Job summary
The Onward Care Team is expanding!
In this role, you will learn more about, and work with, people from all parts of the Health and Social Care System.....the biggest Multi-disciplinary team you can be part of!
We need people who are naturally inquisitive, helpful, flexible and feel strongly that discharge plans should be made with our patient at the centre.
If you are interested in learning more about what it takes to support smooth and timely discharge from hospital for those who require onward care, then we'd love to hear from you.
Main duties of the job
Independently case manage the discharge planning for a cohort of patients within a defined clinical area from admission to the acute hospital through to discharge.
Act as a resource providing advice and information to clinical teams to enable patients with onward care requirements to meet their expected date of discharge (EDD) safely and effectively.
Ensure information, advice and services are available in a timely way to support discharge including ordering of equipment, onward referral when needed, keeping updated with any onward capacity issues and ensuring this is communicated clearly with ward staff.
Assist with the assessment of patients with the support of a qualified practitioner when needed.
You will need to able to communicate effectively with people from all professions and levels within our organisation and beyond.
You will need to be professional and respectful as you will often be the link between the patient, their family, the ward and onward care providers.
About us
We are a team of therapists, nurses and non-registered clinicians who work across both sites within GHT to support the coordination of onward care planning for those patients who require some support when leaving hospital.
We are constantly adapting to the changing landscape within the community in relation to resources to support with discharge planning and as such, no two days will feel the same.
We will need you to be dynamic, engaged, happy to question things in a way that brings people with you, flexible in your thinking and organised in your daily tasks.
Job description
Job responsibilities
KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED
Relevant experience working within patient flow, discharge planning or equivalent role in an NHS setting.
Excellent verbal and written communication skills.
Flexible and responsive attitude.
Demonstrate potential for personal development.
Enhanced IT skills.
KEY RESULT AREAS
1. To case manage the discharge planning for a cohort of patients within a defined clinical area from admission to the acute hospital through to discharge.
2. Reprioritisation of work with support from senior members of the team as required in order to ensure effective service delivery, especially within times of escalation and system pressure.
3. To be a pro-active member of the multi-disciplinary team, supporting discussions on discharge care options, how to access them and providing advice and support. To communicate effectively with the team and engage with all appropriate stakeholders and across organisational boundaries to enhance job performance in a timely fashion.
4. To promote good discharge planning on the wards including pre-emptive identification of barriers to discharge, effective use of expected date of discharge, recognising the risk of deconditioning during hospital admission and supporting patients to return home as soon as is safe to do so via attendance and provision of leadership at daily board rounds for a given ward(s), ensuring discharge plans are discussed and actions are delivered.
5. To undertake specific unaccompanied work and organise own caseload comprising of patients with predictable and unpredictable conditions.
6. To use verbal and non-verbal communication tools to communicate effectively with patients/carers. This may include education, motivation, persuasion, and empowerment. This will include patients/carers who may or may not have barriers to communication through cognitive or physical impairment e.g. hearing or visual impairment, confusion and depression.
7. To participate in own continuing professional development (CPD), including supervision, appraisal and training to ensure competency, service quality and meet the clinical governance agenda and organisational goals.
8. To input and retrieve patient and staff information from computer based system and maintain accurate and contemporaneous patient records. To ensure the relevant mandated IT systems are kept up date on all patients on the team caseload.
9. To be confident in identifying potential problems and emergencies and reporting to the appropriate registered professional in a prompt and timely manner. To understand when to deal with situations, when to escalate concerns and who to escalate those concerns to.
10. To comply with Trust and Departmental policies and procedures e.g. Discharge, Health and Safety at Work Act (1974), Manual Handling, clinical equipment competency, risk management, Data Protection Acts and patient confidentiality at all times. This will include demonstrating compliance with the terms of all safeguarding policies and processes relevant to the safeguarding of adults and children in the care of GHNHSFT and to undergo regular mandatory training concerned with safeguarding matters.
Additional Contact Details
Midge Ellis (Deputy Leads for Onward Care Team)
midge.ellis1@nhs.net
0300 422 6311
Job description
Job responsibilities
KNOWLEDGE, SKILLS AND EXPERIENCE REQUIRED
Relevant experience working within patient flow, discharge planning or equivalent role in an NHS setting.
Excellent verbal and written communication skills.
Flexible and responsive attitude.
Demonstrate potential for personal development.
Enhanced IT skills.
KEY RESULT AREAS
1. To case manage the discharge planning for a cohort of patients within a defined clinical area from admission to the acute hospital through to discharge.
2. Reprioritisation of work with support from senior members of the team as required in order to ensure effective service delivery, especially within times of escalation and system pressure.
3. To be a pro-active member of the multi-disciplinary team, supporting discussions on discharge care options, how to access them and providing advice and support. To communicate effectively with the team and engage with all appropriate stakeholders and across organisational boundaries to enhance job performance in a timely fashion.
4. To promote good discharge planning on the wards including pre-emptive identification of barriers to discharge, effective use of expected date of discharge, recognising the risk of deconditioning during hospital admission and supporting patients to return home as soon as is safe to do so via attendance and provision of leadership at daily board rounds for a given ward(s), ensuring discharge plans are discussed and actions are delivered.
5. To undertake specific unaccompanied work and organise own caseload comprising of patients with predictable and unpredictable conditions.
6. To use verbal and non-verbal communication tools to communicate effectively with patients/carers. This may include education, motivation, persuasion, and empowerment. This will include patients/carers who may or may not have barriers to communication through cognitive or physical impairment e.g. hearing or visual impairment, confusion and depression.
7. To participate in own continuing professional development (CPD), including supervision, appraisal and training to ensure competency, service quality and meet the clinical governance agenda and organisational goals.
8. To input and retrieve patient and staff information from computer based system and maintain accurate and contemporaneous patient records. To ensure the relevant mandated IT systems are kept up date on all patients on the team caseload.
9. To be confident in identifying potential problems and emergencies and reporting to the appropriate registered professional in a prompt and timely manner. To understand when to deal with situations, when to escalate concerns and who to escalate those concerns to.
10. To comply with Trust and Departmental policies and procedures e.g. Discharge, Health and Safety at Work Act (1974), Manual Handling, clinical equipment competency, risk management, Data Protection Acts and patient confidentiality at all times. This will include demonstrating compliance with the terms of all safeguarding policies and processes relevant to the safeguarding of adults and children in the care of GHNHSFT and to undergo regular mandatory training concerned with safeguarding matters.
Additional Contact Details
Midge Ellis (Deputy Leads for Onward Care Team)
midge.ellis1@nhs.net
0300 422 6311
Person Specification
Qualifications / Experience
Essential
- Experience of working in an acute clinical environment
- Act as a role model and are able to lead by example to ensure the Trust's values and behaviours are reinforced throughout their area of practice.
- Able to effectively and appropriately escalate concerns to reduce risk and promote patient safety.
Desirable
- Previous experience in a relevant speciality
- Demonstrate an understanding of the roles of the different members of the MDT.
- Able to contribute to the implementation, policies/ protocols/ guidelines relevant to area of practice.
Person Specification
Qualifications / Experience
Essential
- Experience of working in an acute clinical environment
- Act as a role model and are able to lead by example to ensure the Trust's values and behaviours are reinforced throughout their area of practice.
- Able to effectively and appropriately escalate concerns to reduce risk and promote patient safety.
Desirable
- Previous experience in a relevant speciality
- Demonstrate an understanding of the roles of the different members of the MDT.
- Able to contribute to the implementation, policies/ protocols/ guidelines relevant to area of practice.
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.
