Warning Mae'r hysbyseb swydd hon wedi dod i ben ac mae'r ceisiadau wedi cau.

Integrated Hospital Discharge Nurse

Dyddiad hysbysebu:	13 Mehefin 2025
Cyflog:	£37,338.00 i £44,962.00 bob blwyddyn
Gwybodaeth ychwanegol am y cyflog:	£37338.00 - £44962.00 a year
Oriau:	Llawn Amser
Dyddiad cau:	24 Mehefin 2025
Lleoliad:	Plymouth, PL6 8DH
Cwmni:	NHS Jobs
Math o swydd:	Parhaol
Cyfeirnod swydd:	B9832-2025-NM-9897-2

Crynodeb

Please refer to the job description for full details of the role, the following is a summary of the Job Description sections: Responsibility for People Management. As a Care Coordinator, you will arrange appropriate care packages for patients and carers, assess, diagnose, implement, plan, and review complex needs in partnership with multi-professional agencies, and use clinical reasoning to formulate individualized care programs. You will provide advice on care options, plan and deliver care from hospital to community, manage and prioritize caseloads, and delegate tasks. Acting as a role model, you will maintain a learning environment, support educational development, and teach clinical skills. You will participate in clinical supervision, support recruitment, mentor new staff, coordinate leave and rotas, and manage team operations in the absence of the service manager. Effective communication with the clinical team and stakeholders is essential, as is personal and professional development. You will also be involved in policy development, recruitment, time and staff management, and ensuring documentation is completed timely. Flexibility in your working week and support for colleagues are crucial to meet patient and service needs. Responsibility for financial and/or physical resources You will ensure cost-effective and quality-controlled use of products, act as an authorized signatory for supplies and expenses, and manage staff-related financial matters such as overtime and annual leave. You will oversee and authorize equipment usage, maintain effective multidisciplinary team relationships, and deliver cost-effective, high-quality services to patients and carers. Additionally, you will contribute to resource governance through informed prescribing decisions and exercise a duty of care in using the organisations equipment and resources efficiently. Responsibility for administration The post holder will be required to use various devices such as computers, mobile phones, and lone working devices, adhering to Livewell Southwest policies. Compliance will be monitored through observation, spot checks, and incident management. They will oversee the standard of patients' records through audits or peer reviews and maintain regular discussions with team members. Additionally, they will support the team manager in recording accurate clinical activity data, maintain lone working information for identified staff, and monitor adherence to the lone working policy and device usage. Responsibility for people who use our services The post holder is accountable for delivering holistic, evidence-based practice to patients and carers, ensuring maximum independence and quality of life in a dynamic environment. They achieve positive outcomes through collaboration with multi-professional agencies, utilizing specialised clinical skills and exercising high judgment in clinical care. Acting as a patient advocate, they provide tailored education, advice, and support, manage referrals, and prioritise patient needs. They conduct risk assessments, ensure privacy and dignity, promote independence, and comply with confidentiality laws. Additionally, they supervise care standards, participate in audits, and adhere to professional codes and policies, providing both planned and unplanned care within a defined area. Responsibility for implementation of policy and/or service developments Ensure adherence to Livewell Southwest Policies by developing, reviewing, and auditing guidelines and protocols in line with NICE guidance and best practices, and support their implementation. Promote best practice sharing within the region, participate in developing and monitoring standards, and identify community health needs for new projects, research, and audits. Provide leadership, support staff in initiating change, and act as a change agent. Facilitate service objectives development, support patient safety investigations, and monitor new evidence to improve patient care. Develop links with professional and voluntary bodies, lead practice innovation, and implement changes. Develop health promotion and disease management initiatives, identify research areas, and stay informed on legislation and prescribing developments, applying relevant policies. Other Responsibilities To maintain accurate patient records, which are confidential, up to date, legible and that all care given has been documented. These records must be maintained as specified in the LWSW Policies, NMC guidelines and Government directives. To be responsible for organising own time management on a daily basis in line with caseload demands balancing patient needs with the non-clinical aspect of the role. To participate in an annual appraisal of their work in line with the Knowledge and Skills Framework (KSF) where the job description will be reviewed, and objectives set. In line with the annual development plan the post holder will be expected to undertake any training or development required to fulfil their role. To remain updated and competent and ensure that clinical practice is evidence based. Assume responsibility for own professional development and personal knowledge. COMMUNICATIONS AND RELATIONSHIPS Links across & liaises with; primary care, secondary care, mental health, voluntary & statutory organisations, SWAST, 111, Users & Carers, Members of the public, Integrated Localities, Specialist Services and Urgent and Intermediate Care (and all stakeholders as required). Will be expected to liaise, develop, and maintain effective communication at local, regional and national level with patients, relatives and carers, members of the public, Consultants, GPs and any other medical nursing or therapy staff. Community and Acute providers, Intermediate Care service staff, Livewell Southwest, Social Services, other specialist practitioner, statutory and voluntary organisations. To maintain and foster good relationships with professionals and non-professional colleagues concerned with the provision or development of healthcare services. To lead and participate in team activities to develop and consolidate a cohesive and supportive team ensuring openness within the team. Have excellent communication skills as to effectively communicate with patients and their carers, including sensitive and accurate information about their condition, showing empathy and sensitivity. Establish the dynamic process of understanding, reflecting, active listening and checking understanding, thus developing a therapeutic relationship with patients and carers. The post holder will have to provide and receive complex, sensitive, and confidential information and overcome potential barriers to communication, such as language, disability as well as dealing with concordance and barriers from patients to the prescribed treatment. Maintain accurate and up to date patient records and inform other professionals about changes in patients condition. Ensure effective and timely information exchange is maintained, verbally, written or electronically. Use a high level of communication/negotiation skills daily with other health and social care professionals. To inform each, as appropriate, of the highly complex and sensitive information related to the patients condition required to achieve the best outcomes and care pathways. Demonstrate highly developed communication skills required to take a lead role in case discussions/case conferences concerning service users in their caseload. To lead and participate in team activities so as to develop and consolidate a cohesive and supportive team ensuring openness within the team. Able to communicate the role and eligibility criteria of the IHDT