Complex Discharge Facilitator - Adult Mental Health Community inWorcester inWorcester PUBLISHED WED 16 OCT 2024

Are you an experienced, committed, and dynamic registered mental health professional (Registered Mental Health Nurse, Social Worker or Occupational Therapist) who is passionate about using their skills to make a difference in a non traditional role within adult mental health? Can you work effectively with patients with complex mental health needs, their families, clinicians and other stakeholders to deliver exceptional care that changes peoples lives? If this sounds like you then come and join the PARTNER Repatriation Service, a small, friendly team that works to ensure smooth and timely transitions for our patients from out of county enhanced rehabilitation units into community based services. The successful applicant will manage a small, defined caseload and work closely with commissioning services and Adult Social Care to provide the best outcome for our patients.

As a valued member of a small team you must have a positive attitude towards innovation and change and a flexible approach. You will need excellent interpersonal, team working and communication skills. You will value continuing service improvement, evaluation and the participation in meaningful outcomes for our service user population.

37.5 hours Monday-Friday, flexibility considered. Must be able to travel throughout England and Wales as part of their role. Office based and remote working. If you would like to discuss informally please contact the Recruiting Manager.

The PARTNER Repatriation Service provides the key worker function/case management (previously care coordination) for patients with complex mental health needs, and a high level of associated risks, who are placed within out of county enhanced rehabilitation or specialist placements. This includes patients with a forensic history.

The successful applicant will provide proactive support to our patients throughout their out of county admission and will liaise with private service providers and stakeholders on a daily basis. You will work autonomously to ensure a clear recovery focus and effective care planning is maintained, as well as supporting continued momentum and progression through the care pathway for our patients. The successful applicant will coordinate all aspects of complex discharges whilst working closely with our colleagues within Adult Social Care to support repatriation and discharge into appropriate community based services.

About us

• Coordinate clinical and support services relevant to discharge planning.
• Identify the need for and coordinate MDT meetings/case conferences and support private care providers in the decision making process regarding safe, effective and timely discharge of patients.
• Carry a caseload and work collaboratively on the management of cases, ensuring liaison with community services to support timely discharge from locked rehabilitation/specialist placements.
• Participate in all aspects of discharge and aftercare including cooperation with Section 117.
• Ensure that risk assessments are carried out in conjunction with other agencies.
• Attend commissioning panels acting as an advocate for patients.
• Establish and maintain communication with individuals and groups about complex discharges overcoming any problems in communication.
• Involve, support, inform, and educate family/carers where appropriate throughout the discharge process.
• Participate in/support the process of relevant assessments.
• Provide clinical supervision within the team where appropriate.

For full details of the duties and criteria for the role please refer to the job description and person specification attached.