Discharge Co-ordinator

8 months ago


Norwich, United Kingdom Norfolk Community Health and Care NHS Trust Full time

Information and Data Co-ordination To receive, breakdown and co-ordinate data identify appropriate discharge pathways and interventions. To present findings at Multi-Disciplinary Team meetings. To maintain accurate data in order to provide up to date information to any of the multi-disciplinary team about any individual in order to ease processes and communication. Discharge Co-Ordination To have an up to date knowledge of the multidisciplinary management of the patient and discharge plan of all patients.

If a clear plan cannot be identified in the medical record, to contact relevant clinicians for clarification. To have an understanding of clinical conditions and terminology. To independently gather and collate information from the medical notes, patients and multi-disciplinary team colleagues to enable a clear plan for discharge to be followed. To facilitate members of the multidisciplinary team (MDT) to meet on a regular basis, attend the meetings and ensure that the relevant people are invited.

Facilitate effective communication and coordination of care between all multidisciplinary team members involved with each patient. To take community referrals from the MDT meetings within agreed format/process and act as a point of contact for health and social care professionals. To actively communicate with services to enable appropriate and timely discharges and raising issues impacting upon delays with managers. To be a key administrative facilitator of patient admission to and discharge from community hospitals using agreed processes.

To refer to and redirect to other agencies or individuals for those whose needs might appropriately be met elsewhere and anticipate potential delays and take action to prevent them. Monitor progress against the discharge plan and to be aware of changes to the original plan. Inform and liaise with clinical and non-clinical staff as appropriate. To act as a resource person and assist other staff with information on available resources, relevant organisations to be approached.

To provide and receive sensitive information about difficult or complex matters respecting confidentiality at all times including communicating effectively and appropriately with patients, carers and families. To manage and prioritise own workload without direct supervision. To maintain contemporaneous and accurate patient records in line with legal and departmental requirements in medical documents. To take note of the expected date of discharge (EDD) and update PAS if required.

If this had not been identified, to contact the relevant clinician(s) and ensure this is added to PAS and the medical record. To assist in ensuring that all patients have an accurate EDD, identify whether the patient is unwell or fit and if fit retention reason. Using the medical notes and discharge plan and the expected date of discharge, consider how the process of care will be integrated for each individual patient and how a reduction in length of stay can be achieved. Liaise with members of the multidisciplinary team to ensure discharge arrangements are completed in a timely manner eg Ensure TTOs are prescribed, requested and obtained before transport arrives.


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