Job summary A patient's recovery can be impacted by staying in hospital longer than is necessary so having the right care plan in place to support the person to leave hospital at the earliest and safest time for them is crucial. The Acute Trust Case Managers support the effective management of patient discharge from hospital and play a pivotal role in supporting ward-based colleagues with patient discharge plans. The Acute Trust Case Managers work with all members of the newly formed Transfer of Care Hub (ToCH) based at the BRI, including social workers, Sirona CToCH (Community Transfer of Care Hub) team and community therapists and will be encouraged to participate and share learning with colleagues across the team. We are looking for Registered Nurses or AHPs (Allied Health Professionals) to join our team Main duties of the job The Home First Team operates across all adult inpatient areas at the BRI and Weston Hospital. You will; Use your expert knowledge to coordinate, facilitate and move forward all patient discharges on your wards. Be responsible for a defined caseload working with wards on a rotational basis. You will gain experience in managing patients who have discharges that are "delayed", "complex" and also work with the admission areas e.g. Emergency Department to prevent admission to the hospital, Supporting and completing initial assessments for Continuing Healthcare Fast Track Assessments (CHCFT) and referral to the Community Transfer of Care Hub (CToCH) for pathway beds. Liaising with the wider MDT, Local Authorities, other Trusts, CToCH and Integrated Care Bureau (ICB) through meetings and the Trust Transfer of Care Hub (ToCH). Ensure local and national polices and guidelines are adhered to, ensuring that the patient and their families are at the heart of everything we do by communicating and supporting them throughout the discharge process. Build key relationships with the ward and therapy teams to ensure good communication and collaborative working relationships to facilitate a timely safe discharge. About us University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) is one of the largest acute Trusts in the country, bringing together a combined workforce of over 13,000 staff and over 100 different clinical services across 10 different sites, serving a core population of more than 500,000 people across South West England. UHBW has been rated by the CQC as 'Good' overall and our staff are proud to deliver excellent care to the people of Bristol, Weston and beyond. As a forward-thinking multi-award winning Trust and a digital exemplar committed to improving patient care, our world-leading research and innovations are having a positive local and global impact. Our hospitals are spread across Bristol and Weston, join us and you can enjoy the very best of both worlds; city living within a stone's throw of the countryside or beside the seaside, both with easy access to all that the South West has to offer. UHBW is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults. As an equal opportunities employer actively working towards a diverse workforce we aim to recruit and retain a workforce which represents the rich diversity of the local population at all levels and are committed to designing our services around the needs of individual patients and those around them. Anonymous information will be used from your application in order to ensure we're meeting our pledge. Date posted 17 March 2025 Pay scheme Agenda for change Band Band 6 Salary £37,338 to £44,962 a year per annum Contract Permanent Working pattern Full-time Reference number 387-TS2634-JJ Job locations Bristol Royal Infirmary Malborough Street Bristol BS2 8HW Job description Job responsibilities For a more detailed job description and main responsibilities, please refer to the job description document attached to this vacancy. Job description Job responsibilities For a more detailed job description and main responsibilities, please refer to the job description document attached to this vacancy. Person Specification Qualifications and Training Essential Registered Nurse Level 1 or HCPC registered Evidence of recent CPD (within 1 year) Knowledge and Experience Essential Demonstrate a broad range of post registration experience (minimum of 1 year post registration) Provide an in-depth knowledge of working with the MDT within an Acute Trust Show experience in the discharge planning of patients with complex needs Show a working knowledge of current legislation relating to patient discharge Desirable Show experience of working within or in collaboration with Community Healthcare providers Skills and Abilities Essential Demonstrate excellent clinical assessment, planning, delivery and evaluation skills Show the ability to manage, organise and prioritise a complex patient case load with minimal support Demonstrate to ability to motivate and influence others Demonstrate the ability to remain professional and focussed in all situations Demonstrate excellent communication skills through written, verbal and electronic medium Show your ability use competently, the Trust electronic systems such as Careflow EPR, Careflow Workspaces, The Discharge Log Show your ability to follow complex instruction and protocols accurately in a time sensitive manner Have the ability to review and reflect on your own skill set to lead on your CPD in consultation with supervisors and peers Desirable Demonstrate your ability to lead MDT meetings Have the ability to interpret and relay patient discharge data to the relevant MDT member internal or external to the Trust Person Specification Qualifications and Training Essential Registered Nurse Level 1 or HCPC registered Evidence of recent CPD (within 1 year) Knowledge and Experience Essential Demonstrate a broad range of post registration experience (minimum of 1 year post registration) Provide an in-depth knowledge of working with the MDT within an Acute Trust Show experience in the discharge planning of patients with complex needs Show a working knowledge of current legislation relating to patient discharge Desirable Show experience of working within or in collaboration with Community Healthcare providers Skills and Abilities Essential Demonstrate excellent clinical assessment, planning, delivery and evaluation skills Show the ability to manage, organise and prioritise a complex patient case load with minimal support Demonstrate to ability to motivate and influence others Demonstrate the ability to remain professional and focussed in all situations Demonstrate excellent communication skills through written, verbal and electronic medium Show your ability use competently, the Trust electronic systems such as Careflow EPR, Careflow Workspaces, The Discharge Log Show your ability to follow complex instruction and protocols accurately in a time sensitive manner Have the ability to review and reflect on your own skill set to lead on your CPD in consultation with supervisors and peers Desirable Demonstrate your ability to lead MDT meetings Have the ability to interpret and relay patient discharge data to the relevant MDT member internal or external to the Trust 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name University Hospitals Bristol and Weston NHS Foundation Trust (UHBW) Address Bristol Royal Infirmary Malborough Street Bristol BS2 8HW Employer's website https://www.uhbw.nhs.uk/ (Opens in a new tab)