Job title: Hospital to Home Advisor
Job reference number: 101255
Interview date: TBC
Closing date: 3rd September 2026
We have an incredible new opportunity for a Hospital to Home Advisor to join Landau. This role offers more than a wage – it’s about the deep reward of guiding young people who’ve faced challenging starts in life toward brighter futures. As a Hospital to Home Advisor, you will be responsible for providing person-centred support to older adults (65+) transitioning from inpatient mental health services to home, promoting independence, reducing isolation and preventing readmission. Support starts at point of referrals and is time-limited (up to 4 weeks) once discharged. The role works as part of a multidisciplinary team (MDT), supporting delivery of discharge plans and connecting individuals to community-based support.
At Landau, we’re passionate about changing lives and creating futures. As a leading supported employment and training charity, we’re changing over 800 lives each year across the West Midlands, including Telford and Wrekin, by providing pathways to employment, access to education, and support for personal growth and independence. Joining our team means joining a community that values making a real difference—empowering individuals to overcome challenges and realise their potential. We are a diverse, forward-thinking organisation, dedicated to delivering high-quality, sustainable services that truly change lives and open doors to new beginnings
We are committed to supporting our workforce as much as our mission. At Landau, you’ll receive the Real Living Wage, access to a private healthcare scheme, roadside assistance, and support through our Disability Confident Employer status. We’re proud to be a Gold Award holder for our support of veterans, creating an inclusive environment where all backgrounds and abilities are valued. If you’re driven to be part of a diverse, forward-thinking organisation that’s dedicated to delivering high-quality, sustainable services that truly change lives, we’d love to have you join us.
If this sounds like the perfect opportunity for you, please submit an application form.
Key responsibilities will include:
Service Delivery
Engage service users on wards prior to discharge to build rapport and confidence
Deliver structured, short-term support in the community (home visits, clinics, telephone)
Support implementation of MDT discharge plans
Provide practical and emotional support to promote safe transition home
Facilitate access to community services, VCSE organisations and local assets
Reduce social isolation through community integration and engagement
Partnership & MDT Working
Attend ward-based MDT meetings and contribute to discharge planning
Work collaboratively with MPFT clinical teams, social care and VCSE partners
Build strong relationships with VCSE and community partners, maintaining up-to-date knowledge of local support services and identifying and feeding back gaps in provision to strengthen pathways and improve outcomes
Advocate on behalf of service users to improve access and outcomes
Maintain effective communication with carers and families (where appropriate)
Promote the service – attend forums and MPFT/ external team meetings / mental health
Caseload Management
Manage a caseload of up to 20 service users
Deliver time-limited interventions (maximum 4 weeks per individual)
Maintain accurate, timely records on RiO
Monitor progress and escalate risks appropriately
Outcomes & Impact
Support improved independence and confidence
Reduce risk of relapse and readmission
Improve engagement with community services
Contribute to positive service user and carer experience
Safeguarding & Risk
Identify and respond to safeguarding concerns
Work within MPFT and organisational safeguarding procedures
Escalate concerns via MDT and appropriate safeguarding routes
Compliance & Quality
Complete all mandatory training (e.g. safeguarding, dementia, suicide awareness)
Maintain GDPR and data governance standards / Health & Safety
Contribute to service monitoring, reporting and outcomes tracking
Person Specification
Skills & Core Competencies
Essential
- Experience of working with adults with complex needs and supporting to manage risk and deliver effective interventions, prompting independence, minimum 1 year.
- Experience of caseload management and performance and delivering quality assurance
- Ability to work collaboratively within multidisciplinary teams
- Knowledge of local services and community provision (Shropshire, Telford & Wrekin)
- Strong communication and relationship-building skills
- Strong IT & systems knowledge and good record keeping
Desirable
- Experience delivering hospital discharge services
- Experience in working within CMHTs / mental health pathways
- Knowledge of the Mental Capacity Act and safeguarding frameworks
- Lived experience or understanding of mental health recovery
- Knowledge of NHS systems (e.g. RiO)
Key Relationships
- MPFT inpatient and community clinical teams
- Social workers, adult social care and local authority teams
- Housing associations, housing options and supported housing providers
- Department for Work and Pensions (DWP) and wider welfare support services
- VCSE, community and advocacy organisations
- Service users, carers and family members
Personal qualities, communicating and relating to others
- Excellent communication and interpersonal skills
- Kind
- High level of emotional intelligence
- The ability to work as part of a team
- Establish a safe and stimulating learning environment for service users, learners, colleagues and volunteers rooted in mutual respect
- Demonstrate consistently the positive attitudes, values and behaviours which is key to the success of Landau
Health and Safety
The post holder is required to maintain and promote a positive attitude to health and safety and to comply with and ensure compliance with health and safety codes of practice for the safety and wellbeing of service users, learners and staff.
Equality & Diversity
Landau has a strong commitment to working towards the implementation of equality of opportunity in both service delivery and employment. Landau’s mission and strategic objectives directly support this aim. All employees are required to actively support the development, dissemination and implementation of this aim and related policies and programmes
Safeguarding of Children and Vulnerable Adults
Landau is committed to safeguarding and promotes the welfare of all service users, clients and learners and expects its staff to share this commitment. This post is subject to an Enhanced DBS check (at Landau cost)
Hours: 36.5 hours per week
Salary: £29,416.80 per annum
This is a 12 month fixed term position
Location: Shrewsbury with travel as required around Shropshire & Telford
We are committed to creating a fair and inclusive workplace. As part of our pledge with the Crisis Homelessness Alliance, we offer an automatic interview to applicants who meet the minimum criteria for this position and are currently experiencing or at risk of homelessness. If this applies to you, please let us know when you apply.
As a Disability Confident employer we will ensure that a fair and proportionate number of disabled applicants that meet the minimum criteria for this position will be offered an interview. If this applies to you, please let us know when you apply.
As a member of the Armed Forces Covenant we recognise the value Serving Personnel, both Regular and Reservists, Veterans and military families contribute to our organisation and country. A guaranteed interview will therefore be offered to Veterans and their Spouses/Partners, serving Regular members of the Armed Forces approaching the end of their service and the Spouses/Partners of currently serving Regular members of the Armed Forces. This is conditional on the minimum criteria of the job being met and no longer than 5 years has lapsed since leaving the Armed Forces (subject to supporting information being provided on request). If this applies to you, please let us know when you apply.
Landau is committed to safeguarding and promotes the welfare of all learners and expects its staff to share this commitment.
As this role involves regular work with children and young people, and meets the definition of regulated activity, it is exempt from the Rehabilitation of Offenders Act 1974. Under the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 you must disclose all unprotected unspent and spent cautions and convictions. Further details on what convictions must be declared can be found in the Governments Guidance on the Rehabilitation of Offenders Act 1974 and the Exceptions Order 1975.
If you are offered this position, Landau will ask you to complete an enhanced DBS check with a children's barred list check and provide at least 2 references.
It is an offence for an individual who has been barred from working with children to apply for regulated activity. Providing false information is also an offence and could result in the rejection of the applicant, summarily dismissal if selected, and possible referral to the police.
Pay: £29,416.80 per year
Benefits:
- Health & wellbeing programme
- Private medical insurance
- Referral programme
Work Location: In person
