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Onward Care Team Nurse

Herefordshire & Worcestershire Health and Care NHS Trust
£35,392 to £42,618 a year
Closing date
30 May 2023

View more

Band 6
Full Time
Job summary

It is an exciting time for those supporting patients to leave acute hospital care with our discharge to assess initiatives in Worcestershire.

We are looking for a highly motivated and pro-active Nurse to join our Onward Care Team at based at the Alexandra Hospital in Redditch with occasional cross site to Worcester Royal Hospital. We ensure patients get the care that they need, when they are ready to leave hospital, ideally at home first.

This post is for 37.5 hours over a 7 day week including bank holidays. It is for maternity cover for 12 months.

The role will involve working closely with patients, families and the acute hospitals nursing, therapy and medical teams and social care colleagues in a multi-disciplinary, inter-disciplinary way to ensure a safe and timely transfer with our community discharge to assess providers.

For further information about the role please contact 01905 522280 Jane Rutter Team Leader for the Onward Care Team or Kate Pugh Onward Care Team Leader on 01905 522283

Main duties of the job

No two days are the same,

The role will involve working closely with patients, families, the acute hospitals nursing, therapy and medical teams along with social care colleagues in a multi-disciplinary, inter-disciplinary way. Ensuring a safe and timely transfer to a community hospital or with our community discharge to assess providers, both in and out of county.

The role will involve working with the Continuing Health Care team to facilitate a patients discharge under the fast track process

At times this can be challenging You will be expected to be organized, with excellent communication and IT skills. You will need to be able to work under pressure, prioritizing your workload against constantly changing demands. The service is key to delivering the reduction in delayed transfers of care from acute hospital settings, reducing long length of stay and supporting patient flow through the system

About us

We are community hospitals, neighbourhood teams and community health services across Worcestershire and the provider of Mental Health and Learning Disability services across both Herefordshire and Worcestershire. We work in partnership with other organisations to keep our community well at home for as long as possible.

We provide services for people of all ages, across a range of settings, experiencing both physical and/or mental health conditions.

We have an open and supportive culture, recognised by the CQC and other external regulators. We want you to thrive, offering you every opportunity to develop. We will support you; help you fulfil your ambitions with a varied and flexible training programme; and empower you to make positive changes within your team or service. We endeavour to offer an attractive work-life balance, with flexibility in our approach to help you get the most out of your career.

We provide our staff with direct access to a wealth of resources to support their wellbeing, from our Staff Mental Health and Wellbeing Hub, to wellbeing festivals or access to free online exercise classes.

At the core of our values, we are committed to equality, diversity, inclusion and human rights. We take every opportunity to strengthen our approach to equality and diversity in delivering best patient care and the employment of our staff.

We would encourage you to visit the Trusts Recruitment Microsite, click the Employer Website link.

Job description

Job responsibilities

For full details of the duties and criteria for the role please refer to the job description and person specification attached.

The role includes occasional cross travel to Worcester Royal Hospital and weekend work is also required.

Person Specification

Skills & Abilities


  • Ability to challenge poor behaviour
  • Role modelling good behaviour
  • A positive attitude and able to act on feedback
  • Ability to praise and be supportive to others
  • Ability to communicate clearly and effectively in English in both verbal and written formats
  • Ability to analyse professional and ethical issues
  • Ability to reflect and critically appraise own performance
  • Ability to cope under pressure
  • Good communication skills written and verbal
  • Ability to communicate at various levels with empathy
  • Able to recognise own limits
  • Ability to work independently and set own priorities
  • Good negotiation skills and able to use initiative
  • IT skills


  • Ability to use patient information systems
  • Awareness of health and safety and infection prevention and control

Additional Criteria


  • Willingness to commit to continuing professional development
  • Professional manner as a representative of the Trust
  • Tact and discretion for dealing with confidential information
  • Ability to work independently and within a team
  • Ability to meet the travel requirements of the role


  • Ability to identify personal development needs
  • Responds well to change and innovation



  • Good knowledge of acute and community care services, including NHS, social care, voluntary sector services and domiciliary care providers
  • Knowledge of health care conditions including long term conditions
  • Patient choice


  • Frailty assessment
  • RESPECT process and documentation
  • Care Act legislation
  • Continuing Healthcare legislation



  • Significant post-registration experience in a variety of settings
  • Priority setting
  • Discharge planning
  • MDT working
  • Working with internal and external stakeholders/agencies


  • Broad range of clinical experience
  • Previous acute/community/ specialist nursing experience
  • Continuing healthcare / funded nursing care assessment



  • Registered Nurse (RN1)
  • Degree/diploma in a relevant health related subject
  • Mentor award
  • Evidence of on-going continuing professional development


  • Relevant short courses, e.g., long-term condition management
  • Health assessment module

Any attachments will be accessible after you click to apply.


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