Transfer of Care Nurse

The Methodist Church in Britain; Tunbridge Wells; On-site; GBP 32,000 - 42,000; Full time

Benefits offered by this job

Flexible working arrangements

Career pathways within the Trust

Job summary

Kent Community Health NHS Foundation Trust is recruiting a Transfer of Care Nurse to support complex discharges from hospital and coordinate with health and social care colleagues. The role focuses on holistic care for patients, families and carers, with safeguarding and multiagency collaboration at its core.

You will document care plans, escalate concerns, and work across community teams to ensure safe, sustainable outcomes for vulnerable individuals in a fast-changing environment.

Qualifications

• Level 6 degree or equivalent in nursing.
• Registration with the Nursing and Midwifery Council.
• Experience managing complex caseloads.
• Mentoring or supporting others.
• Customer-focused approach and IT skills.

Responsibilities

• Assess, plan, implement and evaluate patient care, escalating concerns and responding to changes in condition.
• Support complex discharges from the acute hospital with health and social care colleagues.
• Work holistically with individuals, families and carers to build relationships and networks and achieve sustainable outcomes.
• Recognise and respond to abuse and risk to adults and children, assess capacity and support decision making.
• Work jointly with safeguarding teams, partner organisations and multiagency partners to keep clients safe and reduce risk.
• Maintain clear, accurate records of advice given, observations and action taken.
• Balance changing tasks within the team while working independently and using initiative.
• Follow policies and procedures and take part in audits, surveys and consultation on proposed changes.

Skills

Customer-focused approach

IT systems literacy

Signposting to services

Evidence-based practice

Understanding NHS roles

Managing complex caseloads

Mentoring others

Education

Level 6 degree or equivalent in nursing

Job description

The Transfer of Care Nurse post with Kent Community Health NHS Foundation Trust works with health and social care colleagues on complex discharges from the acute hospital. The work centres on holistic support for individuals, their families and carers, alongside safeguarding and joint working with community teams and partner organisations. It is a busy, fast-changing role that combines team working with independent decisions and multiagency collaboration. Applicants need NMC registration; skilled worker sponsorship is not offered, so right to work evidence is needed.

What the job involves

• Assess, plan, agree, implement and evaluate patient care, escalating concerns and responding to changes in condition
• Support complex discharges from the acute hospital with health and social care colleagues
• Work holistically with individuals, families and carers to build relationships and networks and achieve sustainable outcomes
• Recognise and respond to abuse and risk to adults and children, assess capacity and support decision making
• Work jointly with community safeguarding teams, partner organisations and multiagency partners to keep clients safe and reduce risk
• Maintain clear, accurate records of advice given, observations and action taken
• Balance changing tasks within the team while working independently and using initiative
• Join wash-up discussions within health to share knowledge and information
• Follow policies and procedures and take part in audits, surveys and consultation on proposed changes
• Understand KCC law and procedures, or know how to access advice on them

What’s required

Qualifications

• Level 6 degree or equivalent in a relevant subject, such as nursing

Registration & licences

• Registration as a health care professional with the Nursing and Midwifery Council

Experience

• Experience of managing complex caseloads
• Experience of supporting or mentoring others

Skills & knowledge

• Customer-focused approach
• Ability to use IT systems and databases
• Knowledge of where to signpost clients and families to other services that support behaviour change and better health
• Up-to-date clinical practice using evidence-based procedures and clinical effectiveness frameworks
• Understanding of the role and remit of a health care worker

Checks & eligibility

• Documentary evidence of the right to work in the United Kingdom

Nice to have

• Awareness of developments within the NHS
• Understanding of National Service Frameworks and NICE guidance

What’s offered

• Flexible working arrangements, with support to work in a way that suits the Trust and the post-holder
• Career pathways within the Trust