Job Description

1. Review completeness of the Hospital Transfer Pathway documentation on arrival at the hospital and feedback to the care homes for incomplete documentation. 2. Request vital missing information from the care home and develop an escalation process for raising this as an issue if it regularly occurs.



3. Provide nursing discharge letter and work with the pharmacy team in the hospital to provide To Take Out (TTOs) on discharge of the resident. 4. Ensure that the Hospital Transfer information is part of the assessment process for the care homes residents on arrival to the hospital.



5. Ensure that the hospital team informs the care homes of the discharge process within 48 hours. 6. Ensure the Red Bag includes the complete paperwork and personal items when the bag is returned to the care home with the resident.



7. Track missing Red Bags within the hospital, liaise with care homes to return any missing Red Bags. Support the distribution of new, found or replacement Red Bags to care homes where needed. 8.



Liaise with care homes where needed to support use of Hospital Transfer and Discharge pathways, including training, care homes visits and promotion of relevant information. 9. Work with hospital staff to ensure all stages of the Hospital Transfer pathway are completed to enable tracking and evaluation of the scheme. 10.



Promote and raise awareness of the Hospital Transfer Pathway, its use and benefits and its impact across the hospital, create resources and provide training to support this to hospital staff. 11. Work with senior hospital staff, wards, and teams/departments to implement initiatives to support the successful implementation of the Hospital Transfer Pathway, this includes attendance to all relevant committees, groups and meetings and facilitation of the same. 12.



Act as a point of contact for all Red Bags matters within the hospital and provide advice, guidance and support to staff, family members and patients where needed. 13. Attend regular meetings for the Hospital Transfer and Discharge pathways within the hospital, the ICB and other meetings, and maintain contact with colleagues. 14.



Facilitate safe and timely discharge of patients who are medically fit for discharge and ensure care home residents settle back into the care home to reduce LOS and DTOC. 15. Work with other stakeholders to ensure relevant data is collected quickly and efficiently, is up-to-date and of a high quality and is used appropriately to support training, and implementation and evaluation of the Hospital Transfer Pathway 16. Ensure completion of all discharge information to go with the care home patient prior to discharge of patients.



17. . Ensure compliance with correct IG and data protection policies. 18.



Ensure completion of all stages of the hospital element of the Hospital Transfer and Discharge Pathways for care homes.