Central and North West London NHS Foundation Trust
Complex Case Discharge Coordinator
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Job Overview
Working as part of a dedicated specialty Older Adult Services. Ensuring patients' admission to hospital is as productive but as short in duration as possible. Focus will be on working with inpatient staff, the patient, and carers, as well as community services across health, housing, and social care to expedite the patients' discharge from hospital. The expectation is that you will support the smooth flow for the patient along the inpatient pathway and the development and execution of a comprehensive discharge plan for people with often complex and diverse mental health and psychological needs.
Main Duties of the Job
- Work as a core member of the Older Adult Inpatient Clinical Team but also develop excellent working relationships with locality-based inpatient MDT's, Crisis Teams, CMHT's, Housing Providers, 3rd Sector and Charitable Organisations, and Adult Social Care Services.
- In conjunction with other professionals, identify current inpatients whose needs could best be met in a lesser restrictive environment, e.g., in their own home with crisis/outreach support, in a respite or 'step-down' facility, or in a residential/nursing care home setting.
- Work to develop comprehensive discharge plans for individuals with complex mental health and psychological needs, whose discharge from hospital could be expedited.
Working for Our Organisation
There’s a place for you at CNWL.
We’re passionate about delivering first-class patient-centred, safe, and effective care, whether it is in a hospital setting, in a community clinic, or in the patient’s own home. Patients are at the heart of everything we do.
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Providing top-quality care depends on our ability to employ the best people.
We’re always looking to recruit outstanding people who will go the extra mile to support our patients, colleagues, teams, and the Trust. With every new employee, we’re hoping to find our future leaders, and we’ll support our staff by providing opportunities to develop your career.
With a diverse culture and an equally diverse range of opportunities across mental health, community services, addictions, eating disorders, learning disabilities, and more—whatever stage of your career you're at, there's always a place for you at CNWL.
Detailed Job Description And Main Responsibilities
Ensuring patients' admission to hospital is as productive but as short in duration as possible. Focus will be on working with inpatient staff, the patient, and carers, as well as community services across health, housing, and social care to expedite the patients' discharge from hospital. The expectation is that you will support the smooth flow for the patient along the inpatient pathway and the development and execution of a comprehensive discharge plan for people with often complex and diverse mental health and psychological needs.
Person Specification
Education & Qualifications
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Essential criteria
- RMN/Diploma/Degree
- Evidence of continued professional development in post-registration qualifications
Desirable criteria
- A post-registration qualification in Older People
- RGN or other qualification in physical health
Experience
Essential criteria
- Post-registration experience in a range of clinical areas.
- Experience of working as a member of a Multi-disciplinary team
Desirable criteria
- Experience of managing/supervision of staff.
- Experience of working with Local Authority / Social Services
- Experience of working with dementia and of working with older adults
Knowledge
Essential criteria
- Knowledge and understanding of legislation relating to the care of Older Adults with Mental Health problems in the community
- Knowledge and understanding of the needs and rights of service users and their carers.
- Knowledge of ethical/legal requirements within mental health nursing.
Desirable criteria
- Knowledge of the Care Act and a willingness to become a Trusted Assessor
Skills And Abilities
Essential criteria
- Ability to assess complex risk and produce care plans to manage this
- Ability to take responsibility for managing a caseload
- Ability to work effectively in stressful and emotionally charged situations
- Ability to manage complex decision-making situations
Other Requirements
Essential criteria
- Motivated and able to motivate others.
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