Job summary
The Patient Flow Coordinator plays a pivotal role in ensuring the smooth transition of patients from the acute hospital setting to the community reablement service within the Pathway One framework.
This position focuses on delivering a consistent approach to patient flow by supporting effective discharge planning, accurate forecasting, and timely communication with health and social care colleagues.
The role involves monitoring predicted discharge dates, facilitating referrals, and ensuring patients are discharged appropriately to meet performance indicators such as average length of stay and reducing delayed discharges.
The coordinator will develop and implement protocols to manage Delayed Transfers of Care, contribute to service innovation, and provide training to promote discharge excellence. Acting as a key liaison point, the postholder ensures clear, multidirectional communication across multidisciplinary teams, escalates issues impacting service delivery, and provides patients and carers with accurate, up-to-date discharge information.
Additionally, the role requires collecting and interpreting patient flow data to support clinical and management decision-making, while maintaining high standards of patient experience in line with CityCare values.
Main duties of the job
- Identify those patients that are Delayed Transfer of Care and identify those that are pending discharge.
- To help develop a method of communication with social care providers to review and escalate reasons for delayed transfers of care.
- To communicate and negotiate effectively highly complex information on availability and appropriateness of rehab and assessment beds across Nottingham CityCare and being able to ensure that all parties have an understanding of implications and consequences of decisions.
- To communicate with patient on regular basis in planning their care and discharge.
- To utilise good personal skills and gain the agreement of relevant parties, particularly in relation to the discharge of patients during periods of high demand.
- To assist in managing the Delayed Transfer of Care database.
- To undertake regular audits to ensure that protocols and standards are being met and to propose changes to the service as required. To make this information available when required for audit.
- To provide this information as required to the Team manager and Operational Performance Manager.
- To act as a positive role model at all times contributing to the resolution of pressure on beds to the overall benefit of patients and their carers and the good reputation of the Nottingham CityCare.
- To always maintain a focus on continuity of care and the Patient experience.
About us
We are a
provider of NHS Community Health Services, CityCare exists to support the
health and wellbeing of all local people, working alongside other health and
care partners to achieve this. We are a value driven, people business with a
passion for excellence. Our vision and social purpose is to make a difference
everyday to the health & wellbeing of our communities and our values of
kindness, respect, trust and honesty lie at the heart of everything we do,
guiding how we work together with partners and each other to consistently
deliver high quality compassionate care. As a social enterprise we aim to add
social value by investing in the future of our local communities and helping to
make a difference in peoples lives.
CityCare value
the benefits of a diverse and inclusive workforce. We encourage applications
from candidates who identify as disabled, LGBT+ or from a Black, Asian or
Minority Ethnic (BAME) background, as they are currently under-represented
within our organisation.
We are proud to be a forces-friendly
organisation and are dedicated to supporting Veterans, Service Leavers, Reservists, and
military spouses/partners. We value the unique skills and contributions you
bring.
CityCare is an
equal opportunities employer. We are positive about employing people with
disabilities. If you require your application in a different format please
contact People Services on 0115 8839418. CityCare is committed to the
protection of vulnerable adults and children.
Job description
Job responsibilities
Job Purpose
- To support the flow of patient through our pathway one service from the acute hospital to our community reablement service.
- Provide a consistent approach to patient flow, ensuring effective discharge planning and more effective forecasting. liaising with social and health service colleagues.
- Monitor and ensure all predicted discharge dates are up-to-date and patients are discharged appropriately. Supporting the clinical team in completing referrals to social services and reviewing predicted discharge dates.
- To support the team manager to ensure performance indicators are achieved e.g. average length of stay, delayed discharges.
- To develop and implement protocol to manage Delayed Transfer of Care.
- To ensure that the patient experience is to a high standard in line with CityCare values.
- Develop protocols for own work and propose policy or service changes in own area.
- To play a key role in the development of an innovative service providing excellent discharge practices. Providing training and support around discharge excellence.
- To develop the role of Patient Flow ensuring that data is collected and can be interpreted by all members of the trusts clinical and management teams.
- Liaise with all members of multidisciplinary teams to ensure effective multidirectional communication in order to deliver a high quality service to the patient and their relatives.
- To challenge decisions appropriately to ensure the best outcome is achieved for the citizen.
- To challenge decisions appropriately to ensure the best outcome is achieved for the citizen.
- Act as a liaison point with the clinicians to ensure escalation of issues that affect service delivery. The focal point of contact for up to date information in relation to discharge communication, particularly for patients and carers, providing good quality up-to-date relevant discharge information.
Dimensions
- To work across city wide .
- Communicate and negotiate widely at all levels within Nottingham CityCare as required in relation to complex admission and discharge.
- Anticipate the demand on all resources in relation to pathway one services and co-ordinate accordingly.
Key Responsibilities
- Identify those patients that are Delayed Transfer of Care and identify those that are pending discharge.
- To help develop a method of communication with social care providers to review and escalate reasons for delayed transfers of care.
- To communicate and negotiate effectively highly complex information on availability and appropriateness of rehab and assessment beds across Nottingham CityCare and being able to ensure that all parties have an understanding of implications and consequences of decisions.
- To communicate with Patient on regular basis in planning their care and discharge. To attend to patient during emergencies i.e., falls. Help clinical team with patient care when they are short of staff.
- The ability to utilise good personal skills and gain the agreement of relevant parties, particularly in relation to the discharge of patients during periods of high demand.
- To assist in managing the Delayed Transfer of Care database.
- To undertake regular audits of bed management to ensure that protocols and standards are being met and to propose changes to the service as required. To make this information available when required for audit.
- To provide this information as required to the Team manager and Operational Performance Manager.
- To act as a positive role model at all times contributing to the resolution of pressure on beds to the overall benefit of patients and their carers and the good reputation of the Nottingham CityCare.
