Job summary
Works as part of an integrated multi-disciplinary team (MDT) including clinicians, therapists, social care, and community services - to establish and oversee discharge plans that are safe, timely, and efficient whether patients are heading home or transitioning to continued care settings
Main duties of the job
Conduct holistic assessments to determine a patient's health and social care needs
Assist in the case management of complex discharge planning
Coordinate 'Discharge to Assess' pathways and integrate 'Home First' as the preferred outcome when appropriate
Liaise with patients, families and external agencies (e.g community, voluntary, commissioning services).
Initiate referrals, manage caseload and problem solve to avoid discharge delays.
Coordinate the Transfer of Care Hub, provide advice to ward staff and other professionals, including educational support
Supervise ward discharge coordinators, discharge facilitators and admin staff
About us
DBTH is one of Yorkshire's Leading acute trusts, serving a population of more than 440,000. Our services are based over three main hospital sites and several additional services employing over 7,000 colleagues. At DBTH we have a comprehensive framework of behaviours that guide us in our daily working lives, these form the DBTH Way. We pride ourselves on our commitment to the values of We Care and now the DBTH Way builds upon these foundations, providing further clarity on what it means to embody these values in our everyday interactions. As an organisation that supports flexible working, we want to be sure that you can work in a way that is best for us and for our patients, and for you. Speak to us about how we might be able to accommodate a flexible working arrangement. If it works for the service, we will do our best to make it work for you.As an equal opportunities employer, we encourage applicants from all sectors of the community, particularly from under-represented groups including those with disabilities, members of our ethnic minorities and LGBTQ+ communities.We offer a range of benefits to support our people including:o Extensive range of learning opportunitieso NHS Pension Schemeo Generous holiday entitlement in line with Terms & Conditionso Comprehensive health and wellbeing supporto NHS Car Lease schemes and a range of salary sacrifice schemeo Discounts on restaurants, getaways, shopping and finance through external providers.
Job description
Job responsibilities
Please see attached to the advert a job description and person specification for further details. Please ensure you read this document carefully.Please note, if your application is successful you will be required to present original certificates of qualifications that are listed in the person specification under essential.
Certificate of sponsorship
Applications from individuals who require a Skilled Worker sponsorship to work in the UK are welcome and will be considered alongside all other applicants. For further information and to check your eligibility for this post please following the link UK Visas and Immigration - GOV.UK. Please note that from April 9th 2025, band 2 & 3 entry roles are no longer eligible for sponsorship.
Job description
Job responsibilities
Please see attached to the advert a job description and person specification for further details. Please ensure you read this document carefully.Please note, if your application is successful you will be required to present original certificates of qualifications that are listed in the person specification under essential.
Certificate of sponsorship
Applications from individuals who require a Skilled Worker sponsorship to work in the UK are welcome and will be considered alongside all other applicants. For further information and to check your eligibility for this post please following the link UK Visas and Immigration - GOV.UK. Please note that from April 9th 2025, band 2 & 3 entry roles are no longer eligible for sponsorship.
Person Specification
Qualifications & Training
Essential
- RN with current NMC registration
- Up-to-date knowledge of professional issues
- Understanding of clinical governance issues in own clinical practice and wider implications for service delivery
Desirable
- Post registration educational development
Knowledge and Experience
Essential
- Experience of working as part of a multi-disciplinary team
- Proven experience in a broad range of clinical specialties
Desirable
- Evidence of change management and service development
Personal attributes and skills
Essential
- Able to present information, written and orally, in a clear, accurate and logical manner
- Committed to personal and team development
- Ability to motivate self and others
- Ability to form good working relationships
- Ability to maintain judgement under pressure
Desirable
Person Specification
Qualifications & Training
Essential
- RN with current NMC registration
- Up-to-date knowledge of professional issues
- Understanding of clinical governance issues in own clinical practice and wider implications for service delivery
Desirable
- Post registration educational development
Knowledge and Experience
Essential
- Experience of working as part of a multi-disciplinary team
- Proven experience in a broad range of clinical specialties
Desirable
- Evidence of change management and service development
Personal attributes and skills
Essential
- Able to present information, written and orally, in a clear, accurate and logical manner
- Committed to personal and team development
- Ability to motivate self and others
- Ability to form good working relationships
- Ability to maintain judgement under pressure
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).
