University Hospitals Plymouth NHS Trust

Discharge Case Manager

The closing date is 12 June 2025

Job summary

The Discharge Coordinator role focuses on expediting patient discharge from hospital in an organised and timely manner. The Discharge Coordinator works to consider the needs of patients who have been identified as requiring additional support in discharge planning, and to identify any delays in completion of diagnostic tests to medical teams at the earliest opportunity.

The Discharge Coordinator supports the Multi- Disciplinary team by coordinating patients' assessments in readiness for their discharge. The Discharge Coordinator will provide one point of contact for the wider team of healthcare professionals supporting the patient through the inpatient journey; ensuring that consistent real time information is shared with those involved, including the patient and the families/carers as appropriate.

***Preference will be given to internal Trust staff, as well as 'Priority' and 'At Risk' status including NHS At Risk staff throughout Devon who are able to display recent relevant experience as dictated by the Person Specification.***

Main duties of the job

  • To discuss estimated dates of discharge with patient/carers and communicate any concerns to the ward nurse.
  • Use the patients discharge checklist as a tool for coordinating the patient journey.
  • . Ensure that timely referrals are made to the disciplines identified by the Registered Nurse following identification of issues surrounding discharge.
  • . Liaise with patient regarding mode of transport home.
  • Contact relatives/ care provider, on request of patient/Registered Nurse coordinator to inform of decision to discharge from hospital.
  • Book transport as directed by Registered Nurse based on patient care needs.
  • Keep documentation up to date, ensuring records of all facilitated discharges are recorded.
  • Liaise with Ward Clerk regarding patient's discharge
  • Liaise with the multi- disciplinary team regarding outcomes of assessments and ensure recommendations are communicated to other agencies in a timely manner.
  • Ensure patients/ carers are aware of outcomes and further recommendations.
  • Finalise arrangements at least 24 hours before discharge, ensuring that transport/TTA's are available ensuring minimal delay on day of discharge.
  • Liaise with ward pharmacist to ensure prescription of TTA's are ready in timely manner
  • Ensure discharge lounge is used to its full potential and prepare patients for transfer.
  • Demonstrate excellent communication within the team and with patients both written, verbal and computer based.

About us

We are a people business - where every member of staff matters and can make a difference. Patients are at the heart of everything we do. Joining University Hospitals Plymouth NHS Trust means becoming part of a team of dedicated staff, who are committed to leading the way through innovation, clinical excellence and great customer care. The Trust has great opportunities for career development in a highly progressive working environment. We offer all of this in a vibrant, modern city with a historic reputation for adventure. PLEASE NOTE THAT ALL COMMUNICATION WILL BE ELECTRONIC, PLEASE CHECK YOUR EMAIL ACCOUNT REGULARLY. If you have any issues with applying online and need additional support including reasonable adjustments with the application process please contact the recruitment team on 01752 432100. We recognise that work life balance is important for our colleagues and so we invite requests from applicants around less than full time/flexible working for our advertised roles. Please contact the recruiting manager to discuss this prior to your application submission. We commit to giving this full consideration in each case. We encourage people from diverse backgrounds to apply for our roles, as diversity strengthens our teams. It is sometimes necessary to close vacancies before the closing date. If you have not heard from us within 4 weeks of the closing date, please assume that you have not been shortlisted.

Details

Date posted

29 May 2025

Pay scheme

Agenda for change

Band

Band 3

Salary

£24,071 to £25,674 a year £24,071 - £25,674 Per Annum Pro Rata

Contract

Permanent

Working pattern

Part-time

Reference number

216-LH-S7220973

Job locations

Derriford Hospital

Derriford Road

Plymouth

PL6 8DH


Job description

Job responsibilities

The jobholder must:

1. To discuss EDDs with patient/ carers and communicate any concerns to the ward nurse responsible for coordinating the care pathway.

2. Use the patients discharge checklist as a tool for coordinating the patient journey.

3. Ensure that timely referrals are made to the disciplines identified by the ward nurse following identification of issues surrounding discharge.

4. Liaise with patient regarding mode of transport home.

5. Contact relatives/ care provider, on request of patient/ registered nurse coordinator to inform of decision to discharge from hospital.

6. Book transport as directed by registered nurse coordinator based on patient care needs.

7. Keep documentation up to date, ensuring records of all facilitated discharges are recorded.

8. Inform Ward Clerk of patients discharge and collect all patient documentation/ notes.

9. Ensure results or requested diagnostic tests are available for medical teams as soon as possible to enhance clinical decision making.

10. Liaise with multi- disciplinary team re outcomes of assessments and ensure recommendations are communicated to other agencies in a timely manner. Ensure patients/ carers are aware of outcomes and further recommendations.

