Job summary
Join Our Team as a Discharge Facilitator!
We are looking for a dedicated and compassionate Discharge Facilitator to join our team at WICU & the Seacole Community Hospital. In this new, key role, you will be responsible for coordinating and overseeing the discharge process for our most complex patients, ensuring safe, timely, and seamless transitions from our community hospital to home or other care settings.
As a key point of contact for patients, families, and multidisciplinary teams, you will use your clinical experience and expertise to facilitate clear communication, support complex discharges, and collaborate with a variety of professionals including health, social care, and voluntary sector colleagues. You will work to enhance patient experience, improve continuity of care, and ensure that discharge planning is carried out in line with best practices and national guidelines.
We are looking for
- An individual with a professional registration (for example NMC, HCPC) with significant experience of complex discharge management
- An individual with a vision to improve the experience that our service users have of going home
- A capable practitioner who can work clinically, travel between sites and attend meetings essential for flow and discharge planning
- An excellent communicator and patient advocate who can work with service users, their families, carers, MDT and MK System Partners
Main duties of the job
The Discharge Facilitator uses clinical expertise to enhance patient care and support families, carers, and healthcare professionals in ensuring safe discharge planning. This role acts as the central point of contact for coordinating and managing the discharge process for patients across WICU and Seacole.
The Discharge Facilitator's main goals are to reduce unnecessarily long hospital stays and improve patient experience, ensuring continuity of care by serving as the single point of contact for complex discharges, whenever possible, and providing clear communication with patients, families, and carers.
The Discharge Facilitator will need to provide assessments and set individualised goals that are essential for getting people home. The practitioner is expected to carry out any relevant clinical duties with competence and expertise working flexibly across the Seacole Community Hospital and WICU settings.
About us
There's a place for you at CNWL.We're passionate about delivering first-class patient-centred, safe and effective care, whether it is in a hospital setting, in a community clinic or in the patient's own home. Patients are at the heart of everything we do.Providingtop quality caredepends on our ability to employ the best people.We're always looking torecruit outstanding peoplewho will go the extra mile to support our patients, colleagues, teams and the Trust. With every new employee we're hoping to find our future leaders and we'll support our staff by providing opportunities to develop your career.With adiverse culture and equally diverse range of opportunities across mental health, community services, addictions, eating disorders, learning disabilities and more - whatever stage of your career you're at, there's always a place for you at CNWL.
Job description
Job responsibilities
Be the key point of contact for arranging a patients discharge and overseeing the coordination of the discharge process.
To ensure communication is clear and carried out in a way that consistently displays professionalism at all times to ensure effective working relationships with colleagues, clients/patients and other professionals/agencies.
Direct liaison with the NHS Continuing Health Care Assessment team and contribution to CHC assessments and DST meetings.
Direct liaison with the Housing team(s) to ensure timely management of discharge for those who are homeless and in need of a duty to refer and housing input.
Overseeing the booking of transport, referrals and other services that are needed for getting people home.
The post holder will communicate in person, via telephone calls, emails and MS Teams and ensure information is provided and received in line with GDPR and Information Governance. This will require high levels of interpersonal skills and a level of tact and empathy. This will also require advising and signposting to appropriate services.
Provide a presence and support across WICU and Seacole to facilitate safe and timely discharges from the hospital including attendance at board rounds to partake in setting Provisional/ Planned Date of Discharge and identify and resolve any barriers to achieving Planned Date of Discharge.
To report daily into the WICU, Seacole and Home 1st Unplanned Care management updates on patients discharges.
Provide Information and support to patients, families and staff in relation to complex patients discharge from initial contact to 72 hours post discharge
Lead and/or participate in MDT meetings, discharge planning/professional and best interest meetings to support patient discharge
Work alongside the other members of the teams to promote WICU and Seacoles role in discharge planning. This involves educating and empowering other professionals to be involved in discharge planning.
Work with the MDT to implement discharge requirements for each patient on admission to the ward and ensure early referrals.
Recording all information regarding the patient in the electronic patients records.
Being accountable to your own professional organisation working in collaboration with health, social care and Voluntary Community and Social sector professionals to ensure safe and seamless discharges for patients from WICU and The Seacole Community Hospital.
Adhere to the clinical governance systems within the Trust, working at all times to improve the quality of patient care.
Participate in the development and delivery of training and education to develop the knowledge, skills and behaviors of other professionals across WICU & Seacole.
Ensure that patient communication is maintained as integral to all the work of WICU and Seacole ensure that patients/NoK/carers are asked what they require on discharge and are kept updated of discharge plans.
Maintain good working relationships with other health and social care professionals, including Voluntary Care Sector (VCSE), to promote collaborative working to support discharge processes.
