Job overview Job Summary: Operating within the framework of the Hospital Discharge and Community Support Guidance (March ), the post holder will work in partnership with colleagues in the acute sector, social services, continuing care, community services and Voluntary Community Sector to ensure that patients identified are assessed and transferred safely to appropriate community based services in a timely and seamless manner.
Responsible for ensuring smooth daily operations as a case manager and to act as a key point of contact and subject matter expert to be agreed with the post holder to support with complex discharge queries.
Main duties of the job Facilitate discharge from the acute hospitals to the patient's own home completing an assessment of ongoing needs and following the key home first principles: • We should not define people's long term needs within a hospital setting.• If the patient is admitted from their own home then they should be discharged directly back to their own home wherever possible– it must always be the aim and initial focus/consideration• There should be no delay in getting people home or to the next step immediately, since it can be detrimental to their long term health outcomes.• Assessments are more contextualised outside a hospital environment especially within the person's own home or when they have had the chance to recover.• If after -care services are required, a rehabilitation or recovery approach must always be considered first.• Ongoing care and trusted handover should underpin all steps.
Act as a key point of contact for acute clinicians including consultants, other members of the team and community based clinicians/services.
Working for our organisation Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country.
It provides a wide range of general and specialist clinical services and is a base for medical education, training and research.
The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.
For more information on OUH please view Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community.
We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence.
These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family.
Watch how we set out to deliver compassionate excellence via the .