Job summary
The post holder will have a pivotal responsibility in identifying, supporting, and facilitating the early discharge of patients through the utilisation of remote monitoring technology.
Collaborate with multidisciplinary teams across both acute and community settings will be essential to determine patient suitability for early supported discharge, while ensuring safe, effective, and person-centred care delivery.
This role is integral to admission avoidance, minimising hospital length of stay, and enhancing patient outcomes via technology-enabled care.
Participate actively in multidisciplinary team (MDT) meetings and discharge planning sessions.
Coordinate the safe onboarding process for patients, ensuring comprehensive understanding and engagement.
Develop and integrate innovative digital pathways consistent with the Digital Care Hub Strategy.
Work closely with Digital Care Hub Team to ensure high quality referrals, accurate handovers and safe onboarding of patients onto remote monitoring pathways.
Main duties of the job
Participate in daily huddles to identify patients suitable for early supported discharge using remote monitoring technology.
Identify and assess patients suitable for early supported discharge and remote monitoring
Provide day to day coordination of outreach activity, ensuring effective communication between acute, community and Digital Care Hub team.
Coordinate safe onboarding of patients, ensuring understanding and engagement.
Support safe transition of patients from hospital to community setting with appropriate monitoring plans in place.
Provide patient and carer education on remote monitoring equipment and digital engagement
Act as a clinical liaison between the Digital Care Hub, community teams and acute services to ensure seamless communication and continuity of care.
Lead on the development and implementation of new digital pathways that align with Digital Care Hub services.
Develops good Trust wide working relationships and communicates effectively with nursing colleagues and members of the multi-disciplinary team.
About us
We are delighted to offer a wide range of benefits to employees including:
- Cycle to Work
- Travel Scheme
- Childcare Vouchers with Salary Sacrifice
- Onsite Nursery
- Buying and Selling Annual Leave
- Car Leasing
- Employee Assistance Programme
- Employee Health and Wellbeing
- Extensive Reward Scheme
- Counselling Service
- Financial packages including Vivup and Wagestream
- Staff Networks, Enable, Rainbow, Gender, Race Equality Ecoaware & Admin Network.
Our values:
We understand that it's down to the hard work, effort and dedication of our staff that makes a difference for our patients. Our people really do make our Airedale experience - we take pride in fostering a friendly, effective and caring work environment. Our values are part of our DNA, which are:
- Committed to Quality of Care
- Compassion
- Working together for patients
- Improving Lives
- Everyone Counts
- Respect and Dignity
Got questions before you apply, please contact the recruiting manager to find out more.
Job description
Job responsibilities
Understanding of hospital discharge processes, patient flow and integrated care pathways.
Able to perform holistic assessment of patients to ascertain suitability for early supported discharge and remote monitoring.
Able to design and implement new digital pathways
Coordinate daily workload and outreach priorities.
Demonstrates professional accountability and adheres to the NMC/HCPC Code of Professional Conduct.
Participates in the multi-professional review of patients who have been referred to the DCH service, including those recently discharged from the hospital.
Maintain accurate electronic patient records in line with the NMC Record Keeping Guidelines, ANHSFT Health Records policy and the Records Management Code of Practice 2020.Offer help and advice to patients, families and carers responding to their individual needs in a caring and supportive manner.
Adhere to Airedale NHS Foundation Trusts policies and procedures relating to the Clinical Governance Framework
Job description
Job responsibilities
Understanding of hospital discharge processes, patient flow and integrated care pathways.
Able to perform holistic assessment of patients to ascertain suitability for early supported discharge and remote monitoring.
Able to design and implement new digital pathways
Coordinate daily workload and outreach priorities.
Demonstrates professional accountability and adheres to the NMC/HCPC Code of Professional Conduct.
Participates in the multi-professional review of patients who have been referred to the DCH service, including those recently discharged from the hospital.
Maintain accurate electronic patient records in line with the NMC Record Keeping Guidelines, ANHSFT Health Records policy and the Records Management Code of Practice 2020.Offer help and advice to patients, families and carers responding to their individual needs in a caring and supportive manner.
Adhere to Airedale NHS Foundation Trusts policies and procedures relating to the Clinical Governance Framework
Person Specification
Knowledge
Essential
- Extensive clinical knowledge o care and management of the frail elderly and chronically sick patient
- Understanding and ability to implement new initiatives
Qualifications
Essential
- RN/Project 2000 Adult Branch, mental health/LD/RGN/BSc (or equivalent) AHP Qualification e.g. OT/ PT/SALT
Desirable
- ALS, AIM, ALERT courses desirable (or willing to undertake)
- First degree in relevant subject
Skills
Essential
- Excellent, written, verbal and electronic skills
- Clinical Assessment skills of the acutely ill patient
Experience
Essential
- Significant Acute or Community Care experience.
- Experience of delivering change or new initiatives
Desirable
- Experience of identifying patients for early discharge
- Experience of identifying services and/or providing clinical support to avoid admission
Person Specification
Knowledge
Essential
- Extensive clinical knowledge o care and management of the frail elderly and chronically sick patient
- Understanding and ability to implement new initiatives
Qualifications
Essential
- RN/Project 2000 Adult Branch, mental health/LD/RGN/BSc (or equivalent) AHP Qualification e.g. OT/ PT/SALT
Desirable
- ALS, AIM, ALERT courses desirable (or willing to undertake)
- First degree in relevant subject
Skills
Essential
- Excellent, written, verbal and electronic skills
- Clinical Assessment skills of the acutely ill patient
Experience
Essential
- Significant Acute or Community Care experience.
- Experience of delivering change or new initiatives
Desirable
- Experience of identifying patients for early discharge
- Experience of identifying services and/or providing clinical support to avoid admission
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).
