Job summary
An
exciting opportunity has arisen for a Band 5 (Complex Discharge Facilitator) to
Join the D6 (East) nursing senior team. D6East is a 20 bedded Fracture Neck of
Femur (NOF) unit offering care to patients who have undergone significant
Trauma and the team requires knowledge and skills to optimise patients outcome
and recovery. D6 East is a busy, fast paced environment and you will need to be able
to work under pressure circumstances.
We are
looking for an enthusiastic, highly motivated and dynamic individual who will support
both the nursing team and wider MDT with both simple and complex discharges.
The successful candidate will work closely with both the ward leadership team
and Integrated Discharge Service (IDS) allowing them to be proactive in
identifying potential delays and have the skills to generate and pursue
solutions. This will not only enhance patient experience by ensuring a safe and
efficient discharge from hospital but also support wider flow across the
organisation. The successful candidate
should have got excellent communication and interpersonal skills and be able to contribute to the
development of the ward and work collaboratively with members of the team to
provide a high quality and cost-effective service for all patients.
Main duties of the job
- Support the
discharge and Discharge to Assess (D2A) process by providing the background
information on referred patients within the ward by liaising with partner
colleagues.
- Support the ward
team by ensuring key IT systems are up to date (including bed-view and
safe-care).
- Support the identification
and transfers of patients for transfer to community beds.
- Work in collaboration with
the multidisciplinary team (MDT) and the IDS to ensure timely discharge of
patients within their caseload when working on the wards.
- Identify critical delays in
the patient care pathway and be pro-active in generating solutions to speed up
processes.
- Deputise in specific
(non-clinical) areas for the Senior Sister/Charge Nurse as required to support
the smooth operational function of the ward.
- Be actively involved in any
data collection and reviews as indicated.
- To be visible and available
for support in the ward.
- Support the Senior
Sister/Charge Nurse in the management of other complex operational issues as
they arise on the ward.
- To be a focal point for
problem-solving and troubleshooting in the daily operations of the ward.
About us
The Trust is committed to driving excellence in care for our patients and communities and was rated good by the Care Quality Commission report published 2020 and became a University Hospital. We are ranked as the third in the country for research; embedding education and training across the organisation and we continuously strive to achieve our core values which are at the heart of everything we do. The Trusts main hub is the Queen Alexandra Hospital, starting life as a military hospital over a century ago and now one of the largest hospitals on the south coast and you may have seen us on the TV series Nurses on the Ward. The Trust provides comprehensive secondary care and specialist services to a local population of 675,000 people across South East Hampshire. The Trust employs over 8,000 staff and are #ProudtobePHU; our patients come from all walks of life and so do we. We hire great people from a wide variety of backgrounds, not just because its the right thing to do, but because it makes our hospital stronger. If you share our values and our enthusiasm for providing outstanding care and support for patients, colleagues and our community you will find a home at PHU. In recruiting for our team, we welcome the unique contributions that you can bring in
terms of your education, opinions, culture, ethnicity, race, sex, gender
identity and expression, nation of origin, age, languages spoken, veterans
status, colour, religion, disability, sexual orientation and beliefs.
Job description
Job responsibilities
- To support and co-ordinate discharges
through the D2A process by multi-agency coordination and working with patients
and families to discharge in a timely manner. Responsibility for a cohort of
patients along with the ward nursing team responsibility for co-ordinating
their timely discharges.
-
Managing all data and recording of
information for cohort of patients.
-
To support on providing advice and
support to patients and relatives regarding placements and packages of care.
Signposting to services to support discharge.
-
With the ward team, co-ordinate the
discharge of patients engaging the IDS and MDT in any concerns or provision of
needs.
-
To work autonomously within their
scope in, providing comprehensive advice and information to ward staff,
patients and relatives, operationally and around discharge.
-
To identify critical delays in the
entire diagnostic, treatment and care processes and be proactive in generating
solutions that could be out of the norm that will speed up the process eg:
escalating to departments and Managers, thinking of services that can stop gap
or be purchased in a different manner and bring to the attention of the Senior
Sister/Charge Nurse for consideration.
-
To support the Senior Sister in the
management of other complex operational issues as they arise on the ward.
-
To assist the ward team in keeping IT
flow systems such as Bed-View up to date.
-
To assist the ward areas as directed
by the Senior Sister/Charge Nurse when other members of the team are on leave.
-
To attend board rounds and facilitate
meetings with staff about discharge and operational issues.
-
To follow the Trusts Discharge
Policy and in liaison with Community, Social Services and other healthcare
colleagues, to facilitate timely, appropriate and safe discharges of patients
to the community.
-
To ensure that confidentiality of
information regarding patients is maintained and that both written &
electronic documentation is complete, accurate and up to date.
-
To agenda and support
multi-disciplinary meetings in response to complex discharges with the goal to
resolve any outstanding blocks to a successful discharge.
