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Specialist Discharge Nurse

Norfolk and Norwich University Hospital
£35,392 to £42,618 per annum, pro rata
Closing date
2 Jul 2024

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Band 6
Contract Type
Full Time
We have an exciting opportunity for an enthusiastic individual to join our Integrated Discharge Team as a Band 6 Specialist Discharge Nurse, working collaboratively with our system partners to support a safe timely discharge.

The NNUH, works within the statutory guidance of the Hospital Discharge and Community Support Tool, using Discharge to Assess pathways, ensuring no long term decisions are made in an acute hospital, we support a home first ethos, alongside discharge initiatives around Length of stay, and early discharge.

A good working knowledge of hospital discharge (D2A) is essential to the role, excellent communication, and assessment skills, with the ability to manage difficult and sensitive conversations.

If successful, you will work within the Integrated Discharge Team, completing Fast Track Assessments, adhering to National Guidance, and D2A3 reviews to support our most complex discharges. You will also provide specialist advice and knowledge to wards and wider MDT around discharge.

Excellent organisational skills are essential and the ability to prioritise a conflicting workload.

Discharging our patients to the right destination in a timely manner is key to maintaining flow throughout the Norfolk and Norwich University Hospital, we advocate a home first ethos, initiating discharge planning from the point of admission, supporting early conversations, and early referrals to ensure patients are discharge ready, at the point of no longer having criteria to reside.

Main duties of the job

We are looking for a compassionate, motivated individual with excellent communication, interpersonal, organisational and IT skills who is dedicated to working as part of a strong , small, specialist multidisciplinary team to facilitate safe and timely discharge for our patients, whilst upholding the NNUH PRIDE values.The ability to expediate discharge through pro-active discharge planning, improving patient experience and journey is essential.

About us

Join us at the Norfolk and Norwich University Hospital and be part of a workforce of over 10,000 staff!

The NNUH is one of the largest NHS trusts in the UK, providing first-class acute care for around one million people, living in Norfolk and surrounding areas. We are a teaching and research hospital, at the forefront of innovation, home to state-of-the-art facilities, such as the Quadram Institute. We are pleased to work closely with the University of East Anglia, providing teaching opportunities for our staff and placement opportunities for their students. We attract some of the best and leading professionals from across the country and are proud that our workforce represents 94 countries from across the world.

We are a friendly, collaborative hospital, working with local services and home to N& N Hospitals Charity

We can offer you the full range of NHS benefits/discounts and in addition:
  • Flexible working hours
  • Fast Track Staff Physiotherapy Service
  • Multi Faith prayer room
  • Discounted gym memberships
  • Excellent pension scheme and annual leave entitlement
  • Wagestream - access up to 40% of your pay as you earn it
  • Free Park & Ride service direct to NNUH site
  • Free 24-hours confidential counselling support
  • On-site Nursery
  • On-site cafes offering staff discounts
  • Support in career development
  • Flexible staff bank
  • Salary Sacrifice schemes including lease cars, Cycle to Work scheme and home electronics

Job description

Job responsibilities

  • Expedite the discharge process through pro-active discharge planning, acting as resource and providing expert advice regarding complex discharges as required.
  • Facilitate early discharge planning working as part of the multi-disciplinary team (MDT) attend case conferences, promote good communication and a multi-disciplinary approach to patient care to achieve safe and timely discharge from hospital.
  • Responsible for collating, analysing and reporting Discharge Performance Data and utilising this information to inform decision-making and identify areas for improvement.
  • Attend case conferences to support and facilitate effective multi-disciplinary discharge planning and processes as an integral part of patient care management within the Trust.
  • Coordinate and conduct end of Life (Fast Track) assessments in liaison with ward multidisciplinary team (MDT) and the Palliative Care Team in accordance with the National Framework for NHS Continuing Healthcare and NHS Funded Care.
  • Support staff in undertaking multidisciplinary team assessments and as a key practitioner facilitate complex case management working collaboratively with ward MDTs and Community partners including completing nursing needs assessment.
  • Work closely with relevant Health and Social Care partners to ensure safe onward transfer of care and appropriate with Home First ethos and effective use bedded solutions.
  • Monitoring standards of care and escalating issues to the Lead Specialist Nurses and Discharge Service Lead as appropriate.
  • Maintain accurate patient records contemporaneously in line with the Trust policy on record keeping and data collection.
  • Support Trust and National processes (such as Long Stay Reviews) ensuring every delayed patient in the organisation is regularly reviewed and has a discharge plan.

Please refer to the Job Description for the full specification of responsibilities and requirements for this post.

Person Specification



  • Current registration with Nursing and Midwifery Council



  • Experience of working within the MDT



  • Ability to organise own workload
  • Possess good verbal and written communication skills


  • Ability to use IT skills effectively

Attitude, aptitude


  • Effective role model, demonstrating NNUH's PRIDE values of People focussed, Respect, Integrity, Dedication and Excellence
  • Demonstrates understanding and commitment to Equality, Diversity and Inclusion


  • Ability to defuse difficult situations

Employer details

Employer name

Norfolk and Norwich University Hospital


Norfolk & Norwich University Hospital



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