Patient Discharge Co-ordinator (Transfer of Care)

Job summary

The Patient Discharge Coordinator will work as part of the Transfer of Care team with an identified care group to support the planning and delivery of actions to support the transfer of care of patients that require onward care to support discharge from hospital. The post holder will work within an agreed set of standing operating procedures and will be supported by the clinical team within the transfer of care team.

We are seeking a Patient Discharge Coordinator to join the Transfer of Care Team initially at the Royal Hallamshire hospital. The successful candidates will work as part of the Transfer of Care team with an identified care group to support the planning and delivery of actions to support the transfer of care of patients that require onward care to support discharge from hospital.

The objectives of the team are to facilitate effective, high quality and timely discharges improving the patient experience and reducing length of stay. It is desirable that the successful candidate should have a working knowledge of discharge pathways to enable a safe and effective transfer home. The team embrace a case management approach potentially becoming involved in all aspects of the patient pathway, working in close collaboration with ward staff and other clinicians. The successful candidate will be supported by senior nurses but should be self-reliant and confident, with an ability to work flexibly and adapt to change.

Main duties of the job

Coordination of completion of paperwork specific to support the discharge planning of patients requiring onward care following hospital admission. To advise and assist ward teams with simple and complex discharges.

Attend daily board rounds and MDT meetings to advise on discharge planning for those patients requiring onward care and ensure the medically fit status and accurate discharge plans are in place on the ewhiteboard, seeking support from clinical members of ToC team where appropriate.

Proactively encourage and/or plan all discharge activities to ensure patients only stay in hospital for the time required to complete their acute treatment and to facilitate timely and seamless discharge/transfer to another care setting.

To proactively chase and liaise with the relevant teams when the discharge is dependent in a specific action, i.e. PCR tests for patients discharge to a care home.

Raise and process relevant and timely referrals as and when required to assist discharge planning.

Act as the central point of contact for discharge planning to an agreed clinical area, provide regular discharge updates to patients, family members, ward teams, internal and external support services/agencies and escalating patients requiring input of clinical team to ToC nurses.

Flexible daytime shifts may be required, with weekend working to meet the service need.

About us

You will be working for an organisation which values and respects all of its staff and the community it serves. The Trust is a leader in the NHS and research sectors and provides excellent benefits for its staff. This includes commitments to professional development but also many policies to support employees in balancing their personal and professional lives.