IDT Nurse Assessor - Care Homes

Job summary

We are seeking a bright, dedicated Nurse to join our Integrated Discharge Team, supporting discharge planning for patients whom are admitted to hospital from a care home. To support and work as a trusted assessor

Strong communication skills are essential, as you will work closely with patients, families, the multidisciplinary team, and wider system partners to coordinate care and deliver a high-quality discharge experience.

This is a Monday - Friday service, including Bank Holidays, offering a dynamic and supportive environment where your contribution truly makes a difference.

If you feel you have the passion, skills and commitment to excel in this role, we'd be delighted to receive your application.

Main duties of the job

You will:

• Work as part of the Integrated Care Transfer Hub to support patients and families with complex needs, ensuring a smooth and well-coordinated transition from hospital to the care home/community.
• Provide professional guidance and support to patients and their families, working in partnership with them to develop the most appropriate and effective discharge plans.
• Ensure that all interventions are streamlined and not duplicated, contributing to improved care quality and increased patient satisfaction.
• Support patients with complex healthcare needs, including those requiring long-term health and social care planning or short-term intervention following an acute illness or change in condition.
• Anticipate, coordinate, and integrate health and social care needs for patients at high risk of unplanned hospital admissions.
• Take a central role in holistic care planning within Community Hospitals, collaborating closely with Social Care teams, voluntary sector partners, and other organisations.
• Assess patients who are medically optimised for discharge, identify their ongoing care needs, and make timely referrals to the appropriate community services.
• Play a key role in ensuring safe, effective, and timely discharges, supporting optimal patient flow throughout the hospital.
• Act as the primary liaison between the hospital and relevant community services--both formal and informal--to facilitate smooth and safe transfers between hospital and home.

About us

Our ambition is to deliver excellent local and specialist services, to improve the health and well being of our patients, and provide a vibrant place for staff to develop, innovate and build careers.

We aim to make the most of our skills and experiences so we can become the best we can be. As one organisation we will recruit the finest and retain more specialist staff due to more employment opportunities across our Trust

Employer details

Employer name

Mid and South Essex NHS Foundation Trust

Address

MSE

Basildon

SS16 5NL

Employer's website

https://www.mse.nhs.uk (Opens in a new tab)

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Employer details

Employer name

Mid and South Essex NHS Foundation Trust

Address

MSE

Basildon

SS16 5NL

Employer's website

https://www.mse.nhs.uk (Opens in a new tab)

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