Discharge Care Co-Ordinator

at  Frimley Health NHS Foundation Trust

The post-holder will need to be prepared to work flexibly across 7 days and early and late shift patterns covering 8am to 8pm, across Frimley Health Foundation Trust.
The role is ward based on a named ward or wards but the post-holder will be required to provide flexible cover at times of service pressure to other wards and departments in Wexham Park Hospital to Heatherwood and Frimley hospital.
The post-holder will be expected to have a current knowledge of the discharge planning arrangements for all patients on the ward at that time.
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.
Frimley Health NHS Foundation Trust provides NHS hospital services for around 900,000 people across Berkshire, Hampshire, Surrey and south Buckinghamshire.
As well as delivering excellent general hospital services to local people, we provide specialist heart attack, vascular, stroke, spinal, cystic fibrosis and plastic surgery services across a much wider area.
We have three main hospitals - Frimley Park in Frimley near Camberley, Heatherwood in Ascot and Wexham Park near Slough.
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 .
We are also proud to host the Defence Medical Group South East at Frimley Park with military surgical, medical and nursing personnel working alongside the hospital’s NHS staff providing care to patients in all specialties
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

Please refer the Job description for details