Interface Worker

1 month ago

London, United Kingdom South West London and St Georges Mental Health NHS Trust Full time

Interface workers are responsible for coordinating and prioritising actions from the MDT and partners to: Identify and record any barriers to discharge within 24hrs of patient admission or as soon as admission is identified as needed. Intervene early to remove barriers to prevent patients becoming delayed transfers of care. Pre-empt and resolve arising barriers to discharge i.e. keys, other agencies support to discharge.

Facilitate home visits with community teams and complete referrals to the South London Partnership Single Point of Access Complete panel paperwork and refer to placements Highlight potential B list DTOC patients to expedite discharge planning and prevent them becoming A list (reported) DTOCs. Update Borough DTOC meetings on patients who are A and B list Delayed Transfers of care Verification of expected length of stay Establish scope for discharge within 24 hours, working to expedite discharge: for example, invoking a rapid review by Consultant and arranging temporary accommodation from budget to permit early home treatment Support carer engagement triggering Carers Assessments as required, and to work closely with carers and relatives in the interests of supporting timely discharges. Ensure effective liaison with Community Teams/HTTs to promote early and safe discharges. Ensure effective relationships with local authorities and housing Support smooth discharge to HTT to community at the right point to commence facilitated early discharge and smooth transition.

Work effectively with family and carers to enable smooth and clearly understood discharge plan. Communicate changes in Barrier to discharges to the MDT and community staff, ensuring that tasks and actions assigned are carried out on time to prevent delays to discharge

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