Complex Discharge Facilitator

3 months ago


Worcester, United Kingdom Herefordshire and Worcestershire Health and Care NHS Trust Full time

Job summary

Are you an experienced, committed and dynamic registered social worker who is passionate about using their skills to make a difference in a non-traditional role within adult mental health? Can you work effectively with patients with complex mental health needs, their families, clinicians and other stakeholders to deliver exceptional care that changes peoples lives? If this sounds like you then come and join the PARTNER Repatriation Service, a small, friendly team that works to ensure smooth and timely transitions for out patients from out of county enhanced rehabilitation units into community based services. The successful applicant will manage a small, defined caseload, whilst also undertaking a joint working approach with other members of the team where a social work role has been identified. this role also includes the opportunity to provide social work support and advice to clinicians within other specialist teams.

The successful applicant will work hours Monday-Friday with flexibility considered, and must be able to travel throughout England and Wales as part of their role. there is the opportunity for both office based and remote working. If you would like to discuss informally whether this is the right role for you please contact the Recruiting Manager.

Main duties of the job

The PARTNER Repatriation Service provides the key worker function (previously care coordination) for patients with complex mental health needs, and a high level of associated risks, who are placed within out of county enhanced rehabilitation or specialist placements. This includes patients with a forensic history.

the successful applicant will provide proactive support to our patients throughout their out of county admission and will liaise with private service providers and stakeholders on a daily basis. You will work autonomously to ensure a clear recovery focus and effective care planning is maintained, as well as supporting continued momentum and progression through the care pathway for our patients. The successful applicant will coordinate all aspects of complex discharges whilst working closely with our colleagues within Adult Social Care to support repatriation and discharge into appropriate community based services.

This role now includes joint working with other team members where a social work role has been identified, in addition to the opportunity to provide advice and support to clinicians working within other specialist mental health teams.

About us

At Herefordshire and Worcestershire Health and Care NHS Trust, we are working together to deliver outstanding care. We run community hospitals and community health services across Worcestershire and provide mental health and learning disability services across both Herefordshire and Worcestershire.

Our people (all 4500+ of them) provide services for people of all ages, experiencing both physical and/or mental health conditions from over 100 sites.

We will support you to thrive; offer flexible working options for a great work-life balance, help you fulfil your ambitions, and empower you to make positive changes within your team or service. Its why we were named Large Apprenticeship Employer of the Year award at the 2022 Worcestershire Apprenticeship Awards. We value diversity and encourage applications from people of all backgrounds, cultures, and ethnicities.

What we offer

27 days leave plus bank holidays, increasing up to 33 days with long service

Generous NHS pension and enhanced pay when you work unsocial hours

Flexible and agile working opportunities

Great maternity, paternity, and adoption support

Wide range of staff networks such as LGBT+ and ENRICH (Equality Network for Race Inclusion and Cultural Heritage)

Health service discounts and online benefits including excellent cycle to work and car salary sacrifice schemes

Health and wellbeing opportunities

If you would like to know more, please visit our careers website.

Job description

Job responsibilities

Coordinate clinical and support services relevant to discharge planning. Identify the need for and coordinator MDT meetings/case conferences and support private care providers in the decision making process regarding safe, effective and timely discharge of patients. Carry a caseload and work collaboratively on the management of cases, ensuring liaison with community services to support timely discharge from locked rehabilitation/specialist placements. Participate in all aspects of discharge and after care including cooperation with Section 117. Ensure that risk assessments are carried out in conjunction with other agencies. Attend commissioning panels acting as an advocate for patients. Establish and maintain communication with individuals and groups about complex discharges overcoming any problems in communication. Involve, support, inform and educate family/carers where appropriate throughout the discharge process. Participate in/support the process of relevant assessments. Provide clinical supervision within the team where appropriate.

For full details of the duties and criteria for the role, please refer to the job description and person specification attached.

Person Specification

Additional Criteria

Essential

Assertive Enthusiastic and creative thinker Proactive and self motivated Ability to cope and remain calm under pressure Able to meet the travel requirements of the post

Qualifications

Essential

Social Worker Degree / Diploma and working towards a first level degree Evidence of portfolio of knowledge, skills and professional development

Desirable

LEO or other leadership courses

Skills & Abilities

Essential

Ability to recognise and challenge poor practice. Ability to act on feedback. Ability to communicate clearly and effectively in English in verbal and written formats. Wide variety of evidence based clinical skills. Excellent organisational/planning skills. Time management skills.

Experience

Essential

Significant relevant post qualification experience Liaison with other agencies, social care, voluntary sector Experience of the funding processes for NHS funded care and social care Discharge planning experience MDT working Experience of conducting and contributing to ongoing assessment

Desirable

Experience of the CHC process.

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