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Transfer of care navigator

London
Guy's and St Thomas' NHS Foundation Trust
Care navigator
Posted: 15 August
Offer description

Job overview

Transfer of Care Navigator - Alan apley Ward and Nightingale ward

This role is being implemented to ensure a safe and timely discharge of all our patients on Nightingale and Alan apley wards.

Our specialist patients have undergone extensive Surgery and or will have complex social backgrounds.

A key aspect of this role will be effective communication with our on site and community colleagues to ensure safe and supported discharged for all our patients.

The successful candidate will need to be efficient and able to work well independently. They will take accountability for ensuring all patient discharges are completed in a safe and timely manner. You will be expected to actively participate in multidisciplinary meetings and board rounds, passionately advocating for our patients. They will need to be confident in escalating any concerns early and ensuring patients, their families and carers are involved in all aspects of the discharge planning process.

Main duties of the job

1. To risk assess and identify complex discharges on admission, and in collaboration with the multidisciplinary team set discharge dates to assist the Trust in meeting it’s NHS access targets.
2. To work in collaboration with a dedicated multidisciplinary team, Social Services and other relevant personnel in both the hospital and community to plan and manage timely and appropriate transfers of care (discharge) for patients from the hospital.
3. To work across both Wards on a daily basis, to negotiate and organise transfer of care arrangements for patients and prioritise work load
4. Act as an advocate for patients discharge, to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant guidelines.
5. Ensure that patients’ receive high quality clinical care and have a positive patient experience, having regard for their customs, religious beliefs and doctrines.
6. Attend and participate in multi-professional team meetings to facilitate safe discharges.

Working for our organisation

Working at GSTT you will be fully supported in your role,

Guy’s and St Thomas’ NHS Foundation Trust comprises five of the UK’s best known hospitals – Guy’s, St Thomas’, Evelina London Children’s
Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high quality care,
clinical excellence, research and innovation.


We are among the UK’s busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer, GI surgery and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.


We have a long tradition of clinical and scientific achievement and – as part of King’s Health Partners – we are one of England’s eight academic
health sciences centres, bringing together world-class clinical services, teaching and research.

Detailed job description and main responsibilities

The successful candidate will be expected to have outstanding communication skills as they will need to communicate frequently with community services including district nurses, social services and the discharge hub as well as being a fast learner to this unique role.

A key part of this role is ensuring appropriate referrals have been completed and confirmed prior to the patients being discharged.

Person specification

Skills/Knowledge/Ability

Essential criteria

7. Excellent communication and interpersonal skills
8. Ability to work both under own initiative and as part of a team
9. Well developed organisational skills
10. Good time management skills
11. High standard IT skills with the ability to input and retrieve information with accurate data entry
12. Accurate and effective written skills

Previous Experience

Essential criteria

13. A commitment to a high standard of service
14. Previous experience of working in a customer-focused, patient-focused, service-industry or social-service, area

Desirable criteria

15. Previous experience in transfer of care/discharge management/bereavement process/social services liaison.
16. Several years of experience in a healthcare environment

Qualifications/Education

Essential criteria

17. Good basic education to State Diploma/NVQ Level 3 or equivalent experience or qualifications

Guy’s and St Thomas’ celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study’s at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity, gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.

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