Integrated Transfer of Care Co-ordinator
New and exciting post! Are you caring and compassionate in nature and a natural problem solver motivated by making a difference to people's lives? Are you resilient, organised, and creative with a passion to think differently to overcome complex issues?
ECCH is proud to be partnering with our local ICS to introduce a new Transfer of Care Co-ordinator role in our Transfer of Care team.
The Co-ordinator will need a range of experience, which may include hands-on care or similar experience in a Health and Social Care setting. The primary requirement is a passion for providing effective support to ensure individuals receive the best care.
You will enjoy learning from colleagues and supporting people to access the right care, at the right time and in the right place.
As the co-ordinator, you will be at the heart of the team, supporting team members to be efficient, effective, and to achieve the best results for the people within the service.
If you are the person described above and are excited about career development, we want to hear from you!
Main duties of the job
1. Work closely with system partners from the ICB, ECCH, JPUH, SCC, and NCC to represent the five organisations working collaboratively on behalf of the GYW place.
2. Support safe transfers of care for patients in the Great Yarmouth and Waveney Locality (East Place).
3. Use the Home First ethos and effective communication to promote community patient flow with system partners.
4. Coordinate incoming referrals for community hospital beds and care, liaising with patients, families, primary care, and social care teams to transfer care appropriately.
5. Chair daily reviews of patients and contribute to daily board rounds for East Place Beds with Care, taking action to prevent delays and escalate concerns.
6. Support the operation of the service which runs 7 days a week, with shifts as required.
About us
ECCH is a well-established healthcare provider delivering NHS care within the community since 2011. We offer a range of NHS, community health, and social care services across the Norfolk/Suffolk border region.
We align with NHS terms and conditions and offer many employee benefits. Visit our website - www.ecch.org - to learn more. We are a staff-owned social enterprise, allowing staff to be shareholders and have a say in our future.
We aim to be the provider and employer of choice for community healthcare, working in partnership with the community.
Apply early as the role may close before the deadline once enough applications are received.
Job responsibilities
1. Communication: Review referrals for appropriateness, ensure all relevant information is complete, and signpost as needed. Interpret sensitive information and document accurately. Maintain effective relationships with multidisciplinary teams. Manage patient information and referral assessments. Understand transfer pathways and criteria. Liaise with operational hubs, social care, voluntary services, housing, and charities. Maximise patient flow and bed capacity. Participate in daily system calls and meetings. Support evidence for CQC standards. Manage patient flow from acute to community.
2. Professional: Review hospital waiting lists for appropriate referrals. Analyze dashboard data for trends. Develop effective relationships with system partners. Provide timely referral information. Facilitate early transfer of care. Work flexibly to meet demands. Act as a resource and role model. Demonstrate knowledge of relevant legislation. Use decision-making and problem-solving skills. Support process and policy development. Contribute to financial and resource efficiency.
Values and Behaviours
All staff should demonstrate our core values: CARE — Compassion, Action, Respect, Everyone — and our signature behaviours which include listening, accountability, respecting resources, and working together.
Person Specification
Personal Attributes
* Ability to work independently and as part of a team
* Excellent time management, punctuality, and reliability
* Remain effective under pressure and use initiative
* Contribute to development and maintain confidentiality
* Willingness to work across sites and travel as required
Qualifications
* NVQ Level 4 in health and social care or equivalent
* ILM Level 3
Experience
* Experience in hospital and community multidisciplinary settings
* Experience in developing and implementing processes
* Knowledge of patient flow, The Care Act 2014, and NHS CHC
Skills and Knowledge
* Interpret complex patient information with sensitivity
* Diplomacy, teamwork, and ICT skills
* Attention to detail and documentation skills
* Analytical and problem-solving abilities
* Prioritization and workload management
* Assertiveness and conflict management skills
Disclosure and Barring Service Check
This role is subject to a DBS check as per the Rehabilitation of Offenders Act 1975.
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