- To maintain a focus on continuity of care and the Patient experience at all times.
- Develop links with other bed management services and be the designated point of seeking solutions to internal bed management challenges.
Job description
Job responsibilities
Job Purpose
- To support the flow of patient through our pathway one service from the acute hospital to our community reablement service.
- Provide a consistent approach to patient flow, ensuring effective discharge planning and more effective forecasting. liaising with social and health service colleagues.
- Monitor and ensure all predicted discharge dates are up-to-date and patients are discharged appropriately. Supporting the clinical team in completing referrals to social services and reviewing predicted discharge dates.
- To support the team manager to ensure performance indicators are achieved e.g. average length of stay, delayed discharges.
- To develop and implement protocol to manage Delayed Transfer of Care.
- To ensure that the patient experience is to a high standard in line with CityCare values.
- Develop protocols for own work and propose policy or service changes in own area.
- To play a key role in the development of an innovative service providing excellent discharge practices. Providing training and support around discharge excellence.
- To develop the role of Patient Flow ensuring that data is collected and can be interpreted by all members of the trusts clinical and management teams.
- Liaise with all members of multidisciplinary teams to ensure effective multidirectional communication in order to deliver a high quality service to the patient and their relatives.
- To challenge decisions appropriately to ensure the best outcome is achieved for the citizen.
- To challenge decisions appropriately to ensure the best outcome is achieved for the citizen.
- Act as a liaison point with the clinicians to ensure escalation of issues that affect service delivery. The focal point of contact for up to date information in relation to discharge communication, particularly for patients and carers, providing good quality up-to-date relevant discharge information.
Dimensions
- To work across city wide .
- Communicate and negotiate widely at all levels within Nottingham CityCare as required in relation to complex admission and discharge.
- Anticipate the demand on all resources in relation to pathway one services and co-ordinate accordingly.
Key Responsibilities
- Identify those patients that are Delayed Transfer of Care and identify those that are pending discharge.
- To help develop a method of communication with social care providers to review and escalate reasons for delayed transfers of care.
- To communicate and negotiate effectively highly complex information on availability and appropriateness of rehab and assessment beds across Nottingham CityCare and being able to ensure that all parties have an understanding of implications and consequences of decisions.
- To communicate with Patient on regular basis in planning their care and discharge. To attend to patient during emergencies i.e., falls. Help clinical team with patient care when they are short of staff.
- The ability to utilise good personal skills and gain the agreement of relevant parties, particularly in relation to the discharge of patients during periods of high demand.
- To assist in managing the Delayed Transfer of Care database.
- To undertake regular audits of bed management to ensure that protocols and standards are being met and to propose changes to the service as required. To make this information available when required for audit.
- To provide this information as required to the Team manager and Operational Performance Manager.
- To act as a positive role model at all times contributing to the resolution of pressure on beds to the overall benefit of patients and their carers and the good reputation of the Nottingham CityCare.
- To maintain a focus on continuity of care and the Patient experience at all times.
- Develop links with other bed management services and be the designated point of seeking solutions to internal bed management challenges.
Person Specification
Knowledge and skills
Essential
- Good communication skills verbal and written
- Ability to self-manage
- Ability to participate as an MDT team member
- IT literacy
- Ability to develop and apply community development approaches and methodologies
- Able to work effectively in a team, supporting others and challenging colleagues views and attitudes when necessary
- Able assess a situation, set priorities and problem solve quickly and effectively
Special Requirements
Essential
- All appointments are subject to satisfactory occupational health clearance.
- Able to provide care to the patients in the service and respond to any patient emergencies
- Ability to be flexible over hours worked within contracted hours to meet the needs of the service
- The ability to travel between city locations.
Qualifications
Essential
- Educated to Educated to degree level or NVQ level 4 or equivalent or equivalent level of experience
Desirable
- Evidence of further professional development
Experience
Essential
- Relevant experience working with adults including Health Care of the Elderly.
- Understanding of multi-disciplinary and/or multi-agency working in a community setting
- Competence in individual caseload and time management
- Ability to work under pressure, manage caseload. Customer service skills. Enthusiastic and motivated.
- Non-judgemental attitude, motivated. Flexible, adaptable, innovative, self-reliant and with a positive attitude.
- Ability to relate well to all groups of people and to create and maintain effective working relationships within the team and externally.
- Ability to work under pressure and manage workload in terms of risk and priorities
Desirable
Person Specification
Knowledge and skills
Essential
- Good communication skills verbal and written
- Ability to self-manage
- Ability to participate as an MDT team member
- IT literacy
- Ability to develop and apply community development approaches and methodologies
- Able to work effectively in a team, supporting others and challenging colleagues views and attitudes when necessary
- Able assess a situation, set priorities and problem solve quickly and effectively
Special Requirements
Essential
- All appointments are subject to satisfactory occupational health clearance.
- Able to provide care to the patients in the service and respond to any patient emergencies
- Ability to be flexible over hours worked within contracted hours to meet the needs of the service
- The ability to travel between city locations.
Qualifications
Essential
- Educated to Educated to degree level or NVQ level 4 or equivalent or equivalent level of experience
Desirable
- Evidence of further professional development
Experience
Essential
- Relevant experience working with adults including Health Care of the Elderly.
- Understanding of multi-disciplinary and/or multi-agency working in a community setting
- Competence in individual caseload and time management
- Ability to work under pressure, manage caseload. Customer service skills. Enthusiastic and motivated.
- Non-judgemental attitude, motivated. Flexible, adaptable, innovative, self-reliant and with a positive attitude.
- Ability to relate well to all groups of people and to create and maintain effective working relationships within the team and externally.
- Ability to work under pressure and manage workload in terms of risk and priorities
Desirable
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.