Contributing to thedaily and national discharge sitrep data in line with information support teams by updating board round proforma and Length of Stay Application and generating appropriate data reports.
Participate in own supervision and the supervision of others if applicable at a minimum of once of every eight weeks
Job description
Job responsibilities
Be the key point of contact for arranging a patients discharge and overseeing the coordination of the discharge process.
To ensure communication is clear and carried out in a way that consistently displays professionalism at all times to ensure effective working relationships with colleagues, clients/patients and other professionals/agencies.
Direct liaison with the NHS Continuing Health Care Assessment team and contribution to CHC assessments and DST meetings.
Direct liaison with the Housing team(s) to ensure timely management of discharge for those who are homeless and in need of a duty to refer and housing input.
Overseeing the booking of transport, referrals and other services that are needed for getting people home.
The post holder will communicate in person, via telephone calls, emails and MS Teams and ensure information is provided and received in line with GDPR and Information Governance. This will require high levels of interpersonal skills and a level of tact and empathy. This will also require advising and signposting to appropriate services.
Provide a presence and support across WICU and Seacole to facilitate safe and timely discharges from the hospital including attendance at board rounds to partake in setting Provisional/ Planned Date of Discharge and identify and resolve any barriers to achieving Planned Date of Discharge.
To report daily into the WICU, Seacole and Home 1st Unplanned Care management updates on patients discharges.
Provide Information and support to patients, families and staff in relation to complex patients discharge from initial contact to 72 hours post discharge
Lead and/or participate in MDT meetings, discharge planning/professional and best interest meetings to support patient discharge
Work alongside the other members of the teams to promote WICU and Seacoles role in discharge planning. This involves educating and empowering other professionals to be involved in discharge planning.
Work with the MDT to implement discharge requirements for each patient on admission to the ward and ensure early referrals.
Recording all information regarding the patient in the electronic patients records.
Being accountable to your own professional organisation working in collaboration with health, social care and Voluntary Community and Social sector professionals to ensure safe and seamless discharges for patients from WICU and The Seacole Community Hospital.
Adhere to the clinical governance systems within the Trust, working at all times to improve the quality of patient care.
Participate in the development and delivery of training and education to develop the knowledge, skills and behaviors of other professionals across WICU & Seacole.
Ensure that patient communication is maintained as integral to all the work of WICU and Seacole ensure that patients/NoK/carers are asked what they require on discharge and are kept updated of discharge plans.
Maintain good working relationships with other health and social care professionals, including Voluntary Care Sector (VCSE), to promote collaborative working to support discharge processes.
Contributing to thedaily and national discharge sitrep data in line with information support teams by updating board round proforma and Length of Stay Application and generating appropriate data reports.
Participate in own supervision and the supervision of others if applicable at a minimum of once of every eight weeks
Person Specification
Qualifications
Essential
- Member of a Profession specific body (NMC/HCPC)
- Degree level qualification
Desirable
- Practice Supervisor/ Assessor or profession equivalent
Experience
Essential
- Multidisciplinary working
- Clinical/ operational Experience
- Previous knowledge and practice of complex discharge planning
Desirable
- Previous knowledge/experience of discharge co-ordination
Skills
Essential
- Effective leadership skills.
- Has excellent verbal and written communication
- Ability to work within a multi-disciplinary team.
- Facilitator of plans
- Innovative
- Effective negotiation skills
- Ability to challenge decision-making in a constructive manner
- Car driver with access to a car for work
Desirable
- Change management ability
- Undertake Audits to improve the service
Personal and people development
Essential
- Aware of current issues in relation to supported discharge and admission avoidance and new advancements in the discharge process in the NHS
Desirable
- Experience of change Management
- Leadership course or equivalent experience
Communication
Essential
- Team player
- Ability to work under pressure
- Good time management
- Pro-active
Person Specification
Qualifications
Essential
- Member of a Profession specific body (NMC/HCPC)
- Degree level qualification
Desirable
- Practice Supervisor/ Assessor or profession equivalent
Experience
Essential
- Multidisciplinary working
- Clinical/ operational Experience
- Previous knowledge and practice of complex discharge planning
Desirable
- Previous knowledge/experience of discharge co-ordination
Skills
Essential
- Effective leadership skills.
- Has excellent verbal and written communication
- Ability to work within a multi-disciplinary team.
- Facilitator of plans
- Innovative
- Effective negotiation skills
- Ability to challenge decision-making in a constructive manner
- Car driver with access to a car for work
Desirable
- Change management ability
- Undertake Audits to improve the service
Personal and people development
Essential
- Aware of current issues in relation to supported discharge and admission avoidance and new advancements in the discharge process in the NHS
Desirable
- Experience of change Management
- Leadership course or equivalent experience
Communication
Essential
- Team player
- Ability to work under pressure
- Good time management
- Pro-active
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).
