Discharge Navigation Lead

2 months ago


London, United Kingdom East London NHS Foundation Trust Full time

We are looking for a proactive, positive individual with an interest in hospital discharge and transfer of care. If you are looking for an opportunity to develop your career in this area or gain valuable experience in this fast paced environment we would love to hear from you.

East London Foundation Trust is looking for an enthusiastic and proactive individual to provide operational leadership and patient case management within the Transfer of Care Hub Team.

The successful individual will be part of a ward based team consisting of nursing, therapy, social work, discharge navigator and admin team members. You will be working closely with health and social care partners to ensure safe and timely discharges and minimise barriers, improving patient experience across discharge pathways.

You will be part of a wider senior community services team delivering a discharge to assess model of care in the community. You will be supported by the Transfer of Care Hub manager and work closely with system partners including acute staff, local authorities, voluntary agencies and the ICB.

The post holder will be an active participant in shift work, covering either 8am-4pm or 12-8pm, with rota’d weekends and Bank Holidays as the service operates 365 days per year.
- Within the limitations of the Hospital Discharge Service: Policy and Operating Model, to ensure that patients and their families/carers are consulted and encouraged to be part of the discharge planning process.
- To proactively co-ordinate, review, case manage and facilitate discharges into community services as part of the Transfer of Care Hub.
- To demonstrate expert and specialised knowledge of community services in order to plan discharge; undertaking assessments e.g. for equipment, as appropriate.
- To be able to identify clinical risks and escalate appropriately.
- To triage referrals received from the acute trust promptly and delegate responsibilities to other members of the TCH.
- To produce reports and daily statistics on TCH performance and to support the service to meet targets and performance criteria.
- To be able to lead the planning and organisation of triage and screening hub processes, ensuring a 7 day 8am-8pm rota is covered.- To be able to effectively manage and prioritise own caseload and delegate to junior staff accordingly.
- To communicate effectively and work collaboratively with colleagues within the Royal London Hospital, social services, community and voluntary sector services to ensure the delivery of a coordinated multidisciplinary discharge service.
- To regularly chair an MDT call between partners involved in discharging patients from the Royal London Hospital (RLH), ensuring barriers to discharge are identified and actions to address these are agreed and are followed up.
- Effectively manage staff, ensuring supervision and appraisal for staff is implemented according to Trust policy and quality is regularly audited.


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