11. Finalise arrangements at least 24 hours before discharge, ensuring that transport/ TTAs are available ensuring minimal delay on day of discharge.

12. Liaise with ward pharmacist to ensure prescription of TTAs for those patients whose discharge is the same days is coordinated effectively and timely.

13. Ensure discharge lounge is used to its full potential.

For further details please see the attached JD & PS

14. Prepare patients for transfer to the discharge lounge, i.e. packing up patients personal property, removal of cannula etc.

15. Maintain the ward TTA cupboard.

16. Participate in the audit of discharge procedures.

17. Attend daily board meeting with Registered Nurse coordinator to discuss discharge plans with the multi-disciplinary team.

Job description

Job responsibilities

The jobholder must:

1. To discuss EDDs with patient/ carers and communicate any concerns to the ward nurse responsible for coordinating the care pathway.

2. Use the patients discharge checklist as a tool for coordinating the patient journey.

3. Ensure that timely referrals are made to the disciplines identified by the ward nurse following identification of issues surrounding discharge.

4. Liaise with patient regarding mode of transport home.

5. Contact relatives/ care provider, on request of patient/ registered nurse coordinator to inform of decision to discharge from hospital.

6. Book transport as directed by registered nurse coordinator based on patient care needs.

7. Keep documentation up to date, ensuring records of all facilitated discharges are recorded.

8. Inform Ward Clerk of patients discharge and collect all patient documentation/ notes.

9. Ensure results or requested diagnostic tests are available for medical teams as soon as possible to enhance clinical decision making.

10. Liaise with multi- disciplinary team re outcomes of assessments and ensure recommendations are communicated to other agencies in a timely manner. Ensure patients/ carers are aware of outcomes and further recommendations.

11. Finalise arrangements at least 24 hours before discharge, ensuring that transport/ TTAs are available ensuring minimal delay on day of discharge.

12. Liaise with ward pharmacist to ensure prescription of TTAs for those patients whose discharge is the same days is coordinated effectively and timely.

13. Ensure discharge lounge is used to its full potential.

For further details please see the attached JD & PS

14. Prepare patients for transfer to the discharge lounge, i.e. packing up patients personal property, removal of cannula etc.

15. Maintain the ward TTA cupboard.

16. Participate in the audit of discharge procedures.

17. Attend daily board meeting with Registered Nurse coordinator to discuss discharge plans with the multi-disciplinary team.

Person Specification

Knowledge and experience

Essential

  • Demonstrable experience working with patients in a hospital environment.
  • Demonstrable experience of working across multi-disciplinary teams

Desirable

  • Proven knowledge of availability of support services external to the organisation.

Qualifications

Essential

  • Proven NVQ Level 3 in health or social care or equivalent qualification

Desirable

  • Demonstrable experience of working within other health and social care environments.

Disposition / attitude and motivation

Essential

  • Excellent organisational skills and patient centred approach

Aptitude and abilities

Essential

  • Able to competently organise and carryout designated workload.
  • Good Communication Skills, both written and vocal

Desirable

  • Computer skills
Person Specification

Knowledge and experience

Essential

  • Demonstrable experience working with patients in a hospital environment.
  • Demonstrable experience of working across multi-disciplinary teams

Desirable

  • Proven knowledge of availability of support services external to the organisation.

Qualifications

Essential

  • Proven NVQ Level 3 in health or social care or equivalent qualification

Desirable

  • Demonstrable experience of working within other health and social care environments.

Disposition / attitude and motivation

Essential

  • Excellent organisational skills and patient centred approach

Aptitude and abilities

Essential

  • Able to competently organise and carryout designated workload.
  • Good Communication Skills, both written and vocal

Desirable

  • Computer skills

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).

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.

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

University Hospitals Plymouth NHS Trust

Address

Derriford Hospital

Derriford Road

Plymouth

PL6 8DH


Employer's website

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


Employer details

Employer name

University Hospitals Plymouth NHS Trust

Address

Derriford Hospital

Derriford Road

Plymouth

PL6 8DH


Employer's website

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


Employer contact details

For questions about the job, contact:

Ward Manager

Zoe Young

z.young1@nhs.net

01752432932

Details

Date posted

29 May 2025

Pay scheme

Agenda for change

Band

Band 3

Salary

£24,071 to £25,674 a year £24,071 - £25,674 Per Annum Pro Rata

Contract

Permanent

Working pattern

Part-time

Reference number

216-LH-S7220973

Job locations

Derriford Hospital

Derriford Road

Plymouth

PL6 8DH


Supporting documents

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