Senior Discharge Co-ordinator

5 months ago

Shrewsbury, United Kingdom Shropshire Community Health NHS Trust Full time

The post holder will be a key member of the multidisciplinary health and social care Integrated Discharge Team.

The Senior Discharge coordinator will be instrumental in the identification, assessment and discharge of patients with complex needs from the hospital setting, agreeing the discharge pathway and services including home and bed based reablement services, urgent community response (UCR) services including admission avoidance /Virtual Wards and community teams. They will co-ordinate and navigate the patient across pathways to ensure timely discharge for patients deemed fit for discharge.

The Senior Discharge Coordinator holds specialist knowledge in this field and will work within the integrated team discharge providing an expert and skilled community focused approach to discharge planning and assessment, embracing the principles of Discharge to Assess Model and providing a person-centred approach to care. As the Senior Discharge Coordinator they will be responsible to lead the team on a daily basis, prioritise daily workload, case manage the most complex discharge cases, coordinate daily capacity and support patient flow working with all key partners, whilst using their expert knowledge of community services to create seamless pathway of care from hospital to community and home.

Delivery
- Works without direct supervision, autonomously managing a caseload of patients.
- Lead and coordinate the Integrated Discharge team’s daily work including clinical and administration staff.
- Manage the daily challenges of system escalation levels, working within the escalation process and pathways inline with hospital actions cards and agreed system escalation actions.
- Deputise for the Band 7 Team Leader undertaking agreed designated responsibilities
- Support the Band 7 Team Leader to provide a specialist service, advising and educating all members of the multidisciplinary team in all aspects of discharge management.
- Work directly with the ward clinical team including medical staff, nurses, allied health professionals and support staff to discuss, agree and record the patient’s pre -admission and current level, identify and assess patients requiring support services or advice for discharge.
- Attend daily ward / board rounds using the principles of Red to Green and SAFER Bundle to identify, plan, and assess for safe and timely discharge. Focus on achieving the Right Care at the Right Place and at the Right Time for patients.
- To adopt the principles of a Discharge to Assess Model (D2A). Align the discharge pathways including Pathway 1 (home or normal place of residence), Pathway 2 (bed based rehabilitation), and Pathway 3 (complex Assessment within a nursing care setting) to the patients assessed level of need.

Shropshire Community Health NHS Trust provides community-based health services for adults and children in Shropshire, Telford and Wrekin, and some services in surrounding areas too. These range from district nursing, health visiting and running four community hospitals through to providing very specialist community care through talented and dedicated staff.

Patients, carers and the public play a vital role in helping us to develop and improve our services and we are constantly looking for ways to work with local communities, patients and the public to innovate and improve. Have a look at the Have Your Say section of our website to find out how you can feed back your experiences and help us to continually improve.

Shropshire Community Health NHS Trust is an exciting place to work. It offers a wide range of employment opportunities for many people.

Please see the job description and person specification attached for further information on the role.

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