Hospital Discharge Support Worker

We have an incredible new opportunity for a Hospital Discharge Support Worker to join Landau.

Every Day Changes a Life. Including Yours.

At Landau, we don't just support people - we champion them.

We're a charity made up of people who believe that every achievement matters. The big ones, like gaining a qualification or securing employment. And the small ones, like building confidence, overcoming a barrier, or believing in yourself for the first time. Every day, you'll have the opportunity to make a real difference while working alongside a talented, supportive team that shares the same passion for helping others succeed.

Whether you're supporting learning, wellbeing, behaviour, inclusion, employability, or personal development, you'll be part of a charity that's creating opportunities and changing lives across our communities.

With ongoing training, CPD opportunities, and a culture built on teamwork, encouragement, and support, Landau is a place where both the people we support and the people who work here can thrive.

If you're passionate about helping others reach their potential, you'll fit right in.

Join Landau. Changing lives, Creating futures. Celebrate every step.

If you are shortlisted, we will send you an application form to complete.

Key responsibilities will include:

Service Delivery

Engage service users on wards prior to discharge to build rapport and confidence

Deliver structured, short-term support in the community (home visits, clinics, telephone)

Support implementation of MDT discharge plans

Provide practical and emotional support to promote safe transition home

Facilitate access to community services, VCSE organisations and local assets

Reduce social isolation through community integration and engagement

Partnership & MDT Working

Attend ward-based MDT meetings and contribute to discharge planning

Work collaboratively with MPFT clinical teams, social care and VCSE partners

Build strong relationships with VCSE and community partners, maintaining up-to-date knowledge of local support services and identifying and feeding back gaps in provision to strengthen pathways and improve outcomes

Advocate on behalf of service users to improve access and outcomes

Maintain effective communication with carers and families (where appropriate)

Promote the service - attend forums and MPFT/ external team meetings / mental health

Caseload Management

Manage a caseload of up to 20 service users

Deliver time-limited interventions (maximum 4 weeks per individual)

Maintain accurate, timely records on RiO

Monitor progress and escalation risks appropriately

Escalate risks appropriately

Outcomes & Impact

Support improved independence and confidence

Reduce risk of relapse and readmission

Improve engagement with community services

Contribute to positive service user and carer experience

Safeguarding & Risk

Identify and respond to safeguarding concerns

Work within MPFT and organisational safeguarding procedures

Escalate concerns via MDT and appropriate safeguarding routes

Compliance & Quality

Complete all mandatory training (e.g. safeguarding, dementia, suicide awareness)

Maintain GDPR and data governance standards / Health & Safety

Contribute to service monitoring, reporting and outcomes tracking

Person Specification

Skills & Core Competencies

Essential

• Experience of working with adults with complex needs and supporting to manage risk and deliver effective interventions, prompting independence, minimum 1 year.
• Experience of caseload management and performance and delivering quality assurance
• Ability to work collaboratively within multidisciplinary teams
• Knowledge of local services and community provision (Shropshire, Telford & Wrekin)
• Strong communication and relationship-building skills
• Strong IT & systems knowledge and good record keeping

Desirable

• Experience delivering hospital discharge services
• Experience in working within CMHTs / mental health pathways
• Knowledge of the Mental Capacity Act and safeguarding frameworks
• Lived experience or understanding of mental health recovery
• Knowledge of NHS systems (e.g. RiO)

Key Relationships

• MPFT inpatient and community clinical teams
• Social workers, adult social care and local authority teams
• Housing associations, housing options and supported housing providers
• Department for Work and Pensions (DWP) and wider welfare support services
• VCSE, community and advocacy organisations
• Service users, carers and family members

Personal qualities, communicating and relating to others

• Excellent communication and interpersonal skills
• Kind
• High level of emotional…