Transfer of Care Nurse

Go back South Tyneside and Sunderland NHS Foundation Trust

The closing date is 27 February 2026

We have an exciting opportunity within the transfer of carehub for a band 6 discharge specialist nurse. The successful candidate will work alongside a team of nurses and support the Band 7 nurses to manage complex patient discharges as an autonomous practitioner. The successful candidate will carry out patient assessment to facilitate safe discharges for all those patients who are community ready to leave hospital.

The successful post holders duties will involve attending wards daily educating junior members of staff along with educating ward teams. The successful candidate will work closely with all members of the ward systems to ensure a home first approach is followed from the moment the patient is admitted to hospital.

If you are enthusiastic with a passion for improving patient outcomes within our home first approach, come and join our team.

The successful candidate will spend most of the working day based on their allocated ward areas, attending board rounds, supporting ward teams and other professionals with the discharge processes. Attending ward areas to speak with patient and relatives about their discharge plans with a home first approach.

To accept and action appropriate discharge to assess referrals allocated by the coordinator and ensure all necessary evidence is available to support the request for the referral to be progressed.

To enable patients to leave hospital in a timely manner once identified as being community ready and no longer have the right to reside. To minimise delayed discharges, improve patient flow and reduce the possibility of clinical deconditioning.

To work collaboratively, as part of the trust wide transfer of care hub, with ward based multi-disciplinary teams and community health and social care partners to agree discharge plans that reflect the ongoing care needs of patients and respect their wishes.

The service hours are  7 days per week. The post holder would be required to work four hrs shifts per week.

Please add your telephone number to your application form so we can contact you quickly if required.

One Team One Trust – There are many reasons to work at our Trust. From our commitment to putting people first to our accessible services and award winning teams. We have a passion for research, innovation and tackling inequalities. We are committed to respect, fairness and civility and promote a compassionate, caring and positive culture / working environment.

We welcome all applications irrespective of peoples race, disability, gender, sexual orientation, religion/belief, age, gender identity, marriage and civil partnership, pregnancy/maternity and in particular those from under- represented groups. Looking after our work forces health and wellbeing is a priority for us. We also provide access to high quality education, training, career progression and support. Flexible working is supported via our Flexible Working Policy.

The Trust employs around 8,746 people and provides a range of hospital services to a local community of around 430,000 residents. We also provide a range of more specialised services outside this area. We offer our staff outstanding benefits – Fitness Centre (SRH), libraries at both hospital sites, chaplaincy support and access to a Care Co-ordinator to help staff with childcare arrangements.

If you use AI, and it poses a risk to the integrity of your individual recruitment process, we may withdraw your application at any stage of the process.

PLEASE REFER TO THE ATTACHED JOB DESCRIPTION FOR FULL DUTIES OF THE ROLE.

• To be responsible and accountable for the safe, effective and compassionate nursing care for all patients in a ward/department area.
• To exercise accountability as set out in the NMC Code.
• To supervise, support and educate junior members of the team, acting as a role model.
• Support Unit manager to ensure organisational goals/objectives are met within the unit.
• When taking charge of the unit or in the absence of the unit manager, is directly responsible for ensuring that…