Patient Flow Co Ordinator

3 weeks ago


London, United Kingdom Central and North West London NHS Foundation Trust Full time

The post holder will play a prominent role in ensuring efficient patient flow and prevent unnecessary delays in patient discharge pathways. This will be achieved through developing excellent relationships across the rehabilitation wards, and working with patients, families and key stakeholders to ensure that transfer back to community life is seamless.

The post holder will link with the Central Access Team and the Leadership team to provide information, data and support daily reporting locally and across North Central London Partners.
- To provide high quality discharge planning and co-ordination including administrative and practical support to Clinicians as required
- To work collaboratively to support identifying barriers and prioritisation of discharge activities (ward and community) to support positive patient outcomes.
- To ensure high quality communication occurs between St Pancras Rehabilitation and key stakeholder (patients, their families, support services and community teams both statutory and voluntary).
- To lead proactively within the daily board round with the multi-disciplinary team and social services in identifying and addressing the needs of patients and tracking patient flow to discharge.
- To act as a specialist resource to support multiborough sign posting activity prior to and on discharge.
- To lead on the homeless pathway and ensure all information and documentation is captured prior to and during admission.
- To work collaboratively with the Integrated Discharge Team and the St Pancras Operational and Clinical Leadership Team to avoid delays in patient pathways

Through our 24-hour rehabilitation ethos, our skilled team aims to empower our patients to achieve goals that are meaningful to them, in the face of illness, injury or disability.

On our unit, we use every activity and conversation as an opportunity to help our patients to take ownership for their progress towards meeting their goals and to building their confidence. We recognise and respect that rehabilitation can be a challenging experience and strive to ensure we are caring and continually responsive to the needs of our patients, their families and the needs of each other. We have the patience to listen and learn, and the courage to openly communicate to overcome difficulties and find solutions together.

We work together to provide a nurturing environment where compassion, respect, trust, support and personal accountability are at the centre of all our actions and interactions. By working in partnership with our patients, their families and health and social care services, we aim to prepare our patients for discharge by enabling and supporting them to return to their life in the community.

The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.
- To support with direct patient contact and community tasks when necessary to ensure that the home environment is ready on or prior to discharge.
- To work with the clinical team to review patients on admission and risk score complexities to discharge to ensure thorough discharge planning
- To act as the crucial communication link between the Transfer of Care Hub and SPRU wards in relation to patient discharges
- To review and escalate complex cases where discharging barriers are identified and require additional senior support to enable smooth discharge
- To demonstrate the ability to work independently with supervision and seek appropriate support as necessary.
- To ensure that tasks/ actions from the Multidisciplinary meetings and board rounds are followed up and that by discharge all referral activity is captured within the Integrated Discharge Summary and in profession-specific referral activity.
- To support discussion on concerns raised about discharge and monitor progress with safeguarding concerns to support timely discharge.
- To co-ordinate escalation of any barriers to patient flow and to provide information to management for senior escalation calls
- To support and coordinate more complex discharge plans including complex meetings and facilitated discharge processes involving the Senior Leadership Team as necessary.
- Ensure compliance with Trust and divisional policies and procedures
- To consistently work to agreed CNWL, CCG and National Policies, Protocols and Procedures including those related to patient discharge (e.g. ensuring the principles of Discharge to Assess are embedded into practice).
- To support with the induction of clerical and clinical staff in regards to discharge processes



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