Job Description

An exciting opportunity has arisen to join the Home First Team in Buckinghamshire.



The team is still in its infancy of becoming a substantive service and this provides team members with the opportunity to influence and contribute to growing and shaping the service.



We are looking for a skilled and motivated, registered health or social care professional (Physiotherapist, Occupational Therapist, Nurse or Social Worker) to join the service, which supports patients that have recently been discharged from hospital, to regain their independence and remain in their own homes.



The ideal candidate will have excellent communication skills and have experience in leading teams, developing services, quality improvement and data monitoring. The post holder will be approachable and supportive of the wider team and be able to offer advice and make decisions in the interests of our patients.



They will have knowledge and experience of discharge processes and pathways and will have the ability to accurately interpret and relay information relating to patients health and social care needs. The ability to build and maintain effective working relationships with a variety of professionals and stakeholders is essential to the role. Experience of working in both an acute and community setting would be an advantage.



The successful candidate will be required to work both remotely, on site and visit patients at home as required.



1. To provide a proactive, personalised and multidisciplinary case management approach to people who are being discharged from hospital.



2. To co-ordinate a timely, safe and effective discharge home for people which supports their ongoing care and health needs being assessed at home.



3. To work with patients and therapy staff to identify appropriate goals are set for each person and that these are reviewed, revised and updated to best support a person's recovery using a strength-based approach.



4. To pro-actively draw on personal expertise and the skills and knowledge of all team members to improve outcomes for people and their carers.



5. To work in partnership with Home Care agencies to facilitate and support a reablement approach to care provision. Ensuring proactive right sizing of packages.



6. To proactively facilitate the person through their pathway in a way that facilitates timely discharge from home first whilst ensuring the appropriate intervention reablement/rehabilitation takes place to minimise the need for long term care.



7. To address gaps in the provision of care and changing needs through flexible and adaptable care planning, sign posting, onward referral and supported interventions.



8. To document the required information to support information sharing and monitoring of service key performance indicators.



T To follow agreed case management pathway to ensure consistency of process.



Why colleagues think we are "a great place to work!"



What does Buckinghamshire Healthcare NHS Trust offer you?



As part of our BHT family, you'll benefit from learning and development opportunities to support your career progression.



Alongside NHS benefits of generous annual leave entitlement and pension scheme, you'll have access to NHS discount schemes.



We provide a range of health and wellbeing services to promote a healthy, happy workforce.



What do we stand for?



Our vision is to provide outstanding care, support healthy communities and be a great place to work.



Our mission is to provide personal and compassionate care every time.



We are working hard to increase diversity at all levels within the trust. We believe a diverse workforce can have a positive effect on both staff wellbeing and patient outcomes.



We welcome applications from black, Asian and minority ethnic candidates, LGBTQ+ candidates, candidates with disabilities and care-experienced candidates.



We are proud to achieve the Gold award for the Armed Forces Covenant and support applications from the Armed Forces Community. Please contact Pam.Daley@nhs.net (our Armed Forces Covenant Lead) if you would like guidance or assistance with your application.



We make employment decisions by matching our service needs with the skills and experience of candidates, regardless of age, disability, gender, gender identity, marriage and civil partnership, pregnancy and maternity, race, religion or belief, or sexual orientation.



For a comprehensive list of responsibilities and duties, please kindly refer to the and Person Specification by downloading the JD and PS attachment in the advert.



If you are an internal applicant there is the option for secondment, all applicants must have the endorsement/support of their line manager prior to application.



If you have a disability that makes submitting this online application difficult and would like assistance, please contact us on bht.recruitment@nhs.net quoting the vacancy reference number.