Job summary
We have an exciting opportunity within the transfer of care
hub for a band 6 discharge specialist nurse. The successful candidate will work
alongside a team of nurses and support the Band 7 nurses to manage complex
patient discharges as an autonomous practitioner. The successful candidate will
carry out patient assessment to facilitate safe discharges for all those
patients who are community ready to leave hospital.
The successful post holders duties will involve attending
wards daily educating junior members of staff along with educating ward teams.
The successful candidate will work closely with all members of the wider
systems to ensure a home first approach is followed from the moment the patient
is admitted to hospital.
If
you are enthusiastic with a passion for improving patient outcomes within our
home first approach, come and join our team.
Main duties of the job
The successful candidate will spend most of the working day
based on their allocated ward areas, attending board rounds, supporting ward
teams and other professionals with the discharge processes. Attending ward
areas to speak with patient and relatives about their discharge plans with a
home first approach.
To accept and action appropriate discharge to assess
referrals allocated by the coordinator and ensure all necessary evidence is
available to support the request for the referral to be progressed.
To enable patients to leave hospital in a timely manner once
identified as being community ready and no longer have the right to reside. To
minimise delayed discharges, improve patient flow and reduce the possibility of
clinical deconditioning.
To work collaboratively, as part of the trust wide transfer
of care hub, with ward based multi-disciplinary teams and community health and
social care partners to agree discharge plans that reflect the ongoing care
needs of patients and respect their wishes.
The service hours are 08.00-18.00 7 days per week. The post
holder would be required to work four 08.00-18.00hrs shifts per week.
About us
Please add your telephone number to your application form so we can contact you quickly if required.
One Team One Trust - There are many reasons to work at our Trust. From our commitment to putting people first to our accessible services and award winning teams. We have a passion for research, innovation and tackling inequalities. We are committed to respect, fairness and civility and promote a compassionate, caring and positive culture / working environment.
We welcome all applications irrespective of peoples race, disability, gender, sexual orientation, religion/belief, age, gender identity, marriage and civil partnership, pregnancy/maternity and in particular those from under- represented groups. Looking after our workforces health and wellbeing is a priority for us. We also provide access to high quality education, training, career progression and support. Flexible working is supported via our Flexible Working Policy.
The Trust employs around 8,746 people and provides a range of hospital services to a local community of around 430,000 residents. We also provide a range of more specialised services outside this area. We offer our staff outstanding benefits - Fitness Centre (SRH), libraries at both hospital sites, chaplaincy support and access to a Care Co-ordinator to help staff with childcare arrangements.If you use AI,
and it poses a risk to the integrity of your individual recruitment process, we
may withdraw your application at any stage of the process.
Job description
Job responsibilities
PLEASE REFER TO THE ATTACHED JOB DESCRIPTION FOR FULL DUTIES OF THE ROLE.
- To be responsible and accountable for the safe,
effective and compassionate nursing care for all patients in a ward/department
area.
- To exercise accountability as set out in the NMC
Code.
- To supervise, support and educate junior members
of the team, acting as a role model.
- Support Unit manager to ensure organisational
goals/objectives are met within the unit.
- When taking charge of the unit or in the absence
of the unit manager, is directly responsible for ensuring that clinical,
professional and cleanliness standards are maintained in the entire unit.
- To ensure effective communication internally and
externally, regarding patient care and resources.
- To accept and action appropriate Discharge to
Assess referrals as allocated by the TOCH coordinator and ensure all necessary
evidence is available to support the request for the referral to be progressed.
- Work at all times within the agreed framework
and to the agreed timescale that the patient will be transferred to the
Discharge Lounge within one hour from the time of the ward/board round and
transferred to the care of community and/or social care services with two hours
from arrival in the Discharge Lounge.
- To enable patients to leave hospital the day
that they are identified as being medically optimised/fit, in order to minimise
discharge delays, improve inpatient flow and reduce the possibility of clinical
deconditioning.
- To work collaboratively, as part of a Trust wide
TOCH, with ward based multidisciplinary teams and community health and social
care partners to agree discharge plans that reflect the ongoing care needs of
patients, and respect their wishes.
- To ensure safe discharge by confirming that the
next of kin has been informed that the patient is being transferred to the
Discharge Lounge for the finalisation of their same day discharge.
- To inform the Discharge Lounge coordinator when
the patient discharge progress is complete and communicate timely and
effectively with the Discharge Lounge Coordinator to facilitate safe discharge.
- To alert the Band 7 Coordinator to issues which
are contentious or complex and may prevent same day discharge.
- To alert the Band 7 Coordinator of any
safeguarding issues as appropriate who will escalate to the safeguarding team
as deemed necessary.
