Hertfordshire Partnership University NHS Foundation Trust (HPFT)
Discharge and Community Liaison Social Worker
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Role Overview
The post holder provides specialist social work support to older adults with functional mental health needs admitted to MHSOP inpatient wards. As a key member of the MDT, the post holder leads on social care assessment, care planning and discharge coordination, ensuring safe, timely and person-centred transitions from hospital to community settings.
Using a strengths-based and recovery-focused approach, the post holder promotes independence, wellbeing, choice, dignity and least restrictive practice while safeguarding vulnerable adults. Acting as a key link between inpatient and community services, they work collaboratively with service users, carers and partner agencies to coordinate discharge arrangements, overcome barriers to discharge and secure sustainable outcomes.
Responsibilities
- Provide advice and advocacy to service users, carers and families.
- Lead discharge planning from admission, coordinating safe, timely discharges by identifying and addressing barriers and arranging appropriate support, including domiciliary care, residential and nursing placements, supported living, reablement, equipment and Section 117 aftercare.
- Undertake Carer Assessments, Care Act Assessments, Mental Capacity Assessments and contribute to Best Interests decision-making.
- Promote safeguarding practice, undertake safeguarding enquiries where required, and contribute to risk assessment and management that balances protection, independence and least restrictive practice.
- Provide professional advice to multidisciplinary colleagues on social care legislation, safeguarding, NHS Continuing Healthcare, ordinary residence and charging responsibilities.
- Represent social work within MDT meetings, ward rounds and discharge forums, advocating for the rights, wishes and wellbeing of service users and carers.
- Maintain accurate records and statutory documentation.
- Contribute to quality improvement, audits and integrated working.
- Participate in supervision and continuing professional development.
- Support students and newly qualified staff.
- Comply with Trust policies, procedures and professional standards.
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About the Trust
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Hertfordshire Partnership University NHS Foundation Trust are one of just five mental health trusts to achieve an overall rating of ‘Outstanding’ from the Care Quality Commission.
Our Family Of Over 4,500 Members Of Staff Provide Health And Social Care For People With Mental Ill Health, Physical Ill Health And Learning Disabilities Across Hertfordshire, Buckinghamshire, Essex And Norfolk, Delivering These Services Within The Community And Several Inpatient Settings. Everything Is Underpinned By Choice, Independence And Equality, With Our Trust Values Embedded Throughout
Welcoming. Kind. Positive. Respectful. Professional.
Contact Information
For further details / informal visits contact:
- Name: Daisy Richards
- Job title: Professional Lead for Social Care - Older Adults
- Email address: daisy.richards2@nhs.net
- Telephone number: 01707 364003
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