Band 4 Non Clinical Discharge Coordinator | Chelsea and Westminster Hospital NHS Foundation Trust

As a band 4 discharge coordinator a key part of the role will be liaising with departments/services internally, and across the health economy, who are involved in providing care to patients whilst in hospital and beyond discharge into the community.

This will involve developing excellent working relationships across the health boundaries, and with patient and their families.

Will check and challenge internal processes and decisions and will escalate issues which could cause a delay in either treatment or discharge escalating these delays accordingly.

Negotiation with staff, services and patients will be a vital part of this role to ensure the patient journey is progressed appropriately and safely.

As a Discharge Coordinator you will be aligned to specific hospital inpatient areas and will be responsible for a case load of patients at all levels to progress their hospital journey from admission to discharge.

You will play a vital role within hospital flow and be the escalation point to progress the patients’ hospital journey and in turn facilitate a timely discharge with the aim to meet every patient’s Estimated Dates for Discharge (EDD) with the overall objective to reduce the hospitals length of stay (LoS). Support the maximisation of patient flow throughout for emergency and elective

· In liaison with ward staff, community, social services and other healthcare colleagues facilitate timely, appropriate and safe discharge of patients.

· Attend Daily Reason to Reside Meetings, MDT meetings, Professional and family meetings, Daily Board rounds on allocated wards.

· Ensure that the Early Discharge Notification (EDN) to be completed within

· 24 hours of hospital admission, Needs Based Assessment (NBA) and any other onward referrals are completed in a timely manner

· Ensure the person and any carer’s, family or friends are involved in and informed about all aspects of the discharge process

· To promote and ensure that early bed release guidelines are adhered to; ensuring that all appropriate patients are moved to the discharge lounge

· Support and facilitate the transfer of patients who are privately funding their care to prevent extended length of stay. To adhere to the National and Trust Policy for Discharge to family and carers within the agreed time frame to avoid extended length of stay.

· Work flexibly in shift patterns to meet the needs of the Trust, including bank holidays, unsocial hours, cross-site working and weekend working

Our Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&E and children’s services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and an £80m Ambulatory Diagnostic Centre at West Mid.

We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.

We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring

· Make key links and maintain good working relationships within acute and community services.

· Start planning patients’ out of hospital journey on admission.

· Act as an effective role model in discharge supporting all members of the MDT.

· Complete initial conversations to identify patients needing support at home.

· Support ward staff to complete Early Discharge notifications.

· Identify complex patients and handover to clinical team members.

· Identify medically optimised patients.

· Allocate pathways on Cerner and Optica.

· Update ADDs.

· Initiate Needs Based Assessments and ensure completion 48 hours prior to ADD.

· Attend daily board rounds.

· Document confirmation of packages of care on Cerner and Optica.

· Ensure appropriate referrals sent 48 hours prior to ADD.

· Attend and contribute to weekly MDT meetings.

· Work autonomously in the absence of Frailty, dementia, and discharge teams.

· Provide a proactive and continuous approach to case finding, assessment, and discharge planning.

· Communicate with staff within the Trust and external organisations.

· Communicate with patients and their families from admission regarding assessments and discharge planning.

· Provide accurate information and advice to patients and carer’s.

· Handover robust plans to MDT members when not on duty.

· Challenge when discharge planning does not happen and escalate key themes.

· Participate in and contribute to in-service training programs.

This advert closes on Monday 26 Oct 2026