Lead Discharge Therapist

Job description

Job responsibilities

Operational responsibilities:

To ensure appropriate operational cover to deliver service and work operationally 50% of the time

To ensure best practice pertaining to patient discharge is embedded within team and promoted throughout the acute Trust and local system

To adhere to the acute Discharge Procedure, and associated policies relating to discharge planning.

To screening and oversight of referrals and improvement of information to health and social care community services

To ensure correct processes for identifying, calculating and reporting DTOC (Delayed Transfers of Care) in accordance with The Care Act (2014) on a daily basis are in place and monitored.

To ensure weekly DTOC is reported across acute, community and social care sites. This includes authority to mutually agree and sign off DTOC between the Trust, Local Authorities and relevant other organisations.

To full understanding of the health and social care pathway processes and supporting the home first principle and objective

To ensuring that the right decision is made for the right person at the right time.

To ensure the team contribute to daily accurate information relating to forecasted and anticipatory complex patient discharges for site and operational management, encouraging daily huddle participation

To ensure the process for NHS Continuing Health Care, including facilitation of changes both locally and nationally, including reporting/data requirements to CCG/NHS England is followed by the integrated discharge team.

To lead the integrated team in the formulation and initiation of appropriate strategies, to minimise the risks associated with complex patient discharge.

To implement the Internal and External Escalation actions required when the Trust is experiencing difficulties with capacity and whole system flow.

To escalate patients and relatives/carers declining to leave a NHS bed and exercising the right to choice, to the Integrated Discharge Team in order for the Choice Policy to be enacted.

To provide leadership to the team for the implementation of quality initiatives to enhance patient experience & satisfaction, such as R2G (Red to Green), Stranded patient, 10 before 10 and PJ Paralysis.

To liaise and sustain partnership working with internal departments across acute, community sites and community services.

To promote integrated and collaborative working with all relevant, external stakeholders and partners including the 3rd sector.

To liaise and communicate with patients/relatives/carers where discharge is outside the remit of team colleagues and usual service criterias.

Establish trusted assessor agreements with external partners.

To sensitively challenge conventional thinking and cultural ways of working that contributes to delays or barriers to the discharge process.

To lead on complex cases requiring detailed knowledge of health, social care policy and legislation; escalating where necessary to senior management if required

Foster relationships with out of county organisations and services, promoting cross boundary working.

Clinical responsibilities:

To support in the education of all disciplines in the use of the Discharge Policy and multi-disciplinary documentation and best practises.

To maintain and update own clinical skills with appropriate training and development.

To ensure compliance with the requirements of the relevant bodies for professional registration and practise.

To introduce and implement Estimated Discharge Dates and monitor weekly.

To attend multi-disciplinary meetings and feedback outcome to the wards.

To support Integrated Discharge Co-ordinators with the education and training of ward staff in the completion of the Continuing Care Assessments, Decision Support Tool and offer emotional support and guidance for the patient.

To seek opportunities to promote the contribution of Nurses and Health Care Assistants, seeing the views of patients and public as appropriate.

To ensure the observance of high standards of discharge planning within available resources, setting, monitoring and evaluating standards of discharge.

To lead the delivery of standards across the wards to evidence improving practice for external and internal audiences.

Managerial Responsibilities:

To ensure that the whole team complies with, departmental and professional procedures.

To ensure all staff work within policies and monitor adherence to HR policies which include sickness absence, mandatory training and the appraisal process.

To ensure all team members maintain their high level of expertise or develop the necessary skills where this is identified.

To provide supervision - case management to support staff with difficult cases, monitor workloads, signs of stress and ensure needs of service are being met.

To develop and implement induction program for new recruits to the team, ensuring robust monitoring and evaluation processes are in place.

To lead the Integrated Discharge Team with service redesign, recruitment and selection of staff, ensuring trust processes are followed

To ensure payroll for the team is accurate, validated and submitted on time monthly.

To be the authorised signatory for stock requisition and maintain appropriate administrative support and facilities required to deliver the service.

To proactively manage resources efficiently to ensure the allocated team budget is adhered to.

Person Specification

Qualifications and Training

Essential

• oRegistered Therapist
• oDegree in Therapy
• oManagement qualification or equivalent experience
• oEvidence of continuous professional development

Desirable

• oIndependent prescriber or willing to undertake

Knowledge and Experience

Essential

• oCommunity experience preferably within the NHS
• oExperience in planning and providing care to patients with complex medical problems
• oExperience of working within a multi-disciplinary team
• oEvidence of working partnership and collaboration with other professionals
• oDemonstrable success in delivering change and performance within teams
• oAbility to analyse complex problems and to develop practical and workable solutions to address them
• oAbility to manage and deliver to deadlines and within resources
• oA strong sense of personal and team accountability coupled to a clear understanding of the boundaries around delegated authority
• oA good understanding of the changing NHS environment; particularly in relation to community services
• oTrack record of undertaking and completing significant projects
• oSelf motivated and autonomous
• oExcellent written and verbal communication skills.

Desirable

• oExperience of managing external contracts.

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).

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

Central and North West London NHS Foundation Trust

Address

The Hillingdon Hospital other Community Sites

Hillingdon

UB8 3NN

Employer's website

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