Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services. Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital. Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions. Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients. In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research. We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit. Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’. The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients. We have one of the most ambitious capital investment programmes anywhere in the NHS. Job overview Transfer of Care (Discharge) Pathway Navigator Previous applicants should not apply. We are looking for confident, committed and caring individuals to work directly with some of the most vulnerable adult patients, and their families, to help them achieve safe, effective and timely discharges from Guys and St Thomas’ NHS Foundation Trust. We know that delays in discharge for patients contribute to: • poor patient experience • potentially lead to poorer patient outcomes • operational bed flow issues for acute trusts, affecting other patients It is therefore in everyone’s interest, patients, staff and the Trust to make transfer of care as effective and efficient as possible. If successful, you will be working directly with senior ward staff on the wards, but will also work in close co-ordination with the Trust’s in-house specialist discharge team at the Internal Flow Hub as well as maintain regular liaison with community and social care teams, therapists and other multi-disciplinary groups. Effective communications skills are essential, as is a positive, co-operative attitude to problem-solving. The post holder will be required to work weekend shifts occasionally as we provide a 7 day service and will be based on the ward. Clinical or previous social care experience is desirable but the work would also suit individuals with a strong admin background who now wants a challenging role on the interface between the clinical, and social, care spheres. Main duties of the job General Duties Plan and manage timely and appropriate transfers of care (discharge) from hospital. Identify complex discharges and alert the Internal Flow Hub. Liaise with patients and their relatives to provide comprehensive information on all discharge arrangements and services both verbally and in writing, including service contact details, out of hours numbers, names of key workers where relevant/known. Work actively with the MDT, Transport, other Trust departments, the Internal Flow Hub to support safe and effective discharges, identify, track and case manage complex discharges to prevent Delayed Transfers of Care (DTOC). Provide a single point of contact for wards and ensure that processes and systems are adhered to. Provide cover for other Transfer of Care Pathway Navigator colleagues Skills/Knowledge/Ability Proficient in use of IT systems and applications, including Microsoft Word, Outlook and Excel Ability to work as part of a team as well as using own initiative Excellent organisational skills and attention to detail Confidence in making decisions when dealing with competing priorities Excellent command of written and verbal English Able to demonstrate excellent written English including grammar, punctuation and structuring written text Ability to work methodically in a busy environment and meet deadlines Ability to develop and maintain good working relationships with all levels of staff Ability to handle confidential and sensitive information appropriately Working for our organisation The Discharge Hub service is composed of a multidisciplinary team of Discharge Coordinators, Social Workers from Lambeth and Southwark, Occupational Therapists, Intermediate Care representative from Lambeth, and the Red Cross team. The successful candidate will be working predominantly in fast paced clinical environments for General Medicine and Elderly Care patients units and may also work in other units depending on service need. The Wards are focused on multidisciplinary working and staff are expected to work very closely with Clinicians, Physiotherapists, occupational therapists, Specialist Older Persons Teams and the Internal Flow Hub. Our values help us to define and develop our culture, what we do and how we do it. It is important that you understand and reflect these values throughout your employment with the Trust. The post holder will: Put patients first Take pride in what they do Respect others Strive to be the best Act with integrity Detailed job description and main responsibilities Please see attached job description for further information on what the main responsibilities of this role are. Any candidates who are interested are encouraged to make contact for a pre-meet/discussion to discuss the role. Person specification Knowledge/Education Essential criteria Good basic education to State Diploma / NVQ Level 3 or equivalent experience or qualifications Skills and abilities Essential criteria Excellent communication and interpersonal skills Well developed organisational skills High Standard IT skills with the ability to input and retrieve information with accurate data entry Experience Essential criteria Previous experience of working in a customer-focused, patient-focused service, or social-service area Desirable criteria Previous experience in transfer of care / discharge management / bereavement process / social services liaison Guy’s and St Thomas’ celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study’s at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership. Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy. As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends. Flexible working We are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual’s personal circumstances as well the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process. Your e-mail address is important to us - We communicate to all job applicants via the e-mail address which has been provided on the application form. Please ensure that you check your e-mail on a regular basis. Please apply for this post by clicking "Apply Online Now." Applicant requirements The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions. Further details / informal visits contact Name Momtaz Begum Job title Assistant Service Manager Email address [email protected] Telephone number 07767640893 Additional information For more information, please contact Momtaz Begum Discharge Hub Assistant Service Manager via email; [email protected] or on 07767640893