Integrated Discharge Team Lead

17 hours ago

Bury St, Suffolk, United Kingdom Norfolk & Suffolk Foundation NHS Trust Full time
Job Summary

The post holder will join an established team of practitioners who are part of an exciting service looking to improve discharge arrangements for patients, particularly those with complex needs requiring funded packages of care. We have 2 positions available: one in Norfolk and one in Suffolk.

Main Responsibilities

The post holder will support clinical management and co-ordination of complex mental health discharge pathways, whilst working collaboratively within a wider multi-organisational team. You will work to developing processes as part of a co-produced service. It would be desirable for the post holder to have a working knowledge of commissioning processes, however in house training can be given. In the role you will use your experience and knowledge of discharge/rehab pathways out of hospital provision as well as needing to be influential regarding discharge decisions options. You will promote alternatives to restricted environments whilst working with the patient and the clinical team to increase confidence in the combinatorial impact of multi-agency discharge support, balancing risk, and responsibility.

About the Role

The post holder will be expected to meet service delivery working Monday - Friday, 0900-1700. The tasks below will be integral to the complex patient pathway and processes in place to support their safe and sustainable discharge. Both pathways and processes are subject to change as the whole service continues to develop. The post holder will be expected to keep informed of wider network pathway developments.

Key Responsibilities
  • Screen all admitted patients in conjunction with the ward staff using a screening tool in order to determine which patients present an indication of complex needs that will require further in-depth assessment to support appropriate discharge pathways. This task where possible will be completed in conjunction with social care colleagues.
  • Facilitate early discharge.
  • Complete comprehensive, holistic assessments for patients with complex mental health needs who are suitable for rehabilitation and will require a funded placement with external providers upon discharge from an inpatient ward. Use a range of assessment techniques including the routine use of standardised psychometric measures.
  • Interpret and structure assessment outcomes into meaningful formulations of needs and problems that are understandable to the patient, their carer and the wider multi-disciplinary team enabling joint decisions about future care management and delivery options. The wider multi-disciplinary team will include the patient's named nurse, ward consultant, key worker and social worker for example.
About Us

Here at NSFT we pride ourselves on being a welcoming, talented, friendly and supportive team who like nothing better than sharing experiences and learning from each other. In addition to ongoing training and development opportunities, we are committed to providing an environment in which you can thrive.

Why Work for Us?

We have challenges as a Trust, but we have ambitious aspirations, are pushing ahead with exciting transformation work and we need dedicated individuals to support us on our journey. We have strong, established professional networks coupled with an exceptional leadership team who will ensure you are truly cared for and cared about.

Why Norfolk and Suffolk?

The people here are warm and welcoming, you'll never be far from the beautiful coastline or Broads National Park. We're an hour and a half away from London and have an international airport in Norwich too. Our villages, towns and cities are packed full of history, independent cafes, shops and theatres. We have excellent shopping, eating out, top ranking schooling and affordable house prices too.

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