Job summary
You will act as a specialist nurse in in the overall assessment and management of patients with complex health needs on discharge from the acute hospital setting.
You will work within clearly defined local and national policies and standards with regards to discharge planning.
You will be responsible for facilitating and providing high quality, patient focused care with responsibility for assessing, developing and implementing specialist discharge planning programs.
You will be responsible for providing specialist advice and support to, and liaising with, other staff & wider partners.
Main duties of the job
Identification, Assessment, planning, implementing and evaluating care as a practitioner with specialist Discharge Planning Skills. This involves the understanding and completion of specialist discharge planning assessments such as those within the full CHC process, Special Needs Funding, FNC's, health equipment and the fast track assessment of those patients entering the terminal stages of their life in accordance with local and National guidelines and the application of these assessments against the eligibility criteria's associated with each assessment type
- Complete specialist assessments to submit to commissioning panels acting as an advocate for patients.
- Provide advice and clinical expertise to staff and community colleagues including those from Nursing and Residential homes to expedite discharge and where possible prevent admissions.
- Provide specialist clinical advice for patients and carers
- Carry a caseload, and take responsibility for the management of allocated cases ensuring that there is appropriate liaison with relevant members of the MDT to ensure discharges are achieved in a timely manner.
- Identify the need for and lead case conferences to enable patient choice, and a safe and timely discharge
- Provide a high level of communication by:
Liaising with all appropriate members of multi-disciplinary team
Communicating very sensitive condition related information to patients and relatives, requiring high levels of empathy and reassurance.
About us
Come Nurse with us...
Cambridge University Hospitals NHS Foundation Trust (CUH) is one of the largest teaching Trusts in the country. It comprises Addenbrooke's Hospital and the Rosie Hospital. We provide accessible high-quality healthcare for the local people of Cambridge and regional and national specialist services. It's a great place to nurse, work and live.
You will work on a vibrant hospital campus with a friendly community feel; we have excellent facilities to practise your skills and abilities to support your career pathway and development. Our values of Together - Safe, Kind, Excellent support the delivery of outstanding care. We have a fully electronic patient record system that is improving health-care quality; this is transforming services, improving patient safety and clinical outcomes.
CUH is committed to promoting a diverse and inclusive community - a place where we can all be ourselves. We value our differences and fully advocate and support an inclusive working environment where every individual can fulfil their potential. We want to ensure our people are truly representative of all the communities that we serve. We welcome applications for all positions in the organisation irrespective of people's age, disability, ethnicity, race, nationality, gender identity, sex, sexual orientation, religion or belief, marriage and civil partnership status, or pregnancy and maternity status or social economic background.
Job description
Job responsibilities
Please see the attached Applicant Information Pack (combined Job Description and Person Specification) for key duties and responsibilities.
Please note:- Internal applicants on permanent contracts can only apply for this post as a secondment and must have the approval of your current line manager before applying.
Closing date is midnight on 15 August 2023
Interviews are due to be held on 24 August 2023
Why choose Cambridge University Hospitals?
- Our values and reputation for outstanding care
- Opportunities to experience a range of specialities
- Career and development opportunities
- Preceptorship and mentoring programmes delivered by a dedicated clinical education support team
- Research experience and opportunities
- Lovely location and quality of life
- Excellent schools/colleges and transport links (road, rail and air)
Benefits to you
We offer development opportunities and a wide range of benefits including on-site leisure facilities, shopping concourse, day nurseries and access to a great transport system with easy access to airports and rail travel.
Please note if you would like to discuss the required hours of this role further, you should approach the contact given. In some cases alternative working hours will be considered.
We welcome applications from the Armed Forces.
Job description
Job responsibilities
Please see the attached Applicant Information Pack (combined Job Description and Person Specification) for key duties and responsibilities.
Please note:- Internal applicants on permanent contracts can only apply for this post as a secondment and must have the approval of your current line manager before applying.
Closing date is midnight on 15 August 2023
Interviews are due to be held on 24 August 2023
Why choose Cambridge University Hospitals?
- Our values and reputation for outstanding care
- Opportunities to experience a range of specialities
- Career and development opportunities
- Preceptorship and mentoring programmes delivered by a dedicated clinical education support team
- Research experience and opportunities
- Lovely location and quality of life
- Excellent schools/colleges and transport links (road, rail and air)
Benefits to you
We offer development opportunities and a wide range of benefits including on-site leisure facilities, shopping concourse, day nurseries and access to a great transport system with easy access to airports and rail travel.
Please note if you would like to discuss the required hours of this role further, you should approach the contact given. In some cases alternative working hours will be considered.
We welcome applications from the Armed Forces.
Person Specification
Additional Requirements
Essential
- To act in a professional manner at all times in accordance with the NMC Code of Conduct
- Capable of developing liaisons with other practice areas/academic institutions.
- The ability to understand and behave at all times, towards patients, visitors and colleagues according to the Trust values of safe, kind, excellent.
Skills
Essential
- Good verbal and written communication skills
- Capable of working as an integral member of a small team
- Adaptable to changing situations due to both workload and colleagues needs
- Ability to undertake teaching of staff and patients
- Ability to work unsupervised and manage own workload; effective time management.
- Effective interpersonal skills
- Commitment to multidisciplinary working.
Desirable
- Assertiveness/perceptive counselling skills
- Documentation, audit and presentation skills
- Leadership Skills
Knowledge
Essential
- Understanding of evidence based practice
- Understanding of Clinical Governance
- Understanding and knowledge of specialist field
Experience
Essential
- Demonstrate expert nursing skills
- Evidence of mentorship/preceptorship roles
- Accept personal accountability for own practice
- Experience of formal/informal teaching
Qualifications
Essential
- Registered nurse.
- Evidence of continuous professional development
- Teaching or mentoring qualification
- Post registration qualification in speciality or willingness to complete
Desirable
Person Specification
Additional Requirements
Essential
- To act in a professional manner at all times in accordance with the NMC Code of Conduct
- Capable of developing liaisons with other practice areas/academic institutions.
- The ability to understand and behave at all times, towards patients, visitors and colleagues according to the Trust values of safe, kind, excellent.
Skills
Essential
- Good verbal and written communication skills
- Capable of working as an integral member of a small team
- Adaptable to changing situations due to both workload and colleagues needs
- Ability to undertake teaching of staff and patients
- Ability to work unsupervised and manage own workload; effective time management.
- Effective interpersonal skills
- Commitment to multidisciplinary working.
Desirable
- Assertiveness/perceptive counselling skills
- Documentation, audit and presentation skills
- Leadership Skills
Knowledge
Essential
- Understanding of evidence based practice
- Understanding of Clinical Governance
- Understanding and knowledge of specialist field
Experience
Essential
- Demonstrate expert nursing skills
- Evidence of mentorship/preceptorship roles
- Accept personal accountability for own practice
- Experience of formal/informal teaching
Qualifications
Essential
- Registered nurse.
- Evidence of continuous professional development
- Teaching or mentoring qualification
- Post registration qualification in speciality or willingness to complete
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.
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).