Complex Discharge Facilitator (RMN/OT/Social Worker)

Herefordshire & Worcestershire Health and Care NHS Trust
£33,706 to £40,588 a year
Closing date
9 Feb 2023

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CBT Therapist / Other
Band 6
Contract Type
Full Time
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Are you an experienced, committed, and dynamic registered practitioner (Social Worker, Occupational Therapist or Mental Health Nurse) who is passionate about using their skills to make a difference in a non traditional role? Can you work effectively with patients with complex mental health needs, their families, clinicians and other stakeholders to deliver exceptional care that changes peoples lives? If this sounds like you then come and join the PARTNER Repatriation Service, a small, friendly team that works to ensure timely and smooth transitions for our patients from out of county locked rehabilitation units into community based services.

The successful applicant will work 37.5 hours Monday-Friday, with flexibility considered, and must be able to travel throughout England and Wales. There is the opportunity for both office based and home working. If you would like to discuss informally whether this is the right role for you please contact the Recruiting Manager.

Main duties of the job

The PARTNER Repatriation Service provides the key worker function (previously care coordination) for patients with complex mental health needs, and a high level of associated risks, who are placed within out of county locked rehabilitation or specialist placements.

The successful applicant will provide proactive support to our patients throughout their out of county admission and will liaise with private service providers and stakeholders on a daily basis. You will work autonomously to ensure a clear recovery focus and effective care planning is maintained, as well as supporting continued momentum and progression through the care pathway for our patients. The successful applicant will coordinate all aspects of complex discharges whilst working closely with our colleagues within Adult Social Care to support repatriation and discharge into appropriate community based services.

About us

We are community hospitals, neighbourhood teams and community health services across Worcestershire and the provider of Mental Health and Learning Disability services across both Herefordshire and Worcestershire. We work in partnership with other organisations to keep our community well at home for as long as possible.

We provide services for people of all ages, across a range of settings, experiencing both physical and/or mental health conditions.

We have an open and supportive culture, recognised by the CQC and other external regulators. We want you to thrive, offering you every opportunity to develop. We will support you; help you fulfil your ambitions with a varied and flexible training programme; and empower you to make positive changes within your team or service. We endeavour to offer an attractive work-life balance, with flexibility in our approach to help you get the most out of your career.

We provide our staff with direct access to a wealth of resources to support their wellbeing, from our Staff Mental Health and Wellbeing Hub, to wellbeing festivals or access to free online exercise classes.

At the core of our values, we are committed to equality, diversity, inclusion and human rights. We take every opportunity to strengthen our approach to equality and diversity in delivering best patient care and the employment of our staff.

We would encourage you to visit the Trusts Recruitment Microsite, click the Employer Website link.

Job description Job responsibilities

  • Coordinate clinical and support services relevant to discharge planning.
  • Identify the need for and coordinate MDT meetings/case conferences and support private care providers in the decision making process regarding safe, effective and timely discharge of patients.
  • Carry a caseload and work collaboratively on the management of cases, ensuring liaison with community services to support timely discharge from locked rehabilitation/specialist placements.
  • Participate in all aspects of discharge and aftercare including cooperation with Section 117.
  • Ensure that risk assessments are carried out in conjunction with other agencies.
  • Attend commissioning panels acting as an advocate for patients.
  • Establish and maintain communication with individuals and groups about complex discharges overcoming any problems in communication.
  • Involve, support, inform, and educate family/carers where appropriate throughout the discharge process.
  • Participate in/support the process of relevant assessments.

For full details of the duties and criteria for the role please refer to the job description and person specification attached.

Person Specification Additional Criteria Essential
  • Able to meet the travel requirements of the role
Qualifications Essential
  • RMN / Social Worker/Occupational Therapist
  • Degree / Diploma and working towards a first level degree
  • Evidence of portfolio of knowledge, skills and professional development
  • LEO or other leadership courses.
Experience Essential
  • Significant relevant post qualification experience
  • Liaison with other agencies, e.g. social care, voluntary sector
  • Experience of the funding processes for NHS funded care and social care
  • Discharge planning experience
  • MDT working
  • Experience of conducting and contributing to ongoing assessment
  • Experience of the CHC process.
Skills & Abilities Essential
  • Ability to recognise and challenge poor practice.
  • Ability to communicate clearly and effectively in English in verbal and written formats.

Any attachments will be accessible after you click to apply.

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