Integrated Discharge Coordinator

To coordinate complex patient discharges by liaising across the Health and Social Care economy and working collaboratively with Primary Care and third sector services, This is an integral role provided at both the acute sector and the community setting. The purpose is to assist the Trust to maintain capacity and flow throughout the whole system and to promote safe and timely discharges, with the intent to reduce the detrimental outcomes associated for patients who have a prolonged length of stay.

The Trust have a number of discharge initiatives that aim to bring care closer to home, therefore the post holder must be confident and proactive in sensitively challenging conventional thinking.

Come and join a Trust rated Outstanding by the CQC. South Warwickshire NHS Foundation Trust have been rated as outstanding following our latest inspection by the CQC and we are recruiting new staff to come and help us improve even further.

We provide services across Warwickshire and beyond ranging from Hospitals in Warwick, Stratford-Upon-Avon, Royal Leamington Spa and Shipston-on Stour to Community Services across the county. We are a progressive, expanding organisation with great ambition around improving quality, integrating pathways and delivering high levels of productivity.

Our values can be summed up in one sentence. We are ‘Trusted to provide safe, effective and compassionate care’. Throughout the recruitment process you will be asked to think about how you demonstrate these values and how they impact on your work. It doesn’t matter what role you do, whether it is patient facing or not, we are all working in the same way with our values at the core

Work independently managing own allocated case load

To respond to referrals within 1 working day.

To work towards the specified Estimated Discharge Date (EDD)

To prepare complex patients and their relatives at the earliest opportunity in relation to planning for discharge.

Review daily, each complex patient’s progress towards discharge to determine if the plan needs to be revised and actioned in order to achieve a timely and safe discharge.

To identify appropriate patients through the ‘trusted assessment’ process to the various ‘Discharge to Assess’ initiatives to bring care closer to home for patients.

To undertake Mental Capacity assessments in accordance with the Mental Capacity Act (2005) in relation to specific decisions pertinent to the patients discharge plan.

To cover and rotate through all areas as allocated by the Team Manager/ Leader - including Acute, Community sectors and the D2A care homes.

To participate in the delivery of new Trust initiatives related to the process of patient discharge.

Ensure adherence to all measures stipulated in the Trust’s in patient Discharge Procedure and other policies related to the discharge process.

To assist in identifying, negotiating and co-ordinating the movement of patients who are suitable to transfer to other health or social care facilities.

To promote integrated and collaborative working with health, social care teams and third sector providers.

To initiate and lead patient case conferences or ‘best interest’ meetings, as necessary with discussions and actions documented.

The post holder will be required to use a computer, either stands alone or as part of a networked system and will be responsible for the quality of information recorded.

To sensitively challenge conventional thinking that hinders or creates a delay in the process of patient discharge.

The post holder will maintain accurate records both written and electronic, deal with highly sensitive information respecting confidentiality and security at all times in accordance with Trust policies and data protection.

To support and actively participate in audits pertaining to patient discharge and whole system flow.

To contribute to the development of standards, protocols, care pathways and clinical audit when requested.

To contribute to strategies and use relevant information systems to collect and interpret data that will lead to the formulation of action plans that seek to improve the discharge process.

Professional/Personal Responsibilities

To be responsible for and provide evidence that all mandatory training is undertaken and up to date as per training matrix.

Maintain active status on the NMC register or equivalent professional registration.

Act always in accordance with the NMC Code of Conduct or professional registration and guiding documents.

Take responsibility for personal development and education with regard to Revalidation and Personal Development Plan objectives.

To be aware of your own learning needs and limitations to maintain professional expertise by embracing the concept of lifelong learning.

Participate in clinical supervision for self and others and utilise reflective practice.

To participate in team, professional and personal development activities and promote commitment to continuous dev