Clinical Community Pathway Co-ordinator

3 weeks ago


Swindon, United Kingdom Great Western Hospitals NHS Foundation Trust Full time

1. To work as an autonomous practitioner managing and prioritising care needs through clinical assessment for patients with complex physical, mental and social care needs.2. Work closely with the ward-based discharge coordinators, inpatient therapy teams and social care teams to facilitate an early discharge where possible.3. Work with the clinical assessors and discharge coordinators to identify patients with complex health and social care needs who could be treated at home in the community.4.

To work closely with the multidisciplinary teams such as the ambulance service, emergency department, front door therapy team, ACPs, specialist community services, and community nursing, promoting and supporting care and treatment in the patients own home.5. Sharing information and acting as a link between the Hospital and Community services to help avoid unnecessary admissions6. Excellent communication skills and knowledge of community services, mental health, social services and voluntary services within the Swindon area.7. To use assessment and examination skills to plan, implement and evaluate evidenced based client centred interventions, maintaining the associated records in compliance with the standards from The Great Western Hospital NHS Foundation Trust, the Nursing and Midwifery Council (NMC), HCPC and the Care Quality Commission (CQC).8.

To use highly developed skills to screen, prioritise and delegate referrals into the service referring to other agencies where necessary.9. To act as a clinician within Swindon Community Health Services with knowledge of longterm conditions, cognitive and functional impairments and end of life care which could have implications for the safe effective discharge of patients.10. To understand how multiple health and social care needs will impact on the patients quality of life and what measures can be implemented to support and optimise this. Refer to attached JD for further information


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