Pathway Transition Coordinator

Hampshire and Isle of Wight Healthcare NHS Foundation Trust

The closing date is 11 May 2025

Job summary

We have an exciting opportunity for a Social Work Lead across the Acute Care Support Team, working in our acute hospitals, supporting FLOW.

The Acute Support Team supports Bed Management in our Organisation, seven days a week.

We are looking for a full-time Social Worker to support patients in their pathway beyond the acute care. This role will link across the acute hospitals across the Trust, supporting patients' discharges, supporting and unpicking barriers to discharge with other agencies.

The candidate will need to have great networking skills, and be able to work across many teams in a collaborative and timely way. They will need to be able to chair meetings with outside agencies which do not work within our Organisation, and keep people to timescales and actions.

This role will support quality of admissions and quality in managing resources, and will support patients in a timely way on their recovery journey.

Main duties of the job

Monitoring all patients who have been in hospital for 20 days or more.

Monitoring all Clinically Ready for Discharge (CRFD) patients.

Support Ward Managers with barriers and blocks to discharge, with partners such as ICB and Local Authorities.

Chairing meetings with partners to support actions for discharge and pathways.

Managing daily updates of reports to the Associate Director of Capacity and FLOW.

To build relationships with ICB.

To build relationships with Local Authorities in Hampshire and IOW.

Advise teams on Social Work interventions with Social Work expertise.

To support with complex and 'super stranded' or hard to place patients in their discharge plans.

To build relationships with Ward Managers, Matrons and Community Teams across the Trust.

It is important to have an understanding of the costs involved in patient care and delays.

About us

Hampshire and Isle of Wight Healthcare NHS Foundation Trust is a newly established organisation, bringing together expertise from across mental health, learning disabilities, community, and physical health services. We are dedicated to delivering compassionate, high-quality, and accessible care to the diverse communities of Hampshire and the Isle of Wight.

With over 13,000 dedicated staff working across more than 300 sites, we place patients and staff at the centre of everything we do. Our goal is to create an integrated healthcare system that improves accessibility and ensures more consistent care for patients. By working together, we aim to improve patient outcomes, drive innovation, and meet the unique needs of the populations we serve.

Our Trust unites services from Southern Health, Solent NHS Trust, Isle of Wight NHS Trusts community and mental health teams, as well as Hampshire CAMHS, originally part of Sussex Partnership NHS Foundation Trust. This transformation enables us to deliver more seamless care across the region, ensuring that patients receive the right support, in the right place, at the right time.

Join us as we embark on this exciting journey to shape the future of healthcare across Hampshire and the Isle of Wight. We are deeply committed to our CARE values of compassion, accountability, respect, and excellence, and offer outstanding opportunities for career development, training, and collaborative working.

Date posted

28 April 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year

Contract

Permanent

Working pattern

Full-time

Reference number

348-AC-7699

Job locations

Tatchbury Mount

Calmore

Southampton

Hampshire

SO40 2RZ


Job description

Job responsibilities

Further information about the Trust and this role can be found on the Job Description and Person Specification document attached. It is important to us that we ensure our recruitment processes are accessible and inclusive to everyone - if as a potential candidate you are concerned a person specification may prevent or restrict your application for employment as a result of unintentional barriers on the grounds of your sex, race, age, sexual orientation, religion/belief or disability please initially contact the Trust's Recruitment team - detailed in the advert. The Trust will seek to resolve this issue wherever possible.

We are happy to talk Flexible Working - all requests for flexible working options can be discussed as part of the interview process.

Job description

Job responsibilities

Further information about the Trust and this role can be found on the Job Description and Person Specification document attached. It is important to us that we ensure our recruitment processes are accessible and inclusive to everyone - if as a potential candidate you are concerned a person specification may prevent or restrict your application for employment as a result of unintentional barriers on the grounds of your sex, race, age, sexual orientation, religion/belief or disability please initially contact the Trust's Recruitment team - detailed in the advert. The Trust will seek to resolve this issue wherever possible.

