Job overview
Discharging an individual on to the right care pathway when they no longer need to remain in a hospital or community bed requires a whole system approach. Every local health and care system has a Care Transfer Hub where (physically and virtually) relevant community services across sectors (e.g. health, social care, housing, voluntary sector) are linked together.
The hub coordinates care for people who require care and support after discharge from hospital, and any support for unpaid carers providing care. This covers any patient discharged from hospital or community beds regardless of the area they are resident in.
The hub is staffed by a small team, dedicated to ensuring people are discharged from hospital on the right pathways, with the right discharge information, and that they get the right onward care and support if needed. Decisions about what long-term support package is needed should not be taken in hospital wards.
The hub provides a single point of contact for professionals and families/carers in relation to discharge planning and delivery.
The hub operates 7 days a week, 364 days per year ensuring that discharges are timely.
The hub supports safe discharges through close working with the acute and community wards, quality assurance of information and practical support, including proactive early identification of those who may become ready for discharge, supporting planning as early as possible following admission.
Main duties of the job
To facilitate effective discharge practice by providing support and expert nursing advice to STH, SCC, patients and their carers. Supporting Nurses, Therapist, Admins and Discharge Navigators directly to plan for safe timely discharge.
To work closely with the other professional leads in the Hub to identify and mitigate risks to service delivery. To work effectively together in the interests of the patient.
Provide operational support and leadership to all Care Transfer Hub staff.
Provide clinical support and leadership to the Registered Nursing Care Transfer Hub Workforce.
To deputise for the Care Transfer Hub Manager (Physical).
To support the Care Transfer Hub, implement any operational changes to the service.
To support the Care Transfer Hub Manager (Physical) in prioritising workload and allocating team members and resources.
To promote the use of digital systems to improve sharing of information between teams (internal and external).
Attend board rounds to understand patient needs and champion the “Home First” approach.
To lead multidisciplinary team (MDT) meetings to unblock problems and keep the team on track with focus on where possible getting the patient home, reducing delays in the transfer of care to improve the patient outcomes.
Promote the "Discharge to Assess" model in all patient interactions and MDT discussions and always think why not home, why not today.
Working for our organisation
You will be working for an organisation which values and respects all of its staff and the community it serves. The Trust is a leader in the NHS and research sectors and provides excellent benefits for its employees. This includes commitments to professional development but also many policies to support employees in balancing their personal and professional lives.
The objective for the team is to lead discharge planning for patients leaving hospital on all pathways and ensuring that as many patients as possible get the support they need to go home. The Care Transfer Hub should be involved with complex patient discharge from early in admission to plan for and mitigate problems.
Detailed job description and main responsibilities
Please view the attached Job Description and Person Specification documents for full details regarding this post.
When completing your application please ensure that you clearly demonstrate how you meet the role criteria.
Person specification
Educational and Qualifications
Essential criteria
1. First level Registered General Nurse (with valid NMC registration
2. Recognised leadership/ management qualification
3. Masters in a health-related subject or currently working towards
4. Commitment and evidence of ongoing professional development
5. To have completed the national programme for practice assessors or equivalent teaching and assessing qualification for those with ENB998
Experience
Essential criteria
6. Extensive post registration experience as a senior nurse including leading and managing wards/services.
7. Experience of working in a senior leadership role managing staff and HR issues. This includes roster approval and managing roster budget, managing attendance and other complex HR issues, recruitment and selection, and managing complex change initiatives.
8. Experience of managing high quality patient centred services and working as part of an MDT to deliver the service
9. Experience and understanding of the complexity of managing services across statutory and non-statutory boundaries
10. Proven change management experience and implementing strategic change
11. Demonstrate experience of leading in audits, evaluation and producing reports.
Desirable criteria
12. Experience of managing a multi-disciplinary workforce
13. Experience of managing complex projects/programmes
14. Community based working experience
Skills and Knowledge
Essential criteria
15. Comprehensive understanding system discharge and working across boundaries of organisations
16. Ability to work under pressure and meet competing deadlines
17. Ability to contribute effectively to the system wide strategic discharge vision
18. IT skills including DATIX and knowledge of Microsoft software packages.
19. Ability to analyse activity/financial data.
Desirable criteria
20. Experience of strategic development and understanding the effects of implementation/evaluation and review.
21. Knowledge of current local and national policies relating to discharge
Personal Qualities
Essential criteria
22. Highly motivated and passionate about discharge and the delivery of patient centred care
23. A confident and competent decision maker with the ability to work autonomously and as part wider system wide MDT team
24. Assertive and confident with evidence of effective communication and interpersonal skills
Please note that in order to comply with the UK Government’s rules on Skilled Worker sponsorship, any applicants who do not meet the eligibility requirements or concessions on salary thresholds under the Skilled Worker visa will not be eligible to receive sponsorship from the Trust. Please keep this in mind when submitting your application. Further details on these concessions, and who qualifies for them, can be found here.
Candidates are advised to read the attached guidance on using AI technology. When you complete your application, you are required to declare that the information in your application form is true and complete. The personal statement is exactly that; personal.
When selecting to apply via NHS Jobs, you will be redirected to our preferred recruitment system called Trac. You will be asked to create and submit your application via the Trac recruitment system.
You will not be able to track the progress of your application or receive messages through the NHS Jobs website, and furthermore, as an employer, we will not be able to respond to any e-mails sent to us via the NHS Jobs website. All communications should be sent via your Trac system account.
If you are offered employment at Sheffield Teaching Hospitals your information will be transferred from the Trac recruitment system into the national NHS Electronic Staff Records system. In addition, in submitting an application form, you authorise our Trust to confirm any previous NHS service details via the ESR IAT process should you be appointed.
Please note, all communication regarding your application will be made via email sent via the Trac recruitment system, please ensure you check your junk/spam folders as emails are sometimes filtered there.
The Trust is committed to its obligations in accordance with the Equality Act 2010, and we positively encourage applications from all sections of the community. Should you require any assistance in applying for the position please contact the General or Medical Human Resources Departments on the number identified on the NHS Jobs page for the organisation.
Job Share applicants are welcome for all full time posts unless indicated but cannot be guaranteed. In addition for Fixed Term Contracts, internal secondments may be considered, please seek the approval of your current line manager before applying for the position.
All employment with the Trust is subject to a number of NHS Employment Checks being met to a satisfactory standard including verification of identity, eligibility to work in the United Kingdom, references and qualifications in addition to professional registration, a disclosure and barring records check and occupational health check if these are deemed to be a requirement for the position to be undertaken.
For more information about our organisation and the opportunities available, please visit our website and follow us on Twitter and Facebook
Employer certification / accreditation badges
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
25. Job Description (PDF, 405.4KB)
26. Person Specification (PDF, 272.6KB)
27. Candidate Application Best Practice Guide - please read before completing your application (PDF, 236.3KB)
28. Information for Candidates (PDF, 496.3KB)
29. Getting to Work at Sheffield Teaching Hospitals (PDF, 501.0KB)
30. Applicants - How We Use Your Information (PDF, 87.4KB)
31. Policy Statement on the Recruitment of Ex-Offenders (PDF, 124.0KB)
32. Staff Benefits (PDF, 2.7MB)
33. A Guide to Using Artificial Intelligence and With Your Personal Statement (PDF, 163.6KB)
Apply online now
Further details / informal visits contact
NameGina GavelleJob titleCare Transfer Hub ManagerEmail addressGeorgina.gavelle@nhs.netTelephone number01143052300