Hospital discharge coordinator jobs in en5
Job description
Job Purpose
To manage and develop the home from hospital settle service in the hospitals that you are responsible for, to support timely and successful patient discharges from hospital and prevent re-admissions. You will work in collaboration with hospital teams and community teams to lead and manage your team to support the smooth transition from hospital to home for service users. The service works with people for time limited support (usually up to 6 weeks) to adjust and settle back in their homes, and to prevent readmission into hospital.
Key Tasks
- Work in partnership with the hospitals and other health and social care professionals to coordinate safe and timely discharges for referred clients. This involves attending meetings with hospital personnel including Discharge Co-ordinators and Ward Managers to discuss discharges and plan who and how individuals will be supported as appropriate.
- Manage a team working across two hospitals and ensuring the service is available between the contracted hours.
- Work collaboratively with other agencies providing support services.
- Conduct initial assessments of people referred to the services as necessary.
- Plan and develop person centred interventions to provide short term support for people after hospital discharge.
- Work with GPs as appropriate in identifying and supporting patients to reduce unnecessary hospital admissions.
- Work with people with a range of needs, dealing with issues ranging from social isolation and keeping people engaged in their community, to preventing unnecessary admission to hospital.
- Support the hospitals with delayed transfer of care (DTOC).
- Coordinate and monitor the caseload of referrals allocated to team members to ensure a fair and manageable distribution of work.
- Rota planning to ensure staff flexibility and availability, enabling planned rosters that best suit both hospital and patient needs.
- Develop your team which includes; supervision, appraisal, planning of continued professional development opportunities and training needs.
- Conduct regular management audits to ensure a consistent way of working and identify development and training needs in the team or individual.
- Develop and deliver a flexible service that can respond to peaks and troughs in demand.
- Ensure the service is meeting key performance indicators, and identify any concerns e.g. demand for the service exceeding the levels in the contract and taking proactive action to address this.
- Monitor performance of the services against KPIs and produce reports to demonstrate performance.
- Deliver front-line services when needed, e.g. sickness or staff shortages. This is by exception rather than you regularly doing support work.
- Manage the budget, sign-off expenses, and ensure the project is delivered to budget, liaising with the Finance Department as necessary.
- Support the directorate with generating funding e.g. being actively involved in consultation of possible projects, providing activity data, opportunity spotting, and/or supporting the production of tenders.
- Occasionally provide weekend on call cover for the services you manage, and other hospital settle services provided by AUKEL.
Administration
- Lead on contract reporting, this includes quarterly annual and ad hoc reports
- Carry out annual customer service surveys.
- Maintain electronic records of referrals and interventions to assess service impact, support local improvements, and report on KPIs
- Meet and produce reports as required by the Head of Service.
- Ensure patient records are regularly updated through AUKEL database, and support staff to complete their administration via training etc.
- Work with the Communications team and the Head of Service, market and promote the service.
- Build and circulate a resource pack for the wider AUKEL team to generate referrals between services delivered by the charity.
Quality
- Be familiar with and implement AUKEL policies and procedures.
- Ensure the service is delivered in accordance with Care Quality Commission principles.
- Ensure a cycle of continuous improvement by taking a “lessons learnt” review approach.
- Ensure that the requirements of the contract specification for the services are met.
- Ensure integration with other AUKEL projects, and service users are referred/sign-posted to appropriate support services available to them.
- Respond to safeguarding or other concerns and take appropriate reporting and management action.
- Lead on recruitment of staff for your team, and support others at AUKEL.
Liaison
- Represent AUKEL and participate in appropriate external meetings and events and remain aware of local, regional and national issues affecting AUKEL clients.
- Develop external relationships with stakeholders, and build positive connections with health and social care partners
- Attend contract management meetings with commissioners alongside the Head of Hospital and Home Services.
General
- Meet regularly with line manager for support, supervision and appraisal.
- Attend team and staff meetings, (and other meetings) as required.
- Complete any training required to fulfil the post.
- Carry out the duties of the post in accordance with AUKEL’s policies and procedures including Equal Opportunities, Health & Safety, Confidentiality, Complaints, GDPR, Safeguarding Vulnerable Adults, Safeguarding, and Care Quality Commission (CQC) guidelines.
- Other duties which are consistent and commensurate with the responsibilities of the post and the needs and development of the Hospital Home and Settle Service.
Functional Links
- The Home and Settle Manager is line managed by the Head of Hospital and Home Services
- The Home and Settle Manager line manages:
- Project Officers
- Discharge and Settle Workers
- Volunteers
- Close working is required with Age UK East London Finance Team
- Close working with Information, Advice, Advocacy & Befriending Services
- Handyperson services
- Close working with Age UK East London Community Services
- Close working with other take home and settle services across east London
Person Specification
Experience
Essential
- Minimum of 2 years’ experience of people management including line management and team leadership.
