Job summary
New and exciting post! Are you caring and compassionate in nature and a natural problem solver motivated by making a difference to peoples lives? Are you resilient, organised, and creative with a passion to think differently to overcome complex issues?
ECCH are proud to be partnering with our local ICS to introduce a new and exciting Transfer of Care Co-ordinator role in our Transfer of Care team.
The Co-ordinator will need a range of experience, which may include hands on care, or similar experience in a Health and Social Care setting, but the primary requirement is that the candidate must be passionate about providing effective support to our people to ensure they get the best care.
You will need to enjoy learning from colleagues and enjoy supporting people to access the right care, at the right time and in the right place.
As the co-ordinator you will be at the heart of the team supporting team members to be efficient, effective and get the best results for the people within the service.
If you are the person described above and relish the opportunity for career development, we want to hear from you!
Main duties of the job
Being an integrated role, the post holder will work closely
with system partners from the ICB, ECCH, JPUH, SCC and NCC and their respective
teams, such that the postholders work and views are representative of the five
organisations working collaboratively and together on behalf of the GYW place.
This post is a key part of the Integrated Transfer of Care
Team supporting safe transfers of care for patients who live in the Great
Yarmouth and Waveney Locality (East Place).
The post holder will, using the Home First ethos and
effective communication proactively promote community patient flow with system
partners. In close liaison with acute hospital wards, operations centre, and
transfer of care teams, the post holder will analyse and co-ordinate incoming
referrals for community hospital and beds with care.
The post holder will liaise with the patient, their family,
primary care home and social care teams to coordinate transfer of cares from
the community hospital into beds with care or home. The post holder is expected to redirect
patient pathways as needed to support the patient being in the right
place.
The Post will chair the daily review of patients, contribute
to daily board rounds for the East Place Beds with Care, taking action to
prevent delays in patient care, escalating concerns appropriately.
The service operates 7 days a week, MondayFriday 08:45
17:30, Saturday 09:0017:00 and Sunday 10:0016:00. Applicants will be required
to work a variety of shifts.
About us
ECCH is well established health care provider and has been successfully delivering NHS care within the community since 2011. We provide a range of NHS, community health and social care services predominantly across the easterly region of the Norfolk/Suffolk borders.
We are aligned to NHS terms and conditions, and offer many employee benefits, to find out more about us visit our website - www.ecch.org. We are a social enterprise and staff owned organisation which means staff can opt to be shareholders and have a real say in how ECCH is run and evolves to deliver healthcare for the future.
At the heart of our ambition, we work in partnership with and for the community to become the provider and employer of choice for community healthcare.
We encourage you to apply as early as possible as this job may close earlier than the advertised closing date once enough applications have been received.
Job description
Job responsibilities
Communication
Review all referrals for appropriateness ensuring all
relevant information and assessments are completed and signpost on where needed
To receive and interpret/analyse
sensitive information and accurately document information
Excellent communication skills. Aim to develop and maintain effective
interpersonal relationships with all members of the multidisciplinary team
Actively
give and receive constructive feedback
Manage patient information and
analyse referral information to make an informed decision
Have a thorough understanding and
knowledge of transfer of care pathways, criteria to reside and criteria for
transfer of care
Liaise with Operations centre and
Virtual Transfer of Care Hubs
Network and liaise with Social Care
Colleagues and Care Agencies to source packages of care
Liaise with voluntary services,
housing and charities in order to support patients needs on transfer of care
To maximise patient flow, admissions
and transfer of cares and to utilise bed stock to maximum capacity according to
referrals received
Updates ward/PCH/Transfer of
Care hub staff re referrals accepted/declined verbally and on S1
Patient
Care
Work
as part of a team whilst taking independent responsibility for referrals
Liaise
with Health and Social Care colleagues, able to use escalation routes when
delays occur e.g. awaiting Social Worker allocation, waiting a Mental Capacity
Assessment (MCA)
Contribute
to daily board rounds for the East Place Intermediate care beds and Beds with
Care, support transfer of care planning meetings, identify and discuss
potential transfer of care issues at the earliest opportunity. Ensuring Estimated Dates of Transfer of care
are reviewed and updated accordingly
Organise and facilitate planning
meetings as required
Participate in Place and partner
calls giving clear and concise information on admissions. Liaise with NHS CHC
team re packages of care and placements
Contribute to supporting evidence to
meet the Care Quality Commission (CQC) fundamental standards as required
Understanding
of multidisciplinary and integrated working proactively manage patient flow
Acute to community
Meet the demands of the pace of patient flow in the
wider system
