Job overview

Are you looking for a new challenge? Are you an experienced registered nurse with a good understanding of the discharge pathways? Are you passionate around helping patients/carers/families to be informed around discharge options to them? Then this role could be for you! 

Our current Discharge Hub model on both Acute Sites - Eastbourne Hospital and the Conquest Hospital in Hastings is changing.

Transfer of Care Hub (TOCH)  is an integrated model working with key stakeholders including the Divisional Wards, Social Care, Voluntary Services, Housing, Homeless Services, and of course our patients/carers and families who use this service. 

The TOCH is currently operational 5 days a week but the ambition  will be work 7 days a week so weekend work/bank holidays will be expected.

We have 2 TOCH's - one at the Conquest Hospital and one at the Eastbourne Hospital, so cross site work will be expected. We are also an integrated trust, so occasional working in other sites such as Bexhill or Rye Hospital may be required. 

Main duties of the job

• Lead on the discharge of patients within the service.
• Manage a team of Discharge Co Ordinators
• Participate in the education, development, and supervision of other staff members within the TOCH.
• Support and educate the staff within the wards and divisions around the discharge process/pathways and support complex case management.
• Act as a role model for staff.
• Liaise with the multidisciplinary staff to meet the needs of the patients and carers/families. i.e. Local Authority/Housing/VCSE/CHC/ICS
• Liaise with partner and external organisations to achieve discharge outcomes.
• Act as the patients advocate with regard to discharge planning.
• Maintaining contact with patient’s, carers, and relatives in relation to discharge planning and supporting conversations.
• Assess, plan, implement and evaluate evidence-based practice.
• Facilitate safe and timely discharge from hospital.
• Maintaining and updating Electronic Patient Record systems in relation to Discharge Ready status and discharge plans.
• Completing complex assessments, i.e., Continuing Healthcare (Fast Tracks), and Trusted Nurse Assessor forms.
• Enhanced knowledge around Mental Capacity Assessment and Best Interest Decisions.

Working for our organisation

We are proud to provide ‘Outstanding’ care and be a great place to work

We provide safe, compassionate and high quality care to half a million people living or visiting East Sussex. We are one of the largest organisations in East Sussex, the only integrated provider of acute and community care in Sussex. Our extensive services are provided by 7000 + members of staff working from acute hospitals in Hastings and Eastbourne, three community hospitals in Bexhill, Rye and Uckfield, over 100 community sites and in people’s own homes.

In 2020 the Care Quality Commission rated us as ‘Good’ overall, and ‘Outstanding’ for being caring and effective. The Conquest Hospital and our Community Services are rated ‘Outstanding’. Eastbourne DGH rated ‘Good’.

In 2020, the Trust launched its ambitious ‘Building for our Future’ programme. This once in a lifetime programme aims to repair, redevelop and expand our hospitals, transforming the environment in which we provide care for generations to come.