Discharge Facilitator Integrated Complex Assessment Team

at  Midlands Partnership University NHS Foundation Trust

The integrated Complex Assessment team is responsible for assessing and tracking patients requiring a discharge to assess (D2A) bed based service within a timely manner in a non-acute setting.
The post holder will based in the community care homes where Midlands Partnership Foundation Trust commission Discharge to assess beds
The Post holder will work closely with multi-disciplinary teams under the direction of the Patient Flow Team. Gathering and recording information to enable accurate and individualised patient assessments to facilitate timely discharge of patients to their own home or an alternative care facility. The post holder will be responsible for the clerical coordination of the discharge process from the point of admission until discharge whilst building robust relationships with patient’s families and the multi-disciplinary team
The post holder will be required to effectively provide support to assist in the delivery of safe and effective patient transfer and tracking within Discharge to Assess Services whilst gathering and collating collateral histories and information regarding current care needs.
The Discharge Facilitator will attend Multi-Disciplinary meetings, sharing and recording information to enable accurate assessment and robust flow through the D2A beds escalating any blocks or issues to the Flow Co Coordinator.
The post holder should be able to prioritise their own workload to ensure effectiveness and efficiency in delivering objectives whilst working under the supervision of the Flow Team. Being proactive and able to demonstrate good organisational skills and excellent communication skills both in verbal and written correspondence.
The role will involve close working with health and social care staff and an understanding of community Home First services alongside knowledge of the Care Act 2014 and the principles of Discharge to Assess (D2A) would be desirable
By joining Team MPFT, you will be helping your communities and in return for this, we will support you by;
Supporting your career development and progression
Excellent NHS Pension scheme
Generous maternity, paternity and adoption leave
Options for flexible working
Up to 27 days annual leave (increasing with service up to 33 days) and the opportunity to purchase additional leave
Extensive Health and Wellbeing support and resources
If you work in our community teams, we pay for your time travelling between patients
Lease car if you complete more than 500 business miles per annum, fully insured and maintained (including tyres), mileage paid at lease car rate
Salary sacrifice car - fully insured and maintained (including tyres), your gross pay is reduced by the cost of the vehicle before tax, NI and pension deductions are calculated, mileage paid at business rates
Salary sacrifice bikes up to £2k
Free car parking at all trust sites
Free flu vaccinations every year
Citizens Advice support linked with a Hardship Fund for one off additional support up to £250 (if the criteria is met)
And more. We are proud to be a diverse and inclusive organisation and there is a choice of staff networks that help you meet like-minded people.
To effectively track the patients journey from admission to discharge in a timely manner using in house IT system CDS
To attend Multi-Disciplinary/ Best Interest meetings to track and update patient journeys which may involve some travelling across the D2A footprint to assist with the flow of patients through the service.
Follow-up any outstanding professional actions identified in the Multi- Disciplinary Team meeting/ with the appropriate professional/services and establish timescale for completion ensuring CDS is kept accurate.
Liaison with families and professionals including external agencies to provide timely updates and discharges including the booking of transport.
Monitoring the progress of ongoing referrals and assessments escalating any issues to the Patient Flow Coordinator
Reporting of planned discharges to internal teams to facilitate timely admissions and discharges from acute settings
Develop and manage strong relationships with all partners and colleagues to support timely updates and flow through discharge to assess beds.
To be able to work closely and at pace, assisting other members of the team to meet deadlines, sharing workload and providing cover for absences where necessary, attending meetings and updating CDS.
Flexible approach – demonstrating ability to respond positively to changes in allocation of work at short notice to set deadlines.
Systems and equipment
Update and maintain accurate information within shared local health economy patient tracking systems.
Ensures data and reporting information is presented in a timely manner as required by keeping CDS system updated, adding and discharging patients, uploading documents, ensuring data system is accurate for reporting needs.
Use of Excel, Office and Teams
Maintains confidentiality in line with MPFT policies and procedures
Supports the recording of incidents, safeguarding via MPFT system
Decisions and judgements
Able to work on your own initiative with supervision, prioritising workload to ensure effectiveness and efficiency in delivering objectives escalating delays and issues when needed.
Communication and relationships
Adapting communication styles to suit audience with varying cognitive impairments, adhering to trust values using care and compassionwhen providing and receiving information with both colleagues and patients.
Develop and maintain strong relationships with all partners and members of the clinical triage team to support discharge and admission avoidance as the service dictates using verbal and written skills.
Manage relationships with and work alongside all partners associated with the Integrated Complex assessment team, the Post holder will be expected to be professional and Respectful working within the trust values.
To assist with the induction of new staff and support with all training needs
Physical demands of the job
Occasional exposure to distressing or emotional circumstances.
Frequent requirement for long periods of concentration, with frequent interruption
Work on a rota basis to meet service needs
Frequent use of a Telephone, VDU and keyboard.
Frequent requirement for sitting for long periods of tim

Please refer the Job description for details