Job overview This is an exciting opportunity for a Complex Discharge Facilitator to join the Complex Discharge on its mission, to support the wards delivering safe, timely and effective discharge for our patients and work collaboratively with the MDT reducing Long Length of Stays in the Acute Hospital. Working within the Integrated Discharge Bureau (IDB) you will be part of a team working to provide support on Complex Discharges to the Trust and providing support to patients, relatives and staff through admission to discharge. Within this team you will have the opportunity to develop working relationships with multiple system partners (Adult Social Care, Central Surrey Health, Continuing Health Care, North West Surrey CCG, Local Councils and others) This is an exciting opportunity for anyone who has worked in a ward area and now wants to develop their skills further by specialising in the Complex Discharge field. This post is 37.5hrs a week covering a 7-day service (including Bank Holidays and Weekends) plus one duty shift a week, which you will work until 6pm. If you are successful, full local induction and adequate training will be provided. For more information or if you would like to organise an informal visit, please contact Catherine Courtney-Grayson Complex Discharge Team Manager on 01932 722578 or [email protected] or Eileen Romero at [email protected], 01932 723969. Advert To support and co-ordinate discharges through the D2A process by multi-agency coordination and working with patients and families to discharge in a timely manner. Responsibility for a cohort of patients along with a discharge co-ordinator and responsibility for co-ordinating their timely discharges. Managing all data and recording of discharge information for a cohort of patients. Offer advice and support to patients and relatives on funding, placements, and care packages. Provide guidance on services to aid in discharge, such as Action for Carers and Home Safe Plus. • With the Discharge Co-ordinator and in their absence, Co-ordinate the discharge of patients engaging the IDB and MDT in any concerns or provision of needs. • To work autonomously within their scope in, providing a comprehensive discharge advice and information to ward staff, patients and relatives. • To identify critical delays in the entire diagnostic, treatment and care processes and be proactive in generating solutions that could be out of the norm that will speed up the process eg: escalating to departments and Manager, thinking of services that can stop gap or be purchased in a different manner and bring to the attention of The Team Leader for consideration. • Cover ward areas as directed by Team Leads or Managers in the absence of other Discharge Team members. • To attend board rounds daily and facilitate meetings with staff around discharge. Working for our organisation Ashford and St. Peters Hospitals NHS Foundation Trust serves a population of more than 410,000 people living in North-West Surrey, parts of Hounslow and beyond. Over 3,700 highly trained doctors, nurses, midwives, therapists, healthcare scientists and other support staff make up our workforce, providing a wide range of services across our two hospital sites, Ashford, Surrey and St Peter's, Chertsey, Surrey. We also run many specialist clinics in the community and local community hospitals and other healthcare facilities. Our vision is to be one of the best healthcare Trusts in the country. There has never been a better time to join us in the NHS at ASPH. We are committed to providing continuous professional development and flexibility to shape our workforce around our patient care. We are expanding our theatres at Ashford Hospital and moving towards this becoming our dedicated elective centre. We want to create a state-of-the-art centre for excellence for planned surgical procedures. We can offer you the full range of NHS benefits/discounts and in addition: Excellent pension scheme and annual leave entitlement On-site Nurseries On-site staff cafes On-site parking Support in career development Salary Sacrifice schemes including wage stream, lease cars, Cycle to Work schemes and home electronics Adverts may close early, so applicants are encouraged to submit an application as soon as possible. For more information about a career at ASPH please visit: www.asph-careers.org Detailed job description and main responsibilities MAIN DUTIES AND RESPONSIBILITIES OF THE POST: • To support and co-ordinate discharges through the D2A process by multi-agency coordination and working with patients and families to discharge in a timely manner. Responsibility for a cohort of patients along with a discharge co-ordinator and responsibility for co-ordinating their timely discharges. • Managing all data and recording of discharge information for a cohort of patients. • Offer advice and support to patients and relatives on funding, placements, and care packages. Provide guidance on services to aid in discharge, such as Action for Carers and Home Safe Plus. • With the Discharge Co-ordinator and in their absence, Co-ordinate the discharge of patients engaging the IDB and MDT in any concerns or provision of needs. • To work autonomously within their scope in, providing a comprehensive discharge advice and information to ward staff, patients and relatives. • To identify critical delays in the entire diagnostic, treatment and care processes and be proactive in generating solutions that could be out of the norm that will speed up the process eg: escalating to departments and Manager, thinking of services that can stop gap or be purchased in a different manner and bring to the attention of The Team Leader for consideration. • Cover ward areas as directed by Team Leads or Managers in the absence of other Discharge Team members. • To attend board rounds daily and facilitate meetings with staff around discharge. • To follow the Trust’s Discharge Policy and in liaison with Community, Social Services and other healthcare colleagues, to facilitate timely, appropriate and safe discharge of patients to the community. • Ensure patient confidentiality is maintained by keeping all written and electronic documentation complete, accurate, and up-to-date. Handle and share sensitive information strictly on a need-to-know basis. Report any safeguarding concerns and complete Datix incident reports as necessary. • To support multi-disciplinary meetings in response to complex discharges with the goal to resolve any outstanding blocks to a successful discharge. • Assist in identifying patients who meet the criteria for Continuing Health Care, particularly those with high-intensity health needs. Support referrals by helping wards complete Fast Tracks and navigate the referral process. • Identify when there is need to resolve disputes or disagreements around discharge planning or leaving hospital to come to a resolution to avoid delayed discharge, being autonomous in this, escalating any issues unable to resolve to the Complex Discharge Team Managers/ Lead. • Support on any administration roles and rehab roles where required. • To have a knowledge and understanding of Power of Attorney and Court of Protection and how these impacts on patients discharge plans. (Power of Receivership), Mental Capacity Act, Deprivation of Liberty and other legal frameworks. Information and Reporting • Record accurate data entry into IT systems using the correct response times on IP PTL and Cerner • To participate in audit of the effectiveness of discharge planning within the acute Trust and to collect and analyse relevant data as required. • To participate on MFFD calls and the tracking of patients. Staff Training • Facilitate and support Complex Discharge Training and processes for all ward staff, ensuring they are kept informed of any updates and changes. • Arrange shadowing opportunities for new staff and Ward Flow Navigators with the Complex Discharge Team. • Educate and assist ward staff in completing Discharge to Assess (D2A) referrals, including exporting data from Cerner and submitting it to the D2A Duty Triage inbox for review. • Promote adherence to discharge policies and ensure ward staff complete safe discharge checklists on Cerner, with the go-live date to be confirmed. Service Delivery: • Fulfill defined responsibilities across a seven-day period to address the needs of the service, ensuring smooth patient flow and supporting discharges to Community Rehabilitation and Block Contract Beds. • To support the Complex Discharge Team Lead and Divisional Heads of Nursing in maintaining safe discharges. • Keep accurate records for audit purposes and liaise to review feedback by service users to evaluate the effectiveness of the service.