Complex Case Discharge Coordinator
19 hours ago
London
Job summaryEnsuring patients admission to hospital is as productive but as short in duration as possible. Focus will be on working with inpatient staff, the patient and carers as well as community services across health, housing and social care to expedite the patients discharge from hospital. The expectation is that you will support the smooth flow for the patient along the inpatient pathway and the development and execution of a comprehensive discharge plan for people with often complex and diverse mental health and psychological needs.Main duties of the jobWork as a core member of the Older Adult Inpatient Clinical Team but also develop excellent working relationships with locality based inpatient MDT's, Crisis Teams, CMHT's, Housing Providers, 3rd Sector and Charitable Organisations and Adult Social Care Services.In conjunction with other professionals, identify current inpatients whose needs could best be met in a lesser restrictive environment e.g. in their own home with crisis/outreach support, in a respite or 'step-down' facility or in a residential/nursing care home setting.Work to develop comprehensive discharge plans for individuals with complex mental health and psychological needs, whose discharge from hospital could be expedited.To assess current risks and identify how the risk and patients mental health needs would best be met.To provide information and advice to carers to support them through the crisis period.To have a sound understanding and knowledge of current legislation and its application to service users with mental health problems e.g. Mental Health Act, Mental Capacity Act (and DoLS) , Community Care Act, Safeguarding Adults, Child Protection, Human Rights Act, Freedom of Information Act, Data Protection Act.Undertake collaborative actions with inpatient MDT's, Community Mental Health Services, Adult Social Care, Housing and 3rd Sector care providers, Service Users and their Carers/families to facilitate safe and timely discharge from hospital.About usThere's a place for you at CNWL.We're passionate about delivering first-class patient-centred, safe and effective care, whether it is in a hospital setting, in a community clinic or in the patient's own home. Patients are at the heart of everything we do.Providingtop quality caredepends on our ability to employ the best people.We're always looking torecruit outstanding peoplewho will go the extra mile to support our patients, colleagues, teams and the Trust. With every new employee we're hoping to find our future leaders and we'll support our staff by providing opportunities to develop your career.With adiverse culture and equally diverse range of opportunities across mental health, community services, addictions, eating disorders, learning disabilities and more - whatever stage of your career you're at, there's always a place for you at CNWLDetailsDate posted12 August 2026Pay schemeAgenda for changeBandBand 6Salary 47,951 to 56,863 a year per annum inc HCAS ContractPermanentWorking pattern Full-time Reference number333-J-WE-0868Job locationsSt Charles HospitalExmoor StreetLondonW10 6DZUnited KingdomJob descriptionJob responsibilitiesWork as a core member of the Older Adult Inpatient Clinical Team but also develop excellent working relationships with locality based inpatient MDT's, Crisis Teams, CMHT's, Housing Providers, 3rd Sector and Charitable Organisations and Adult Social Care Services.Contribute to locality and trust wide flow information and meetingsIn conjunction with other professionals, identify current inpatients whose needs could best be met in a lesser restrictive environment e.g. in their own home with crisis/outreach support, in a respite or 'step-down' facility or in a residential/nursing care home setting.Work to develop comprehensive discharge plans for individuals with complex mental health and psychological needs, whose discharge from hospital could be expedited.To assess current risks and identify how the risk and patients mental health needs would best be met.To build and maintain therapeutic relationships with patients and carers and involve them in drawing up discharge plans.To provide information and advice to carers to support them through the crisis period.To have a sound understanding and knowledge of current legislation and its application to service users with mental health problems e.g. Mental Health Act, Mental Capacity Act (and DoLS) , Community Care Act, Safeguarding Adults, Child Protection, Human Rights Act, Freedom of Information Act, Data Protection Act.To organise and facilitate MDT meetings, Ward Rounds, Admission and Discharge Meetings.Undertake collaborative actions with inpatient MDT's, Community Mental Health Services, Adult Social Care, Housing and 3rd Sector care providers, Service Users and their Carers/families to facilitate safe and timely discharge from hospital.Working with the allocated social worker / care co-ordinator provide initial, time limited, post discharge input to patients who are discharged to residential/nursing care homes and other formal care settings.Sign-posting and direct referrals to appropriate community based services. Job description Job responsibilitiesWork as a core member of the Older Adult Inpatient Clinical Team but also develop excellent working relationships with locality based inpatient MDT's, Crisis Teams, CMHT's, Housing Providers, 3rd Sector and Charitable Organisations and Adult Social Care Services.Contribute