Job summary
Medical Discharge Manager
Fixed Term / Secondment for 6 months
Full-Time post - 37.5 hours Mon-Fri
Closing date: 17th October 2024
Interview date: to be confirmed
This post may close early due to a high number of applicants so you are advised to apply promptly.
All correspondence for this vacancy will be sent by e-mail: please check your account regularly including your junk and SPAM areas.
Main duties of the job
The post holder has the responsibility of managing/supporting the timely admissions/discharges through the medical pathways. The role will require interface with all departments to review and constantly assess medical capacity and flow whilst ensuring excellent positive patient experience for all. This includes being well informed of any impacts that may result due to stagnation in any part of the medical pathway from admission, to ward and be able to resolve these flows to ensure the patient receives the right care, in the right place, by the right person.
The post holder will maximise the use of inpatient beds enabling local and national NHS targets to be met using knowledge, skills, experience, influence, negotiation and advanced communication skills to identify and resolve issues that could impact on patient pathways.
The post holder will lead on improving discharge processes within the departmental areas and be a key driver in embedding changes in practice which is evidenced by data collection and audit.
The discharge manager will support the Ward/General Managers in the daily review of medical capacity. The role will be advisory to encourage ward managers to inform ward level ownership of admissions and discharges, whilst informing site teams of progress and updates throughout the day.
About us
Here at George Eliot our vision to'excel at patient care'takes centre stage. An ever evolving clinically-led acute service provider we are on a journey to continually provide high quality, safe and responsive services delivered by inspiring, friendly and compassionate staff who share our corporate values which underpin everything we do. Our values are not just words on a piece of paper, they bond us together, reflect our ambition and shape who we are:
Effective Open Communication
excellence and safety in everything we do
Challenge but support
Expect respect and dignity
Local health that inspires confidence
Benefits:On-site nursery, 27 days minimum annual leave plus bank holidays, cycle to work scheme, flexible working, in house training and development, buying and selling of annual leave, subsidised restaurant, tranquillity garden and generous subsidised on-site parking.
If you are applying for a Domestic Assistant or Health Care Assistant role you may be eligible for the refer a friend scheme - find out more here: https://www.geh.nhs.uk/about-us/people-and-workforce/vacancies/refer-friend-scheme
Job description
Job responsibilities
- To proactively manage patient flow to ensure achievement of work streams within medicine.
- To develop optimal bed utilisation and ensure the most appropriate use of Trust beds for medical patients. Utilise clinical skills /knowledge/ judgement to ensure beds are being used in the most effective way; have problem solving and negotiating skills to deal with difficult situations.
- To take prompt corrective action and/or escalate any patient flow or clinical site issues within medicine.
- To work collaboratively with multi-professional teams across the Trust to proactively facilitate the safe transfer of patients from Emergency Department, all inpatient wards.
- To establish effective working relationships with all nursing, and support staff, medical staff, general managers, site teams, community teams and the transport services. Work and liaise with the infection control team particularly where outbreaks or infection control guidance is required
- To prioritise own workload, act promptly and effectively to meet the regular unpredictable situations that may occur within this role
- To deliver a high level of visibility within the Emergency Department, Acute Medical Unit, inpatient wards in maintaining the emergency care pathway and
- To ensure effective & appropriate use of beds and all resources, maintaining clinical quality & safety, in accordance with Trust policies & procedures and national quality
- To participate in the operational bed meetings to provide an overview situation report on the bed capacity and flow within surgery with the ability to interpret any risks and contribute to mitigations.
- To provide and maintain accurate live information on bed availability by providing accurate information through the databases on levels of emergency demand, patient outlier numbers, theatre capacity and bed occupancy and planned admissions for the day and subsequent days.
- Liaise with complex discharge team to promote the most effective movement of patients within a timely
- To participate in service improvement, audit and data collection with particular focus on embedding the use of the SAFER patient flow bundle within the ward
- To assist in ensuring newly appointed doctors are aware of their role in the admission process and bed management
- To have an awareness of quality issues regarding the inpatient journey within the Trust
- To monitor and report any concerns to the appropriate lead matron on standards of care observed during clinical working and ensure appropriate follow up to said
- Take responsibility for maintaining self -development and seeking educational opportunities as appropriate, to support revalidation and registration, and ensure Professional Code of Conduct is upheld
- To always work to provide advocacy to patients and carers
-
Working Relationships
- General Manager Medicine
- Head Nurse for Medicine
- Matrons for Medicine
- Medicine Operational Managers
- Nursing Staff
- Allied Health Professions
- Medical staff and teams
- Infection Prevention Teams
- Complex Discharge Team
- Patient flow managers
- Clinical Site Managers
- Patient Advisory Liaison Team
- Emergency Planning Officer
- Patients, families and
- Support staff
- Critical care staff
Job description
Job responsibilities
- To proactively manage patient flow to ensure achievement of work streams within medicine.
