The closing date is 29th Nov 2024
Anticipated Interview date(s) TBC
Job summary
To manage a caseload of patients for designated ward / delegated area of responsibility. Ensure discharges are lined up for the earliest opportunity each day, escalating where discharges are at risk of failing. Keep up to date records of the patients discharge planning and journey in the patient notes and on the complex discharge database SW TOCH and SW IP Community Waiting lists. Work with the MDT to ensure all patients have up to date, realistic discharge plans and take action to implement, monitor and amend the plans, if necessary, in partnership with all relevant colleagues. Attend daily board rounds on allocated wards to act as "discharge key worker" ensuring the following actions are achieved on a daily basis:
Main duties, tasks & skills required
To support and coordinate the discharge tasks for designated wards / delegated area of responsibility in a safe, timely and pro-active manner, working in partnership with the multidisciplinary team (MDT), including nursing, medical, therapy, various social service partners, carers, care agencies, community teams, clinical commissioning groups, TOCH, D/C leads at acute hospitals, voluntary agencies, next of kin and other external partners.
Ensure plans for transferring patients to community services are progressed with the patient, next of kin and MDT to facilitate discharge from hospital once deemed medically stable.
Act proactively to provide a reduction in length of stay and delayed discharges.
Support the teams on all aspects of discharge planning and escalate any issues with complex discharge.
Liaise with care agencies and care homes to establish dates for assessments and agree transfer dates; work alongside social services, ICB and trusted assessors to ensure return to placement and restarts of care packages are completed following policy.
Escalate any delay within the discharge planning process to appropriate team leaders, clinical leaders, and service managers. This may include MDT assessments, diagnostics, family, care home delays etc.
Liaise with the bed managers to ensure they are aware of all medically fit patients or when discharges are at risk.
Participate in clinical care when required, including personal care, patient handling, observations, assessments, and phlebotomy.
About us
Hampshire and Isle of Wight Healthcare NHS Foundation Trust is a newly established organisation, bringing together expertise from across mental health, learning disabilities, community, and physical health services. We are dedicated to delivering compassionate, high-quality, and accessible care to the diverse communities of Hampshire and the Isle of Wight.
With over 13,000 dedicated staff working across more than 300 sites, we place patients and staff at the centre of everything we do. Our goal is to create an integrated healthcare system that improves accessibility and ensures more consistent care for patients. By working together, we aim to improve patient outcomes, drive innovation, and meet the unique needs of the populations we serve.
Our Trust unites services from Southern Health, Solent NHS Trust, Isle of Wight NHS Trusts community and mental health teams, as well as Hampshire CAMHS, originally part of Sussex Partnership NHS Foundation Trust. This transformation enables us to deliver more seamless care across the region, ensuring that patients receive the right support, in the right place, at the right time.
Join us as we embark on this exciting journey to shape the future of healthcare across Hampshire and the Isle of Wight. We are deeply committed to our CARE values of compassion, accountability, respect, and excellence, and offer outstanding opportunities for career development, training, and collaborative working.
Job description
Further information about the Trust and this role can be found on the Job Description and Person Specification document attached.
We are happy to talk Flexible Working - all requests for flexible working options can be discussed as part of the interview process.
Person specification
Qualifications
Essential
NVQ 3
Diploma Advanced Apprenticeship Level 3 Health & Social Care or equivalent achieved within the last 2 years
Desirable
Have or working towards Foundation Degree in Health and Social Care, or equivalent.
Experience
Essential
Practical experience in health care setting
Ability to demonstrate ability to work independently to a Health / Social Care plan.
Work without direct supervision.
Ability to prioritise a varied workload within a busy ward environment.
Desirable
Certificates
Competency in performing baseline observations
Evidence of understanding of elderly patients with complex needs
Additional Criteria
Essential
Self-motivated and well presented.
Able to secure the co-operation of colleagues at all levels.
Able to develop effective professional relationships with patients and carers to understand their needs.
Willingness to work weekends and evenings if required.
To attend meetings
Excellent communication and interpersonal skills
Effective decision maker and able to work on own initiative.
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.
For help with your application, contact:
Alison Davies
alison.davies@southernhealth.nhs.uk
01590663395
Pay scheme
Agenda for Change
Band
Band 3
Salary
£24071.00 to £25674.00 Hourly
Contract
Permanent
Working pattern
Full-Time
Reference number
348-SW-6303
Job locations
Lymington New Forest Hospital
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