Discharge Navigation Lead

East London NHS Foundation Trust

This job is now closed

Job summary

We are looking for a proactive, positive Physiotherapist or Occupational Therapist with an interest in hospital discharge and transfer of care. If you are looking for an opportunity to develop your career in this area or gain valuable experience in this fast-paced environment we would love to hear from you.

East London Foundation Trust is looking for an enthusiastic and proactive individual to provide operational leadership and patient case management within the Transfer of Care Hub Team.

The successful individual will be part of a ward-based team consisting of nursing, therapy, social work, discharge navigator and admin team members. You will be working closely with health and social care partners to ensure safe and timely discharges and minimise barriers, improving patient experience across discharge pathways.

Main duties of the job

Within the limitations of the Hospital Discharge Service: Policy and Operating Model, to ensure that patients and their families/carers are consulted and encouraged to be part of the discharge planning process
To proactively co-ordinate, review, case manage and facilitate discharges into community services as part of the Transfer of Care Hub
To demonstrate expert and specialised knowledge of community services in order to plan discharge; undertaking assessments e.g. for equipment, as appropriate
To be able to identify clinical risks and escalate appropriately
To screen and triage referrals received from the acute trust promptly and delegate responsibilities to other members of the TCH
To produce reports and daily statistics on TCH performance and to support the service to meet targets and performance criteria
To be able to lead the planning and organisation of triage and screening hub processes, ensuring a 7 day 8am-8pm rota is covered
To communicate effectively and work collaboratively with colleagues within the Royal London Hospital, social services, community and voluntary sector services to ensure the delivery of a coordinated multidisciplinary discharge service
To regularly chair an MDT call between partners involved in discharging patients from the Royal London Hospital (RLH), ensuring barriers to discharge are identified and actions to address these are agreed and are followed up.

About us

The Trust is accredited an Investor in People employer and is consequently committed to developing its staff. You will have access to appropriate development opportunities from the Trust's training programme as identified within your knowledge and skills appraisal/personal development plan.

Date posted

11 September 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£51,488 to £57,802 a year Including HCAS

Contract

Permanent

Working pattern

Full-time

Reference number

363-CTH5629083

Job locations

Royal London Hospital

Whitechapel Road

London

E1 1FR

Job description

Job responsibilities

The Transfer of Care Hub at the Royal London Hospital consists of staff from East London Foundation Trust, London Borough of Tower Hamlets and Barts Health NHS Trust working in partnership to facilitate timely discharge of patients from hospital. The team consists of nurses, therapists, social workers discharge navigators and admin support staff.

The role requires advanced clinical/ discharge navigation skills in patient case management and screening to ensure that patients are transferred safely to the appropriate community setting. The individual will have experience and knowledge of discharge practices, including Discharge to Assess, and of community services in order to identify and facilitate discharge and prevent unnecessary hospital readmission. The post holder will work to develop and maintain relationships with other key stakeholders and system partners including acute staff, local authority colleagues, voluntary agencies and the clinical commissioning group.

The Transfer of Care Hub staff screen all referrals received and liaise with the wards and hubs in other boroughs, creating a seamless and timely care pathway. The post holder will provide a specialist source of expertise in decision making and demonstrate a passion for excellent quality, person centred care and work creatively in order to achieve the best possible outcomes for our service users. The post holder will demonstrate a dynamic approach for complex patients to ensure that community services and other key stakeholder resources are used holistically and appropriately.

The post holder will work collaboratively with secondary care to create bespoke and coordinated plans to support discharge and coordination of services and will be responsible for providing an urgent response to requests for assessment, alongside proactively case managing individuals until they are discharged from hospital.

Job description

Job responsibilities

Person Specification

Education, Qualification, Training

Essential

oDiploma or Degree in Physiotherapy or Occupational Therapy.
oEvidence of post-qualifying and continuing professional development

Experience

Essential

oSignificant clinical/ discharge experience in a broad range of specialties relevant to the post on an inpatient and / or community basis
oKnowledge of a broad range of clinical conditions
oWorking within a multidisciplinary team
oExperience of contributing to the professional development and clinical education of more junior staff, students and assistants

Knowledge and Skills

Essential

oUnderstanding of Clinical Governance and its implications for therapy, nursing, social care, and client care
oAbility to prioritise, organise and delegate
oAbility to communicate and present information, orally and in writing, in a clear and logical manner
oUnderstanding of the legal responsibilities of the profession
oAbility to keep accurate and legible patient notes in line with local and national standards and policies
oAbility to carry out moderate to intense physical effort throughout the working day and manage competing demands and interruptions
oAbility to cope working in a fast paced and stressful environment and with emotional and/or aggressive patients and carers

Other

Essential

oAbility to work flexibly, including working out of core hours i.e. evenings and 7 day working as required
oSelf-motivated
oAbility to treat people with respect, irrespective of age, gender, culture, religion & sexuality
oProactive, self-directed with an innovative approach
oCommitment to lifelong learning
oLeadership qualities

Person Specification

Education, Qualification, Training

Essential

oDiploma or Degree in Physiotherapy or Occupational Therapy.
oEvidence of post-qualifying and continuing professional development

Experience

Essential

oSignificant clinical/ discharge experience in a broad range of specialties relevant to the post on an inpatient and / or community basis
oKnowledge of a broad range of clinical conditions
oWorking within a multidisciplinary team
oExperience of contributing to the professional development and clinical education of more junior staff, students and assistants

Knowledge and Skills

Essential

oUnderstanding of Clinical Governance and its implications for therapy, nursing, social care, and client care
oAbility to prioritise, organise and delegate
oAbility to communicate and present information, orally and in writing, in a clear and logical manner
oUnderstanding of the legal responsibilities of the profession
oAbility to keep accurate and legible patient notes in line with local and national standards and policies
oAbility to carry out moderate to intense physical effort throughout the working day and manage competing demands and interruptions
oAbility to cope working in a fast paced and stressful environment and with emotional and/or aggressive patients and carers

Other

Essential

oAbility to work flexibly, including working out of core hours i.e. evenings and 7 day working as required
oSelf-motivated
oAbility to treat people with respect, irrespective of age, gender, culture, religion & sexuality
oProactive, self-directed with an innovative approach
oCommitment to lifelong learning
oLeadership qualities

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.

Certificate of Sponsorship

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).