We are looking for a proactive, positive Physiotherapist or Occupational Therapist with an interest in hospital discharge and transfer of care. If you are looking for an opportunity to develop your career in this area or gain valuable experience in this fast-paced environment we would love to hear from you.
East London Foundation Trust is looking for an enthusiastic and proactive individual to provide operational leadership and patient case management within the Transfer of Care Hub Team.
The successful individual will be part of a ward-based team consisting of nursing, therapy, social work, discharge navigator and admin team members. You will be working closely with health and social care partners to ensure safe and timely discharges and minimise barriers, improving patient experience across discharge pathways.Main duties of the job
- Within the limitations of the Hospital Discharge Service: Policy and Operating Model, to ensure that patients and their families/carers are consulted and encouraged to be part of the discharge planning process
- To proactively co-ordinate, review, case manage and facilitate discharges into community services as part of the Transfer of Care Hub
- To demonstrate expert and specialised knowledge of community services in order to plan discharge undertaking assessments e.g. for equipment, as appropriate
- To be able to identify clinical risks and escalate appropriately
- To screen and triage referrals received from the acute trust promptly and delegate responsibilities to other members of the TCH
- To produce reports and daily statistics on TCH performance and to support the service to meet targets and performance criteria
- To be able to lead the planning and organisation of triage and screening hub processes, ensuring a 7 day 8am-8pm rota is covered
- To communicate effectively and work collaboratively with colleagues within the Royal London Hospital, social services, community and voluntary sector services to ensure the delivery of a coordinated multidisciplinary discharge service
- To regularly chair an MDT call between partners involved in discharging patients from the Royal London Hospital (RLH), ensuring barriers to discharge are identified and actions to address these are agreed and are followed up.
The Trust is accredited an Investor in People employer and is consequently committed to developing its staff. You will have access to appropriate development opportunities from the Trust's training programme as identified within your knowledge and skills appraisal/personal development plan.Job descriptionJob responsibilities
The Transfer of Care Hub at the Royal London Hospital consists of staff from East London Foundation Trust, London Borough of Tower Hamlets and Barts Health NHS Trust working in partnership to facilitate timely discharge of patients from hospital. The team consists of nurses, therapists, social workers discharge navigators and admin support staff.
The role requires advanced clinical/ discharge navigation skills in patient case management and screening to ensure that patients are transferred safely to the appropriate community setting. The individual will have experience and knowledge of discharge practices, including Discharge to Assess, and of community services in order to identify and facilitate discharge and prevent unnecessary hospital readmission. The post holder will work to develop and maintain relationships with other key stakeholders and system partners including acute staff, local authority colleagues, voluntary agencies and the clinical commissioning group.
The Transfer of Care Hub staff screen all referrals received and liaise with the wards and hubs in other boroughs, creating a seamless and timely care pathway. The post holder will provide a specialist source of expertise in decision making and demonstrate a passion for excellent quality, person centred care and work creatively in order to achieve the best possible outcomes for our service users. The post holder will demonstrate a dynamic approach for complex patients to ensure that community services and other key stakeholder resources are used holistically and appropriately.
The post holder will work collaboratively with secondary care to create bespoke and coordinated plans to support discharge and coordination of services and will be responsible for providing an urgent response to requests for assessment, alongside proactively case managing individuals until they are discharged from hospital.Person SpecificationEducation, Qualification, TrainingEssential
- oDiploma or Degree in Physiotherapy or Occupational Therapy.
- oEvidence of post-qualifying and continuing professional development
Knowledge and SkillsEssential
- oSignificant clinical/ discharge experience in a broad range of specialties relevant to the post on an inpatient and / or community basis
- oKnowledge of a broad range of clinical conditions
- oWorking within a multidisciplinary team
- oExperience of contributing to the professional development and clinical education of more junior staff, students and assistants
- oUnderstanding of Clinical Governance and its implications for therapy, nursing, social care, and client care
- oAbility to prioritise, organise and delegate
- oAbility to communicate and present information, orally and in writing, in a clear and logical manner
- oUnderstanding of the legal responsibilities of the profession
- oAbility to keep accurate and legible patient notes in line with local and national standards and policies
- oAbility to carry out moderate to intense physical effort throughout the working day and manage competing demands and interruptions
- oAbility to cope working in a fast paced and stressful environment and with emotional and/or aggressive patients and carers
Employer detailsEmployer name
- oAbility to work flexibly, including working out of core hours i.e. evenings and 7 day working as required
- oAbility to treat people with respect, irrespective of age, gender, culture, religion & sexuality
- oProactive, self-directed with an innovative approach
- oCommitment to lifelong learning
- oLeadership qualities
East London NHS Foundation TrustAddress
Royal London Hospital
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