Contribute
to a professional working environment
Professional
Proactively reviews acute hospital waiting list to
seek out appropriate referrals for bed based rehabilitation
Be able to analyse dashboard data and
identify trends for onward discussion with service leads
Communicate effectively, develop, and
maintain productive working relationships with system partners
Provides timely and accurate
information re admission/referral information to daily system calls
To facilitate early transfer of care
from community hospital/beds with care
Able to work flexibly and be able to adjust
to constant changing demands of the role
Act as a resource, advisor and role
model to other colleagues in relations to patient flow processes
Demonstrate a sound knowledge of the
Care Act 2014 and NHS Continuing Healthcare (CHC)
Utilise advanced decision making and
problem solving skills when reviewing referrals
Demonstrates a high level of
judgement, acting autonomously within role to accept/decline referrals
Support
with the development of admission/transfer of care process/polices proposing
any changes to the benefit of patient pathways
Contribute to financial performance
Contribute to efficient use of our
resources
All roles
within East Coast Community Healthcare CIC (ECCH) require staff to demonstrate our
Values and Signature Behaviours in the care and service they provide to
patients, service users, stakeholders and colleagues. All members of staff
should consider these as an essential part of their job role.
Our Values
outline the core behaviours that we can all achieve and are summarised as an
acronym within the word CARE.
These stand for: Compassion, Action, Respect and Everyone.Underpinning our Values are our Signature
Behaviours which highlight by taking the right actions we continue to build a
strong culture. Our four Signature
Behaviours are: Compassion
- We Listen, We Learn,
We Lead| Action - My
Accountability, My Responsibility | Respect - Respect
Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together
Job description
Job responsibilities
Communication
Review all referrals for appropriateness ensuring all
relevant information and assessments are completed and signpost on where needed
To receive and interpret/analyse
sensitive information and accurately document information
Excellent communication skills. Aim to develop and maintain effective
interpersonal relationships with all members of the multidisciplinary team
Actively
give and receive constructive feedback
Manage patient information and
analyse referral information to make an informed decision
Have a thorough understanding and
knowledge of transfer of care pathways, criteria to reside and criteria for
transfer of care
Liaise with Operations centre and
Virtual Transfer of Care Hubs
Network and liaise with Social Care
Colleagues and Care Agencies to source packages of care
Liaise with voluntary services,
housing and charities in order to support patients needs on transfer of care
To maximise patient flow, admissions
and transfer of cares and to utilise bed stock to maximum capacity according to
referrals received
Updates ward/PCH/Transfer of
Care hub staff re referrals accepted/declined verbally and on S1
Patient
Care
Work
as part of a team whilst taking independent responsibility for referrals
Liaise
with Health and Social Care colleagues, able to use escalation routes when
delays occur e.g. awaiting Social Worker allocation, waiting a Mental Capacity
Assessment (MCA)
Contribute
to daily board rounds for the East Place Intermediate care beds and Beds with
Care, support transfer of care planning meetings, identify and discuss
potential transfer of care issues at the earliest opportunity. Ensuring Estimated Dates of Transfer of care
are reviewed and updated accordingly
Organise and facilitate planning
meetings as required
Participate in Place and partner
calls giving clear and concise information on admissions. Liaise with NHS CHC
team re packages of care and placements
Contribute to supporting evidence to
meet the Care Quality Commission (CQC) fundamental standards as required
Understanding
of multidisciplinary and integrated working proactively manage patient flow
Acute to community
Meet the demands of the pace of patient flow in the
wider system
Contribute
to a professional working environment
Professional
Proactively reviews acute hospital waiting list to
seek out appropriate referrals for bed based rehabilitation
Be able to analyse dashboard data and
identify trends for onward discussion with service leads
Communicate effectively, develop, and
maintain productive working relationships with system partners
Provides timely and accurate
information re admission/referral information to daily system calls
To facilitate early transfer of care
from community hospital/beds with care
Able to work flexibly and be able to adjust
to constant changing demands of the role
Act as a resource, advisor and role
model to other colleagues in relations to patient flow processes
Demonstrate a sound knowledge of the
Care Act 2014 and NHS Continuing Healthcare (CHC)
Utilise advanced decision making and
problem solving skills when reviewing referrals
Demonstrates a high level of
judgement, acting autonomously within role to accept/decline referrals
Support
with the development of admission/transfer of care process/polices proposing
any changes to the benefit of patient pathways
Contribute to financial performance
Contribute to efficient use of our
resources
All roles
within East Coast Community Healthcare CIC (ECCH) require staff to demonstrate our
Values and Signature Behaviours in the care and service they provide to
patients, service users, stakeholders and colleagues. All members of staff
should consider these as an essential part of their job role.