-
Support the identification of
patients who would fit into the parameters of Continuing Health Care and whose
needs are high intensity health needs and support referrals.
-
Identify when there is need to
resolve disputes or disagreements around operational issues, discharge planning
or leaving hospital and to work for a resolution to avoid delayed discharge,
being autonomous in this, escalating any issues unable to resolve to the Senior
Sister/Charge Nurse.
-
Support on any administration roles
and rehab roles where required.
-
To have knowledge and understanding
of Power of Attorney and Court Protection and how this impact on patient plans
including, power of Receivership; Mental Capacity Act; Deprivation of Liberty
and; other legal frameworks.
Key Working Relationships
-
Internally the post holder will
develop effective working relationships with the multi-disciplinary team and
the IDS working with colleagues from partner organisations including audit
social care, continuing health care and community services.
Information and Reporting
-
Accurate data entry IT systems using
the correct response times on Bed-View, PAS, Oceano and other available
systems.
-
To Participate in audit of the
effectiveness of discharge planning within the acute Trust and to collect and
analyse relevant data as required.
-
To be up to date with relevant
policies and changes in legislation in regards to Health and Social care which
may affect the discharge process.
-
To participate on MOFD calls and the
tracking of patients.
Staff
Training/Education
-
To facilitate and support training
relevant to ward teams, including clinical and non-clinical colleagues.
-
To participate in on-going teaching
and training and review competencies of staff across professional boundaries,
as required by the Senior Sister/Charge Nurse.
-
To attend ward team meetings and
share any knowledge, experience or relevant information.
Service
Delivery
-
To undertake the defined
responsibilities over a seven-day period in response to the needs of the
service weekend working may be required, in discussion with the Senior
Sister/Charge Nurse and Care Group Matron.
-
To support the Senior Sister/Charge
Nurse, Matron and Seniors in supporting safe discharges and operational
processes.
-
Accurate records for audit purposes
and liaise to review feedback by service users in order to evaluate the
effectiveness of the service.
-
To assist the Senior Sister/Charge
Nurse in the investigation of complaints in a timely fashion.
-
As part of the ward team, to initiate
and develop policies and procedures relevant to the speciality.
-
To support the department and
organisation by carrying out any other duties as qualified and able.
Key
Result Areas
-
To manage and support a cohort of
patients complex discharges and co-ordinate all relevant services to ensure
timely, appropriate, and safe discharges.
-
To have made an effective
contribution to reaching the Trusts vision, strategic objectives.
-
Support the reduction in delayed
transfers of care, whilst enhancing patient flow.
-
Keep key electronic systems are up to
date.
-
Supporting the D2A process and timely
discharge of patients from wards.
Management/Leadership
- The
eligible candidate will be responsible for the organisation and management of
the ward/department when on duty. Have an overall view of the intensity of the
workload and the experience of the staff and act to utilise the nursing skill
mix on duty, to ensure the nursing cover achieves a high standard of nursing
care.
- Be
proactive in the prevention and management of complaints (formal and those via
Patient Advice and Liaison Service) and whenever they occur, investigate and
respond in a timely manner. Use any learning to share widely with the MDT to
improve discharge process.
- Comply
and promote compliance with Trust policies and guidelines e.g. Health and
Safety, Clinical Risk and Infection Control.
- Take appropriate action to
address unexpected changes and situations, informing the Senior Sister/Charge
Nurse or other if support is needed and unable to resolve.
Communication and Working
Relations
- Communicate highly sensitive
and complex information with empathy ensuring that information is well understood.
- Maintain
excellence in communicating and co-operating with other wards and departments,
promoting and maintaining good working relationships within own clinical area
and across the organisation, giving accurate information as required and
keeping everyone informed of any untoward incidents.
- Develop
expertise in dealing with interpersonal conflict and be responsible for the
resolution of any adverse situation/incidents. Comply and promote compliance to
Trust policies e.g. Harassment and Bullying.
- Make
sure to be an active member of the clinical nursing team contributing to
relevant Trust wide nursing groups and meetings.
- Represent
the Senior Sister/Charge Nurse in their absence at ward level.
Job description
Job responsibilities
- To support and co-ordinate discharges
through the D2A process by multi-agency coordination and working with patients
and families to discharge in a timely manner. Responsibility for a cohort of
patients along with the ward nursing team responsibility for co-ordinating
their timely discharges.
-
Managing all data and recording of
information for cohort of patients.
-
To support on providing advice and
support to patients and relatives regarding placements and packages of care.
Signposting to services to support discharge.
-
With the ward team, co-ordinate the
discharge of patients engaging the IDS and MDT in any concerns or provision of
needs.
-
To work autonomously within their
scope in, providing comprehensive advice and information to ward staff,
patients and relatives, operationally and around discharge.
