Sirona care & health
Community Transfer of Care Hub Case Manager - North Somerset
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Are you a Nurse, Therapist or Paramedic passionate about supporting people to return to their own homes following acute illness or injury?
Bristol NHS Foundation Trust have a Transfer of Care Hub at Weston General Hospital where the aim is to support patients with discharge planning from admission through leaving hospital and into the community. The Transfer of Care Hub brings together the Acute Trust, Community Partners (Sirona), Local Authorities and Voluntary Sector colleagues across BNSSG to support complex discharge planning.
Sirona Community Transfer of Care Hub (CToCH) are the community experts in discharge planning working together with the Transfer of Care Hub partners to navigate patients to the most appropriate community discharge pathway.
Responsibilities
- Be a key member of the multi-disciplinary team, responsible for providing person-centred, holistic assessment to facilitate discharge from the acute hospitals to the right discharge pathway.
- Responsible for triaging referrals received by CToCH. This may include liaising with the patient, family/carers and ward staff to identify the most appropriate discharge pathway.
- Support the CToCH to discuss complex cases with all partners in the Transfer of Care Hub to agree a joint action and discharge plan.
- To utilise multi-disciplinary assessment skills, supported by sound clinical reasoning to facilitate timely hospital discharge to the most appropriate environment.
- To be able to effectively triage and prioritise a large caseload and be able to adjust daily work plan in response to system-wide pressures and escalation. Pro-actively optimising the usage of community capacity on a daily basis.
- High level of problem-solving required, gathering information from a range of sources, using professional experience and clinical knowledge to inform decision making. This includes being able to complete mental capacity assessments and make best interest decisions where appropriate.
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Requirements
- Experience working in a community setting
- Understanding of the levels of clinical acuity that can be supported in peoples own homes
- Understanding of rehabilitation pathways, discharge planning and mental capacity issues
- Excellent interpersonal and negotiation skills
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Benefits
- Regular training and supervision
- Involvement in future service developments
- Agenda for Change Salary
- Full NHS benefits
- 27+ days’ annual leave
- Participation in the NHS Pension Scheme
Diversity and Inclusion
We welcome and encourage all applicants. We are committed to having a workforce that reflects the communities we support and are proactively seeking to improve the diversity of our workforce. We know diversity fosters creativity and innovation.
We are committed to equality of opportunity, to being fair and inclusive, and to being a place where all belong. We aim to draw upon the widest possible range of views and experiences to meet the changing needs of our colleagues, partners and communities we serve.
Contact Information
For further details / informal visits contact:
- Name: Juliette Puttick
- Job title: North Somerset CToCH Operational Lead
- Email address: Juliette.puttick2@nhs.net
- Telephone number: 07929748398
Interested? View our benefits leaflet which you can find attached to this vacancy.
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