Sirona care & health CIC

Community Transfer of Care Hub Case Manager - North Somerset

This job is now closed

Job summary

Are you a nurse or therapist looking for a community job in a developing service?

Are you passionate about supporting people to return to their own homes following acute illness or injury?

UHBWare launching two new Transfer of Care Hubs to support our patients with discharge planning from admission through leaving hospital and into the community: one Hub at the Bristol Site and one at Weston General Hospital. The Transfer of Care Hub will bring together the acute trust, community partners (Sirona), Local Authorities and Voluntary Sector colleagues across BNSSG to create a new team from multidisciplinary backgrounds.

The aim is to work collaboratively to support patients to get Home First by colocating a team of professionals from different organisations to streamline complex discharges.

You will need to have experience working in the community setting and an understanding of the levels of clinical acuity that can be supported in peoples own homes. Alongside this you will have an understanding of rehabilitation pathways, discharge planning and mental capacity issues, excellent interpersonal and negotiation skills.

In return, we will provide you with regular training and supervision and enable you to become involved in future service developments.

Main duties of the job

Be a key member of the multi-disciplinary team, responsible for providing person-centred, holistic assessment to facilitate discharge from the acute hospitals to the right discharge pathway.

Responsible for triaging referrals received by CToCH. This may include liaising with the patient, family/carers and ward staff to identify the most appropriate discharge pathway.

Support the CToCH to discuss complex cases with all partners in the Transfer of Care Hub to agree a joint action and discharge plan.

To utilise multi-disciplinary assessment skills, supported by sound clinical reasoning to facilitate timely hospital discharge to the most appropriate environment

To be able to effectively triage and prioritise a large caseload and be able to adjust daily work plan in response to system-wide pressures and escalation. Pro-actively optimising the usage of community capacity on a daily basis.

High level of problem-solving required, gathering information from a range of sources, using professional experience and clinical knowledge to inform decision making. This includes being able to complete mental capacity assessments and make best interest decisions where appropriate.

About us

We are Sirona care & health, a Community Interest Company committed to providing local communities with a range of high-quality specialist health care services across Bristol, North Somerset and South Gloucestershire. For us, its about the personal approach; we take pride in what we do and deliver the high standard of care that we would expect for ourselves and our families.

At Sirona, we continue to build an inclusive culture that encourages, supports, and celebrates the diverse voices of colleagues, service users and communities. We therefore welcome applications from all those who feel they have the skills and attributes we are seeking.

Benefits:

We offer NHS Agenda for Change Salary, Terms and Conditions and an NHS pension scheme plus much more! Please see the benefits leaflet attached to this advert for more details.

Additional Information:

Please note that we reserve the right to close this vacancy early if sufficient applications are received prior to the advertised closing date.

Date posted

16 November 2023

Pay scheme

Agenda for change

Band

Band 6

Salary

£35,392 to £42,618 a year pro rata

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

B9083-23-0601

Job locations

Sirona Care & Health

Tickenham Road

Clevedon

Avon

BS216FW

Job description

Job responsibilities

Please see the attached job description and person specification for further information about the role.

The Service currently operates 7 days a week 08:00 18:00. We have full time hours available but are willing to consider part time and flexible working patterns.

For further information please contact:

Juliette Puttick Sirona Community Transfer of Care Hub Operational Lead 07929748398

Job description

Job responsibilities

Please see the attached job description and person specification for further information about the role.

The Service currently operates 7 days a week 08:00 18:00. We have full time hours available but are willing to consider part time and flexible working patterns.

For further information please contact:

Juliette Puttick Sirona Community Transfer of Care Hub Operational Lead 07929748398

Person Specification

Qualifications

Essential

Professional Qualification in Nursing, Occupational Therapy or Physiotherapy.
Registered with HCPC or RCN

Experience

Essential

Able to work across professional and organisational boundaries recognising when there are barriers to partnership working and able to implement solutions to overcome these.
The ability to interpret clinical information, use analytical and problem-solving skills to inform decision making.
Able to demonstrate innovative practice.
Ability to coordinate and manage a caseload including prioritising the workload, appropriate use of escalation plan, time management and delegation.
Ability to present complex information at meetings or case conferences. When required to be able to present information to the CCG to support the requirement of additional funding (e.g., 1-1 support) to enable a hospital discharge.
Ability to complete mental capacity assessments when required and if the patient lacks capacity act as the lead for making a best interest decision as part of a multi-disciplinary team.
A competent level of IT skills including user knowledge of core Microsoft Office packages and electronic patient records.

Desirable

Ability to present self and service in a professional manner promoting the service at all times.
Experience of working within hospital and community settings.
Ability to build, and maintain, effective working relationships at all levels.

Person Specification

Qualifications

Essential

Professional Qualification in Nursing, Occupational Therapy or Physiotherapy.
Registered with HCPC or RCN

Experience

Essential

Able to work across professional and organisational boundaries recognising when there are barriers to partnership working and able to implement solutions to overcome these.
The ability to interpret clinical information, use analytical and problem-solving skills to inform decision making.
Able to demonstrate innovative practice.
Ability to coordinate and manage a caseload including prioritising the workload, appropriate use of escalation plan, time management and delegation.
Ability to present complex information at meetings or case conferences. When required to be able to present information to the CCG to support the requirement of additional funding (e.g., 1-1 support) to enable a hospital discharge.
Ability to complete mental capacity assessments when required and if the patient lacks capacity act as the lead for making a best interest decision as part of a multi-disciplinary team.
A competent level of IT skills including user knowledge of core Microsoft Office packages and electronic patient records.

Desirable

Ability to present self and service in a professional manner promoting the service at all times.
Experience of working within hospital and community settings.
Ability to build, and maintain, effective working relationships at all levels.

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.

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

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Sirona care & health CIC

Address

Sirona Care & Health

Tickenham Road

Clevedon

Avon

BS216FW

Employer's website

https://www.sirona-cic.org.uk/ (Opens in a new tab)

Employer details

Employer name

Sirona care & health CIC

Address

Sirona Care & Health

Tickenham Road

Clevedon

Avon

BS216FW

Employer's website

https://www.sirona-cic.org.uk/ (Opens in a new tab)