Hospital to Home Support Co-ordinator

Proud to Care Devon
GBP 40,000 - 60,000
Job description

Job Purpose:

  • To work as part of a multi-disciplinary team to prevent unnecessary admissions of frail older people referred or presenting to the RUDH
  • To provide frail older people and their carers with information and support to access local voluntary sector services appropriate to their needs so as to facilitate a safe and timely return to home and reduce the likelihood of re-admission

Key Responsibilities:

  • To develop positive working relationships with members of the ACE Team, members of the AMU and MTU teams and allied professionals
  • To comply with the policies and protocols that apply to the ACE team and the Hospital Trust in general and with those of Age UK Exeter
  • To research and develop a database of the types, availability and criteria of voluntary sector support services available in Exeter, East, West and Mid-Devon
  • To write case studies, on a quarterly basis, to show case how the Hospital to Home service benefits patients going home from hospital within the ACE team and distribute these to hospital and AUKE staff
  • To assess frail older people attending the ACE Unit and their carers regarding benefit entitlements and their non-statutory support needs both at home and in the community
  • To give information and guidance on relevant benefits and advice and support on how to access them
  • To take responsibility for ensuring that your knowledge of relevant benefits is accurate and up to date
  • To refer on behalf of clients to appropriate forms of non-statutory community support, agreeing an action plan that meets the client’s needs
  • To monitor referrals to ensure requests and agreed actions have been carried out through timely contact with agency, client and carer
  • To keep accurate case records of all interventions with clients and their carers
  • To be pro-active in offering reassurance and emotional support to frail older people and their carers under ACE currently on Capener ward
  • To participate constructively in the development of the ACE team and the service it offers, attending meetings as required
  • To undertake training and induction that is necessary for the role
  • To undergo the program of immunization set down by the Hospital Trust for all staff, volunteers and third parties who are engaged to work at the hospital
  • To comply with infection control measures and wear clothing that leaves fore- arms bare
  • To undertake any other duties commensurate with the post


  • Experience of working with older people in a professional setting
  • Experience of assessment and care planning to meet agreed needs and goals
  • Experience of providing information to and advocating on behalf of people with needs
  • Knowledge and understanding of the needs of older people and their carers
  • Knowledge and understanding of the roles of the statutory health and social care services and the voluntary sector and the interface between them
  • An understanding of benefit entitlements as they apply to older people and their carers
  • Good verbal and written communication skills
  • Ability to undertake person-centred assessments and develop individual care plans
  • Good administration and IT skills
  • Ability to influence and build positive relationships with external agencies
  • Good planning and organizational skills
  • Ability to prioritize and make timely decisions
  • Ability to empathize with people in challenging or traumatic situations


  • Working in, or closely with, the voluntary sector
  • Working in a multi-disciplinary team
  • Experience of helping people achieve their benefit entitlements
  • Knowledge of the local voluntary sector in Exeter, East and Mid-Devon

To apply please send a CV and covering letter which states how you meet the person specification to

Interview date: Friday 7th June 2024

This post is subject to an enhanced Disclosure and Barring Service check

Travel expenses details:

A mileage allowance of 45p per mile is paid for essential travel.

Does the job role include personal care?: No

Working Patterns:

12.5 hours per week, Monday’s and Wednesday’s.

Additional hours will also be required occasionally to provide cover when your co-worker takes annual leave.

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