Our Values
outline the core behaviours that we can all achieve and are summarised as an
acronym within the word CARE.
These stand for: Compassion, Action, Respect and Everyone.Underpinning our Values are our Signature
Behaviours which highlight by taking the right actions we continue to build a
strong culture. Our four Signature
Behaviours are: Compassion
- We Listen, We Learn,
We Lead| Action - My
Accountability, My Responsibility | Respect - Respect
Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together
Person Specification
Personal Attributes
Essential
- Ability to work without supervision
- Ability to work as a team
- Excellent time management skills, punctual and reliable
- Assertive
- Able to remain effective and efficient under pressure
- Able to use own initiative
- Able to negotiate effectively
- Able to contribute to team, service and organisational development
- Aware of requirements for confidentiality
- Ability to embrace our Culture, Values and Signature Behaviours:
- (Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together)
- Willingness and ability to work across different sites and travel to alternative sites and across the community as required
Qualifications
Essential
- NVQ level 4 in health and social care or equivalent experience in a Health and Social Care setting
Desirable
Experience
Essential
- Working in a hospital and community setting in a multidisciplinary team
- Experience of developing/implementing processes in line with service need
- Good working knowledge of patient flow, The Care Act 2014 and NHS CHC
Skills and Knowledge
Essential
- Excellent communication skills
- Able to interpret/analyse complex patient information which maybe distressing as relates to patients diagnosis and prognosis
- Tact and diplomacy
- A team player
- Good ICT skills including word, excel and emails
- Attention to detail with accurate, clear documentation
- Ability to analyse information and use reasoning and problem solving skills to assess referrals
- Ability to prioritise and plan workload unsupervised
- Assertive with the ability to challenge situations and manage situations where conflict may arise
Person Specification
Personal Attributes
Essential
- Ability to work without supervision
- Ability to work as a team
- Excellent time management skills, punctual and reliable
- Assertive
- Able to remain effective and efficient under pressure
- Able to use own initiative
- Able to negotiate effectively
- Able to contribute to team, service and organisational development
- Aware of requirements for confidentiality
- Ability to embrace our Culture, Values and Signature Behaviours:
- (Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together)
- Willingness and ability to work across different sites and travel to alternative sites and across the community as required
Qualifications
Essential
- NVQ level 4 in health and social care or equivalent experience in a Health and Social Care setting
Desirable
Experience
Essential
- Working in a hospital and community setting in a multidisciplinary team
- Experience of developing/implementing processes in line with service need
- Good working knowledge of patient flow, The Care Act 2014 and NHS CHC
Skills and Knowledge
Essential
- Excellent communication skills
- Able to interpret/analyse complex patient information which maybe distressing as relates to patients diagnosis and prognosis
- Tact and diplomacy
- A team player
- Good ICT skills including word, excel and emails
- Attention to detail with accurate, clear documentation
- Ability to analyse information and use reasoning and problem solving skills to assess referrals
- Ability to prioritise and plan workload unsupervised
- Assertive with the ability to challenge situations and manage situations where conflict may arise
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.
Employer details
Employer name
East Coast Community Healthcare CIC
Address
James Paget Hospital
Lowestoft Road
Gorleston
Great Yarmouth
Norfolk
NR31 6LA
Employer's website
https://www.ecch.org/ (Opens in a new tab)
