South Warwickshire University NHS Foundation Trust
We are looking for a dynamic individual to join the Integrated Discharge Team. The team works across acute (Warwick Hospital), community hospitals, and specifically commissioned D2A Care homes, located in South Warwickshire. You will manage a caseload of patients by delivering a high-quality service, ensuring discharges are planned with a home-first mindset, ensuring patients are discharged to the least restrictive option through several Discharge To Assess (D2A) pathways.
You will work collaboratively across all divisions within the trust while sustaining partnership working with links across the local health and social care economy. Working with a variety of staff groups and voluntary sectors; you must be confident in sensitively challenging conventional thinking and demonstrate negotiating and influencing skills.
The successful candidate will be proactive, forward-thinking, and committed to maintaining capacity and flow across the system, through safe and timely patient discharges, to reduce the detrimental outcomes associated with a protracted length of stay.
You will contribute to the redesign of discharge pathways and facilitate the delivery of local and national legislation and guidance related to patient discharge.
We are keen to hear from applicants with CHC experience for an exciting opportunity to work in D2A in the South.
Main duties of the job
To coordinate complex patient discharges by liaising across the Health and Social Care economy and working collaboratively with Primary Care and third sector services. This is an integral role provided at both the acute sector and the community setting. The purpose is to assist the Trust to maintain capacity and flow throughout the whole system and to promote safe and timely discharges, with the intent to reduce the detrimental outcomes associated with patients who have a prolonged length of stay.
The Trust has a number of discharge initiatives that aim to bring care closer to home, therefore the post holder must be confident and proactive in sensitively challenging conventional thinking.
Job responsibilities
1. Work independently managing own allocated caseload.
2. Respond to referrals within 1 working day.
3. Work towards the specified Estimated Discharge Date (EDD).
4. Prepare complex patients and their relatives at the earliest opportunity in relation to planning for discharge.
5. Review daily each complex patient's progress towards discharge to determine if the plan needs to be revised and actioned in order to achieve a timely and safe discharge.
6. Identify appropriate patients through the trusted assessment process to the various Discharge to Assess initiatives.
7. Undertake Mental Capacity assessments in accordance with the Mental Capacity Act (2005).
8. Cover and rotate through all areas as allocated by the Team Manager/Leader.
9. Participate in the delivery of new Trust initiatives related to the process of patient discharge.
10. Ensure adherence to all measures stipulated in the Trust's inpatient Discharge Procedure and other policies related to the discharge process.
11. Assist in identifying, negotiating, and coordinating the movement of patients who are suitable to transfer to other health or social care facilities.
12. Promote integrated and collaborative working with health, social care teams, and third sector providers.
13. Initiate and lead patient case conferences or best interest meetings as necessary.
14. Maintain accurate records both written and electronic, dealing with highly sensitive information respecting confidentiality and security.
15. Support and actively participate in audits pertaining to patient discharge and whole system flow.
16. Contribute to the development of standards, protocols, care pathways, and clinical audit when requested.
17. Contribute to strategies and use relevant information systems to collect and interpret data that will lead to the formulation of action plans that seek to improve the discharge process.
Professional/Personal Responsibilities
1. Be responsible for and provide evidence that all mandatory training is undertaken and up to date.
2. Maintain active status on the NMC register or equivalent professional registration.
3. Act always in accordance with the NMC Code of Conduct or professional registration and guiding documents.
4. Take responsibility for personal development and education regarding Revalidation and Personal Development Plan objectives.
5. Participate in clinical supervision for self and others and utilize reflective practice.
6. Participate in team, professional, and personal development activities and promote commitment to continuous development and improvement.
7. Update and maintain professional knowledge to sustain a high level of awareness of relevant research issues and trends within the field of discharge planning.
8. Have access to independent means of transport for work purposes to travel across the acute and community Trust and to other agencies.
Person Specification
Qualifications
* Registered first level nurse or AHP or social care.
* Evidence of continuing professional development in the last year.
* Mentoring and assessing qualification.
Experience
* Significant post-registration experience in an acute hospital setting or equivalent or community setting.
* Experience in effectively contributing and sustaining change.
* Experience with working with electronic systems.
Skills
* Demonstrates excellent communication and interpersonal skills.
* Knowledge of the key legislation, best practice, and health/social care policy and guidelines relating to own professional practice.
* Able to manage, prioritise, and organise own workload effectively.
* Demonstrates up-to-date knowledge in the field of patient discharge.
* Is innovative, positive, and has the ability to apply critical and lateral thinking.
* Able to plan and achieve targets and to meet deadlines.
* Act as a positive role model/expert in complex patient discharge.
* Demonstrates ability to sensitively challenge conventional thinking.
* Demonstrates experience of multi-disciplinary and collaborative working.
* Ability to facilitate change effectively and motivate others.
* Able to apply research and best practice operationally.
* Can demonstrate characteristics of effective credible leadership.
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.
South Warwickshire University NHS Foundation Trust
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South Warwickshire University Foundation Trust
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