Key Result Areas:

Responsibilities:

The post holder will be responsible for actively leading capacity and demand patterns ensuring the patient experience is at the centre of all decision making.

To lead bed and clinical site management, maintaining patient flow throughout the organization 24/7. Monitor staffing levels, risk assessing and at times where necessary moving staff appropriately to support clinical skill needs on the wards.

The post holder will be required to work proactively and under pressure, whilst maintaining professionalism at all times. Excellent communication skills are paramount to the success of this role, as the post holder will play a key part in maintaining operational resilience.

Liaise closely with all members of multidisciplinary teams to ensure accurate up to date knowledge of patient placement and flow is achieved.

Act as senior support when decision making in relation to the placement of patients requiring emergency and elective admission adhering to the Trusts infection control policy.

Liaise with other Trusts to appropriately repatriate patients from other hospitals back to their local authority.

Deliver accurate information of the Trust status at the Trusts operational bed meetings, on all specialties, ensuring that electronic data capture of demand and capacity, against the predictor and action logs are clear, with evaluation of progress on agreed actions.

Lead the establishment of systems to ensure the site teams consistent compliance with DoH SITREP reporting and monitor accordingly. 

Lead and support in quality and improvement initiatives on flow and discharge through the hospital.

Escalating as per Trust policy potential and actual obstructions in patient flow and discharges and agree actions to problem solve with appropriate stakeholders.

Ensure patients are placed in the right place in a timely manner to support adequate flow and reduce outliers. Map, as appropriate, to their specialist wards when capacity available to minimise increased length of stay.

As required, support in the safe opening of escalation areas as per policy.

Work with other stakeholders, leading where appropriate to support admission avoidance strategies; support identified patients to Same Day Emergency Care. Oversea patient movement from the Emergency Department to assessment areas to achieve the 4hr access targets whilst maintaining patient safety at all times.

Foster and demonstrate creativity, liaising with the ward teams towards efficient patient flow and pathways.

Communication Skills and Working Relationships:

Establish and maintain effective communication with individuals and groups about difficult or complex matters overcoming any barriers in communication.

To ensure essential information is documented by self and team members appropriately according to Trust and NMC guidelines.

Participate in local, regional and national conferences as required.

Attend departmental and external meetings as required; and lead as appropriate to ensure awareness and dissemination of developments.

Take professional responsibility for ensuring effective communication between all service providers.

Planning and Organisational Skills:

To prioritise workload of themselves and others, assess performance and provide clear constructive feedback to team members.

To monitor progress of work and recognise changing priorities and implement corrective actions within own limits and informing the relevant people.

To anticipate, plan and advocate for development/change and benefits whilst challenging others to take an active part in developing knowledge, ideas and work practice.

To plan staff off duty Rota where required.

To plan, manage, and organise the team/service adjusting plans/rosters to cover emergencies. To ensure efficient and effective use of material resources/supplies.

To be responsible for the management of budgets within the service. 

To maintain accurate records of resource use.

To identify any problems with resource use/availability and make recommendations for corrective action.

Leadership Responsibility:

To identify the wider benefits, and influence and prioritise the development of ideas, specialist knowledge and work practice in self and others.

To lead others and encourage them to seek advice and solutions to problems.

To challenge others to take an active part in developing specialist knowledge, ideas and work practice to create a supportive culture.

To lead investigations following serious untoward incidents, clinical or conduct incidents or patient complaints as agreed by the Director of Operations. Ensure that organisational learning is reflected into clinical practice or professional behaviour.

To recognise, communicate and reward the achievements of the team and the individuals within the team.

To challenge tradition and take risks accepting responsibility for any arising problems and tensions and using these to inform future practice.

Responsibility for Policy/Service Development:

To be aware of changes in legislation and process and ensure that Trust policies and procedures are amended to follow these changes.

Responsible for the development of the range of strategy documents, policies and procedures in own area.

To identify outcomes of evaluation and offer constructive views on how the service could change as a result.

To lead on and implement policies and procedures. 

To implement proposed changes to policies/practices in own area.

To evaluate the effectiveness of any changes and how these have improved services. To lead on audit/benchmarking supporting the introduction of a change in practice.

To continuously monitor and evaluate the quality of work against quality standards in own area and take effective action to address them.

Relationships:

Recognise stress in self and others and diffuse any potential or actual conflict situations arising between colleagues.

Prioritise workload, being aware of competing pressures. Lead in the recruitment and selection of staff for capacity and discharge teams.  

Lead and consistently ensure the appropriate Trust induction programs in place regarding the roles of the Capacity Team and Discharge Liaison team.

Demonstrate commitment to own professional development.

Be an active member of the cardiac arrest team ensuring ILS is up to date with a view to undertaking ALS.

Undertake advanced clinical skills and extended roles in line with professional ability, training, NMC and Trust guidelines, to provide optimum clinical care to patients.

Act as an effective role model proving leadership skills, motivation and support to empower nursing staff.

Line management responsibility for the Clinical Site Team, Discharge Liason Team and Enhanced Care Team.

Communicate and negotiate with clinical colleagues to ensure patient care and pathway is optimised.

Prepare Site Team for initial leadership and coordination when a major incident ‘standby’ or major incident declared.

Respond to complaints and implement remedial action as appropriate in accordance with trust polices.

To participate in the recruitment and selection process as appropriate and continually for Capacity and the Discharge Team. 

Participate in and carry out Human Resources investigation as per Trust policy when requested to do so.

Maintain a high profile and visible leadership, monitoring areas to ensure good standards and outcomes.

All staff are responsible for the continual compliance with CQC standards and outcomes. Be accountable for your own professional actions and have the skills to manage workload and prioritizing tasks as a result.

 Special requirements

The range of duties and responsibilities outlined above are indicative only and are intended to give a broad flavour of the range and type of duties that will be allocated. They are subject to modification in the light of changing service demands and the development requirements of the post holder.