Interface workerinLondoninLondonPUBLISHED WED 5 MAR 2025

The Adult Community service line is advertising for a full-time Interface worker on a permanent basis. The Interface team is a new and exciting team. We are looking for people that hold a current relevant clinical registration or equivalent relevant experience in health, social care or within the voluntary sector. The team will be expected to work in conjunction with Internal and external partners in supporting proactive discharge planning and timely discharge for patients known to our Community Mental Health Teams within acute admission wards. The team will work alongside the adult community service line which delivers care to adult mental health clients across the five boroughs of the Trust. The service line employs over 700 staff and we care for up to 12,000 patients a year.

If you want to live locally and work locally, with an employer that offers flexible and agile working with great development and carer progression opportunities, then this may be the role you!

You will be working closely to support discharge planning for all patients under the active caseload of the community team who are admitted to an acute mental health bed, including patients in out of area placements. The successful candidate will be expected to focus efforts on behalf of individual patients at heightened risk of delayed transfer of care to support their safe discharge and continued recovery at home.

This is a fantastic opportunity for someone who is enthusiastic and passionate about supporting the best outcomes for our patients and their families/ carers. Applicants should be energetic, creative, flexible, hard-working, and committed to this role to delivery high quality care. Strong interpersonal and relationship skills are key to delivering in this post.

About us

Interface workers are responsible for coordinating and prioritising actions from the MDT and partners to:

1. Identify and record any barriers to discharge within 24hrs of patient admission or as soon as admission is identified as needed.
2. Intervene early to remove barriers to prevent patients becoming delayed transfers of care.
3. Pre-empt and resolve arising barriers to discharge i.e. keys, other agencies support to discharge.
4. Facilitate home visits with community teams and complete referrals to the South London Partnership Single Point of Access
5. Complete panel paperwork and refer to placements
6. Highlight potential B list DTOC patients to expedite discharge planning and prevent them becoming A list (reported) DTOCs.
7. Update Borough DTOC meetings on patients who are A and B list Delayed Transfers of care
8. Verification of expected length of stay
9. Establish scope for discharge within 24 hours, working to expedite discharge: for example, invoking a rapid review by Consultant and arranging temporary accommodation from budget to permit early home treatment
10. Support carer engagement triggering Carers Assessments as required, and to work closely with carers and relatives in the interests of supporting timely discharges.
11. Ensure effective liaison with Community Teams/HTTs to promote early and safe discharges .
12. Ensure effective relationships with local authorities and housing
13. Support smooth discharge to HTT to community at the right point to commence facilitated early discharge and smooth transition.
14. Work effectively with family and carers to enable smooth and clearly understood discharge plan.
15. Communicate changes in Barrier to discharges to the MDT and community staff, ensuring that tasks and actions assigned are carried out on time to prevent delays to discharge