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Palliative Care Discharge Coordinator

North Middlesex University Hospital NHS Trust
£49,178 to £55,492 Per annum including HCAS
Closing date
27 Sep 2023

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Other Health Profession
Band 7
Contract Type
Full Time
We require a responsive and skilled palliative/end of life care nurse to lead the fast track discharge service. The suitable candidate will prioritise high-quality Fast Track discharges for all patients referred to Specialist Palliative Care services for discharge planning. The role will predominantly be to provide specialist support to effectively assess, plan and facilitate the discharge of patients with limited life expectancy from the hospital setting into the community.

The post is acute hospital based. It provides support for colleagues, patients and their families Trust wide and where required advice and support to the community teams. The Fast Track discharge service will enable better coordination of discharges and will allow more patients to die in their place of choice, aiming to reduce the in the number of deaths in hospital where possible or appropriate.

The post holder will have clear links to community services building on the existing close working relationship between the hospital and community palliative care teams sharing relevant information to ensure quality care for patients and seamless return home from the acute sector. This post also requires close consistent and continuous links with commissioners and other agents linked to the NHS funding process. It also involves working closely with relatives and significant others to ensure a seamless and safe transition of care to the required discharge destination. This post will be 9-5 Monday to Friday.

Main duties of the job

  • Effectively assess, plan and provide specialist care and support to facilitate the discharge of patients with limited life expectancy from the acute into the community setting to work as part of the multidisciplinary team and foster good working relationships with other healthcare professionals and service users
  • Work as part of the multidisciplinary team and foster good working relationships with other healthcare professionals and service users assessment in collaboration
  • Undertake the holistic assessment in collaboration and support with other team members in order to plan and deliver a high standard of specialist palliative care
  • Work within statutory legislation and local policies and procedures in relation to discharge planning and palliative care
  • To deliver best practice in the discharge process through meeting the needs of this patient group by optimising the patient and carer experience
  • To act as a resource, educator and advocate for patients, their carers and health care professionals
  • To work within Trust policies framework and national guidelines
  • To participate in audit and research

About us

North Mid is part of North Central London integrated care system - consisting of the NHS and Local authority organisations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS's, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organisations remain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.

We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George's University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

Take a tour of our hospital here

Job description

Job responsibilities

  • Work collaboratively within the team and across the hospital to provide a continuing supportive service to optimise quality care to those, their carers and significant others who have palliative and End of Life care requirements
  • Recognise and take appropriate action in issues related to the Mental capacity Act and safeguarding.
  • Places quality at the heart of practice by delivering evidence based individualised care, through holistic needs assessment, planning and evaluation of care to meet national guidelines
  • Provide specialist support, guidance, and advice to the multidisciplinary team on complex palliative and end of life care patients needs for discharge planning
  • To provide and offer a wide range of information and support to patients and their family and/or carers. This includes access and utilisation of and signposting to services internally and externally
  • Provides specialist support guidance and advice on complex palliative, end of life care and patient needs for discharge planning
  • Undertake an initial assessment of patients within 24 hours of referral to identify priority of need
  • To competently act as the patients advocate and assist patients in understanding their disease and treatments available to them, to support them to make informed choices about their care
  • Enable complex palliative/end of life care discharges of patients who are resident outside of the local boroughs by liaising with appropriate teams such as CCGs and Community medical and nursing teams
  • Demonstrates leadership through clinical expertise, delivering high standards of person-centered care and using the underpinning philosophy of co-creating care with
  • Actively promotes referrals of patients within the hospital who are eligible for NHS funded care through the fast-track process.
  • Attends weekly multidisciplinary team meetings and contributes to the discharge discussions of the patients
  • Collate and interprets quantitative and qualitative data to provide evidence of productivity, outcomes and quality. Is able to utilise data to support business cases and reports as appropriate
  • Promote best practice, relevant to the needs of palliative/end of life care patients, utilising current strategies, protocols, pathways to improve quality of life for patients. Identify new ways of working to benefit patients, staff, and the Trust as a whole.
  • Conducts frequent audits to assess the effectiveness of service delivery and measure the role objectives to identify and overcome barriers which may present.
  • Participates in the setting of standards, protocols, policies, and procedures.
  • Identify learning needs, plan, implement and evaluate programmes of education to meet identified need
  • Actively engage with the palliative care management team, and other relevant teams within the Trust to provide and receive education relevant to the specialty
  • Participates in clinical decision groups as facilitated by the clinical psychologist
  • Acts as a facilitator/educator for relevant health and social care professionals in relation to discharge needs in palliative and end of life care

Person Specification



  • First level RGN registration
  • Teaching qualification or can demonstrate experience of teaching nurses, AHPs and other health care professionals
  • Experience of working within a healthcare environment within palliative and or discharge planing ni
  • Understands palliative and end of life care care and its implications for patients, carers families and significant others
  • Insight of complex discharge planning and the implications of working with outside agents
  • Demonstrates ability to meet Trust values


  • Educated to degree level or working toward it
  • Experience of key worker role
  • Experience of or willingness to participate in clinical supervision
  • Experience of presenting - such as audit /data reports

Employer details

Employer name

North Middlesex University Hospital NHS Trust


North Middlesex Hospital

Stirling way


N18 1QX

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