-
To identify critical delays in the
entire diagnostic, treatment and care processes and be proactive in generating
solutions that could be out of the norm that will speed up the process eg:
escalating to departments and Managers, thinking of services that can stop gap
or be purchased in a different manner and bring to the attention of the Senior
Sister/Charge Nurse for consideration.
-
To support the Senior Sister in the
management of other complex operational issues as they arise on the ward.
-
To assist the ward team in keeping IT
flow systems such as Bed-View up to date.
-
To assist the ward areas as directed
by the Senior Sister/Charge Nurse when other members of the team are on leave.
-
To attend board rounds and facilitate
meetings with staff about discharge and operational issues.
-
To follow the Trusts Discharge
Policy and in liaison with Community, Social Services and other healthcare
colleagues, to facilitate timely, appropriate and safe discharges of patients
to the community.
-
To ensure that confidentiality of
information regarding patients is maintained and that both written &
electronic documentation is complete, accurate and up to date.
-
To agenda and support
multi-disciplinary meetings in response to complex discharges with the goal to
resolve any outstanding blocks to a successful discharge.
-
Support the identification of
patients who would fit into the parameters of Continuing Health Care and whose
needs are high intensity health needs and support referrals.
-
Identify when there is need to
resolve disputes or disagreements around operational issues, discharge planning
or leaving hospital and to work for a resolution to avoid delayed discharge,
being autonomous in this, escalating any issues unable to resolve to the Senior
Sister/Charge Nurse.
-
Support on any administration roles
and rehab roles where required.
-
To have knowledge and understanding
of Power of Attorney and Court Protection and how this impact on patient plans
including, power of Receivership; Mental Capacity Act; Deprivation of Liberty
and; other legal frameworks.
Key Working Relationships
-
Internally the post holder will
develop effective working relationships with the multi-disciplinary team and
the IDS working with colleagues from partner organisations including audit
social care, continuing health care and community services.
Information and Reporting
-
Accurate data entry IT systems using
the correct response times on Bed-View, PAS, Oceano and other available
systems.
-
To Participate in audit of the
effectiveness of discharge planning within the acute Trust and to collect and
analyse relevant data as required.
-
To be up to date with relevant
policies and changes in legislation in regards to Health and Social care which
may affect the discharge process.
-
To participate on MOFD calls and the
tracking of patients.
Staff
Training/Education
-
To facilitate and support training
relevant to ward teams, including clinical and non-clinical colleagues.
-
To participate in on-going teaching
and training and review competencies of staff across professional boundaries,
as required by the Senior Sister/Charge Nurse.
-
To attend ward team meetings and
share any knowledge, experience or relevant information.
Service
Delivery
-
To undertake the defined
responsibilities over a seven-day period in response to the needs of the
service weekend working may be required, in discussion with the Senior
Sister/Charge Nurse and Care Group Matron.
-
To support the Senior Sister/Charge
Nurse, Matron and Seniors in supporting safe discharges and operational
processes.
-
Accurate records for audit purposes
and liaise to review feedback by service users in order to evaluate the
effectiveness of the service.
-
To assist the Senior Sister/Charge
Nurse in the investigation of complaints in a timely fashion.
-
As part of the ward team, to initiate
and develop policies and procedures relevant to the speciality.
-
To support the department and
organisation by carrying out any other duties as qualified and able.
Key
Result Areas
-
To manage and support a cohort of
patients complex discharges and co-ordinate all relevant services to ensure
timely, appropriate, and safe discharges.
-
To have made an effective
contribution to reaching the Trusts vision, strategic objectives.
-
Support the reduction in delayed
transfers of care, whilst enhancing patient flow.
-
Keep key electronic systems are up to
date.
-
Supporting the D2A process and timely
discharge of patients from wards.
Management/Leadership
- The
eligible candidate will be responsible for the organisation and management of
the ward/department when on duty. Have an overall view of the intensity of the
workload and the experience of the staff and act to utilise the nursing skill
mix on duty, to ensure the nursing cover achieves a high standard of nursing
care.
- Be
proactive in the prevention and management of complaints (formal and those via
Patient Advice and Liaison Service) and whenever they occur, investigate and
respond in a timely manner. Use any learning to share widely with the MDT to
improve discharge process.
- Comply
and promote compliance with Trust policies and guidelines e.g. Health and
Safety, Clinical Risk and Infection Control.
- Take appropriate action to
address unexpected changes and situations, informing the Senior Sister/Charge
Nurse or other if support is needed and unable to resolve.
Communication and Working
Relations
- Communicate highly sensitive
and complex information with empathy ensuring that information is well understood.
- Maintain
excellence in communicating and co-operating with other wards and departments,
promoting and maintaining good working relationships within own clinical area
and across the organisation, giving accurate information as required and
keeping everyone informed of any untoward incidents.
