Senior Nurse Team Lead - Discharge to Assess Team

Job overview

The Discharge to Assess (D2A) team is part of our Manchester Community Response Service and Crisis Response team. The D2A team work seamlessly with the acute hospital provider to ensure people can be discharged in an appropriate and timely manner as soon as they are safe to leave the hospital.

Your clinical skillset will contribute to people being able to remain safely and supported in their own homes, whilst aiming to begin to achieve their optimum health and wellbeing and enable a return to as much independence as possible to improve quality of life.

The Discharge to Assess team is made up of a co-located group of community health and social care staff at various grades including community nurses, physiotherapists, occupational therapists, social care assessors, health care assistants, pharmacists, and pharmacy technicians.

The Discharge to Assess Pathway 1 service operates from 8am to 6pm, 365 days per year. Care calls will be provided by the Health Care Support Workers until 8pm with clinical oversight and supervision from the Crisis Response team clinicians. The Discharge to Assess team provide a bespoke package of assessments to identify current and short term needs for a period of up to 6 weeks post discharge.

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The post holder will be a core member of the Discharge to Assess team, responsible for providing assessment and support to patients who have Pathway 1 care needs in the community; applying the ‘closer to home’ and ‘home first’ philosophy.   
This will be through the facilitation of timely and supported discharge from an acute bed to patient’s own home. Including provision of assessments, interventions, safe care and treatment that meet a person’s individual needs and aspirations to increase independence and improve quality of life.
You will be expected to work collaboratively with the Discharge to Assess team and Trafford Community Response Services. As well as with Primary Health Care Teams and with Social and Voluntary sectors to ensure effective coordination and care navigation across the services.
To work autonomously within your own professional competencies and guidelines and within the overall framework of the service’s policies and procedures.
As a Band 7 practitioner working with this high level of autonomy, but within agreed guidelines, you will initiate history taking, clinical assessment, diagnosis and the implementation of a range of care interventions for patients presenting with undifferentiated and undiagnosed problems.
Provide leadership, education and support to other team members through promotion of innovative strategies to manage change and improve service delivery.

Working for our organisation

MFT is one of the largest NHS Trust In England with a turnover of £2.6bn & is on a different scale than most other NHS Trusts. We’re creating an exceptional integrated health & social care system for the 1 million patients who rely on our services every year.

Bringing together 10 hospitals & community services from across Manchester, Trafford & beyond, we champion collaborative working & transformation, encouraging our 28,000 workforce to pursue their most ambitious goals. We set standards that other Trusts seek to emulate so you’ll benefit from a scale of opportunity that is nothing short of extraordinary.

We’ve also created a digitally enabled organisation to improve clinical quality, patient & staff experience, operational effectiveness & driving research, and innovation through the introduction of Hive; our Electronic Patient Record system which launched in September 2022.

We’re proud to be a major academic Research Centre & Education provider, providing you with a robust infrastructure to encourage and facilitate high-quality research programmes. What’s more, we’re excited to be embarking on our Green Plan which sets out how MFT continues to play its part in making healthcare more sustainable.

At MFT, we create and foster a culture of inclusion and belonging, provide equal opportunities for career development that are fair, open, and transparent, protecting your health and wellbeing and shaping the future of our organisation together.