As a Complex Case Manager, you will be aligned to specific hospital inpatient areas and will be responsible for a case load of patients at all levels of complexity in order to progress their hospital journey from admission to discharge.
The post holder will work closely with the Discharge Coordinators and provide mentorship and leadership to support and facilitate timely and safe discharges.
You will play a vital role within hospital flow and be the escalation point to progress the patients’ hospital journey and in turn facilitate a timely discharge with the aim to ensure that when patients no longer meet the criteria to reside ( NCt R) they are discharged within a timely manner with the overall objective to reduce the hospitals length of stay ( Lo S ) and ensure that we understand discharge delays.
You will be appropriately skilled to complete patient care plans within the Emergency Department in order to either facilitate early discharges ensuring that the patient will be adequately supported in the community or if the patient is admitted start the discharge plan at that point to inform earlier decisions
We are looking for applicants who would like to come and work with the complex discharge team within the Transfer of Care Hub at University Hospitals of Morecambe Bay NHS Foundation Trust based at The Royal Lancaster Infirmary
The ideal candidate must be professional registered with a good level of knowledge and experience within hospital discharge. They must have a track record of successful multiagency working and have knowledge of the pathways available to support patients to leave hospital. The post requires a degree of flexibility and the ability to work autonomously in conjunction with other stakeholders to ensure a safe transition from hospital.
The successful applicant will be able to demonstrate that they are forward thinking, dynamic and can implement developments to achieve efficient high-quality services. The ideal candidate needs to embrace change as we move towards a whole system for discharge planning 7 days a week and be able and willing to travel across multiple sites and to community settings.
We are looking for an enthusiastic team member that can work well in a team but can also work independently.
The current team is diverse and offers many opportunities to advance your knowledge and skill within complex discharge.
The Complex Discharge Team is an essential part of patient flow that works within both acute and community to provide a seamless service utilising virtual wards and ensuring we follow admission prevention where possible.
We operate from three main hospitals-Furness General Hospital (FGH) in Barrow, the Royal Lancaster Infirmary (RLI), and Westmorland General Hospital (WGH) in Kendal, as well as a number of community healthcare premises including Millom Hospital and GP Practice, Queen Victoria Hospital in Morecambe, and Ulverston Community Health Centre.
FGH and the RLI have a range of General Hospital services, with full Emergency Departments, Critical/Coronary Care units and various Consultant-led services.
WGH provides a range of General Hospital services, together with an Urgent Treatment Centre, that can help with a range of non-life threatening conditions such as broken bones and minor illnesses.
All three main hospitals provide a range of planned care including outpatients, diagnostics, therapies, day case and inpatient surgery. In addition, a range of local outreach services and diagnostics are provided from community facilities across Morecambe Bay.
Our Community Service for adults are provided in people's homes ,community centres, clinics, GP Practices, community hospitals. Our aim is to work with people to help them remain independent , improve their health and manage their conditions through high quality care , advice and support.
Alignment to specific hospital inpatient areas and will be responsible for a case load of patients to progress their hospital journey from admission to discharge and to cover other Discharge Case Managers in their absence.
Supporting the Discharge to Assess pathways, out-reach into the community and work autonomously but also in partnership with the Local Authority (dependent on case) to manage and progress a case load of patients who require on-going assessments and treatment and/or therapy outside of an acute hospital setting.
Have extensive knowledge and insight of the patient’s previous level of function and care needs in the community setting using appropriate methods of communication. Be able to quickly identify previous funding body for existing care.
Have extensive knowledge within the Mental Capacity Act 2005, Deprivation of Liberty’s safeguarding (DOLs) and Power of Attorney (POA) law to be able to inform complex discharge planning of patients who lack capacity around future care planning and cannot advocate themselves.
Complete mental capacity assessments to inform discharge planning where appropriate . This may include complex capacity assessments to support applications to The Court of Protection.
Provide specialist knowledge, support and guidance to colleagues regarding discharge planning, mental capacity.
To support ward staff in the identification of possible safeguarding issues arising from the community or regarding discharge planning and to ensure that the ward is able to escalate these issues in line with the trusts safeguarding policy.
The post holder will work closely with the Ward Manager to provide mentorship, education to the ward team and support Discharge Coordinators to ensure they are competent in facilitating timely and safe discharges.