- To develop optimal bed utilisation and ensure the most appropriate use of Trust beds for medical patients. Utilise clinical skills /knowledge/ judgement to ensure beds are being used in the most effective way; have problem solving and negotiating skills to deal with difficult situations.
- To take prompt corrective action and/or escalate any patient flow or clinical site issues within medicine.
- To work collaboratively with multi-professional teams across the Trust to proactively facilitate the safe transfer of patients from Emergency Department, all inpatient wards.
- To establish effective working relationships with all nursing, and support staff, medical staff, general managers, site teams, community teams and the transport services. Work and liaise with the infection control team particularly where outbreaks or infection control guidance is required
- To prioritise own workload, act promptly and effectively to meet the regular unpredictable situations that may occur within this role
- To deliver a high level of visibility within the Emergency Department, Acute Medical Unit, inpatient wards in maintaining the emergency care pathway and
- To ensure effective & appropriate use of beds and all resources, maintaining clinical quality & safety, in accordance with Trust policies & procedures and national quality
- To participate in the operational bed meetings to provide an overview situation report on the bed capacity and flow within surgery with the ability to interpret any risks and contribute to mitigations.
- To provide and maintain accurate live information on bed availability by providing accurate information through the databases on levels of emergency demand, patient outlier numbers, theatre capacity and bed occupancy and planned admissions for the day and subsequent days.
- Liaise with complex discharge team to promote the most effective movement of patients within a timely
- To participate in service improvement, audit and data collection with particular focus on embedding the use of the SAFER patient flow bundle within the ward
- To assist in ensuring newly appointed doctors are aware of their role in the admission process and bed management
- To have an awareness of quality issues regarding the inpatient journey within the Trust
- To monitor and report any concerns to the appropriate lead matron on standards of care observed during clinical working and ensure appropriate follow up to said
- Take responsibility for maintaining self -development and seeking educational opportunities as appropriate, to support revalidation and registration, and ensure Professional Code of Conduct is upheld
- To always work to provide advocacy to patients and carers
-
Working Relationships
- General Manager Medicine
- Head Nurse for Medicine
- Matrons for Medicine
- Medicine Operational Managers
- Nursing Staff
- Allied Health Professions
- Medical staff and teams
- Infection Prevention Teams
- Complex Discharge Team
- Patient flow managers
- Clinical Site Managers
- Patient Advisory Liaison Team
- Emergency Planning Officer
- Patients, families and
- Support staff
- Critical care staff
Person Specification
Experience and knowledge
Essential
- Experience of working in partnership with multi-professional teams.
- Acute operational/ clinical experience in admission and discharge planning.
- Experience of working clinically within emergency and elective medical pathways.
- Proven staff management experience, with the ability to motivate, persuade, challenge, and manage conflicts
- Experience of managing and leading teams within a clinical environment.
- Evidence of working autonomously and as part of a team.
- Understands and interprets data.
- Kknowledge and understanding of medical pathways and patient flow management
Desirable
- Experience in leading improvements within clinical areas.
- Knowledge of key local and national access targets in relation to emergency and elective care.
Qualifications and Professional Training
Essential
- Registered General Adult Nurse
- Degree in Adult nursing or evidence of working towards qualification.
Desirable
- Leadership Qualification
- Service Improvement Qualification
Skills and Abilities
Essential
- analytical and problem-solving skills, able to interpret and compare complex facts and situations, to be responsive under pressure.
- leadership skills
- ability to work under pressure
- knowledge of Microsoft applications (EXCEL, word and outlook).
- organisational skills
- Ability to prioritise work
- Excellent written and verbal skills
Desirable
- ability to balance considerations of performance and risk management
Person Specification
Experience and knowledge
Essential
- Experience of working in partnership with multi-professional teams.
- Acute operational/ clinical experience in admission and discharge planning.
- Experience of working clinically within emergency and elective medical pathways.
- Proven staff management experience, with the ability to motivate, persuade, challenge, and manage conflicts
- Experience of managing and leading teams within a clinical environment.
- Evidence of working autonomously and as part of a team.
- Understands and interprets data.
- Kknowledge and understanding of medical pathways and patient flow management
Desirable
- Experience in leading improvements within clinical areas.
- Knowledge of key local and national access targets in relation to emergency and elective care.
Qualifications and Professional Training
Essential
- Registered General Adult Nurse
- Degree in Adult nursing or evidence of working towards qualification.
Desirable
- Leadership Qualification
- Service Improvement Qualification
Skills and Abilities
Essential
- analytical and problem-solving skills, able to interpret and compare complex facts and situations, to be responsive under pressure.
- leadership skills
- ability to work under pressure
- knowledge of Microsoft applications (EXCEL, word and outlook).
- organisational skills
- Ability to prioritise work
- Excellent written and verbal skills
Desirable
- ability to balance considerations of performance and risk management
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.
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.
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).
