Job summary
An exciting role is available for a registered clinician to join the Nottingham City and Nottinghamshire Transfer of Care Hub (ToCH)
The ToCH is a System-level hub where all relevant services (acute, community, primary care, social care, housing and voluntary) work together to triage, coordinate care and support for people who need it to enable timely discharge, recovery, reablement and rehabilitation. The ToCH is co-located within the acute hospital and holds responsibility for developing timely and person-centred discharge plans for people based on the principle of home first.
The ToCH aims to improve the journey of the person leaving the hospital with fewer hand-offs, resulting in no duplication of assessments, more accurate assessments undertaken in surroundings that are familiar to them rather than in a hospital environment, less time in hospital and therefore less time away from their own bed. This reduces the likelihood of deconditioning, infection, confusion/disorientation, institutionalisation, or increased dependence.
System partners are present in the ToCH to triage discharge to assess (D2A) referrals, identifying the most appropriate discharge pathway for the presenting needs and collaborating to meet those needs in the most time efficient way, aiming for discharge within 24 hours of the person becoming medically safe.
An understanding of Health and Social care provision and ability to work closely with partner organisations and other stakeholders is essential.
Main duties of the job
This role, as part of the MDT, will evaluate and discuss the D2A information and make decisions about the best discharge destination for the individual, facilitating the admission where appropriateby answering any queries that the receiving service/destination may have to best meet their needs.
The aim is that nobody must make (or have made for them) lifetime decisions in hospital and people leaving hospital should get the right care in the right place at the right time. The ToCH multi-disciplinary team that this role is a part of, support this aim through triage, discussions and knowledge of system wide provision.
People who can be supported to return home on Pathway 1 will be triaged throughout the day and arrangements made to book the required care and therapy, those whose needs are more complex and may require Pathways 2/3 will be discussed to ensure that an agreement is reached to facilitate discharge on the most appropriate pathway.
You will need excellent assessment and intervention skills, as well as complex discharge planning experience, demonstrate high standards of evidence based clinical practice, have excellent organisation, interpersonal and communication skills and should be able to prioritise your workload, manage your time effectively, and work flexibly within the team.
This post sits within the ToCH but is line managed and supported by Nottingham CityCares Community Traige Hub team. This role will be considered as a job share.
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.
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 Human Resources on 0115 8839418. CityCare is committed to the protection of vulnerable adults and children.
Job description
Job responsibilities
Job Purpose
- To work as an autonomous practitioner within the MDT - you will undertake clinical triage utilising a high level of investigative and analytical skills from information provided on D2A documents and through clinical conversations in order to facilitate timely hospital discharges to a community bed or home and support the flow of patients through the system.
- To clinically review patients within the acute setting to confirm whether needs can be met within the identified pathway.
- To be responsible for continuing the ongoing development of high standards of clinical practice with evidence-based focus.
- To be responsible for managing the triage caseload. You must have excellent interpersonal, organisational and communication skills, and be able to respond pragmatically to rapidly changing demands and circumstances, providing highly specialist clinical reasoning in assessing, devising and evaluating best outcome for patient and answering any queries that community beds settings may have regarding admissions.
- To be responsible for coordinating the safe and timely discharge process from acute to a variety of community settings, including home and community beds via the ToCH and the community triage hub and completing the associated documentation.
Dimensions
- This post has no budgetary responsibility; however, the post holder is responsible for demonstrating cost consciousness.
- You may be required to work across different bases and community settings within Nottingham City
- You will be responsible for managing the triage caseload; You must have excellent interpersonal, organisational and communication skills, and be able to respond pragmatically to rapidly changing demands and circumstances.
- You will be required to participate actively in CityCares training requirements.
- You will supervise, educate, and assess the competency of junior staff, support staff and students.
Key Responsibilities
As well as elements within Job Purpose
- This post has no budgetary responsibility, however the post holder is responsible for demonstrating cost consciousness.
- You will be required to participate actively in CityCares training requirements.
- You may supervise, educate and assess the competency of junior staff, support staff and students.
- To be professionally and legally responsible and accountable for all aspects of your work, including the management of clients in your care. To ensure a high standard of clinical care for the clients.
- To work within a legal framework with clients who lack the capacity to consent to treatment.
- To drive quality, clinical service improvement and clinical excellence.
- To be responsible for own continuing professional development keeping abreast of new trends and developments. Attend relevant conferences and training courses, supporting junior staff to do the same.
- To participate in the supervision framework as a supervisee and a supervisor as required, including the appraisal process. To be able to set own objectives and evaluate own learning and that of more junior staff.
- To work to your Code of Professional Conduct.
- To maintain a high standard of care to clients and carers including accurate and detailed documentation.
- To contribute to Clinical Governance agenda and apply Risk Management strategies.
