Integrated Discharge Coordinator

'We are looking for a dynamic individual to join the Integrated Discharge Team. The team work across acute (Warwick Hospital) community hospitals and in specifically commissioned D2A Care homes, located in South Warwickshire. You will manage a caseload of patients by delivering a high - quality service, ensuring discharges are planned with a home first mind set, ensuring patients are discharged to the least restrictive option through several Discharge To Assess (D2A) pathways. You will work collaboratively across all divisions within the trust, whilst sustaining partnership working with links across the local health and social care economy. Working with a variety of staff groups and voluntary sectors; you must be confident in sensitivity challenging conventional thinking and demonstrate negotiating and influencing skills. The successful candidate will be proactive, forward thinking and committed to maintaining capacity and flow across the system, through safe and
timely patient discharges, to reduce the detrimental outcomes associated with a protracted length of stay. You will contribute to the redesign of discharge pathways and facilitate in the delivery of local and national legislation and guidance related to patient discharge. Applicants with NHS Continuing Healthcare assessors experience welcomed as well as Registered Nurses, Therapists and Social Care Practitioners. The service operates from Monday - Friday and covering BH`s, To coordinate complex patient discharges by liaising across the Health and Social Care economy and working collaboratively with Primary Care and third sector services, This is an integral role provided at both the acute sector and the community setting. The purpose is to assist the Trust to maintain capacity and flow throughout the whole system and to promote safe and timely discharges, with the intent to reduce the detrimental outcomes associated for patients who have a prolonged length of stay.
The Trust have a number of discharge initiatives that aim to bring care closer to home, therefore the post holder must be confident and proactive in sensitively challenging conventional thinking.

Working for our organisation
Come and join a Trust rated Outstanding by the CQC. South Warwickshire NHS Foundation Trust have been rated as outstanding following our latest inspection by the CQC and we are recruiting new staff to come and help us improve even further.
We provide services across Warwickshire and beyond ranging from Hospitals in Warwick, Stratford-Upon-Avon, Royal Leamington Spa and Shipston-on Stour to Community Services across the county. We are a progressive, expanding organisation with great ambition around improving quality, integrating pathways and delivering high levels of productivity.
Our values can be summed up in one sentence. We are 'Trusted to provide safe, effective and compassionate care'. Throughout the recruitment process you will be asked to think about how you demonstrate these values and how they impact on your work. It doesn't matter what role you do, whether it is patient facing or not, we are all working in the same way with our values at the core

Detailed job description and main responsibilities
Work independently managing own allocated case load
To respond to referrals within 1 working day.
To work towards the specified Estimated Discharge Date (EDD)
To prepare complex patients and their relatives at the earliest opportunity in relation to planning for discharge.
Review daily, each complex patient's progress towards discharge to determine if the plan needs to be revised and actioned in order to achieve a timely and safe discharge.
To identify appropriate patients through the 'trusted assessment' process to the various 'Discharge to Assess' initiatives to bring care closer to home for patients.
To undertake Mental Capacity assessments in accordance with the Mental Capacity Act (2005) in relation to specific decisions pertinent to the patients discharge plan.
To cover and rotate through all areas as allocated by the Team Manager/ Leader - including Acute, Community sectors and the D2A care homes.
To participate in the delivery of new Trust initiatives related to the process of patient discharge.
Ensure adherence to all measures stipulated in the Trust's in patient Discharge Procedure and other policies related to the discharge process.
To assist in identifying, negotiating and co-ordinating the movement of patients who are suitable to transfer to other health or social care facilities.
To promote integrated and collaborative working with health, social care teams and third sector providers.
To initiate and lead patient case conferences or 'best interest' meetings, as necessary with discussions and actions documented.
The post holder will be required to use a computer, either stands alone or as part of a networked system and will be responsible for the quality of information recorded.
To sensitively challenge conventional thinking that hinders or creates a delay in the process of patient discharge.
The post holder will maintain accurate records both written and electronic, deal with highly sensitive information respecting confidentiality and security at all times in accordance with Trust policies and data protection.
To support and actively participate in audits pertaining to patient discharge and whole system flow.
To contribute to the development of standards, protocols, care pathways and clinical audit when requested.
To contribute to strategies and use relevant information systems to collect and interpret data that will lead to the formulation of action plans that seek to improve the discharge process.
Professional/Personal Responsibilities
To be responsible for and provide evidence that all mandatory training is undertaken and up to date as per training matrix.
Maintain active status on the NMC register or equivalent professional registration.
Act always in accordance with the NMC Code of Conduct or professional registration and guiding documents.
Take responsibility for personal development and education with regard to Revalidation and Personal Development Plan objectives.
To be aware of your own learning needs and limitations to maintain professional expertise by embracing the concept of lifelong learning.
Participate in clinical supervision for self and others and utilise reflective practice.
To participate in team, professional and personal development activities and promote commitment to continuous development and improvement.
Up-date and maintain professional knowledge to sustain a high level of awareness of relevant research issues and trends within the field of discharge planning.
The post holder will be required to have access to independent means of transport for work purposes to travel across the acute and community Trust and to other agencies., Sometimes we get a lot of applications for our roles. On those occasions we might close the job early. If you don't want to miss out we recommend submitting your application as early as possible.
The Trust use an Applicant Management System called TRAC which helps us manage the recruitment process. All communications regarding your application will come via TRAC (even if you applied via NHS Jobs).
Please check your TRAC account regularly and ensure your email is set up to accept messages so they don't go into your junk/spam folder.
We aim to shortlist all vacancies within 2 days of the vacancy closing, we will get back to all candidates ASAP.
Please ensure all sections of the application form are completed fully. Please particularly ensure that you provide full details of all referees including business email address, telephone contact details and postal address.
South Warwickshire University NHS Foundation Trust is an equal opportunities employer who is committed to Equality and Diversity and does not tolerate discrimination or harassment on the grounds of any protected characteristic as defined by the Equality Act 2010.
All South Warwickshire University NHS Foundation Trust sites are smoke free. We feel it's a great way to help our patients, visitors and staff stay healthy.
The Trust is part of a 'Foundation Group' through a strategic alliance with Wye Valley NHS Trust, George Eliot Hospital NHS Trust and Worcestershire Acute Hospitals NHS Trust. This partnership is great for the sustainability of all four organisations and allows us to share learning and maximise opportunities to ensure the delivery of high quality health and care services for our local populations.

