Job summary
Being at home or in a community setting is the best place to continue with a person's recovery once an illness requiring hospital care is over and reduces unnecessary time in hospital for people for whom a community or other setting is most appropriate.
Following a stay in hospital, most people can return home without any further support. However, for some people, they may need further support, ranging from a very short period, to support for the rest of their lives. This can include:
1) A further period of rehabilitation and recuperation, with extra support for a period of days weeks, or sometimes months until they regain full health or reach their agreed maximum potential.
2) Returning home with a care package of services, aids or adaptations made to their home.
3) Added support, which is only available in a care home, which will last for a long period and often for the rest of their lives.
A safe, effective transfer from hospital helping people to return to living independently at the right time is a cornerstone of our health and social care system. At Warrington and Halton Hospitals Teaching Hospitals NHS Foundation Trust (WHH) and Warrington Borough Council (WBC), our Transfer of Care Hub has been on a programme of transformation taking integration beyond co-location by working together as an integrated team creating a whole system that aims to deliver tomorrow's service today.
Main duties of the job
As a Transfer of Care Nurse, Physio or Occupational Therapist, you will be a valued member of the Transfer of Care Hub working with other health and social care colleagues, carers and families and other statutory and voluntary agencies to identify and plan the support people require to return to the community.Our team is solution focused placing the needs of the person at the heart of our decisions, ensuring they have the support they require to not only return to the community but also to live their lives well and independently.
Collaborative working and the ability to create and maintain effective working relationships with a range of health and social care colleagues both in the hospital and the community are an essential element of the role. Working within the Discharge to Assess model, you will place the needs of person at the heart of your assessment and the MDT's decision-making. Ensuring risks are evaluated and managed with the support of your professional colleagues.
About us
Warrington and Halton Teaching Hospitals NHS Foundation Trust is a caring and compassionate organisation that is both ambitious and innovative. We are committed to delivering the best outcomes for our patients and providing a positive experience of our staff. We aspire to be outstanding for our patients, our communities and our staff and are committed to being a great place to receive healthcare, work and learn.
Straddling the neighbouring boroughs of Warrington and Halton we are part of the Cheshire and Merseyside Integrated Care system. Our hospitals are ideally situated to meet the growing healthcare needs of the 330,000 population of these boroughs.
Warrington Hospital is home to our emergency, critical care and maternity services, Halton Hospital is focused on elective procedures and the Runcorn Urgent Treatment Centre, although many services are offered at both sites and in community hubs.
A CQC-rated 'good' organisation with 'outstanding' features, we are working towards university hospital status, having achieved teaching hospital status in 2019.
We employ nearly 5,000 people from over 80 nationalities, striving to be a diverse, inclusive employer and recognised leader in equality. We support flexible working, welcoming flexible applications. Proud of our many accreditations, we are embedding an anti-racist approach in all we do.
Job description
Job responsibilities
The Transfer of Care Hub is a multi-organisational Health and Social care team based within Warrington Hospital with a shared vision to Support our patients to live and age well, independently at home for as long as they are able. Our primary role is to ensure timely and safe assessment and discharges from Hospital to various community settings. The Integrated Discharge Team provides a 7-day service between the hours of 7am 6pm each day. The post holder will be expected to work on a rotational basis.
FULL JOB DESCRIPTION ATTACHED
Job description
Job responsibilities
The Transfer of Care Hub is a multi-organisational Health and Social care team based within Warrington Hospital with a shared vision to Support our patients to live and age well, independently at home for as long as they are able. Our primary role is to ensure timely and safe assessment and discharges from Hospital to various community settings. The Integrated Discharge Team provides a 7-day service between the hours of 7am 6pm each day. The post holder will be expected to work on a rotational basis.
FULL JOB DESCRIPTION ATTACHED
Person Specification
Qualifications
Essential
- oA Degree or Post Graduate Qualification in Nursing, Occupational Therapy or Physiotherapy
- oNMC or HCPC registration
Desirable
- oClinical Diagnostics Qualification
- oPractice Tutor/Mentor Qualification
- oLeadership Qualification/Training
Physical skills e.g., use of tools, equipment, minute taking, advanced computer skills
Essential
- oIT skills including Microsoft word and excel
- oUse of equipment relating to clinical observations
Desirable
- oTrained in WHHFT IT Systems (Lorenzo, E-Outcome) or similar EPR systems
Physical effort e.g., pushing, pulling, moving and handling of equipment
Essential
- oMoving and Handling of People
- oAbility to undertake work whilst standing for prolonged periods, as well as sitting to type or use the computer for a proportion of the day.
Mental effort e.g., level of concentration
Essential
- oAbility to maintain composure and focus during frequent interruptions.
