Job Overview We are seeking an organised, proactive, and patient-centred Discharge Care Co-Ordinator to join our team at Frimley Health NHS Foundation Trust. This pivotal role supports the safe, timely, and effective discharge of patients from hospital settings. Working closely with the multi-disciplinary team (MDT), the post-holder will co-ordinate discharge planning processes, support communication with families and community services, and ensure discharge arrangements are in place and progressing efficiently. This is a ward-based role, typically assigned to a named ward or group of wards. However, the post-holder will be required to provide cross-site support and flexible cover at times of operational demand, across Wexham Park, Heatherwood, and Frimley Park Hospitals. Main duties of the job As part of an integrated Capacity and Discharge Team to work in partnership with social services and external stake holders, patients and their carers to proactively support and facilitate timely and safe discharge from hospital to home or onward care settings. To provide a single point of contact on a named ward for patients, families, carers and associated people and co-ordinate/contribute to the safe and timely hospital discharge in partnership with other multi-disciplinary colleagues. Maintain momentum of discharge planning throughout the entire process; supporting and working in partnership with other members of the MDT; doctors, nurses, occupational therapists, physiotherapists and other Hospital Assessment and Discharge Team members and constructively challenging where appropriate decisions with regards to discharge planning. Working for our organisation Frimley Health NHS Foundation Trust is committed to being an inclusive and disability confident employer and has been awarded the Gold for the Armed Forces Employment Recognition Scheme. We provide first class development opportunities for all staff and have a wide range of professional, management and leadership, and clinical skills training available. Here at Frimley Health NHS Foundation Trust, we know how important it is to have a healthy work life balance; this benefits not only individuals but the patients we care for too. We encourage applications from people who wish to work on a flexible basis, recognising that flexibility may mean a range of different working patterns and hours, we do our utmost to work with our staff to meet their needs and the needs of our service and its users. Frimley Health Trust benefits on Vimeo Detailed Job Description And Main Responsibilities To screen all patients on admission and identify those who will require further social care assessment and input; complete the appropriate referral documentation and/or input directly to the relevant IT system to activate a referral or re-referral. To undertake baseline assessment in partnership with other members of the MDT, the patient and their carer and commission simple services on behalf of the patient and/or their carer. To promote the delivery of personalised care within the acute environment, promoting independence and enabling the individual to take control of their life. For more information please see the attached job description and person specification. Person specification Qualifications Essential criteria Evidence of current CPD including evidence of recent study at least to NVQ Level 3 NVQ 3 & GCSC Willingness and commitment to complete NVQ Level 4 in Health and Social Care within 2 years of appointment Experience Essential criteria Recent experience of working in a health or social care setting Experience of adapting own approach to engage with service users with a wide variety of needs Experience of working with service users with a wide range of disabilities and clinical conditions Desirable criteria Experience as a HSCC or CCW (or comparable health role) Experience of previous hospital or community working Experience of completing care plans Experience of teaching/training Skills & Knowledge Essential criteria Experience of health and/or social care IT systems Experience completing patient related documentation Knowledge of Single Assessment Processes (SAP) and documentation Knowledge of targets and performance indicators affecting health and social care organisations Desirable criteria Knowledge of legislation and policy that has shaped current health and social care provision e.g. Community Care Act; Disability discrimination Act; Your health Your Care Your Say Frimley Health NHS Foundation Trust (FHFT) has an outstanding reputation and a proud record of achievement. As a well performing, well led and ambitious Foundation Trust, we have exciting times ahead of us. We have an ongoing commitment to improving the health and care services for the 900,000 people we serve across Berkshire, Hampshire, Surrey and south Buckinghamshire. We are proud of the ambitions laid out in our strategy, Our Future FHFT, including our vision to be a leader in health & wellbeing, delivering excellence for our communities. We continue to invest in our services and facilities, including a £10 million upgrade to the hospital maternity unit as well as £49m major new Emergency Assessment Centre on our Wexham Park site. The opening of a brand new £100m state of the art hospital which replaced the existing hospital facility at Heatherwood and are planning to invest further in diagnostics and inpatient capacity at Frimley Park. We have also made significant investment in our quality improvement and digital programmes to support our vision and we will ensure that we achieve our aim of providing the highest quality healthcare to our patients. Our new EPR – Epic – went live in June and we are already beginning to reap the benefits of this ambitious investment. Our three core values, and the behaviours that support them, guide everything we do and set out what we expect of our staff in the way they treat patients, visitors, service users and each other, Committed to Excellence, Working Together and Facing the Future. Apply online now