We are happy to talk Flexible Working - all requests for flexible working options can be discussed as part of the interview process.

Person Specification

Qualifications

Essential

  • Social Work qualification such as Diploma or Degree in Social Work.
  • Professional registration with Social Work England.
  • Meeting professional standards as set by Social Work England.

Desirable

  • Further specialist knowledge and qualifications in mental health, youth offending and/or children's legislation and working practices.

Experience

Essential

  • An indepth knowledge of the Mental Health Act, Care Act, Mental Capacity Act, and Deprivation of Liberty Safeguards.
  • Experience of working with commissioners and social care providers.
  • Understanding of philosophies, professional social work issues and legal frameworks underpinning specific client groups.
  • Understanding of data protection/confidentiality and need for accurate and timely record keeping.
  • Previous experience in the effective and positive management of complex and high risk cases.
  • Ability to demonstrate a commitment to multi-disciplinary team working.
  • Must demonstrate significant post-qualification practitioner experience.
  • Demonstrate the ability to work collaboratively with other agencies.
  • Willingness to demonstrate the potential for 'change management' approaches, which extend existing practices.
  • Exposure to, understanding of and competence in IT facilities and systems associated with service users, budgets and management information.
  • Evidence of experience as a supervisor, including a clear understanding and application of an effective caseload management system.
  • Demonstrate planning skill, e.g. in terms of resource allocation and funding.
  • Demonstrate an understanding of and a commitment to the principles of recovery, choice and personalisation.
  • Commitment to attend staff training, and participate in own development through supervision and performance development.

Desirable

  • Able to illustrate examples of service development initiated by the candidate
Person Specification

Qualifications

Essential

  • Social Work qualification such as Diploma or Degree in Social Work.
  • Professional registration with Social Work England.
  • Meeting professional standards as set by Social Work England.

Desirable

  • Further specialist knowledge and qualifications in mental health, youth offending and/or children's legislation and working practices.

Experience

Essential

  • An indepth knowledge of the Mental Health Act, Care Act, Mental Capacity Act, and Deprivation of Liberty Safeguards.
  • Experience of working with commissioners and social care providers.
  • Understanding of philosophies, professional social work issues and legal frameworks underpinning specific client groups.
  • Understanding of data protection/confidentiality and need for accurate and timely record keeping.
  • Previous experience in the effective and positive management of complex and high risk cases.
  • Ability to demonstrate a commitment to multi-disciplinary team working.
  • Must demonstrate significant post-qualification practitioner experience.
  • Demonstrate the ability to work collaboratively with other agencies.
  • Willingness to demonstrate the potential for 'change management' approaches, which extend existing practices.
  • Exposure to, understanding of and competence in IT facilities and systems associated with service users, budgets and management information.
  • Evidence of experience as a supervisor, including a clear understanding and application of an effective caseload management system.
  • Demonstrate planning skill, e.g. in terms of resource allocation and funding.
  • Demonstrate an understanding of and a commitment to the principles of recovery, choice and personalisation.
  • Commitment to attend staff training, and participate in own development through supervision and performance development.

Desirable

  • Able to illustrate examples of service development initiated by the candidate

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).

Employer details

Employer name

Hampshire and Isle of Wight Healthcare NHS Foundation Trust

Address

Tatchbury Mount

Calmore

Southampton

Hampshire

SO40 2RZ


Employer's website

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


Employer details

Employer name

Hampshire and Isle of Wight Healthcare NHS Foundation Trust

Address

Tatchbury Mount

Calmore

Southampton

Hampshire

SO40 2RZ


Employer's website

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


For questions about the job, contact:

Hiring Manager

Goretti Halliday

goretti.halliday@southernhealth.nhs.uk

07739607784

Date posted

28 April 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year

Contract

Permanent

Working pattern

Full-time

Reference number

348-AC-7699

Job locations

Tatchbury Mount

Calmore

Southampton

Hampshire

SO40 2RZ


Supporting documents

Privacy notice

Hampshire and Isle of Wight Healthcare NHS Foundation Trust's privacy notice (opens in a new tab)