Occupational Therapist
1 week ago
The post holder will provide a proactive and efficient Complex Case Management Service for adult patients across all East Lancashire Hospitals NHS Trust sites. They will assist in coordinating and planning the discharge of patients, ensuring timely access to health and social care resources. This role will work in partnership with other interdependent teams and services to facilitate safe and effective discharge planning.
Main Duties- Provide pro-active support to the Head of Complex Case Management/Integrated Discharge Service Delivery Manager.
- Work across all ELHT sites to meet the needs of an efficient Integrated Discharge service/Complex Case Management Service.
- Advise, assist, and navigate ELHT staff through the discharge planning process, focusing on palliative and end-of-life cases.
- Plan and meet future care needs to facilitate safe and timely discharge from hospital.
- Assess and support community cases after discharge or on a needs basis if community support is required.
- Act as a resource for ward staff and other multi-disciplinary professionals, ensuring a consistent and informed approach to discharge planning.
At East Lancashire Hospitals NHS Trust, our vision is to provide safe, personal, and effective care. We currently provide high-quality services, treating over 600,000 people across East Lancashire and the surrounding area. We employ over 9,500 staff, many of whom are internationally renowned and have won awards for their work.
Detailed Job Description and Main Responsibilities- Provide proactive input to all wards to ensure length of hospital stay is determined by clinical need and not by organisational resources.
- Promote and maintain effective communication channels between Health and Social Care departments/agencies in the acute and community settings.
- Proactively advise and support staff to initiate early discharge planning for patients with vulnerable/complex needs.
- Identify, progress chase, and monitor delayed discharges and lost bed days within the patient journey and referrals.
- Operate the Continuing Health Care desk/processes, working on own initiative to ensure discharge planning commences as soon as possible after admission.
- Contribute to and lead on daily, weekly, and monthly reporting related to the area of work.
- Prioritise own workload to ensure deadlines are met and a quality, responsive service is provided.
- Identify and discuss potential discharge problems/delays with ward staff and patient/relatives to resolve issues as soon as possible.
- Visit wards as appropriate to support education on complex discharge planning and specific specialised care coordination.
- Alert the Integrated Discharge Service Lead/Head of Complex Case Management of any unresolved issues/conflict/barriers preventing resolution.
- Maintain accurate records and participate in internal or Department of Health audits as required in relation to the discharge planning process.
- Act in accordance with Code of Professional Conduct and ensure current registration is maintained.
- Initiate fast-track processes to preferred place of care in accordance with The National Framework for NHS CHC.
- Support and respond to the Trust Escalation Processes, as guided by the Integrated Discharge Service Lead/Head of Complex Case Management.
- Contribute to the maintenance of processes supporting The Community Care (Delayed Discharge) Act 2003 and ELHT Patient Discharge Policy.
- Ensure compliance with other related Trust Policies and Department of Health Legislation regarding discharge planning processes.
- Support the Integrated Discharge Service Lead/Head of Complex Case Management to implement strategies for ward staff and professionals to determine realistic discharge dates.
- Screen referrals made to the Central Point of Referral in the Continuing Health Care coordination desk in Complex Case Management.
- Screen and track referrals, monitoring assessment and transfer timescales.
- Maintain databases and coordinate, organise, and manage a defined Continuing Healthcare database.
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