Discharge Progress Co-ordinator

2 months ago

Truro, United Kingdom Royal Cornwall Hospitals NHS Trust Full time

Co-ordinate all stages of the patient journey, from admission to discharge.

Proactively support and facilitate the work of the multi-disciplinary team (MDT) in delivering the best outcome for the patient; informing and communicating full outcomes of assessments and discharge plans within the clinical area relating to patient discharge/ flow.

Support the Service Manager/Clinical matron with implementing changes to improve patient experience and discharge experience.

The role is an advocate for promoting discharge and works closely with the multidisciplinary teams, including Trust colleagues, Clinical Site Management, Flow Hub, Social Care Providers, our Patients and their families, to proactively plan, prepare and support discharge activity.

Ensure electronic systems are updated in real time supporting the overall move away from paper records.

Will be a member of the Surgical Team but work to a specific ward or wards,

To aid the and Ward Managers with completing and collecting evidence for discharge pathways.

To manage complex and sensitive information on a daily basis, using empathy and reassurance skills when dealing by telephone and written contact with relatives/carers, who may lack understanding or acceptance of the information provided.

Assist in maintaining an accurate up-to-date database of all patients referred for NHS Continuing Healthcare and NHS Funded Nursing Care service.

To ensure the discharge coordinators have an updated list of delayed discharges and potential delayed discharges on a daily basis

Complete data on a daily basis to plan for next day discharges.

Assist in audits surrounding Length of stay and Delayed Transfers of Care.

The post holder will be required to develop excellent working relationships with the following stakeholders:
Service Managers

Clinical Matrons

Ward Leaders

Infection Prevention and Control team

Support and Administration Managers

Clinicians across a range of specialties

Quality Improvement team

Community hospitals and external agencies

Community nursing teams

Acute Care at Home teams.

Data and information teams

Therapy teams

To have made an effective contribution to reaching the Trust’s vision, strategic objectives and key work programmes.

Promote early discharge planning and planning of discharge pathways.

To be responsible for supporting the discharge planning from the point of admission ensuring that discharges are expedited in a timely manner maximizing the use of hospital beds and reducing length of stay by being a key member of the ward Multi-Disciplinary Team.

To liaise daily with medical staff & ward Managers/Staff to review all patients, supporting and facilitating discharge decisions and progress and chasing any outstanding diagnostics and reviews.

To promote and support the action of the concept of pulling patients through the discharge process rather than pushing by proactively managing clinical information to ensure timely interventions at appropriate points in the patient’s discharge pathway.

By being a key member of the daily Board and Ward Rounds ensure that for every patient the following information is known so that it can be shared with all patients and their relatives
1. Why is the patient on the ward?
2. What is happening to the patient that day (need to ensure every patient has a proactive action towards discharge every day)?
3. When is the patient planned to be discharged?
4. What needs to happen for the patient to be discharged (Criteria for discharge)?

To liaise with the patient on as voluntary sector and discharge grants as well as working with the patient and their family for discharge to be achieved in the morning. Supporting our “home for lunch” approach

To support the holistic assessment of patient social needs as a key link for initiatives such as warmer homes

Use this information to make sure all actions are completed without delay so that the discharge is achieved and on the day before discharge make sure TTOs (To Take Out medications) and discharge summaries are completed, relatives booked to collect the patient in the morning or where appropriate transport booked

To participate in managing complex discharges and co-ordinate all relevant services to ensure timely, appropriate and safe discharges.

Coordinate the holistic assessment of a patient’s health and social care needs, both on an individual basis and support members of the team.

Work with multi-disciplinary teams to promote criteria led discharge, including the use of all paperwork to support the process.

To actively monitor care pathway and lead discharge arrangements for all patients on designated wards.

Provide the trust with plans of the following day’s discharges and any complications.

Escalate to the MDT any diagnostics that may result in a delay to discharge.

Ensure a high standard of data quality is maintained, supporting the ward team with data, validation and data as required. Using Trust IT Systems and specialty

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