To support Acute wards, CRHT and CMHT from point of admission to discharge, in terms of identifying and collaborating with other disciplines, patient and carer. To act as a point of contact on the acute wards, in order to provide an up to date summary or overview of the current situation on each patient. Ensure effective multidisciplinary planning is integral to care management throughout admission and discharge process is responsive to needs of service user and carers. Formulating Discharge Care plans with patients.
Arranging & chairing best interest meetings. Completing 117 documentation. To identify any blocks to discharge and work closely with those involved to find a resolution. To ensure that onward referrals (CMHT, SW, IMPACT, CCG, etc.) are completed in a timely and efficient manner.
To work alongside and support the names nurse where no current care co-ordinator is involved. Attend appropriate meetings; including Morning Meetings, Ward Rounds, Inpatient Pathway meetings, huddles, bed management meetings, CTRs. Maintain accurate and comprehensive documentation and patient records either written or IT based in line with both Trust policy and NMC guidelines. Demonstrate a knowledge of information governance and the need to protect patient confidential information.
Participate in regular management and clinical supervision. Identify personal educational needs which consolidate own learning from point of registration. Apply the principles of reflective practice to enhance performance and contribute to ongoing learning. Identify additional knowledge and skills to perform existing and emerging role.
Produce a personal development plan which strengthens their competence to deliver safe nursing practice reflecting current job requirements. Complete mentor training in accordance with the assessment and learning in practice standard (NMC) and fulfil the appropriate responsibilities to support learners in practice

Please refer the Job description for details