Job summary
The Patient Pathway Team for Southampton Division are looking for an experienced social worker who is motivated, can work under pressure and is able to demonstrate the benefit of having social work within an acute mental health setting supporting discharge from our acute inpatient hospital as well as the community rehab.
Under the direction of the Team Manager, you will lead a small team of Band 4 Care Navigators working in a targeted way to achieve the discharge planning for inpatients, maximise independence and choice for individuals, and work in a solution focussed way to ensure that there are no barriers in place to an effective discharge.
Working closely with the inpatient teams you will have patient facing contact, attend CPA's, professionals' meetings and take a lead or advise where there are safeguarding or other concerns.
You will also work with individuals, families and carers, community services, housing departments, social care, third sector organisations, and other relevant parties to ensure smooth transition to the community from hospital.
There will be an expectation of supporting the team in the managers absence attending meetings as well as producing performance related reports related to patient pathways.
If you think this role would interest you but would like further information please feel free to contact us for an informal chat.
Main duties of the job
To deliver Social Work intervention to support adults with severe and enduring mental
health issues and their care team in Southampton. To ensure personalised support
that meets statutory legislation e.g. Mental Health Act, Mental Capacity Act Best
interest meeting, attending MARMS, safeguarding, supporting the local authority with
care and support plans and Care Act.
To ensure that referral, assessment, support plans and reviews are undertaken to
meet HCPC professional standards. Interventions to include prevention and early
intervention, short term and urgent work, safeguarding and longer term support
planning.
To support the flow of Patients care and to prevent patient from becoming blocked and
delayed discharges from hospital.
To take a lead across the Southampton division with people that are hard to place or
super stranded.
To have strong working relationships with Southampton city council and Rehabilitation
services.
To lead on flow with Forest Lodge patient's pathways of care and supporting
community teams with referral and assessment for social care needs to move on from
health services back into the community or supportive living. Attend weekly MDT and
support a Patient flow meeting with clinical staff.
To provide clinical and managerial leadership to the day-to-day operation of the social
care need in the patient flow team and Southampton rehab services.
About us
Are you committed to providing remarkable care and service?
Are you passionate about helping people and want to make a difference every day?
We want to meet you!
Southern Health is one of the largest Foundation Trusts in the UK, specialising in mental health, adult and child community health and learning disabilities. We are committed to promoting the welfare and safeguarding of children, young people and adults at risk of abuse and neglect through our 6,500 strong workforce.
Southern Health has over 300 sites across the county and we serve 1.5 million people throughout all stages of their lives. Our aim is to work alongside the people we support (and our health and care partners) to deliver the best possible care and constantly improve.
Here at SHFT we have so much to be proud of:
- Working as a team and supporting each other, we put patients and our staff at the heart of everything we do.
- We have a skilled and diverse workforce and are committed to our staff development, offering bespoke training packages, leadership pathways and career opportunities.
- We offer a variety of benefits such as an amazing pension scheme, generous annual leave, Childcare Choices scheme, many discounts (Blue Light card, The Company Shop, NHS Staff Discounts, cycle to work scheme) and much more.
Come to work with us, together we will provide outstanding treatment and care to improve lives.
Job description
Job responsibilities
To supervise the day-to-day work of the care Navigators, and provide expertise and
guidance in complex cases, in line with the Local and Directorate policies and
procedures. Support the care Navigators with referrals of NFA or duty to refer to
homeless team.
To champion a culture based on the Trust's values providing a role model to the rest of
the team.
To provide an innovative and progressive attitude to the continual improvement of the
patients journey thought acute care services, rehabilitation services and community.
Provide a consistent source of senior
skills and support to the wards and
medical teams, psychology and
occupational therapy with regards to the social care needs of patients working towards
moving on from acute care and inpatients rehabilitation services.
To ensure all staff understand the importance of providing timely bed availability
information to the Patient flow Team and working in a time affective SMART way.
To provide relevant up to date data regarding bed management to senior line
managers when required.
To take a lead role on all patients that have been in hospital more the 32 days and
support problem solving with social care issue to support care moving on from
inpatient acute care.
To deputise for the Journey and Rehabilitation Matron as required.
To work in partnership with patient flow team leader in supporting pathways of patients
care.
To work with colleagues in managing referrals, undertaking assessments and ensuring
that appropriate advice and information is given to clients and their carers.
To work creatively with the person and their carers to implement support plans that
meet their needs.
To ensure a multi-agency approach is taken, to assess need and manage risk and
complexity.
To support the person to live independently in their community with treatment, tenancy
support and networking. If a more intensive support plan is required, to consult with
the Council's Placements Team.
To supervise and manage the daily workload in such a way to maximise efficiency,
ensuring that duties are discharged safely and effectively.
To be available to practitioners for advice, guidance and support in the discharge of
their duties.
To be responsible for the day-to-day management of the bed management service,
working closely with the Journey and Rehabilitation.
To act as a resource for staff regarding the social care needs on admission process
and effective discharge management both internally and externally across the
Southampton division and SHFT.
Job description
Job responsibilities
To supervise the day-to-day work of the care Navigators, and provide expertise and
guidance in complex cases, in line with the Local and Directorate policies and
procedures. Support the care Navigators with referrals of NFA or duty to refer to
homeless team.
To champion a culture based on the Trust's values providing a role model to the rest of
the team.
To provide an innovative and progressive attitude to the continual improvement of the
patients journey thought acute care services, rehabilitation services and community.
Provide a consistent source of senior
skills and support to the wards and
medical teams, psychology and
occupational therapy with regards to the social care needs of patients working towards
moving on from acute care and inpatients rehabilitation services.
To ensure all staff understand the importance of providing timely bed availability
information to the Patient flow Team and working in a time affective SMART way.
To provide relevant up to date data regarding bed management to senior line
managers when required.
To take a lead role on all patients that have been in hospital more the 32 days and
support problem solving with social care issue to support care moving on from
inpatient acute care.
To deputise for the Journey and Rehabilitation Matron as required.
To work in partnership with patient flow team leader in supporting pathways of patients
care.
To work with colleagues in managing referrals, undertaking assessments and ensuring
that appropriate advice and information is given to clients and their carers.
To work creatively with the person and their carers to implement support plans that
meet their needs.
To ensure a multi-agency approach is taken, to assess need and manage risk and
complexity.
To support the person to live independently in their community with treatment, tenancy
support and networking. If a more intensive support plan is required, to consult with
the Council's Placements Team.
To supervise and manage the daily workload in such a way to maximise efficiency,
ensuring that duties are discharged safely and effectively.
To be available to practitioners for advice, guidance and support in the discharge of
their duties.
To be responsible for the day-to-day management of the bed management service,
working closely with the Journey and Rehabilitation.
To act as a resource for staff regarding the social care needs on admission process
and effective discharge management both internally and externally across the
Southampton division and SHFT.
Person Specification
Qualifications
Essential
- Appropriate relevant professional qualification e.g. Mental Health Nurse, CQSW, OT, Psychology, with appropriate registration where
- applicable.
- Evidence of other development and/ or training which indicates a commitment to continuous development and preparation for
- management.
Person Specification
Qualifications
Essential
- Appropriate relevant professional qualification e.g. Mental Health Nurse, CQSW, OT, Psychology, with appropriate registration where
- applicable.
- Evidence of other development and/ or training which indicates a commitment to continuous development and preparation for
- 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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
