Discharge Navigation Lead
East London NHS Foundation Trust
This job is now closed
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.
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.
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.
Education, Qualification, Training
Knowledge and Skills
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).
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).