The Complex Care Liaison Nurse is responsible for complex care liaison rotating between acute hospitals, community hospitals, and Local Authority sites for adults, including supporting the safe and timely discharge / transfer of care for complex cases, implementation of systems to enhance and facilitate patient flow and the generation of information that can be utilised to strengthen and influence hospital discharge practice/policies and continuity of care for complex cases.

Main duties of the job

Main duties are:

Responsible for the delivery of high standards of care within the team, monitoring standards on a regular basis, undertaking regular audits of practice and presenting this information to a wider audience

Using own initiative and working with the team leader and senior nurse, to develop innovative ways of working, implementing change effectively and monitoring outcomes

Allocating and prioritising caseloads of team members when periods of absence arise ensuring adequate support for staff

Ensuring the delivery of innovative, clinically excellent evidence based care

Working with the team leader, plan, deliver and evaluate the complex care liaison service at a team level working with statutory and voluntary agencies

Work as part of the team

• Contribute to clinical supervision to team members

The ability to speak Welsh is desirable for this post English and/or Welsh speakers are equally welcome to apply.

About us

Cwm Taf Morgannwg University Health Board is part of the NHS Wales family. Our Health Board provides primary, secondary and community health and wellbeing services to around 450,000 people living in three County Boroughs: Bridgend Merthyr Tydfil, and Rhondda Cynon Taf.

We live by our core values:

• We listen, learn and improve
• We treat everyone with respect
• We all work together as one team

We are a proud local employer around 80% of our 15000 workforce live within our region, making our staff not only our lifeblood of our organisation but of the diverse communities that we serve.

Job description

Job responsibilities

You will be able to find a full Job description and Person Specification attached within the supporting documents or please click Apply now to view in Trac

The post holder will:-

Assist the team leader and senior nurse and work collaboratively with the multi-disciplinary team, ward managers and other team leaders to ensure the delivery of equitable, high quality services

Communicate information in a sensitive way when dealing with issues that are contentious e.g. disputed decisions related to nurse assessment outcomes

Delegate duties as appropriate to members of the team

Work collaboratively and maintain effective communication with other key health professionals to ensure the provision of a high quality service by the team for example Ward Managers/Team Leaders within the District Nursing service

Liaise and communicate effectively with multi-agency teams, statutory and voluntary agencies maintaining effective internal and external networks to enhance service delivery

Actively work with partner agencies to support and maintain safe and timely transfers of care establishing links within the University Health Board, Local Authority, Third Sector Organisations, Independent Contractors and the Private Care sector

Attend professional meetings and groups as required by the Health Board and/or partner agencies, for example joint health and social care meetings

In consultation with patients and their carers and members of the multi-disciplinary team provide specialist advice to support the planning and implementation of individual programmes of care that promote safe and timely hospital discharge/transfers of care

frequently communicate sensitive issues in an empathic manner e.g. reporting assessment outcomes in relation to eligibility for continuing health care

act as a specialised resource for primary care staff, secondary care staff, statutory and voluntary agencies

regularly offer advice to the team and other professionals and be able to manage complex and/or contentious information in a sensitive manner

prepare reports for senior management and external agencies regarding delayed transfers of care

Contribute to and attend multidisciplinary case conferences for complex cases and be involved in the planning of safe and timely hospital discharge/transfers of care

be responsible for providing specialist advice to support the planning and safe transfer of care of complex cases

Attend supervision sessions as and when needed

Maintain contemporaneous records, which accurately reflect the multifarious components of the multi-disciplinary assessment outcome and care package which have been discussed and agreed (or not agreed) with patient and their carers

Consult with families and carers to overcome problems concerning the discharge process, these can be extremely sensitive and require high levels of understanding and communication skills, when dealing with individuals who may be angry or upset.

Attend, and chair meetings, as and when appropriate.

Attend and chair case conferences as and when appropriate.

Person Specification

Qualifications

Essential

• Specialist knowledge of field of practice

Desirable

• Project Management skills

Ex

Essential

• Experience of multi-agency working
• Excellent communication and interpersonal skills - verbal and written

Desirable

• Presentation Skills

Employer details

Employer name

Cwm Taf Morgannwg University Health Board

Address

Royal Glamorgan Hospital

Ynysmaerdy

RCT

CF72 8XR

Any attachments will be accessible after you click to apply.

110-NMR430-0924