Care Home Pathway Coordinator in Carshalton

At Epsom and St Helier Hospitals, we value respect at the heart of all we do, by living up to our shared behaviours of kindness, professionalism, positivity and teamwork. This enables us to provide great patient care and make ESTH a great place to work. We welcome applicants who share our values.

The Care Home Pathway Coordinator will be working within the At Home Team closely with the Transfer of Care Hub (TOCH) and will coordinate all aspects of supported discharges and the single point of discharge from St Helier Hospital to care homes. The service is to ensure care home residents are not unnecessarily admitted to, or delayed in leaving, hospital to the detriment of their wellbeing and independence. The post holder will seek to improve patient flow, reduce delayed transfers of care (DTOC) and avoid unnecessary readmissions, LOS reduction and reduce 4-hour breach for care home residents.

The post holder will coordinate the activities related to the Red Bag journey for patients coming into the Hospital from care homes and ensure the Red Bags are received in the hospital and returned to the care homes on discharge of patients after hospital episode. The post holder will work closely with all stakeholders to enable the successful delivery of the Hospital Transfer pathway and the Discharge Process for care home residents.

Main duties of the job include:

• Working closely with ward teams and Discharge Co-ordinators within the hospital to identify care home residents requiring discharge planning, ensuring their plans are kept up to date e.g., discharge summaries, Universal Care Plan (UCP) and medication reviews before these patients are taken back home.
• Collaborating with the discharge teams and multi-disciplinary teams ensuring all discharge documents are finalised prior to the discharge of patients.
• Ensuring that the hospital teams have relevant information to assess and provide the appropriate treatment plan and that on discharge, care homes have the relevant information to enable continuity of care.
• Escalating most complex and challenging cases to Senior Discharge Co-ordinators for support or advice.
• Ensuring smooth and timely communication between the Trust and partner agencies involved in patient discharge/transfer of care to avoid unnecessary delays.
• Ensuring the Red Bag Checklist is reviewed, completed, and actioned by the designated responsible staff member when the patient is admitted and discharged.
• Ensuring the Red Bag remains with the resident while in the hospital and return with a Red Bag containing all the relevant documentation, medication (if required) and personal items.
• Tracking usage of Red Bags and eRedBags by care homes.
• Supporting the process of the Red Bag Scheme in the hospital and SWL ICB including the eRedBag process.

Education/Qualification:

• Through knowledge of administrative procedures, including specialist software package acquired through experience or formal training to diploma level.
• Undertake any other relevant duties that may be required from time to time.

Experience:

• Experience of team working.
• Understanding of confidentiality.
• Experience of working in a project focused environment.

Skills:

• Ability to write clearly and precisely.
• Ability to prioritise tasks and seek guidance as required.
• A flexible and can-do approach.
• Team player with other Care Home Pathway coordinators within the ICB.

References: Please provide a minimum of 3 years’ employment and/or education history, including professional email addresses (not personal accounts such as Hotmail or Gmail). If you cannot provide these, please inform the interview panel to avoid delays in pre-employment checks.

Safeguarding and DBS Checks: We are committed to safeguarding children and vulnerable adults. For roles with direct access to these groups, an Enhanced Disclosure and Barring Service (DBS) check will be required. All staff are expected to understand and uphold their safeguarding responsibilities as part of their role.