- Develop
expertise in dealing with interpersonal conflict and be responsible for the
resolution of any adverse situation/incidents. Comply and promote compliance to
Trust policies e.g. Harassment and Bullying.
- Make
sure to be an active member of the clinical nursing team contributing to
relevant Trust wide nursing groups and meetings.
- Represent
the Senior Sister/Charge Nurse in their absence at ward level.
Person Specification
Qualifications
Essential
- Significant specific medical administrative or speciality knowledge gained by education or relevant clinical experience equivalent to degree level.
- Substantial range of experience with the NHS.
- Working towards management/leadership qualification.
- Training in Mental capacity Assessments.
Desirable
- RGN, NVQ AHP.
- Evidence of recent study in the Health field.
Skills and Knowledge
Essential
- Must be able to demonstrate, in relation to patients, visitors, colleagues and other individuals connected with the Trust and NHS:
- You have knowledge & awareness of diversity and human rights as appropriate to your role.
- You are able to communicate effectively to ensure high standards of care, treatment, service or support as appropriate to your role.
- Patients facing roles be able to understand an individuals communication, physical & emotional needs; recognise their needs and preferences.
- Able to provide a customer focussed service.
- Working with the public in a position of Trust and authority.
- Planning and organising own workload.
- Basic knowledge of Excel.
- Knowledge:
- NHS Constitution.
- Trust vision, values and strategic objectives.
- Keyboard skills.
- Knowledge of the continuing Healthcare Process.
- Knowledge of leadership skills and managing change.
- Knowledge and experience of Trust IT systems.
Experience
Essential
- Experience within an NHS discharge field as an RGN, AHP HCA or in an administration role.
- Managing conflict.
- Clinical knowledge base in order to support the completion of accurate reports and challenge decision making.
- Ability to function at the interface of primary, secondary and community care.
- Multi-disciplinary working and ability to lead in interdisciplinary decision making.
- Knowledge of D2A process and current NHS guidance and knowledge of relevant evidence required to support discharge.
Desirable
- Experience both within the acute and community setting.
- Audit experience.
Attitude, Behaviour and Values
Essential
- Always puts patients first.
- Customer service focus.
- Willing and able to take personal responsibility.
- Demonstrates passion for excellence.
- Seeks out and takes opportunities for improving the service offered.
- Takes pride in their work and their team.
- Flexible in their attitudes and behaviours to support team working and deliver of objectives.
- Respects, values and cares for others.
- Supports learning and development of self and others.
- Supports and promotes equality and diversity.
- Works autonomously and self-directed.
- Enquiring challenging nature to effect equality.
Person Specification
Qualifications
Essential
- Significant specific medical administrative or speciality knowledge gained by education or relevant clinical experience equivalent to degree level.
- Substantial range of experience with the NHS.
- Working towards management/leadership qualification.
- Training in Mental capacity Assessments.
Desirable
- RGN, NVQ AHP.
- Evidence of recent study in the Health field.
Skills and Knowledge
Essential
- Must be able to demonstrate, in relation to patients, visitors, colleagues and other individuals connected with the Trust and NHS:
- You have knowledge & awareness of diversity and human rights as appropriate to your role.
- You are able to communicate effectively to ensure high standards of care, treatment, service or support as appropriate to your role.
- Patients facing roles be able to understand an individuals communication, physical & emotional needs; recognise their needs and preferences.
- Able to provide a customer focussed service.
- Working with the public in a position of Trust and authority.
- Planning and organising own workload.
- Basic knowledge of Excel.
- Knowledge:
- NHS Constitution.
- Trust vision, values and strategic objectives.
- Keyboard skills.
- Knowledge of the continuing Healthcare Process.
- Knowledge of leadership skills and managing change.
- Knowledge and experience of Trust IT systems.
Experience
Essential
- Experience within an NHS discharge field as an RGN, AHP HCA or in an administration role.
- Managing conflict.
- Clinical knowledge base in order to support the completion of accurate reports and challenge decision making.
- Ability to function at the interface of primary, secondary and community care.
- Multi-disciplinary working and ability to lead in interdisciplinary decision making.
- Knowledge of D2A process and current NHS guidance and knowledge of relevant evidence required to support discharge.
Desirable
- Experience both within the acute and community setting.
- Audit experience.
Attitude, Behaviour and Values
Essential
- Always puts patients first.
- Customer service focus.
- Willing and able to take personal responsibility.
- Demonstrates passion for excellence.
- Seeks out and takes opportunities for improving the service offered.
- Takes pride in their work and their team.
- Flexible in their attitudes and behaviours to support team working and deliver of objectives.
- Respects, values and cares for others.
- Supports learning and development of self and others.
- Supports and promotes equality and diversity.
- Works autonomously and self-directed.
- Enquiring challenging nature to effect equality.
Additional information
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).
