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Senior Community Nurse - Discharge to Assess - Complex Care (North)

Manchester University NHS Foundation Trust
Manchester North
£35,392 to £42,618 a year Per Annum, Pro Rata
Closing date
1 Jun 2023
Job summary

The post holder will work as part of the Discharge to assess team, to support and co-ordinate discharges for the service.

The post holder will be based in Manchester Foundation Trust and community locations working as part of a multidisciplinary and multi-agency team and in collaboration with other services to facilitate the timely referrals, support appropriate discharge from hospital.

The post holder will have knowledge of current processes and discharge pathways for medically optimised patients awaiting transfer from hospital and community settings working within the new policy and operating model.

They will provide and/or arrange appropriate support and interventions in the community working closely with colleagues across all sectors and Manchester Community Response Services.

They will work flexibly, interchanging between hospital and community working as required providing the full discharge to assess service cover.

The role requires working as an integral part of the team to provide specialist assessment skills, knowledge and management of patients in the community whilst ensure the delivery of high calibre care, and efficient use of facilities, manpower and other resources.

Main duties of the job

Undertake comprehensive health care needs assessment of patients, reassessing as appropriate, working flexibly between the acute hospital and community locations.

Assess, plan, prioritise, implement and evaluate nursing interventions to meet patients' needs.

Undertake assessments for patients in the community and utilise assessment skills .

Be responsible for case managing patients who are medically optimised for discharge including all relevant capacity and nursing assessments.

Be responsible for assessing and discharge planning for clients who may be approaching the end of their lives seeking packages of care via the appropriate process.

Undertake assessments and co-ordinate care for patients who meet the criteria for NHS continuing health care.

Identify and refer those patients requiring intermediate care.

Contribute to the organisation of multi-disciplinary, patient centred care.

Facilitate patients, relatives and carers to take an active role in care giving, providing information as appropriate to facilitate effective discharge.

To identify and assess patients for the supply of any appropriate equipment to ensure continuity of care is maintained.

Attend and represent the discharge to assess team in meetings in relation to provision of complex care packages and NHS continuing health care when required.

About us

MFT is England's largest NHS Trust with a turnover of �2.5bn & is on a different scale than most other NHS Trusts. We're creating an exceptional integrated health & social care system for the 1 million patients who rely on our services every year.

Bringing together 10 hospitals & community services from across Manchester, Trafford & beyond, we champion collaborative working & transformation, encouraging our 28,000 workforce to pursue their most ambitious goals. We set standards that other Trusts seek to emulate so you'll benefit from a scale of opportunity that is nothing short of extraordinary.

We've also created a digitally enabled organisation to improve clinical quality, patient & staff experience, operational effectiveness & driving research and innovation through the introduction of Hive; our brand-new Electronic Patient Record system which we've launched in September 2022.

We're proud to be a major academic Research Centre & Education provider, providing you with a robust infrastructure to encourage and facilitate high-quality research programmes. What's more, we're excited to be embarking on our new Green Plan which will set out how MFT continues to play its part in making healthcare more sustainable.At MFT, we create and foster a culture of inclusion and belonging, provide equal opportunities for career development that are fair, open and transparent, protecting your health and wellbeing and shaping the future of our organisation together.

Job description

Job responsibilities

To find out more about the key responsibilities and the specific skills and experience youll need, take a look at the Job Description & Person Specification attachments under the Supporting Documents heading. So that youre even more equipped to make an informed decision to apply to us, youll need to take time to read the Candidate Essentials Guide that sits with the Job Description and Person Specification. This document provides you with details about the Trust, our benefits and outlines how we care for you as you care for others. Most importantly, it also contains critical information youll need to be aware of before you submit an application form.

COVID-19 vaccination remains the best way to protect yourself, your family, your colleagues and of course patients from the virus when working in our healthcare settings. Whilst COVID-19 vaccination is not currently a condition of employment, we do encourage our staff to get vaccinated. If you are unvaccinated, there is helpful advice and information available by searching on the NHS England website where you can also find out more about how to access the vaccination.

Diversity Matters

MFT is committed to promoting equality of opportunity, celebrating and valuing diversity and eliminating any form of unlawful discrimination across our workforce, ensuring our people are truly representative of the communities we serve. All individuals regardless of age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex and sexual orientation are encouraged to apply for this post. As an inclusive employer, we are here to support you. If you have any special requirements to help you with your application, email our team at

Were looking forward to hearing from you!

Person Specification

Qulifications/ Experience/Knowledge and skills/ Personal Attributes


  • Graduate diploma or degree in Nursing
  • Evidence of relevant CPD
  • Significant experience band 5
  • Registration NMC
  • Leading a team and working automously
  • Experince of multi-disciplinary working/teams
  • Evidence of motivation
  • Experience and knowledge of working with complex discharges
  • Experience of the Discharge Policy/discharge to assess
  • Experience of undertaking the NHS continuing health care framework


  • Working with other areas of nursing/discharge functions/community
  • Leading multidisciplinary team
  • experience of discharge processes
  • Mentor/ Assessor Qualification

Any attachments will be accessible after you click to apply.


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