- To action all Discharge to Assess referrals to
members of the multi-disciplinary.
- To attend ward/board rounds, at least monthly
acting as a resource for all wards to support education and training in the
Discharge to Assess pathway.
- To support and educate ward teams in their
understanding of the Red to Green process up to the point of the recording that
the patient is deemed medically fit/ medically optimised and allocating the
correct discharge pathway on Meditech to enact the discharge process.
- To ensure that ward staff understand the process
and confirm that pre discharge discussions have taken place and the
patient/Next of Kin has either been given the NHS `Your Hospital Discharge Home
` or `Your Hospital Discharge: another place of care` documents including the
ward contact details.
- Collect any background information and data for
any complaints for the TOCH Coordinator.
- To have good knowledge of local community
services that are available including the voluntary sector across the various ICBs
in the region.
- To provide clinical expertise and advice to
other staff and to be a role model to them.
- To act an expert Nurse/AHP in providing advice
to nursing/AHP staff on wards about professional issues in relation to patient
care required for discharge progression.
- Deputise in the absence of the TOCH
Coordinator and act up as
appropriate.
- To ensure that all documentation is accurate and
completed as per Trust standard.
- To promote joint working between agencies by
recognising and acknowledging the abilities and constraints of health and
social services and community services in identifying and completing
appropriate multi-disciplinary referrals.
- To identify and support with documentation
required for CHC.
- Participate in daily review of patients who have
a long length of stay in line with NHS Improvement guide to reducing long
hospital stay.
- Must possess the specialist skills and expertise
to provide advice and guidance on all aspects of simple and complex discharge
and ensure the highest standards of patient care delivery.
- Will act as a champion for professional
accountability and standards, ensuring that professional practices are in line
with the requirements of the Nursing and Midwifery Council (NMC) and/or the
Health and Care Professional Council (HCPC) and Trust Policy.
- Liaise with ward staff, members of the
multi-disciplinary team, patients, relatives, carers, primary care and social
work department both hospital based and community area teams.
- Must possess the specialist skills and expertise
to provide advice and guidance on all aspects of patient discharge and ensure
the highest standards and safe patient discharge. Recognition and minimisation
of risks associated with discharge.
- Support the standardisation of discharge
documentation, policy and procedure across the Trust and demonstrate
effectiveness.
- Support and contribute to the development of
patient care within the Directorate.
- Contributing to Trust wide projects as required.
- To comply with the Trusts vision, values and
behavioural compact.
Job description
Job responsibilities
PLEASE REFER TO THE ATTACHED JOB DESCRIPTION FOR FULL DUTIES OF THE ROLE.
- To be responsible and accountable for the safe,
effective and compassionate nursing care for all patients in a ward/department
area.
- To exercise accountability as set out in the NMC
Code.
- To supervise, support and educate junior members
of the team, acting as a role model.
- Support Unit manager to ensure organisational
goals/objectives are met within the unit.
- When taking charge of the unit or in the absence
of the unit manager, is directly responsible for ensuring that clinical,
professional and cleanliness standards are maintained in the entire unit.
- To ensure effective communication internally and
externally, regarding patient care and resources.
- To accept and action appropriate Discharge to
Assess referrals as allocated by the TOCH coordinator and ensure all necessary
evidence is available to support the request for the referral to be progressed.
- Work at all times within the agreed framework
and to the agreed timescale that the patient will be transferred to the
Discharge Lounge within one hour from the time of the ward/board round and
transferred to the care of community and/or social care services with two hours
from arrival in the Discharge Lounge.
- To enable patients to leave hospital the day
that they are identified as being medically optimised/fit, in order to minimise
discharge delays, improve inpatient flow and reduce the possibility of clinical
deconditioning.
- To work collaboratively, as part of a Trust wide
TOCH, with ward based multidisciplinary teams and community health and social
care partners to agree discharge plans that reflect the ongoing care needs of
patients, and respect their wishes.
- To ensure safe discharge by confirming that the
next of kin has been informed that the patient is being transferred to the
Discharge Lounge for the finalisation of their same day discharge.
- To inform the Discharge Lounge coordinator when
the patient discharge progress is complete and communicate timely and
effectively with the Discharge Lounge Coordinator to facilitate safe discharge.
- To alert the Band 7 Coordinator to issues which
are contentious or complex and may prevent same day discharge.
- To alert the Band 7 Coordinator of any
safeguarding issues as appropriate who will escalate to the safeguarding team
as deemed necessary.
- To action all Discharge to Assess referrals to
members of the multi-disciplinary.