to locality and trust wide flow information and meetingsIn conjunction with other professionals, identify current inpatients whose needs could best be met in a lesser restrictive environment e.g. in their own home with crisis/outreach support, in a respite or 'step-down' facility or in a residential/nursing care home setting.Work to develop comprehensive discharge plans for individuals with complex mental health and psychological needs, whose discharge from hospital could be expedited.To assess current risks and identify how the risk and patients mental health needs would best be met.To build and maintain therapeutic relationships with patients and carers and involve them in drawing up discharge plans.To provide information and advice to carers to support them through the crisis period.To have a sound understanding and knowledge of current legislation and its application to service users with mental health problems e.g. Mental Health Act, Mental Capacity Act (and DoLS) , Community Care Act, Safeguarding Adults, Child Protection, Human Rights Act, Freedom of Information Act, Data Protection Act.To organise and facilitate MDT meetings, Ward Rounds, Admission and Discharge Meetings.Undertake collaborative actions with inpatient MDT's, Community Mental Health Services, Adult Social Care, Housing and 3rd Sector care providers, Service Users and their Carers/families to facilitate safe and timely discharge from hospital.Working with the allocated social worker / care co-ordinator provide initial, time limited, post discharge input to patients who are discharged to residential/nursing care homes and other formal care settings.Sign-posting and direct referrals to appropriate community based services.Person Specification Education & Qualifications EssentialRMN/Diploma/DegreeEvidence of continued professional development In post-registration qualificationsDesirableA post registration qualification in Older PeopleRGN or other qualification in physical healthExperience of working with dementia and of working with older adults Experience EssentialPost-registration experience in a range of clinical areas.Experience of working as member of a Multi -disciplinary teamDesirableExperience of managing/supervision of staff.Experience of working with dementiaExperience of working with Local Authority / Social Services Knowledge EssentialKnowledge of Risk Assessment and Risk Management ProcessesKnowledge and understanding of legislation relating to the care of Older Adults with Mental Health problems in the communityKnowledge of ethical/legal requirements within mental health nursing.Knowledge and understanding of the needs and rights of service users and their carers.DesirableKnowledge of the Care Act and a willingness to become a Trusted Assessor Skills and Abilities EssentialEffective communication skills both verbally and through written reportsAbility to assess complex risk and produce care plans to manage thisAbility to take responsibility for managing a caseloadAbility to manage complex decision making situations.Ability to reflect and critically appraise own performanceAbility to work effectively in stressful and emotionally charged situationDesirableIT skills i.e. Microsoft word, Email, InternetMotivated and able to motivate others. Person Specification Education & Qualifications EssentialRMN/Diploma/DegreeEvidence of continued professional development In post-registration qualificationsDesirableA post registration qualification in Older PeopleRGN or other qualification in physical healthExperience of working with dementia and of working with older adults Experience EssentialPost-registration experience in a range of clinical areas.Experience of working as member of a Multi -disciplinary teamDesirableExperience of managing/supervision of staff.Experience of working with dementiaExperience of working with Local Authority / Social Services Knowledge EssentialKnowledge of Risk Assessment and Risk Management ProcessesKnowledge and understanding of legislation relating to the care of Older Adults with Mental Health problems in the communityKnowledge of ethical/legal requirements within mental health nursing.Knowledge and understanding of the needs and rights of service users and their carers.DesirableKnowledge of the Care Act and a willingness to become a Trusted Assessor Skills and Abilities EssentialEffective communication skills both verbally and through written reportsAbility to assess complex risk and produce care plans to manage thisAbility to take responsibility for managing a caseloadAbility to manage complex decision making situations.Ability to reflect and critically appraise own performanceAbility to work effectively in stressful and emotionally charged situationDesirableIT skills i.e. Microsoft word, Email, InternetMotivated and able to motivate others.Disclosure and Barring Service CheckThis post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.Certificate of SponsorshipApplications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service CheckThis post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.Certificate of SponsorshipApplications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).Employer detailsEmployer nameCentral and North West London NHS Foundation TrustAddressSt Charles HospitalExmoor StreetLondonW10 6DZUnited KingdomEmployer's websiteEmployer detailsEmployer nameCentral and North West London NHS Foundation TrustAddressSt Charles HospitalExmoor StreetLondonW10 6DZUnited KingdomEmployer's website