Discharge Co-Ordinator

Job summary To manage a caseload of patients for designated ward / delegated area of responsibility.
Ensure discharges are lined up for the earliest opportunity each day, escalating where discharges are at risk of failing.
Keep up to date records of the patients discharge planning and journey in the patient notes and on the complex discharge database SW TOCH and SW IP Community Waiting lists.
Work with the MDT to ensure all patients have up to date, realistic discharge plans and take action to implement, monitor and amend the plans, if necessary, in partnership with all relevant colleagues.
Attend daily board rounds on allocated wards to act as "discharge key worker" ensuring the following actions are achieved on a daily basis: Main duties of the job To support and coordinate the discharge tasks for designated wards / delegated area of responsibility in a safe, timely and pro-active manner, working in partnership with the multidisciplinary team (MDT), including nursing, medical, therapy, various social service partners, carers, care agencies, community teams, clinical commissioning groups, TOCH, D/C leads at acute hospitals, voluntary agencies, next of kin and other external partners.Ensure plans for transferring patients to community services are progressed with the patient, next of kin and MDT to facilitate discharge from hospital once deemed medically stable.Act proactively to provide a reduction in length of stay and delayed discharges.Support the teams on all aspects of discharge planning and escalate any issues with complex discharge.Liaise with care agencies and care homes to establish dates for assessments and agree transfer dates; work alongside social services, ICB and trusted assessors to ensure return to placement and restarts of care packages are completed following policy.Escalate any delay within the discharge planning process to appropriate team leaders, clinical leaders, and service managers.
This may include MDT assessments, diagnostics, family, care home delays etc.Liaise with the bed managers to ensure they are aware of all medically fit patients or when discharges are at risk.Participate in clinical care when required, including personal care, patient handling, observations, assessments, and phlebotomy.
About us Hampshire and Isle of Wight Healthcare NHS Foundation Trust is a newly established organisation, bringing together expertise from across mental health, learning disabilities, community, and physical health services.
We are dedicated to delivering compassionate, high-quality, and accessible care to the diverse communities of Hampshire and the Isle of Wight.With over 13,000 dedicated staff working across more than 300 sites, we place patients and staff at the centre of everything we do.
Our goal is to create an integrated healthcare system that improves accessibility and ensures more consistent care for patients.
By working together, we aim to improve patient outcomes, drive innovation, and meet the unique needs of the populations we serve.Our Trust unites services from Southern Health, Solent NHS Trust, Isle of Wight NHS Trusts community and mental health teams, as well as Hampshire CAMHS, originally part of Sussex Partnership NHS Foundation Trust.
This transformation enables us to deliver more seamless care across the region, ensuring that patients receive the right support, in the right place, at the right time.Join us as we embark on this exciting journey to shape the future of healthcare across Hampshire and the Isle of Wight.
We are deeply committed to our CARE values of compassion, accountability, respect, and excellence, and offer outstanding opportunities for career development, training, and collaborative working.
Job description Job responsibilities Further information about the Trust and this role can be found on the Job Description and Person Specification document attached.We are happy to talk Flexible Working - all requests for flexible working options can be discussed as part of the interview process.
Person Specification Qualifications Essential NVQ 3 Diploma Advanced Apprenticeship Level 3 Health & Social Care or equivalent achieved within the last 2 years Desirable Have or working towards Foundation Degree in Health and Social Care, or equivalent.
Experience Essential Practical experience in health care setting Ability to demonstrate ability to work independently to a Health / Social Care plan.
Work without direct supervision.
Ability to prioritise a varied workload within a busy ward environment.
Desirable Certificates Competency in performing baseline observations Evidence of understanding of elderly patients with complex needs Additional Criteria Essential Self-motivated and well presented.
Able to secure the co-operation of colleagues at all levels.
Able to develop effective professional relationships with patients and carers to understand their needs.
Willingness to work weekends and evenings if required.
To attend meetings Excellent communication and interpersonal skills Effective decision maker and able to work on own initiative.