Community Transition Planning Nurse

3 weeks ago


Bedford, Bedford, United Kingdom East London NHS Foundation Trust Full time
Are you dedicated to enhancing the patient experience during their transition from hospital to community care?


We are looking for a Community Transition Planning Nurse to serve as the essential connection between acute care facilities and community health services.


Your role will involve providing patients and their families with comprehensive information about the discharge process tailored to each individual case, taking into account the patient's overall well-being.

You will excel in fostering positive relationships with hospital personnel and community care staff, as well as collaborating with the broader multidisciplinary team.

Your ability to ask insightful questions at critical moments will ensure that patients are discharged safely and appropriately, all while upholding the core values of our organization.


We seek a candidate who is innovative, proactive, and possesses outstanding communication and interpersonal skills. You should be a qualified Registered Nurse with a background in discharge planning, whether in acute care or community settings.


  • The Community Transition Planning Nurse will act as the primary contact for community services within the hospital environment.
  • This position is essential for delivering exceptional patient care and managing discharge pathways to minimize delays and ensure safe transitions into suitable community settings, including intermediate care services and rehabilitation units.
  • With a thorough understanding of discharge protocols, including Discharge to Assess pathways and available community resources, the successful candidate will identify and facilitate discharges while preventing unnecessary hospital admissions.
  • Excellent communication skills are crucial to ensure that all stakeholders—services, patients, families, and caregivers—are well-informed and educated about the discharge process.

Be the primary contact for patients, families, and caregivers three working days following discharge.


Our mission is to positively impact lives by enhancing the quality of care for all we serve.

Our core values include:

We Care, We Respect, We are Inclusive. We are seeking individuals who embody these principles in their support for service users and caregivers, as well as in their interactions with colleagues and partner organizations.


For further details, please refer to the Job Description and Person Specification.



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