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Clinical Community Pathway Co-Ordinator

Great Western Hospitals NHS Foundation Trust
£35,392 to £42,618 per annum, pro rata
Closing date
21 May 2024

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Other Health Profession
Band 6
Contract Type
Full Time
We are recruiting a Band 6 clinician to work closely within our integrated discharge team based within the navigation hub at Great Western Hospital and our urgent community response and NHS@HOME services based at our North Swindon community base. Facilitating the safe discharge of patients back into their home environment and supporting patients at home is our priority, optimising care and achieving positive outcomes for their ongoing health, wellbeing and independence.

Main duties of the job

Integral to this role will be the requirement to work flexibly within the navigation hub as well as undertaking home visits as part of our wider multidisciplinary team, as is the requirement to work autonomously and independently providing safe and effective care and treatment. We provide our services between the hours of 8am and 22.00 hours across a 7 day service working alongside our community nursing team, specialist community services such as community IV team, end of life nurses, community COPD and community therapy teams.

You will need to have excellent communication skills and be confident in developing and maintaining positive relationships with consultants, GP'S, nurses, therapists and specialist services. We are looking for a clinician who has achieved their physical assessment and clinical reasoning course (PACR), teaching and assessing qualification and ideally has community experience in assessing and treating patients within their own home. We are committed to supporting staff with professional development to extend their skills and knowledge.

About us

Our STAR values are at the heart of everything we do. You can expect to see them in the way we act and the way we treat each other. Our values make us who we are.

Service - We will put our patients firstTeamwork - We will work togetherAmbition - We will aspire to provide the best serviceRespect - We will act with integrity

Job description

Job responsibilities

1. To work as an autonomous practitioner managing and prioritising care needs through clinical assessment for patients with complex physical, mental and social care needs.2. Work closely with the ward-based discharge coordinators, inpatient therapy teams and social care teams to facilitate an early discharge where possible.3. Work with the clinical assessors and discharge coordinators to identify patients with complex health and social care needs who could be treated at home in the community.4. To work closely with the multidisciplinary teams such as the ambulance service, emergency department, front door therapy team, ACPs, specialist community services, and community nursing, promoting and supporting care and treatment in the patients own home.5. Sharing information and acting as a link between the Hospital and Community services to help avoid unnecessary admissions6. Excellent communication skills and knowledge of community services, mental health, social services and voluntary services within the Swindon area.7. To use assessment and examination skills to plan, implement and evaluate evidenced based client centred interventions, maintaining the associated records in compliance with the standards from The Great Western Hospital NHS Foundation Trust, the Nursing and Midwifery Council (NMC), HCPC and the Care Quality Commission (CQC).8. To use highly developed skills to screen, prioritise and delegate referrals into the service referring to other agencies where necessary.9. To act as a clinician within Swindon Community Health Services with knowledge of longterm conditions, cognitive and functional impairments and end of life care which could have implications for the safe effective discharge of patients.10. To understand how multiple health and social care needs will impact on the patients quality of life and what measures can be implemented to support and optimise this.

Refer to attached JD for further information

Person Specification



  • Registered Health Professional RN, HCPC
  • Evidence of Continuing Professional Development (CPD)
  • Evidence of postgraduate learning relevant to clinical area
  • Physical Assessment and Clinical Reasoning (PACR) or working towards


  • Computer skills qualification
  • Evidence of basic management training
  • Teaching and assessing qualification



  • Broad clinical experience in community and secondary care settings.
  • Experience of providing a broad range of interventions for a complex caseload.
  • Experience of multidisciplinary working
  • Understanding and knowledge of the Frailty Pathway
  • Experience of providing supervision for junior staff, assistants and students
  • Experience in and an understanding of clinical governance e.g. audit, risk management, education


  • Experience of working within the specific clinical area.
  • Experience in the care of older people and palliative/end of life care.
  • Good working knowledge of the patients on the Frailty Pathway.

Employer details

Employer name

Great Western Hospitals NHS Foundation Trust


North Swindon District Centre

Thamesdown Drive


SN25 4AN

Any attachments will be accessible after you click to apply.


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