- To contribute to implementation of service development and change as appropriate.
- To support the Team Manager in implementing and evaluating targets and objectives to assist in the ongoing development of the whole service.
- To take delegated responsibility for management duties as required.
- To ensure the health & safety of self and others at all times in accordance with Health & Safety legislation and City Care policy and procedures.
- To use information technology on a daily basis and participate in identified data collection and statistics and to maintain clear, concise and timely records in line with the service policy.
- To demonstrate flexibility, prioritise effectively and time manage self, supporting others to do the same. To be able to delegate appropriately.
- To participate in the Lone Worker Tracking procedure as applies to the team.
- To undertake any other duties which may be reasonably required.
- To manage complex, sensitive and/or difficult information via a variety of means.
- You may be required to work across different bases and community settings within Nottingham City and your primary base is within Nottingham University Hospitals QMC site.
Job description
Job responsibilities
Job Purpose
- To work as an autonomous practitioner within the MDT - you will undertake clinical triage utilising a high level of investigative and analytical skills from information provided on D2A documents and through clinical conversations in order to facilitate timely hospital discharges to a community bed or home and support the flow of patients through the system.
- To clinically review patients within the acute setting to confirm whether needs can be met within the identified pathway.
- To be responsible for continuing the ongoing development of high standards of clinical practice with evidence-based focus.
- To be responsible for managing the triage caseload. You must have excellent interpersonal, organisational and communication skills, and be able to respond pragmatically to rapidly changing demands and circumstances, providing highly specialist clinical reasoning in assessing, devising and evaluating best outcome for patient and answering any queries that community beds settings may have regarding admissions.
- To be responsible for coordinating the safe and timely discharge process from acute to a variety of community settings, including home and community beds via the ToCH and the community triage hub and completing the associated documentation.
Dimensions
- This post has no budgetary responsibility; however, the post holder is responsible for demonstrating cost consciousness.
- You may be required to work across different bases and community settings within Nottingham City
- You will be responsible for managing the triage caseload; You must have excellent interpersonal, organisational and communication skills, and be able to respond pragmatically to rapidly changing demands and circumstances.
- You will be required to participate actively in CityCares training requirements.
- You will supervise, educate, and assess the competency of junior staff, support staff and students.
Key Responsibilities
As well as elements within Job Purpose
- This post has no budgetary responsibility, however the post holder is responsible for demonstrating cost consciousness.
- You will be required to participate actively in CityCares training requirements.
- You may supervise, educate and assess the competency of junior staff, support staff and students.
- To be professionally and legally responsible and accountable for all aspects of your work, including the management of clients in your care. To ensure a high standard of clinical care for the clients.
- To work within a legal framework with clients who lack the capacity to consent to treatment.
- To drive quality, clinical service improvement and clinical excellence.
- To be responsible for own continuing professional development keeping abreast of new trends and developments. Attend relevant conferences and training courses, supporting junior staff to do the same.
- To participate in the supervision framework as a supervisee and a supervisor as required, including the appraisal process. To be able to set own objectives and evaluate own learning and that of more junior staff.
- To work to your Code of Professional Conduct.
- To maintain a high standard of care to clients and carers including accurate and detailed documentation.
- To contribute to Clinical Governance agenda and apply Risk Management strategies.
- To contribute to implementation of service development and change as appropriate.
- To support the Team Manager in implementing and evaluating targets and objectives to assist in the ongoing development of the whole service.
- To take delegated responsibility for management duties as required.
- To ensure the health & safety of self and others at all times in accordance with Health & Safety legislation and City Care policy and procedures.
- To use information technology on a daily basis and participate in identified data collection and statistics and to maintain clear, concise and timely records in line with the service policy.
- To demonstrate flexibility, prioritise effectively and time manage self, supporting others to do the same. To be able to delegate appropriately.
- To participate in the Lone Worker Tracking procedure as applies to the team.
- To undertake any other duties which may be reasonably required.
- To manage complex, sensitive and/or difficult information via a variety of means.
- You may be required to work across different bases and community settings within Nottingham City and your primary base is within Nottingham University Hospitals QMC site.
Person Specification
Qualifications
Essential
- AHP/NMC registered.
- Evidence of CPD maintained in a portfolio including attendance at relevant postgraduate courses.
Desirable
- Leadership qualification
- Student Mentor
- Recognised Teaching qualification.
- working to Masters level within specialist field
Experience
Essential
- Significant postgraduate experience demonstrating broad based experience including skills that are specialist to this position (this might be falls prevention, orthotics, OA management, community rehabilitation, stroke, Complex Discharge) proven through attendance at courses and PRD
- Experience of multi-agency working
- Supervision of less experienced qualified staff and students/support workers
- Experience in audit, research or service development
- Experience of working in a multi-disciplinary team
- Experience of working within acute health service
- Experience of managing change
- Multi-tasking in a pressurised environment
Desirable
- Experience working within intermediate care services.
