Social Worker Hospital to home Team

Job overview

An exciting opportunity to join the award winning Hospital To Home team. The highly performing team   provides the social work role within Derbyshire Community Health Services (DCHS)  Community First service.

The team is based at the Royal Derby Hospital, however Hospital to Home also work with customers across local Community Hospitals, their own homes and within Perth House assessment centre. Your customer base is people over the age of 18 years who require advice, advocacy and support to maximise their independence, safety and well being. The team works closely with the Integrated discharge team and DCHS  to discharge customers using the discharge to assess model.

Applications are welcomed from candidates with the ability to encourage, support and engage with carers adults both within and recently leaving hospital and people with learning, physical and/or sensory disabilities.   A Social Work qualification is essential.  There is a strong focus on strength-based practice and ensuring that customers are able to return to the place they call home.

Derbyshire Community Health Services recently integrated a range of services with Derby City Council  that support people to remain at home when their needs change, but also to return home following a hospital admission by receiving rehabilitation and reablement support.

Main duties of the job

You will need to be focussed on achieving excellence  and highly motivated, with excellent communication skills to enable you to work effectively with a wide range of agencies. You should have assessment and support planning skills and experience of person centred approaches. You should have a good knowledge of relevant legislation including making safeguarding personal The Care Act 2014 and Mental Capacity Act 05. You will ensure that you apply consistently high standards.

The Hospital to Home team is part of a unified health and social care team providing seamless support for local people with the aim of keeping them living as independent as possible, and with good health and mental wellbeing. This includes ensuring that local people access reablement and rehabilitation support that maximises their own skills and abilities, especially after a hospital or medical episode.

Detailed job description and main responsibilities

To provide Social Work and Care Management services to patients within Acute hospital trusts and Derbyshire Community Health Services discharge pathways. DCHS provides Care Act 2014 functions on behalf of Derby City Council under a Section 75 agreement. Social workers provide high-quality social work support to patients and their families, ensuring that individuals receive the appropriate care, advice, and assistance during their hospital stay and as they transition back home.

Social workers are involved in the development of services and staff. They co-ordinate the assessment of needs of patients and work with them and their carers in accordance with agreed multi-agency assessment processes and hospital discharge procedures. Social workers will promote the discharge to assess model to meet Care Act 14 eligible needs. They will ensure that assessments are completed and arrange or commission the provision of services appropriate to meet the assessed needs. Social workers work with the trust integrated discharge team to prevent delayed transfers of care. They require a knowledge of a wide range of services and other resources, including statutory, voluntary, and private provision. Social workers assist the Team Manager and Social Work team leads in the development of policy and practice standards. It is necessary to work with information technology and associated systems and existing technology agreements and consultative procedures will be applied in accordance with City Council and DCHS policies.