required in relation to discharge planning.
To demonstrate within the team clinical leadership and expert specialist knowledge of a range of therapeutic and clinical interventions in order to plan discharge, undertaking assessments e.g. equipment and evidence-based recommendations. Escalate clinical risks as appropriate.
Act as a role model in the practice area, encouraging staff in teaching, supervision, facilitating and assessing, and create and sustain a supportive/teaching/learning environment for the practice setting.
Be responsible for the maintenance and accurate recording of patient information in the documentation systems and to ensure the effective dissemination of patient information throughout the multi-disciplinary team.
About us
Our mission is to make a positive difference to people's lives by improving the quality of life for all we serve. Our values are: We Care, We Respect, We are Inclusive - so we are looking for people who live and breathe these qualities when supporting service users and carers, and in their relationships with colleagues in the Trust and our partner organisations.
Job responsibilities
To maintain clinical direction and leadership; coordinating a team of clinical staff for the continuous and consistent provision of high-quality patient care in acute and in the community.
To proactively maintain safeguarding knowledge and ensure risk assessment, co-ordinate, review, case manage and facilitate discharges into community services as part of the integrated discharge hub.
To be aware of professional boundaries and the need to access expert and specialist opinions when required in relation to discharge planning.
To demonstrate within the team clinical leadership and expert specialist knowledge of a range of therapeutic and clinical interventions in order to plan discharge, undertaking assessments e.g. equipment and evidence-based recommendations. Escalate clinical risks as appropriate.
Act as a role model in the practice area, encouraging staff in teaching, supervision, facilitating and assessing, and create and sustain a supportive/teaching/learning environment for the practice setting.
Be responsible for the maintenance and accurate recording of patient information in the documentation systems and to ensure the effective dissemination of patient information throughout the multi-disciplinary team.
Person Specification
Education/Qualification/Training
* Diploma or Degree in Physiotherapy or Occupational Therapy.
* Registered with the HCPC.
Experience
* Well-developed experience of working as a qualified professional in adult community mental health services.
* Experience in screening and triaging referrals and discharge planning.
* Experience of contributing to the professional development and education of more junior staff, students and assistants.
* Experience of working in rehabilitation, social services and community-based work.
* Experience of Clinical Leadership.
* Experience working in MDT.
* Well-developed experience in working with advanced physical assessment, preferably in an acute and community setting.
* Experience of clinical supervision, mentoring/coaching and staff management including appraisal.
* Experience of performance management.
* Involvement in audit, research and understanding of quality issues.
Knowledge and Skills
* Working knowledge of statutory and voluntary community services and agencies (e.g. intermediate care, community therapy, re-ablement).
* Knowledge of a broad range of clinical conditions.
* Knowledge of major professional issues related to health services.
* Strong assessment, clinical reasoning, analysis and presentation skills.
* Effective communication skills both orally and in writing.
* Good interpersonal skills.
* Evidence of good organisational skills, planning and negotiation, conflict resolution, problem solving and decision making skills related to patient's discharge.
* Knowledge of the needs and rights of patients and carers.
* Knowledge of current NHS legislation, NICE guidelines and HR policies.
* Awareness of cultural and ethnic issues.
Other
* Ability to work flexibly, including working out of core hours i.e. evenings and 7-day working as required.
* Self-motivated.
* Proactive, self-directed with an innovative approach.
* Commitment to lifelong learning.
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.
£51,883 to £58,544 a year Outer London Weighting.
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