- oAbility to concentrate and prioritise workload in a fast-paced work environment.
Desirable
- oWorking in a coordinating role, liaising with other agencies and professionals
Emotional effort e.g., exposure to distressing circumstances
Essential
- oConflict resolution skills
- oSupporting End of Life discharges from hospital
- oCommunicating effectively with patients/ family/carers
Desirable
- oSupporting safeguarding investigations as required.
Working conditions e.g., environment, exposure to unpleasant or hazards
Essential
- oTo be mainly based on the inpatient wards.
- oAbility to hot-desk and work in a range of areas.
- oOccasional exposure to unpleasant working conditions (Body odours, Bodily fluids, verbal aggression)
Experience
Essential
- oExperience of working within a health or social care setting and have knowledge of discharge pathways/policies.
- oExperience of MDT working to achieve patient-focused outcomes.
Desirable
- oExperience of Discharge Planning.
- oExperience of Ward-Based Work.
- oExperience of working within an Integrated Service.
- oExperience of working with the public and ability to provide non-clinical advice to patients, carers and outside agencies.
Skills, knowledge and competencies
Essential
- oUnderstanding of the D2A Model.
- oAwareness of The Care Act 2014.
- oProven knowledge and evidence of computer literacy.
- oAbility to communicate in a variety of settings
- oAble to manage own workload
- oManage time effectively
- oAbility to develop effective interpersonal relationships with colleagues in the health and social care setting
Desirable
- oUnderstanding of Social Care Provision and Services available.
- oUnderstanding of ward-based discharge planning procedures.
- oUnderstanding of The Care Act 2014, and eligibility criteria.
- oSpecialist knowledge of discharge planning and coordinating complex patient discharges.
Person Specification
Qualifications
Essential
- oA Degree or Post Graduate Qualification in Nursing, Occupational Therapy or Physiotherapy
- oNMC or HCPC registration
Desirable
- oClinical Diagnostics Qualification
- oPractice Tutor/Mentor Qualification
- oLeadership Qualification/Training
Physical skills e.g., use of tools, equipment, minute taking, advanced computer skills
Essential
- oIT skills including Microsoft word and excel
- oUse of equipment relating to clinical observations
Desirable
- oTrained in WHHFT IT Systems (Lorenzo, E-Outcome) or similar EPR systems
Physical effort e.g., pushing, pulling, moving and handling of equipment
Essential
- oMoving and Handling of People
- oAbility to undertake work whilst standing for prolonged periods, as well as sitting to type or use the computer for a proportion of the day.
Mental effort e.g., level of concentration
Essential
- oAbility to maintain composure and focus during frequent interruptions.
- oAbility to concentrate and prioritise workload in a fast-paced work environment.
Desirable
- oWorking in a coordinating role, liaising with other agencies and professionals
Emotional effort e.g., exposure to distressing circumstances
Essential
- oConflict resolution skills
- oSupporting End of Life discharges from hospital
- oCommunicating effectively with patients/ family/carers
Desirable
- oSupporting safeguarding investigations as required.
Working conditions e.g., environment, exposure to unpleasant or hazards
Essential
- oTo be mainly based on the inpatient wards.
- oAbility to hot-desk and work in a range of areas.
- oOccasional exposure to unpleasant working conditions (Body odours, Bodily fluids, verbal aggression)
Experience
Essential
- oExperience of working within a health or social care setting and have knowledge of discharge pathways/policies.
- oExperience of MDT working to achieve patient-focused outcomes.
Desirable
- oExperience of Discharge Planning.
- oExperience of Ward-Based Work.
- oExperience of working within an Integrated Service.
- oExperience of working with the public and ability to provide non-clinical advice to patients, carers and outside agencies.
Skills, knowledge and competencies
Essential
- oUnderstanding of the D2A Model.
- oAwareness of The Care Act 2014.
- oProven knowledge and evidence of computer literacy.
- oAbility to communicate in a variety of settings
- oAble to manage own workload
- oManage time effectively
- oAbility to develop effective interpersonal relationships with colleagues in the health and social care setting
Desirable
- oUnderstanding of Social Care Provision and Services available.
- oUnderstanding of ward-based discharge planning procedures.
- oUnderstanding of The Care Act 2014, and eligibility criteria.
- oSpecialist knowledge of discharge planning and coordinating complex patient discharges.
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).
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.
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
Warrington and Halton Teaching Hospitals NHSFT
Address
Warrington & Halton Hospitals NHS Teaching Hospitals Foundation Trust
Lovely Lane
Warrington
WA5 1QG
Employer's website
https://whh.nhs.uk (Opens in a new tab)
