Band 4 Hub Coordinator - Various Localities

Job description

Job responsibilities

The Locality Hub Coordinator will be a central point of contact within the Locality Hub, and navigator between its functions and the designated Primary Care Network (PCN) MDT. This will involve the establishment of effective communication processes across BCHC teams, acute partners, Primary Care, Local Authority, community services, mental health services and the voluntary/third sector, including partners from within the BSOL system as necessary, to ensure patient referrals and or identified needs are directed accordingly . There will be a requirement to participate, and as required lead, in daily calls with multiple stakeholders across partner organisations to support this.

To support the coordination functions within the Locality Hub and aligned teams, supporting the provision of accurate data and information, including identification and owner of next steps to support admission avoidance, admissions, discharge planning and other clinical functions, which support the delivery of Safe, High-Quality Care to patients and citizens within the locality.

To track patients from point of referral through their inpatient journey from admission to discharge, accurately recording and reporting information,and escalating any identified care needs to the appropriate clincal support.

The Locality Hub Coordinator will work in collaboration with the Locality Hub leadership team and will be pivotal in supporting the smooth running of multiple workstreams undertaken within the hub setting. Accessing and presenting patient related data to hub Team members and external agencies in an efficient manner to support active clinical intervention will be a priority to this.

The Locality Hub Coordinator has no direct line management responsibility but will be required to work in conjunction with the Discharge Facilitator within the aligned Pathway 2 (P2) service.

The post will have no direct budgetary responsibility. There will be a requirement to manage stock supplies for the Locality Hub.

1. To support clinical teams in the management of referral pathways across primary, community and acute care pathways to ensure patients are triaged and streamed into appropriate services within the Locality, to include:

1. 1. Community Nursing Services
   2. Pathway 1 Early Intervention Community Team
   3. Pathway 2 Intermediate Care Inpatient beds
   4. Pathway 3 referrals for care home setting as a discharge destination only when Home First has been excluded
   5. End Of Life (EOL) Fast Track processes and outcomes
   6. Integrated Neighbourhood Team (INT)

1. To liaise with the identified community Multidisciplinary Team (MDT) leads to manage the coordination of attendance from the community teams to support complex discharge planning and High Intensity Service User (HISU) pathways. This will involve the coordination of Gold Standards Framework (GSF)/Palliative Care meetings

1. To enable identification of Palliative/End of Life (EOL) Fast Track patients from Primary Care, Community Nursing and Acute Care for appropriate EOL care and management, including registration for GSF processes

1. To support the review of patients referred for P2, by working with the In-Reach Team and other clinicians, ensuring decision for pathways are appropriate for the patient at that point in time andin accordance with referral/acceptance/admission criteria.

1. To input into P2 patient caseload management by supporting clinicians and other professionals in the assessment, planning and implementation of discharge processes in accordance with the relevant SOPs.

1. To implement plans for monitoring and progress patient referrals and discharges taking into account various complex information from the multidisciplinary team.

1. To support Locality patients allocated a P2 bed with being transferred from the Acute setting, by liasing with the Complex Discharge Hubs and Locality In-Reach Team to facilitate discharge arrangements

1. To track and update all P2 locality patients on the appropriate system(s), ensuring a high-quality level of information relating to Expected Date of Discharge (EDD), clinical management plan and discharge destination, accurately capturing the data required to evidence overall performance

1. To identify any potential obstacles to discharge, from the point of referral onwards, which may result in delays or an extended length of stay (LoS), escalating as required to the appropriate service/team to facilitate the discharge as appropriate.

10. To fully understand the Continuing Healthcare (CHC) processes and other funding streams, and the timeframes associated with these in order that delays can be escalated where these will have an impact on planned discharge dates

1. Have a working knowledge and understanding of the legal framework for patients who lack capacity to consent to discharge plans and proposals in order to recognise where a patient will need representative(s) to advocate on their behalf and ensure that this is factored in during the coordination of meetings etc.

1. Use a range of verbal and non-verbal communication tools to communicate effectively with patients to progress discharge plans. This may include conveying information of a sensitive or distressing nature to patients who may have difficulties and barriers in understanding or communicating and require additional support.

1. To be a first point of contact for complaints from patients which will involve occasional exposure to distressing circumstances. To ensure that complaint issues are escalated appropriately.

14. To support all remote monitoring/virtual care into Locality Care Homes, including the coordination of the deployment of appropriate crisis response by alerting the responsible clinician

1. To maintain accurate and detailed records and produce and disseminate reports within the Locality Hub ensuring activity is captured in a way which clearly demonstrates the effectiveness of clinical functions

1. To coordinate the information flow between Locality Hub clinicians and identified stakeholders, working closely with the Locality Hub Leadership Team to ensure effective and timely communication across the relevant teams to support early resolution of issues. This will need to happen on a continuous and ongoing basis, including at regular huddles.

1. In collaboration with responsible clinical and professional colleagues, to support with the identification and escalation of patients across the Locality Hub functions who may be suitable for input from another function or service.

1. To support the communication and planning with internal and external service providers that will enable to provision of practical support to patients/citizens and their carers in developing and managing dignity and independence. This would include include attendance at MDT meetings in various settings including inpatient areas.

1. To provide cover for aligned administrative colleagues during periods of absence, within own or other Locality Hubs as required, to ensure high levels of service are maintained

1. To regularly support training regarding the Hub functions and processes across the wider Locality team

1. To make and receive telephone calls from internal/external stakeholders and patients/citizens in a professional manner, representing the Locality Hub as a key point of contact and ensuring streaming/escalation to clinical colleagues as required

1. To support the development, implementation and review of Standard Operating Procedures (SOPs) for the Locality Hub

1. To develop and undertake audits in collaboration with clinical colleagues and actively participate in service/quality improvement initiatives

24. To establish and maintain systems for the management and storage of information adhering to Trust policies and procedures, particularly in relation to confidentiality, health and safety, equal opportunities and data protection.

25. To undertake other duties commensurate with this grade of post in agreement with the relevant line manager.

26. To minimise the Trusts environmental impact wherever possible, including recycling, switching off lights, computers, monitors and equipment when not in use. Helping to reduce paper waste by minimising printing/copying and reducing water usage, reporting faults and heating/cooling concerns promptly and minimising travel. Where the role includes the ordering and use of supplies or equipment the post holder will consider the environmental impact of purchases.

27. To ensuring mandatory and role specific training and development is undertaken within required timeframes

Person Specification

Qualifications

Essential

• GCSE English and Maths at grade 4 (C) or equivalent

Qualifications

Essential

• NVQ Level 3 or equivalent

Experience

Essential

• Significant Experience of administrative processes including development of spreadhseets and databases and other IT systems used in an office environment
• Relevant Experience of dealing with enquiries from the public and partner organisations

Skills/knowledge

Essential

• Excellent communication skills with the ability to communicate clearly and sensitively with a wide range of people, including internal and external stakeholders
• Excellent written communication skills; able to write clearly and concisely and produce reports and keep accurate records

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).

Employer details

Employer name

Birmingham Community Healthcare NHS FT

Address

Ward 10 West Heath Hospital

Renal Road

Birmingham

B38 8HR

Employer's website

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