South Warwickshire University NHS Foundation Trust is one of the top performing organisations within the NHS. Our staff think this is a great place to work and we hope you will agree. We have recently been rated as 'Outstanding' by the Care Quality Commission (CQC) following our most recent inspection.
We provide services across Warwickshire and beyond ranging from Hospitals in Warwick, Stratford-Upon-Avon, Royal Leamington Spa and Shipston-on Stour to Community Services across the whole county. This includes our Community Teams in North Warwickshire.
We are a progressive, expanding organisation with great ambition around improving quality, integrating pathways and delivering high levels of productivity. Over 6000 people work for the Trust and many of them have been here a long time. People find they don't need to go elsewhere to find a fulfilling career in healthcare.
The first thing you will notice about us is how we take our values seriously. We believe that our values underpin everything we do. If you are interested in a role with us you need to make sure our values match your own.
Our values can be summed up in one sentence. We are 'Trusted to provide inclusive, safe, effective and compassionate care'. Throughout the recruitment process you will be asked to think about how you demonstrate these values and how they impact on your work. It doesn't matter what role you do, whether it is patient facing or not, we are all working in the same way with our values at the core.
Probationary Period
All new staff to the Trust will be subject to a standard 6 month probationary period, the details of which will duly follow in your contract of employment.
Equality, Diversity, and Inclusion
South Warwickshire University NHS Foundation Trust is committed to creating and sustaining a positive and inclusive working environment for all our employees. Our aim is to ensure that employees are equally valued and respected and that our organisation is representative of all members of society. We define diversity as valuing everyone as an individual - we value our employees, job applicants, students, patients and visitors as people. This is reflected within our values of being Inclusive, Safe, Effective, Compassionate and Trusted.
Agile and Flexible Working
All our staff will have a work base. However the Trust operates as an Agile Working Team therefore staff may be working from home on a regular basis as required by the service. However, occasionally travel around Warwickshire and into your base will be required so access to your own transport would be helpful.
The Trust also welcome staff to work flexibly and we would welcome the conversation at interview regarding flexible working.
Staff Benefits
The Trust offer a wide range of additional benefits to staff. Anyone who joins us on a substantive basis can assess things such as the Lease Car Scheme, Electronics Scheme, Discounted Leisure and Travel, Cycle to work scheme amongst many others available.
Car Parking
The Trust have recently completed the construction of a multi-storey car park at our Warwick Hospital site which has allowed us to reduce waiting times for car parking passes.
To keep up to date on our latest recruitment activity follow us on twitter @swftrecruit or look us up on Facebook (Recruitment - South Warwickshire NHS Foundation Trust).