Discharge Coordinator/specialist Housing Worker

Exciting opportunity for 2 band 6 to join our patient flow team as a
Discharge coordinator
Specialist housing worker
The post holder will work as an experienced clinician as a key member of the discharge coordination team based within the acute inpatient services (working age adult and Older peoples). The post holder will work collaboratively with the Patient Flow Hub, inpatient wards (internal and external), crisis teams, relevant community teams / services, service users and their families, working in a targeted way to achieve the best pathway for inpatients on discharge with early identification of factors that would potentially delay timely discharge and impact on provision of appropriate aftercare.
The specialist housing worker will work collaboratively with the housing department to support patients for whom accommodation is a barrier to discharge. They will also work collaboratively with Patient Flow Hub, inpatient wards (internal and external), crisis teams, relevant community teams / services, service users and their families, working in a targeted way to achieve the best pathway for inpatients to facilitate discharges and provide supports for vulnerable individuals with complex needs, such as homelessness, enduring mental health challenges, or substance misuse, to find stable accommodation and develop independence. These roles involve conducting assessments, creating person-centred support plans, making referrals to other services.
To attend morning briefing daily and other team meetings
Completion of IDT Screening Tool within 48hurs of new admission
Attend ward rounds, professionals meeting and other MDT meeting.
Complex case management and allocation of caseloads based on Broughs.
Liaising with family, and other agency and professional
To follow the Escalation process
To support and co-ordinate timely and appropriate assessment and safe discharge of people from acute inpatient beds
- Provide regular, informative, and accurate bed management information

To work closely with the inpatient wards and Home Treatment Teams and be a lead contact for discharge coordination
Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children’s centres, schools and people’s homes.
We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary’s Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.
Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:
We’re Kind
We’re Fair
We Listen
We Care
To ensure early assessment of barriers to discharge and proactively support and facilitate timely and safe discharge from hospital to home or onward care settings.
- To work and support the Discharge coordination team under the management of the Discharge coordination team Lead.

To develop strong working relationships and work in close partnership with ward multi-disciplinary teams, Patient Flow Hub, Crisis teams, Community teams / services and social services to facilitate discharge from acute in-patient care to prevent delays and resolving complex discharge arrangements, for the effective, efficient and optimum management of inpatient beds.