Patient Transition Coordinator

3 weeks ago

Chichester, West Sussex, United Kingdom University Hospitals Sussex NHS Foundation Trust (279) Full time

Position Overview

We are pleased to present a remarkable opportunity to become a pivotal member of our vibrant team, dedicated to facilitating smooth transitions for patients moving from acute care settings to community-based services.

As a Patient Transition Coordinator, you will oversee the organized discharge processes for both straightforward and intricate cases, actively working to mitigate delays in patient discharge and flow, ensuring that individuals receive the necessary care in a timely manner.

This role offers a unique chance to engage with external organizations, fostering robust partnerships to ensure uninterrupted care for our patients.

Main Responsibilities

  • Direct the coordinated discharge support within designated wards, including complex cases that may lead to Delayed Transfers of Care (DTOC) or those deemed Medically Ready for Discharge (MRD). Collaborate closely with the discharge coordinator to facilitate uncomplicated discharges.
  • Engage with external agencies and organizations to streamline discharge processes.
  • Establish and nurture effective relationships with relevant professional partners.
  • Organize and lead meetings that involve healthcare professionals, patients, and their families.
  • Deliver comprehensive information regarding all discharge arrangements and services to patients and their families/carers, both verbally and in written form.
  • Evaluate, monitor, and report on patient length of stay, delayed transfers of care, and related practice issues.
  • Assess and report on residency criteria and delays as initiated by the multidisciplinary team during board rounds, ensuring compliance with reporting requirements.
  • Proactively support and lead discharge initiatives during critical periods, such as Business Continuity episodes.
  • Manage, develop, and support the Discharge Coordinator team.
  • Assist in the collection and auditing of discharge data, being prepared to account for: - Additional bed-days beyond Estimated Date of Discharge (EDD), carefully noting reasons for any delayed discharges. - Repeated extensions of EDD. - Instances of 'failed discharge' or readmission within 48 hours for patients with the same condition.

About Us

At University Hospitals Sussex, we celebrate diversity as our strength, and we strive to create an inclusive environment that prioritizes patient care, as evidenced by our Outstanding rating for Caring from the CQC. Your unique experiences will contribute to our innovative community, where everyone is encouraged to thrive. We offer various Staff Networks to help dismantle barriers and provide support for new members through a buddy system. We take pride in being a Disability Confident Employer (Level 2) and a Veteran Aware Trust.

We treat our patients and staff with the compassion and empathy we expect for ourselves. Our commitment to their needs is reflected in our extensive Wellbeing Programme designed to support staff, recognizing that to care for others, we must first care for ourselves.

As a university trust and a leader in healthcare research, we value continuous learning, teaching, and training to ensure we are at the forefront of healthcare excellence. From your first day with us and throughout your career, we are dedicated to helping you grow and develop. We hope that by choosing University Hospitals Sussex, you are embarking on a fulfilling career where you can witness the impact of your contributions and feel valued for your efforts.

We look forward to welcoming you to our team.

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