- Experience of working with clients with mental health needs
- Experience of supervising junior, unqualified staff and students
- Relevant experience of rehabilitation with adults
- Experience of being a specialist resource for team members including other professions within health and its partners
- Experience of working within community health services
- Contribution to clinical education of less experienced staff, students and assistants
Special Requirements
Essential
- This post may require weekend and bank holiday work.
- Ability to travel between locations if required, however this office based role is located within Nottingham University Hospitals Queens Medical Centre with no hybrid working.
Knowledge and skills
Essential
- Evidence of achievement of appropriate competencies for clinical grade (KSF)
- Knowledge and experience of a wide range of approaches to the management of complex conditions demonstrated by advanced clinical reasoning.
- Experience in managing organisational change/service development.
- Remain updated with professional practice and current best evidence and new research.
- Excellent communication skills demonstrating an ability to communicate to a variety of audiences e.g. 1:1 and in groups
- Experience of supervision and appraisals
- Ability to pass on skills and knowledge to clinicians within own team and across service including other professions.
- Confident to chair meetings.
- Enthusiastic and motivated
- Flexible, adaptable, innovative, self-reliant with a positive attitude
- Good organisational skills, ability to prioritise and delegate.
- Ability to relate well to all groups of people and to create and maintain effective working relationships.
- Team worker
- Advanced clinical reasoning skills
- Ability to analyse and interpret Discharge to Assess documents.
- Ability to make informed decisions.
- Ability to motivate self and others.
- Ability to demonstrate the application of the principles of clinical governance to personal practice and in the development of a service.
- Awareness understanding and commitment to the pursuit of equality of opportunity in terms of service delivery and employment practice.
Desirable
- Development of project management skills
- Continued development of specialist skills
- Knowledge of models of supervision
- Evidence of specialist skills applicable to post, eg. neurological, orthopaedic rehabilitation
Person Specification
Qualifications
Essential
- AHP/NMC registered.
- Evidence of CPD maintained in a portfolio including attendance at relevant postgraduate courses.
Desirable
- Leadership qualification
- Student Mentor
- Recognised Teaching qualification.
- working to Masters level within specialist field
Experience
Essential
- Significant postgraduate experience demonstrating broad based experience including skills that are specialist to this position (this might be falls prevention, orthotics, OA management, community rehabilitation, stroke, Complex Discharge) proven through attendance at courses and PRD
- Experience of multi-agency working
- Supervision of less experienced qualified staff and students/support workers
- Experience in audit, research or service development
- Experience of working in a multi-disciplinary team
- Experience of working within acute health service
- Experience of managing change
- Multi-tasking in a pressurised environment
Desirable
- Experience working within intermediate care services.
- Experience of working with clients with mental health needs
- Experience of supervising junior, unqualified staff and students
- Relevant experience of rehabilitation with adults
- Experience of being a specialist resource for team members including other professions within health and its partners
- Experience of working within community health services
- Contribution to clinical education of less experienced staff, students and assistants
Special Requirements
Essential
- This post may require weekend and bank holiday work.
- Ability to travel between locations if required, however this office based role is located within Nottingham University Hospitals Queens Medical Centre with no hybrid working.
Knowledge and skills
Essential
- Evidence of achievement of appropriate competencies for clinical grade (KSF)
- Knowledge and experience of a wide range of approaches to the management of complex conditions demonstrated by advanced clinical reasoning.
- Experience in managing organisational change/service development.
- Remain updated with professional practice and current best evidence and new research.
- Excellent communication skills demonstrating an ability to communicate to a variety of audiences e.g. 1:1 and in groups
- Experience of supervision and appraisals
- Ability to pass on skills and knowledge to clinicians within own team and across service including other professions.
- Confident to chair meetings.
- Enthusiastic and motivated
- Flexible, adaptable, innovative, self-reliant with a positive attitude
- Good organisational skills, ability to prioritise and delegate.
- Ability to relate well to all groups of people and to create and maintain effective working relationships.
- Team worker
- Advanced clinical reasoning skills
- Ability to analyse and interpret Discharge to Assess documents.
- Ability to make informed decisions.
- Ability to motivate self and others.
- Ability to demonstrate the application of the principles of clinical governance to personal practice and in the development of a service.
- Awareness understanding and commitment to the pursuit of equality of opportunity in terms of service delivery and employment practice.
Desirable
- Development of project management skills
- Continued development of specialist skills
- Knowledge of models of supervision
- Evidence of specialist skills applicable to post, eg. neurological, orthopaedic rehabilitation
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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
