Job summaryThe post holder will assist and provide a proactive and efficient Complex Case Management Service for all adult patients across all ELHT hospital sites. They will provide education and advice to maintain a high standard of discharge planning processes. Ensure and promote the timely access to health and social care resources to enable the safe and effective discharge of patients from hospital. To work in partnership with other interdependent teams and services across the Health and Social Care Economy that are involved in the discharge planning of patients.Main duties of the jobTo provide pro-active and responsive support to the Head of Complex Case Management.Work across all ELHT sites to meet the needs of an efficient Complex Case Management Service.Advise assist and navigate ELHT staff through the discharge planning process to plan and meet future care needs to facilitate a safe and timely discharge from hospital.To have the in-depth knowledge and skills to act as a resource for ward staff at all levels and other multi-disciplinary professionals ensuring there is a consistent and informed approach in relation to effective and timely discharge planning.Provide proactive input to all wards to ensure length of hospital stay is determined by clinical need and not by organisational resources.To promote and maintain effective communication channels between all Health and Social Care departments/agencies in the acute and community settings.Proactively advise and support staff to initiate the early discharge planning of patients with vulnerable/complex needs ensuring appropriate assessments are completed in a timely manner to facilitate discharge.Identify, progress chase and monitor delayed discharges and lost bed days within the patient journey and referrals. In the absence of the Head of Complex Case Manager complete and submit the SitRep for Delayed Transfers of Care when requiredAbout usAt East Lancashire Hospitals NHS Trust our vision is to be widely recognised for providing safe, personal and effective care. We currently provide high quality services and treat over 600,000 people across East Lancashire and the surrounding area. We employ over 9,500 staff, many of whom are internationally renowned and have won awards for their workJob descriptionJob responsibilitiesTo provide pro-active and responsive support to the Head of Complex Case Management.Work across all ELHT sites to meet the needs of an efficient Complex Case Management Service.Advise assist and navigate ELHT staff through the discharge planning process to plan and meet future care needs to facilitate a safe and timely discharge from hospital.To have the in-depth knowledge and skills to act as a resource for ward staff at all levels and other multi-disciplinary professionals ensuring there is a consistent and informed approach in relation to effective and timely discharge planning.Provide proactive input to all wards to ensure length of hospital stay is determined by clinical need and not by organisational resources.To promote and maintain effective communication channels between all Health and Social Care departments/agencies in the acute and community settings.Proactively advise and support staff to initiate the early discharge planning of patients with vulnerable/complex needs ensuring appropriate assessments are completed in a timely manner to facilitate discharge.Identify, progress chase and monitor delayed discharges and lost bed days within the patient journey and referrals. In the absence of the Head of Complex Case Manager complete and submit the SitRep for Delayed Transfers of Care when required.Visit wards on a daily basis, working on own initiative under the direction of the Head of Complex Case Management to ensure discharge planning process commences as soon as possible after admission.Contribute to and lead, where necessary, daily board rounds on wards, encouraging active participation from MDT members.Prioritise own workload to ensure deadlines are met and a quality, responsive service is provided.Identify and discuss any potential discharge problems/delays with ward staff and patient/relatives to resolve issues as soon as possible.Alert the Head of Complex Case Management of any unresolved issues/conflict/barriers preventing resolution.Maintain accurate records and participate in internal or Department of Health audits as required in relation to the discharge planning process.Act in accordance with Code of Professional Conduct and ensure current registration is maintained.Identify patients approaching the end of life and initiate fast track processes to preferred place of care in accordance with The National Framework for NHS CHC.Support and respond to the Trust Escalation Processes, as guided by the Head of Complex Case Management /Head of Clinical Flow and maintain close liaison with Bed Management.Represent the Complex Case Team at bed meetings communicating appropriate and accurate information.Contribute to the maintenance of processes which support The Community Care (Delayed Discharge) Act 2003 and ELHT Patient Discharge Policy.Ensure compliance with other related Trust Policies and Department of Health Legislation with regard to discharge planning processes.Support the Head of Complex Case Management to implement strategies for ward staff and professionals to determine realistic discharge dates for timely and effective discharge planning patient flow.Screen referrals made to the Central Point of Referral in Complex Case Management, signposting to alternative pathways as appropriate to meet identified needs.Screening and tracking of referrals, monitoring assessment and transfer timescales.Maintain databases as required.Maintain accurate record keeping at all times.The post holder will be expected to respond to a bleep/pager within their workload and when on duty (at weekends) will carry a mobile phone.Where specific input has been provided at ward level to influence the discharge plan, a clear plan of action should be documented in the patients case notes.Offer constructive ideas for service improvement and/or working practise to the Head of Complex Case Management as appropriate.Ensure accurate and informed feedback is provided for effective decision making to initiate senior level action.Person SpecificationEssentialEssentialRegistered General Nurse on the NMC register or Social Worker registered on the GSCC or Allied Health Professional on HPC RegisterPost registration study/relevant experience of working across professional boundariesIT skills - experience of Microsoft ExcelEvidence of study at Diploma levelExperience in working with multi-disciplinary teamsA minimum of 12 months experience working in an acute hospital settingKnowledge of the principles of the Delayed Transfer of Care Act (Community Care Act 2003)Knowledge of the NHS Framework for CHCA minimum of 12 months post registration experienceDesirableKnowledge of Intermediate Care PathwaysRecognised Teaching QualificationDisclosure 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 nameEast Lancashire Hospitals NHS TrustAddressFusion HouseBlackburnBB1 2FDEmployer's websitehttp://jobs.elht.nhs.uk/ (Opens in a new tab)