Overview
We are seeking a dedicated and compassionate Discharge Facilitator to coordinate and oversee the discharge process for our most complex patients at WICU and the Seacole Community Hospital, ensuring safe, timely, and seamless transitions from the hospital to home or other care settings.
Responsibilities
* Be the key point of contact for arranging a patient’s discharge and oversee the coordination of the discharge process.
* Ensure communication is clear, professional, and consistent with colleagues, patients, families and other professionals and agencies.
* Act as a direct liaison with the NHS Continuing Health Care Assessment team, contributing to CHC assessments and DST meetings.
* Liaise with the Housing team(s) to ensure timely management of discharge for homeless patients and to refer for housing input.
* Oversee booking of transport, referrals and other services required to get patients home.
* Communicate in person, via telephone, email and MS Teams, ensuring information is provided and received in line with GDPR and Information Governance.
* Provide presence and support across WICU and Seacole to facilitate safe, timely discharges, including attendance at board rounds to set provisional/planned discharge dates and to identify and resolve barriers.
* Report daily into WICU, Seacole and Home 1stUnplanned Care management on patient discharges.
* Provide information and support to patients, families and staff regarding complex discharges from initial contact to 72 hours post‑discharge.
* Lead and/or participate in MDT meetings, discharge planning, professional and best‑interest meetings to support patient discharge.
* Work alongside other team members to promote WICU and Seacole’s role in discharge planning, educating and empowering other professionals.
* Work with the MDT to implement discharge requirements for each patient upon admission to the ward and to ensure early referrals.
* Record all patient information in the electronic patient records.
* Maintain accountability to your professional organisation, collaborating with health, social care and voluntary community and social sector professionals to ensure safe, seamless discharges.
* Adhere to the clinical governance systems within the Trust, continually improving the quality of patient care.
* Participate in the development and delivery of training and education to enhance the knowledge, skills and behaviours of other professionals.
* Ensure patient communication remains integral, asking what they require on discharge and keeping them updated of discharge plans.
* Maintain good working relationships with other health and social care professionals, including VCSE, to promote collaborative working.
* Contribute to daily and national discharge sitrep data by updating board round proforma, Length of Stay application and generating appropriate data reports.
* Participate in own supervision and supervision of others at least once every eight weeks.
Qualifications & Attributes
* Professional registration (e.g., NMC, HCPC) with significant experience in complex discharge management.
* A vision to improve the experience of service users as they transition home.
* A capable practitioner who can work clinically, travel between sites and attend meetings essential for flow and discharge planning.
* An excellent communicator and patient advocate who can work with service users, their families, carers, MDT and MK System Partners.
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