Integrated Discharge Service Coordinator

We are looking for candidates to join our expanding integrated discharge (IDS) team and support the development of the transfer of care hub.

You will be crucial in ensuring that patients get to go home through a timely, safe and effective discharge process.

This patient facing role involves discussions with patients, their families and liaising and coordinating with multiple teams across the trust and partners across Bristol, North Somerset and south Gloucestershire (BNSSG). This allows us to ensure patients are discharged from the hospital at the earliest opportunity and that beds are made available to those that need them.

Candidates should have the following skills and experience

educated to GCSE standard to include English

IT Skills, basic word, email, keyboard skills, data collection

Able to manage conflicting demands

confidence to engage with multiple professionals

Adaptable to changing operational requirements

knowledge of patient admin systems i.e. care flow workspace

Previous knowledge of care work or clinical environment (desirable)

Previous applicants need not apply.

• In this vital role, you will: working in partnership with other members of the integrated discharge service (IDS), ward multi-disciplinary team (MDT) and community partners, to support decisions with regards to discharge planning.
• Represent the IDS team at ward daily board rounds.
• Provide effective & timely communication of discharge actions using existing communication tools.
• Be expected to undertake a range of duties without direct supervision, with early identification of any needs required to support discharge, whilst being able to recognise when escalation for support outside of your scope of practice, regarding discharge.
• Recognise the need for and undertake referrals for additional assessments and treatments.

About us

NBT Cares

It s a very simple statement; one which epitomises how everybody across our organisation goes the extra mile to ensure our patients get the best possible care.

NBT Cares is also an acronym, standing for caring, ambitious, respectful and supportive - our organisational values.

And our NBT Cares values are underpinned by our positive behaviors framework - a framework that provides clear guidance on how colleagues can work with one another in a constructive and supportive way.

Patients are the most important people in the health service and are at the centre of what we do. Patients and carers are the  experts  in how they feel and what it is like to live with or care for someone with a particular illness or condition. The patients  experience of our services should guide the way we deliver services and influence how we engage with patients every day in our work.

All staff should communicate effectively in their day to day practice with patients and should support and enable patients/carers to make choices, changes and influence the way their treatment or care is provided. All staff, managers and Board members should work to promote effective patient, carer and public involvement in all elements of their work

To have early conversations with patients and families/ carers around discharge and use this information to support the persons journey whilst in hospital, adhering to the Home First discharge ethos

Supporting and working in partnership with other members of the Integrated Discharge Service (IDS), Ward Multi-Disciplinary Team (MDT) and Community partners, constructively challenging where appropriate, the decisions with regards to discharge planning

Be an active member of the newly formed Transfer of Care Hub (ToCH)

Undertake baseline assessments in partnership with other members of the MDT ensuring that the admission and social assessments are available within 24 hours of the admission

Prompt the MDT to always ensure the patient and their family are actively involved in their discharge planning and are always kept informed any updates or changes to the plans

Represent the Integrated Discharge Service (IDS) at ward daily board rounds and actively participate to drive timely discharge

Provide effective & timely communication of discharge actions, including

action owners and time frames with MDT team members and Case

Managers and liaise with the nurse in charge/coordinator and consultant

to update on actions required to expedite safe discharge.

Meet daily with the Case Manager for the allocated Cluster to review patient progress and escalate concerns

Post holder will escalate problems in discharge to the case manager or ward team as appropriate.

Recognise the need for and undertake referrals to specialist

practitioners/ therapists as appropriate.

Participate & support case managers in ward education programmes to develop knowledge and understanding of complex discharge management including Transfer Of care Document (TOCDOC) completion and managing patient expectations.

Support ward teams to ensure that Flow Board information is up to date at all times and any changes are modified in a timely manner…