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Job overview
Join the Integrated Discharge Service (IDS) at North Bristol NHS Trust and play a key clinical leadership role in supporting safe, timely and person‑centred discharges for patients with complex needs. As a Band 6 Case Manager, you will use your professional expertise to guide multidisciplinary teams, support complex decision-making and ensure patients leave hospital safely, in the right way and at the right time.
You will be a registered health or social care professional bringing strong assessment skills, sound clinical judgement and a passion for improving patient experience. You’ll work closely with ward teams, the Transfer of Care Hub and partners across BNSSG, offering expert advice on discharge processes and supporting colleagues through real‑time coaching, supervision and leadership.
If you thrive in a fast‑paced environment, enjoy solving complex challenges and want to make a meaningful impact for patients with multifaceted needs, this senior role offers both autonomy and development within a supportive team.
Main duties of the job
In this role, you will:
1. Lead and influence high‑quality board rounds, providing expert clinical guidance, coaching ward teams and driving timely discharge decision‑making.
2. Coordinate and manage complex discharges, including patients with homelessness, NRPF, mental health needs, CHC/Fast Track cases and out‑of‑area placements.
3. Champion ‘Home First’ principles, promoting safe, appropriate and timely discharges and reducing avoidable delays.
4. Support and supervise IDS Coordinators, providing clinical oversight, coaching and guidance within your cluster team.
5. Use expert communication and problem‑solving skills to navigate complex situations, resolve barriers and support patients and families through challenging conversations.
6. Build effective partnerships with community services, social care, voluntary sector organisations and the Transfer of Care Hub to ensure joined‑up discharge planning.
Applicants should bring strong clinical assessment skills, confidence managing complex and emotive situations, and the ability to lead others in a dynamic hospital environment.
Working for our organisation
NBT Cares. It’s a very simple statement; one which epitomises how everybody across our organisation goes the extra mile to ensure our patients get the best possible care.
NBT Cares is also an acronym, standing for caring, ambitious, respectful and supportive – our organisational values.
And our NBT Cares values are underpinned by our positive behaviours framework – a framework that provides clear guidance on how colleagues can work with one another in a constructive and supportive way.
Detailed job description and main responsibilities
As a senior clinician within IDS, you will:
Clinical Leadership & Board Round Excellence:
7. Lead daily board rounds on allocated wards, coaching MDT colleagues and acting as the expert point of escalation for complex discharge queries.
8. Support early discharge conversations with patients and families, ensuring clear, person‑centred planning.
9. Lead post‑board huddles, allocating actions and providing real‑time supervision to Coordinators.
Complex Case Management:
10. Hold a specialist caseload including homeless patients, self‑funders, CHC/Fast Track cases, mental health and learning disability cases, NRPF, and out‑of‑area discharges.
11. Undertake comprehensive clinical assessments, including mental capacity assessments and contributions to Best Interest Decisions.
12. Coordinate multi‑agency planning meetings and develop High Impact User plans for patients with recurring or prolonged stays.
Cluster Team Supervision & Professional Support:
13. Provide clinical supervision, coaching and oversight to IDS Senior Coordinators and Coordinators.
14. Review Transfer of Care documents and ensure quality standards are met.
15. Support performance or capability concerns sensitively and appropriately.
Discharge Flow, Governance & System Standards:
16. Promote accurate Criteria to Reside coding and ensure delays are recorded in line with BNSSG operational standards.
17. Actively challenge inappropriate discharge cancellations and support timely decision-making.
18. Maintain accurate documentation in CareFlow in line with IDS Documentation Standards.
Partnership Working:
19. Work closely with the Community Transfer of Care Hub, social care, Sirona, care providers, housing teams, mental health services and third‑sector organisations.
20. Support the restart or redesign of packages of care and provide expert advice on discharge pathways P0–P3 and Home First approaches.
Training, Development & Service Improvement:
21. Deliver training to new IDS staff and support students through induction and ongoing learning.
22. Participate in audits, quality improvement work, complaint investigations and service development.
Seven‑Day Service:
23. Contribute to the seven‑day working rota, ensuring continuity of complex case management across weekends and bank holidays.
Person specification
Education/Training/Qualifications
Essential criteria
24. Qualified Health or Social Care Practitioner
25. Current professional registration with relevant professional body (. NMC/HCPC)
26. Evidence of Continuing Professional Development undertaken since qualification
Work Experience
Essential criteria
27. Substantial post graduate experience
28. Relevant post registration experience in care of complex patients.
29. Ability to build relationships which support person centred planning, involving the person in all decision making and building on Strengths and capabilities
30. Demonstrate how to prioritise work and manage deadlines for self and others
31. Evidence of partnership working and competence in identifying and maintaining purposeful networks and collaborative arrangements
32. Be a competent practitioner and supervise the actions of others effectively
Desirable criteria
33. Experience of managing complex discharges in a hospital environment
Knowledge/Skills/Abilities
Essential criteria
34. Evidence of managing complex and difficult situations.
35. Experience of timely, effective and safe discharge from an acute trust
36. Inter-disciplinary collaboration within the team and by working across boundaries with other disciplines.
37. Able to assess and analyse a to achieve change in a robust and timely manner
38. IT literate with experience of using wide range of tools
Desirable criteria
39. Knowledge of integrated discharge team
40. specialist knowledge to advise on the management of the discharge process and policy
Personal Qualities/Special Circumstances
Essential criteria
41. Prioritisation of workload with changing priorities
42. Frequently change task and be adaptable to the changing environment/situation in order to deliver workload expectations.
43. Ability to work under pressure and cope with the unexpected, responding calmly to emotive situations and seeking appropriate support and solutions
The successful applicant(s) will normally commence at the minimum of the scale unless they have previous NHS service at the same band. Progression through the scale is by annual increments.
At North Bristol Trust (NBT), we know diverse and inclusive environments lead to happier and healthier teams and improved patient care and outcomes. We are committed to equality of opportunity, to being fair and inclusive, and to being a place where we all belong. We therefore particularly encourage applications from candidates who are currently underrepresented in NBT’s workforce at Band 8a and above. These include people from Black, Asian and minority ethnic backgrounds, disabled people and LGBTQIA+ people.
Please note that stringent pre-employment checks are undertaken on all successful applicants prior to commencement in post.
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.
Application numbers
Our job adverts may close as soon as sufficient applications have been received. Considering this, if you are interested in this role, please do apply as soon as you can.