Complex Discharge Coordinator

4 days ago

London, United Kingdom Barts Health NHS Trust Full time

The Government has announced that the legal requirement for all NHS workers in England, to be double vaccinated,is currently under legislative review.

We do however encourage those in roles that have face to face contact with patients to be double vaccinated against COVID-19 (unless they are medically exempt), and are continuing to support the vaccination uptake for all staff as this remains the best line of defence.
1. To provide expert advice, information and support to people, their families, hospital staff, and other colleagues to support effective and timely discharge from hospital. To work in a collaborative manner with the multi-disciplinary team and external partners to prevent avoidable delays.
2. To ensure accurate referrals are made to the Integrated Discharge Hub and other partner organisations via Complex Discharge team in a timely manner in line with legislation, response times are monitored and delays acted upon.

Barts Health is one of the largest NHS trusts in the country, and one of Britain’s leading healthcare providers.

The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation. Having lifted ourselves out of special measures, we now have the impetus and breathing space to chart a fresh course in which we are continually striving to improve all our services for patients.

Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which ourWeCarevalues and behaviours are visible to all and guide us in how we work together.

We strive to live by ourWeCarevalues and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment.

Discharge planning
1. Provide advice, information, support, and planning to assist wards to discharge people from hospital on time, preventing avoidable delays.
2. Act as a problem-solving resource to prevent avoidable delays in discharge.
3. Speak with people to identify their views of their care and support needs, and the assets that can support them, following discharge from hospital.
4. Attend multidisciplinary team meetings to collect information regarding people who may need support to be discharged from hospital.
5. Maintain detailed list of the inpatient case load, this should include: Delayed Transfers of Care, repatriations, predicted discharges, causes of delays.
6. Identify, screen, and document (on database and medical notes) patients likely to be delayed for non-medical reasons.
7. Make internal and external referrals to appropriate services to ensure safe discharge.
8. Update the CRS bed board and database with predicted date of discharge.
9. Inform colleagues of potential delays to discharge and record these in the medical
10. Support wards to send Integrated Discharge Hub referrals to Complex Discharge Team in line with Care Act (2014) and other legislation.
11. Ensure early identification and referral of patients needing repatriation to other hospitals. Initiate escalation process.

Social Service referrals
1. To provide wards and clinical areas with advice, support, and guidance relating to the Care Act (2014) and other legislation relevant to discharging people from hospital.
2. To ensure all information is entered into the database in a timely and accurate manner, which will enable the completion of SITREP returns.
3. Develop and maintain relationships with local authority, voluntary, community, and other organisations that support discharge and prevent avoidable delays.
4. To ensure that all documentation is sent to the relevant local authority.
5. Support wards to ensure Integrated Discharge Hub referrals are completed in line with the Care Act (2014) guidance.
6. To work with AHPs and other professionals regarding the requirement for multidisciplinary assessment and ensure documentation is sent to the relevant Local Authority.
7. To provide a single point of contact for wards and departments and ensure that processes and systems are adhered to at all times.
8. Meet with patients and/or carers as required to ensure continuity of assessment processes and to gain further information to assist in the process. This may include emotional or distressing circumstances.
9. Educate and act as resource on local authority legislation and guidance to ward colleagues.
10. To provide the single point of contact for dispute resolution, liaising with originating clinician/ward and aim to gain agreement or cooperation, to encourage local resolution

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