- Minimum of 2 years’ experience of delivering services within a health or care setting at a level reflecting the responsibilities of the post.
- Of project recording and reporting to funders.
- Of leading service development and improvement and managing the change process.
Desirable
- Experience of working with older people
- Experience of working within a hospital discharge setting.
- NVQ Level 2 Health & Social Care or Care Certificate
Knowledge & Understanding
Essential
- Understanding of the impact of discrimination and disadvantage on the lives of people and ability to work in a trauma-informed manner.
- Understanding of NHS hospital discharge procedures.
- Understanding and commitment to safeguarding and promoting the welfare of vulnerable adults and their carers.
- Understand of and commitment to equity, diversity, inclusion and dignity
Desirable
- Knowledge and understanding of NHS England legislation regarding Avoiding Unplanned Admission Care Plans.
- Knowledge of project financial budgeting
- Knowledge of CQC fundamental standards
- Understanding of impact on the Mental Capacity Act 2005 & Liberty Protection Safeguards 2020 within the hospital setting
Skills/Attributes
Essential
- Excellent interpersonal skills.
- Excellent verbal and written communication skills.
- Good planning and organisational skills
- Ability to work calmly under pressure.
- Intermediate IT skills
- Data analysis skills
Desirable
- Ability to speak one or more community languages
Additional Requirements
- This post is subject to the relevant check through the Disclosure & Barring Service (DBS)
- Flexibility in working hours to meet organisational needs
- The post holder will work with standard Office365 server-based computer system
- Occasional weekend and evening working may be required
The client requests no contact from agencies or media sales.
As our Befriending Service Coordinator, you will lead the further development and coordination of our befriending offer, working closely with volunteers and service users. Your work will help provide a supportive, connected service enabling those at risk of isolation to feel connected and engaged with others.
Our broader offer includes a range of services with tailored support through holistic understanding of those who seek our support. Please see our website for our range of services.
What you’ll do:
- Lead the delivery of our individually tailored befriending service, supporting clients to reconnect to community and reduce isolation.
- Work with the other teams to support your clients in accessing our wider services and support, including social activities.
- Build strong partnerships with local groups and services across health, social care and the voluntary sector.
- Use and support the team of existing befriending linked volunteers and develop further recruitment and training as needed.
Who you are:
You have experience working in older people services or the voluntary sector, and a deep understanding of the challenges faced by older people. You’re proactive, organised, and passionate about delivering person-centred support that makes a real difference.
Why join us?
You’ll be part of a small, caring team committed to practical, person-centred support for older people both through groups and as individuals. This is a unique chance to shape a growing service and improve the quality of life for older people in your community.
Closing date for applications: 30 June 2025 at 9am. Interview dates: week beginning 30 June 2025.
Please see website for more information on our organisation.
The client requests no contact from agencies or media sales.
Actively Interviewing
This organisation is scheduling interviews as applications come in. They're ready to hire as soon as they find the right person. Don't miss your opportunity, apply now!
Support Coordinator
We’re looking for enthusiastic, motivated and well organised individuals to join the organisation delivering a comprehensive Stroke Recovery Service across the region.
This is an exciting opportunity to work with stroke survivors and their families to support them following stroke.
Applications from individuals who are seeking flexible working options, including reduced hours or job shares are welcome
Position: S11290 Stroke Support Coordinator
Location: Homebased, Warrington. However, frequent travel across the area will be required as part of this role
Salary: Circa £16,461 per annum (FTE circa £27,400 per annum)
Hours: Part-time, 21 hours per week hours per week
Contract: Permanent. Services are contracted and there is currently funding for this contract until 31 March 2026
Benefits: 25 days’ annual leave plus bank holidays (this will increase with service up to 30 days, full time equivalent) cashback and discount scheme, employee assistance programme, learning and development, pension scheme, Life Assurance, Eye Care vouchers, Long Service Award, Tax-free childcare, Health Cash Plan, Working Pattern Agreement, flexible working opportunities available.
Closing Date: Thursday 3 July 2025. We reserve the right to close this vacancy early if we receive sufficient applications for the role.
Interview Date: To be confirmed
Interviews will be held via video conferencing. Please let us know if this will present any challenges when you email your application.
The Role
The service aims to identify and address the needs of stroke survivors and carers across the stroke pathway, by providing a range of innovative support solutions, supporting them to meet their desired outcomes.
The Stroke Support Coordinator will:
- Support new stroke survivors and their carers from hospital discharge into the community.
