Discharge Co-ordinator - Gloucester, United Kingdom - Gloucestershire Hospitals NHS Foundation Trust

Tom O´Connor

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Tom O´Connor

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Permanent position, 33.75 hours a week


We are excited to offer this new role for a Band 4 Therapy Discharge Co-ordinator / Therapy Support Worker within our Stroke Therapy Team at Gloucestershire Hospitals NHS Foundation Trust.


We are looking for an individual with experience of facilitating patient discharges, who will be able to support the therapy team with co-ordinating the discharge of stroke patients from the acute hospital setting.


You must have excellent interpersonal skills to be able to work closely with patients, family/carers and the wider MDT to co -ordinate discharges.

This will include making onward referrals, gathering information regarding a patient's home situation and environment, including home and access visits where needed and assisting with the provision of equipment and services that will improve or facilitate discharge.

Core working hours Monday - Friday, but you will be expected to work within any shift or on-call rotas in operation, which includes weekends and public holidays


  • To work under the supervision of a registered Allied Health Professional to provide a supportive discharge back into the community.
  • To work as part of the Specialist Stroke Rehabilitation Team within Gloucestershire Hospitals NHS Foundation Trust (GHNHSFT) to facilitate discharge from the Acute Hospital setting to the Stroke Specialist Rehabilitation Unit, the Stroke Early Supported Discharge Team and other community settings.
  • Co-ordinate discharge planning for the Stroke Rehabilitation Team within the GHNHSFT working closely with the Multi-Disciplinary Team (MDT), the Early Supported Discharge Team, the Countywide Stroke Specialist Rehabilitation Unit at the Vale and other members of the wider MDT.
  • To work within the Therapy Stroke specialist team at GHNHSFT to facilitate discharges. This will include gathering information regarding patient's home situation and environment, including home and access visits where needed and assisting with the provision of equipment and services that will improve or facilitate discharge.
  • Close liaison with other team members, colleagues and other professionals, e.g., GP's district Nurses and Social Workers, Occupational Therapists, Physiotherapists, service users and carers, outside agencies including housing and environmental services, members of the public.
The Therapy service provides physiotherapy and occupational therapy to inpatients and outpatients at Gloucestershire Royal and Cheltenham General Hospitals.

We are an integrated service providing patient centred care. Our mission is to 'enable people to maximise their potential to live well'

The Stroke therapy team consists of senior static staff, rotational seniors and juniors, and support staff.

We work closely with other allied health professionals within our service and have close working relationships with our medical and nursing colleagues.


To work collaboratively with the qualified therapists in the Acute Stroke service at GHNHSFT to implement timely discharges to the Stroke Specialist Rehabilitation Unit, Stroke ESD service and/or other community services.


To work with the therapy team to coordinate first contact meetings or phone calls with patients including family; carers and support networks to discuss the stroke pathway.

You will be a point of ongoing contact regarding the patients discharge pathway.


To monitor and report back to the registered practitioner and/or other members of the multi-disciplinary team (MDT), regarding progress and/ or changes in the patient's expected discharge pathway.

This may include attending relevant meetings such as Multi-Disciplinary meeting and board rounds and close liaison with the onward care team (OCT), The Vale Stroke Rehabilitation Unit, and ESD to ensure information is communicated correctly and efficiently.

You will also be required to liaise with the MDT on 'non-therapy' tasks for discharge such as care diaries, medicine trials and continence assessments to facilitate timely discharge.

To complete referral forms to facilitate discharge from both the Hyper acute and acute Stroke unit within GHNHSFT. This will include both Stroke specific and non-Stroke specific pathways.


To liaise with all community services/organisations and feedback expected date of discharge to the patient, their family/carers, and the MDT.


To work closely with the stroke discharge coordinator at the Vale Stroke Rehabilitation Unit and the Patient Flow Coordinator within the stroke ESD team, to facilitate the transfer of appropriate patients to these services.

To complete home and access visits to facilitate discharge, including measuring for and issuing equipment. This may include teaching the patient and families/carers how to use the equipment.

To ensure safe early discharge from our Hyper acute Stroke unit (HASU), you may assist in initial post discharge home visits or phone calls.

To use verbal and non-verbal communication tools to communicate e

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