- To attend ward/board rounds, at least monthly
acting as a resource for all wards to support education and training in the
Discharge to Assess pathway.
- To support and educate ward teams in their
understanding of the Red to Green process up to the point of the recording that
the patient is deemed medically fit/ medically optimised and allocating the
correct discharge pathway on Meditech to enact the discharge process.
- To ensure that ward staff understand the process
and confirm that pre discharge discussions have taken place and the
patient/Next of Kin has either been given the NHS `Your Hospital Discharge Home
` or `Your Hospital Discharge: another place of care` documents including the
ward contact details.
- Collect any background information and data for
any complaints for the TOCH Coordinator.
- To have good knowledge of local community
services that are available including the voluntary sector across the various ICBs
in the region.
- To provide clinical expertise and advice to
other staff and to be a role model to them.
- To act an expert Nurse/AHP in providing advice
to nursing/AHP staff on wards about professional issues in relation to patient
care required for discharge progression.
- Deputise in the absence of the TOCH
Coordinator and act up as
appropriate.
- To ensure that all documentation is accurate and
completed as per Trust standard.
- To promote joint working between agencies by
recognising and acknowledging the abilities and constraints of health and
social services and community services in identifying and completing
appropriate multi-disciplinary referrals.
- To identify and support with documentation
required for CHC.
- Participate in daily review of patients who have
a long length of stay in line with NHS Improvement guide to reducing long
hospital stay.
- Must possess the specialist skills and expertise
to provide advice and guidance on all aspects of simple and complex discharge
and ensure the highest standards of patient care delivery.
- Will act as a champion for professional
accountability and standards, ensuring that professional practices are in line
with the requirements of the Nursing and Midwifery Council (NMC) and/or the
Health and Care Professional Council (HCPC) and Trust Policy.
- Liaise with ward staff, members of the
multi-disciplinary team, patients, relatives, carers, primary care and social
work department both hospital based and community area teams.
- Must possess the specialist skills and expertise
to provide advice and guidance on all aspects of patient discharge and ensure
the highest standards and safe patient discharge. Recognition and minimisation
of risks associated with discharge.
- Support the standardisation of discharge
documentation, policy and procedure across the Trust and demonstrate
effectiveness.
- Support and contribute to the development of
patient care within the Directorate.
- Contributing to Trust wide projects as required.
- To comply with the Trusts vision, values and
behavioural compact.
Person Specification
Experience
Essential
- Experience as a Band 5.
- Experience of leading a team.
- Experience of coordinating a team in caring for patients from admission to discharge.
Desirable
- Expertise within the speciality.
- Experience of line management of staff.
Qualifications
Essential
- Current NMC Registration (Level 1 adult nurse).
- Degree in nursing studies or healthcare related subject or evidence of currently working towards this (UK equivalent).
- Mentorship certificate/ Practice Assessor training or demonstrable equivalent experience.
Desirable
- Management and leadership training.
- ILM qualification.
Skills and Knowledge
Essential
- Awareness of national health and social care policy.
- Knowledge of best practice in area of specialism. Thorough understanding of expanded roles/professional practice issues. Clinical teaching experience.
- Ability to provide and receive complex, sensitive or contentious information, where persuasive, motivationalnegotiating, training, empathic or reassurance skills are required.
- Able to work without supervision.
- Competent in the use of IT packages.
- Proven interpersonal skills.
Desirable
- Understanding of budget and financial control systems.
Physical Skills
Essential
- Ability to assist patients to move as per Trust Moving and Handling Policy.
Person Specification
Experience
Essential
- Experience as a Band 5.
- Experience of leading a team.
- Experience of coordinating a team in caring for patients from admission to discharge.
Desirable
- Expertise within the speciality.
- Experience of line management of staff.
Qualifications
Essential
- Current NMC Registration (Level 1 adult nurse).
- Degree in nursing studies or healthcare related subject or evidence of currently working towards this (UK equivalent).
- Mentorship certificate/ Practice Assessor training or demonstrable equivalent experience.
Desirable
- Management and leadership training.
- ILM qualification.
Skills and Knowledge
Essential
- Awareness of national health and social care policy.
- Knowledge of best practice in area of specialism. Thorough understanding of expanded roles/professional practice issues. Clinical teaching experience.
- Ability to provide and receive complex, sensitive or contentious information, where persuasive, motivationalnegotiating, training, empathic or reassurance skills are required.
- Able to work without supervision.
- Competent in the use of IT packages.
- Proven interpersonal skills.
Desirable
- Understanding of budget and financial control systems.
Physical Skills
Essential
- Ability to assist patients to move as per Trust Moving and Handling Policy.
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
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