This is a great opportunity to work as part of the newly implemented Referral and Assessment Team, to support and co-ordinate a seamless transition of patients from Secondary care into Community services.
The post holder will be based in East Ham Care Centre and also spend some time with the Integrated Discharge Hub (IDH), working as part of a multidisciplinary and multi-agency team and in collaboration with other services to facilitate the timely referrals, and prompt, initial assessments of patients.
The successful post holder will be responsible for the assessment of patients that are medically optimised for discharge to ascertain their care needs and make referrals for ongoing patient care in the community, to facilitate a safe and effective discharge from the acute trust in a timely manner.
The Referral and Assessment Team works with patients and families with complex needs and conditions, supporting them in the discharge process in order for a smooth transition in to the community.
The Referral and Assessment Team provides guidance and professional support to the patient and the patient's families, and works with them in partnership to make sure the patient gets the most appropriate plan in place for discharge, whilst ensuring that interventions are not duplicated. This process improves the quality of care as well as improving patient satisfaction.
Main duties of the job
Provide a wide range of outstanding care to patients within Newhamwho have been referred to the Referral and Assessment Team (RAT).
To provide meaningful choices that maximise health and wellbeingaiming to promote, as much as possible, an independent life.
To practice effective case management, assessing, planning, theimplementation and evaluation of care including discharge. You will dothis conjunction with the Professional Lead.
To be responsible for the care provided to the patients on the RAT caseload and for the care provided by the team.
Ensure that a high quality service is provided to patients' in their homes,or residential care settings using available resources.
The service is provided from 08:00 till 20:00 for nurses and 09:00 till17:00 for AHPs, 7 days a week.
Be responsible within the team for the liaison with the wider NewhamMDT Previous applicants for this post in the last 3 months will not be shortlisted.
The Referral and Assessment Team support patients with complex healthcare needs, who may require long-term health and social care planning or a short term intervention following a change of condition or acute illness.
The successful post holder will provide and/or arrange appropriate support and interventions in the community working closely with colleagues across all sectors and Newham Rapid Response Services.
They will work flexibly, interchanging between hospital and community working as required providing the full service cover.
The role requires working as an integral part of the team to provide specialist assessment skills, knowledge and management of patients in the community whilst ensure the delivery of outstanding, high calibre care, and efficient use of facilities, manpower and other resources.
Job description Job responsibilities
Please could you kindly refer to the job description and person specification attached to this vacancy.
Person Specification Other Desirable
Education and Training Essential
- Occupational Therapist with a valid HCPC registration
- Advanced Physical Assessment Skills or willingness to undertake course
- Evidence of continuing professional education and training at degree level
- Management and leadership skills
- Teaching and mentorship qualifications.
- .Relevant professional experience
- Evidence of professional development
- Evidence of recent clinical practice
- Knowledge of HCPC Code of Professional Conduct and Scope of Practice
- Evidence of leadership, change management and motivational skills
- Computer Literate
- Completing an initial assessment and formulating a care plan
- Confidence in Presentations
Knowledge and Skills Essential
- Knowledge of Adults at Risk and Vulnerable Adult Policy
- Knowledge of Health Promotion techniques
- Evidence of competence in clinical skills
- Evidence of good communication skills both written and verbal
- Effectively communicate sensitive, complex and sometimes distressing information to patients, carers and staff
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