Job summaryThis is an exciting opportunity to join the Integrated Discharge Service(IDS) based at North Bristol NHS Trust and be a pivotal role in supporting the development of the Transfer of Care Hub.The post holder will be either a Registered Nurse, Therapist, Paramedic or Social worker and will focus on enhancing the patient, carer, and family experience around being discharged from hospital. You will play a crucial role in ensuring that there are enough beds for patients that need them, and that the flow of bed availability is maintained.This post will require you to work with a wide range of professionals from the health and social care system so you will need to be a confident communicator and bring with you a sound knowledge of complex discharge processes, although you will be supported to increase this knowledge to the level required for this post. You will have had experience of supervising and supporting team members (or the skills to do so if you haven't previously had the opportunity) and you will have been involved in or have led change within a pressurised environmentMain duties of the jobThe post requires an individual with the ability to work in the area of managing of complex discharge processes and a commitment to the further development of this essential service.You will be a lead in:Championing the Home First ethos- 'There's no place like Home'Facilitating timely and appropriate discharges- enhancing the patient and staff experienceHolding early discharge conversations and driving quality board roundsDriving 'flow'- ensuring beds are available for people that need them by delivering timely dischargesBringing discharge expertise to conversations with patients, families and staff- including supporting Managing Expectations proceduresApplicants will need to be able to demonstrate effective communication skills with an ability to 'think laterally' and problem solve complex situations, focusing on how best to meet the needs of the individual.You will be a role model for the Integrated Discharge Service and Transfer of Care Hub both within the organisation and the wider systemAbout usNBT 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.Job descriptionJob responsibilitiesTo drive and deliver consistently high-quality Board Rounds on every ward, every day by providing coaching and mentoring to the ward MDT- assist with allocation of actions, holding individuals to accountTo be responsible for supporting early discharge conversations for every patient to ensure discharge from the hospital at the earlier opportunity and to ensure that families are engaged, along with the patient, in the process (when appropriate)To promote the effective completion of the Transfer of Care document for people with complex needs to ensure their needs are clearly described and identifiedTo adopt and champion a Home First approach to dischargeTo facilitate and deliver discharges for people with complex needs in a safe, timely and appropriate mannerTo provide an expert resource on all aspects discharge processes & community service provision to the MDTTo work with colleagues to develop High Impact User plans for patients identified as high risk of repeat admissions with long length of stayTo hold work with partners to support a caseload of highly complex individuals whose discharge may not be facilitated through the Community Transfer of Care hub. For example:Homeless people with no health or care needsSelf- funded patientsCHC/Fast TrackComplex mental health needs or people with a Learning DisabilityLocal areas not covered by Community Transfer of care HubCoordination of off -site bed bases such as NBT NWBTo work collaboratively with Ward leads to implement and embed the Managing Expectations protocol on an individual basis, escalating to organisational leads appropriately where there is no resolution within an agreed time frame.To coordinate multi-professional care planning processes & meetings for highly complex patients with multiagency involvement, ensuring actions are identified and completed within an agreed time frame.To undertake training and development of new staff members & students through Trust and local induction processes around effective assessment of patient needsTo escalate any concerns to the IDS Operational Leads in an appropriate timescale, whilst maintaining professional autonomyTo be able to confidently advise on criteria and relevant processes for:DOLs procedureCHC and CHC Fast TrackMental Capacity AssessmentMental Health ActSafeguardingApplication of ConsentReferral processes including Out of Area ServicesTo support the wards in the process for restart of a Package of Care, ensuring the needs of the patient will be met and advising where a new referral may be required.To implement the BNSSG operational standards accurately and effectively ensuring codes are correctly recorded and therefore reflect an actual level of delay, and reporting identified trends to relevant heads of service.To facilitate actions for admission avoidance and proactively manage readmissions, as per the BNSSG-wide proceduresTo actively challenge and prevent the cancellation of any discharge, ensuring colleagues understand the risks of a person remaining in hospital longer than they need toTo liaise, promote the use of and develop effective working relationships with a range of providers including care providers, 3rd sector services, housing, out of area Health and Social Care services, Drugs and Alcohol service etc- this will be enhanced through the creation of the Transfer of Care HubTo provide a 7-day service, liaising effectively with ward leads, particularly in times of escalation in the TrustTo use specialist knowledge and experience to support the implementation of NBT policies and procedures to facilitate dischargesTo support and actively engage in the maintenance of accurate documentation within IDS such as discharge forecasting, stranded patient reviews and outlier progressTo work within clusters providing support & supervision to other IDS team members to provide a self-supporting & resilient serviceTo assist in the investigation and resolution of discharge related complaints and implement areas of learning that are identified to improve service provisionCommunication and Information:To use excellent communication skills to collaborate within the IDS team and with partners within the Transfer of Care Hub to secure timely and safe dischargesTo adopt a professional manner in all verbal and other communication with partners and with patients, especially when sharing difficult, complex or emotive information e.g. when managing expectationsPerson SpecificationPerson SpecificationEssentialQualified Health or Social CareCurrent Professional Registration with relevant professional body e.g. HCPC, NMCMinimum of 2 years post-graduate experienceExperience of supporting complex discharges from a health care settingEvidence of recent Continuing Professional Development in the area of supporting complex patientsDesirableExperience of managing complex discharges in an acute settingExperience of working in an Integrated Discharge TeamExpert knowledge of the management of complex dischargesDisclosure and Barring Service CheckThis post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.Certificate of SponsorshipApplications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).UK RegistrationApplicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).Employer detailsEmployer nameNorth Bristol NHS TrustAddressBrunel Building, Southmead HospitalBristolBS10 5NBEmployer's websitehttps://www.nbt.nhs.uk (Opens in a new tab)