- Work alongside people affected by stroke with communication difficulties to plan and work towards recovery outcomes that are important to them, including secondary prevention needs.
- Enable stroke survivors and where appropriate family members/carers to develop independence and confidence in the use of tools and strategies to support communication.
- Provide personalised information, advice and support.
- Support stroke survivors to make informed lifestyle changes which will help them to prevent further strokes.
- Work collaboratively with Warrington NHS colleagues and other areas of the community to make a difference to the lives of people affected by stroke.
About You
You will:
- Have a background in a caring and/or charity profession supporting people with disabilities.
- Be able to demonstrate previous experience of working collaboratively with other organisations to achieve joint ambitions.
- Have experience of working with people who may have additional communication support needs.
- Have the ability to use basic Microsoft system.
This role requires the post holder to travel throughout Warrington to visit people at home and in community settings. Candidates must be able to demonstrate how they can meet this requirement of the role.
Please submit your CV and a supporting statement of no more than two pages demonstrating how you meet the person specification and what you bring to the role in terms of your skills and experience. Please state any preferences for flexible options in your covering letter. Applications from individuals who are seeking flexible working options, including reduced hours or job shares are welcomed
To fulfil the role you must be resident in the UK and have the right to work in the UK.
When you click to apply, you will be able to see the full responsibilities and person specification for further information on the role.
Please submit your CV and a supporting statement of no more than two pages demonstrating how you meet the person specification and what you bring to the role in terms of your skills and experience.
If you are applying under the Disability Confident scheme, please indicate this in your supporting statement.
Finding strength through support
The organisation is the only charity in the UK providing lifelong support for all stroke survivors and their families. Providing tailored support to tens of thousands of stroke survivors each year. This support includes one-to-one and group support, funding vital scientific research into stroke prevention, acute treatment, recovery and long-term care, and campaigning to secure the best care for everyone affected by stroke.
They are here for stroke survivors and their loved ones, from the moment they enter the new and frightening post-stroke world, supporting them every step of the way as they find their strength and their way back to life.
It’s only thanks to the generosity of supporters and donors that they can provide vital support.
The Association is driven by an ambition to improve the lives of everyone affected by stroke. This means they’re determined to create an equitable and inclusive workplace that benefits from the difference, and thrives on the diversity, of our people. Guided by an approach to solving inequity in stroke, the team are prioritising listening to, and learning from, lived experience across the charity.
The charity are working to improve the representation of this lived experience at all levels within the Association and are eager to recruit applicants from a variety of communities and backgrounds. We are keen to receive applications from people affected by stroke, people of colour, members of LGBT+ communities, and disabled people because these identities and experiences are underrepresented and would add enormous value to how the organisation work.
A Disability Confident employer, the organisation is making great progress focusing on flexible working, reasonable adjustments and access to work. The charity has a variety of staff network groups and are committed to continuously improving diversity and inclusion efforts. If you have questions, or access needs, we’re happy to discuss any support and adjustments we can make throughout the recruitment process so that you’re able to contribute your best in a way that meets your needs.
You may also have experience in areas such as Care Coordinator, Stroke Support, Stroke, Care, Care Worker, Support Worker, Carer, Care Team Leader, Support Team Leader, Volunteering Manager, Volunteer Coordinator, Support Group, Support and Advice, Social Care, Carer Support, Support Service. #INDNFP
PLEASE NOTE: This role is being advertised by NFP People on behalf of the organisation.
Are you someone who enjoys hands-on work and wants to make a meaningful difference every day? At Age UK Bromley & Greenwich, we’re looking for a practical, compassionate individual to join our team as a Handyperson. This is a vital role supporting older people and those with long-term health conditions as they return home from hospital.
You’ll be part of a fast-moving, highly valued service that helps people stay safe, independent and confident in their own homes. From installing grab rails and key safes to putting up curtain rails or fixing minor plumbing issues, the work you do will directly improve lives and reduce the risk of accidents and readmissions.
This role is ideal for someone who enjoys variety and problem-solving, as no two days are the same. You’ll work closely with occupational therapists, respond to referrals (often on the same day), and be trusted to manage your own tasks with care and professionalism. You’ll also support our paid-for service offering, where your practical help continues to give people the reassurance they need to live independently.
We’re looking for someone with a solid set of DIY skills, a proactive attitude and a full UK driving licence. In return, you’ll join a warm, committed charity that has been supporting the local community for over 50 years. You’ll be part of a team that genuinely cares about the people we serve.
If you're ready to bring your practical skills into a role with real purpose, we’d love to hear from you.
We're a local charity working in the community to support older people, their families and carers. We want everyone to be able to love later life.




The client requests no contact from agencies or media sales.