Job summary
Operating within the framework of the Hospital Discharge Services guidance (Aug2020), the post holder will work in partnership with colleagues in the acute sector, socialservices, continuing care and other community health services to ensure thatappropriate patients from the acute setting are assessed and transferred safely toappropriate community based services in a timely and seamless manner. Forappropriate pathways there is an aim to support transfer from hospital to communitywithin 2 hours or on the same day.To be responsible for ensuring smooth daily operations at the acute hospital bases andto act as a key point of contact and subject matter expert for community services tosupport with complex discharge queries. To lead daily huddles as required.
Main duties of the job
Make judgements involving highly complex facts requiring interpretation and analysis.
To prevent avoidable admission to acute care by undertaking autonomous, holistic clinical, functional and risk assessments and liaising with community practitioners and A&E staff to initiate the provision of appropriate services in the community
To prevent premature admission to long-term care by creative problem solving to find appropriate alternatives, using highly developed skills and knowledge of assessment andcommunication.
To support and enable the process of safe discharge from secondary to Community care and assist in bridging the gap from hospital to home.
To proactively promote a seamless and multidisciplinary approach to health and social careprovision.
About us
Professional Standards
All staff must comply with the Central London Community Healthcare (CLCH) NHS Trust Staff Code of Conduct and demonstrate the Trust's Values and Behaviours. Senior Managers must also comply with the NHS Code of Conduct for Managers, based on the Nolan principles of public accountability. All staff employed in recognised professions are required to ensure they work to the professional standards and/or Codes of Practice set out for their professional group. In addition, staff are required to demonstrate the Customer Care Standards of the organisation.
Job description
Job responsibilities
- To work as a core member of the acute based multi-agency Discharge Hub team to build and deliver the shared Vision for a Hospital Discharge Service. Where necessary, to act as a the CLCH on-site Team Leader and to be responsible for day to day management of the community health based elements of service delivery; including acting as a line manager for any other CLCH staff within the team.
- To provide highly skilled and autonomous care to a designated caseload including taking responsibility for the assessment (if needed), management and liaison (external and internal) to patients in an acute setting.
- To act as a pro-active community health service advocate, on behalf of CLCH and other Providers, through extensive knowledge of relevant community based pathways within the area of operation and ability to support effective discharge planning.
- To act as a key point of contact for acute clinicians including Consultants, members of the Discharge Hub team and other community based clinicians/services.To work within and across professional and organisational boundaries, liaising withConsultants, ward managers, other professionals and statutory and voluntary agencies to deliver individualised and expert assessment and discharge guidance to a high standard, and leading communication with all stakeholders.
- Take designated responsibility for discrete areas of operational management/ clinical practice.
- To support the Discharge Hub Clinical Lead and colleagues in delivering high quality care that delivers best value and meets the requirements of the Hospital Discharge Service guidance.
Job description
Job responsibilities
- To work as a core member of the acute based multi-agency Discharge Hub team to build and deliver the shared Vision for a Hospital Discharge Service. Where necessary, to act as a the CLCH on-site Team Leader and to be responsible for day to day management of the community health based elements of service delivery; including acting as a line manager for any other CLCH staff within the team.
- To provide highly skilled and autonomous care to a designated caseload including taking responsibility for the assessment (if needed), management and liaison (external and internal) to patients in an acute setting.
- To act as a pro-active community health service advocate, on behalf of CLCH and other Providers, through extensive knowledge of relevant community based pathways within the area of operation and ability to support effective discharge planning.
- To act as a key point of contact for acute clinicians including Consultants, members of the Discharge Hub team and other community based clinicians/services.To work within and across professional and organisational boundaries, liaising withConsultants, ward managers, other professionals and statutory and voluntary agencies to deliver individualised and expert assessment and discharge guidance to a high standard, and leading communication with all stakeholders.
- Take designated responsibility for discrete areas of operational management/ clinical practice.
- To support the Discharge Hub Clinical Lead and colleagues in delivering high quality care that delivers best value and meets the requirements of the Hospital Discharge Service guidance.
Person Specification
Education/Qualification
Essential
- Registered Nurse with current NMC registration or registered AHP with current HPC registration
- Evidence of continuing personal and professional development with up to date CPD portfolio
- Extensive post -registration qualification in advanced nursing practice, community nursing or equivalent relevant to the post
Desirable
- Evidence of continuing professional education and training at Masters Level.
- Management or Clinical leadership qualification.
- Mentor or practice based learning training
Experience
Essential
- Evidence of significant recent post-registration experience in community nursing, rapid response, emergency care, unscheduled care or equivalent therapy experience.
- Experience of effectively working in collaboration, negotiating and liaising within a multi-disciplinary team and across organisational boundaries
- Experience of urgent nursing/therapy assessments and developing and delivering care plans to meet these needs.
Desirable
- Experience of conducting research projects and audit.
- Experience of teaching others and mentoring students
Person Specification
Education/Qualification
Essential
- Registered Nurse with current NMC registration or registered AHP with current HPC registration
- Evidence of continuing personal and professional development with up to date CPD portfolio
- Extensive post -registration qualification in advanced nursing practice, community nursing or equivalent relevant to the post
Desirable
- Evidence of continuing professional education and training at Masters Level.
- Management or Clinical leadership qualification.
- Mentor or practice based learning training
Experience
Essential
- Evidence of significant recent post-registration experience in community nursing, rapid response, emergency care, unscheduled care or equivalent therapy experience.
- Experience of effectively working in collaboration, negotiating and liaising within a multi-disciplinary team and across organisational boundaries
- Experience of urgent nursing/therapy assessments and developing and delivering care plans to meet these needs.
Desirable
- Experience of conducting research projects and audit.
- Experience of teaching others and mentoring students
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.
