Job summary
- Main area
- Aging and Health
- Grade
- AfC Band 7
- Contract
- Fixed term: 12 months (Contract ends on 31-OCT-2026)
- Hours
- Full time - 37.5 hours per week
- Job ref
- 384-AGB-EMF19350-B7
- Employer
- Royal Surrey NHS Foundation Trust
- Employer type
- NHS
- Site
- Royal Surrey NHS Foundation Trust
- Town
- Guildford
- Salary
- £50,008 - £56,908 per annum pro rata - includes high cost area supplements (HCAS)
- Salary period
- Yearly
- Closing
- 20/11/2025 23:59
- Interview date
- 27/11/2025
Employer heading
Clinical Liaison Practitioner
AfC Band 7
Job overview
We are seeking a dynamic and experienced Clinical Liaison Practitioner to join our Transfer of Care Hub team, supporting the Guildford and Waverley Discharge to Assess (D2A) programme.
This Band 7 role is hosted by Royal Surrey NHS Foundation Trust and employed by Surrey Heartlands ICB. You will play a pivotal role in coordinating NHS Continuing Healthcare (CHC) Fast Track and D2A pathways, ensuring patients are discharged safely and efficiently, with assessments carried out in the community wherever possible.
Please note: this post is only open to staff from Royal Surrey NHS Foundation Trust and its system partners (Ashford and St Peters NHS Foundation Trust, Surrey
Heartlands ICB, and Surrey County Council). Applicants from outside of these organisations will not be considered.
Reasons to apply:
• This role provides an opportunity to be at the forefront of an innovative model of integrated care.
• This role allows you to make use of your skills and experience to work across acute and community settings to support some of the most vulnerable patients.
• You’ll be part of a supportive team driving innovation and best practice in discharge planning and CHC processes.
Main duties of the job
You will be responsible for actively contributing to and supporting the discharge process as it relates to, NHS funded Discharge to Assess (D2A) pathway, and NHS Continuing Healthcare (CHC) Fast Track (FT) process, for clients requiring CHC assessment, as well as other patients requiring or already eligible for NHS CHC funding.
You will lead on supporting discharges from the acute hospitals providing an in-reach approach.
You will actively support the shared agenda of avoiding CHC assessment in hospitals, and planning for most CHC assessments in community, after discharge from hospital, in line with national and local policies and strategic directions.
Key relationships will be with Ward staff and the Discharge Team at The Royal Surrey County Hospital, to ensure that patients within the acute are swiftly identified and considered for the D2A NHS funding or NHS CHC Fast track funding. The postholder will be working with the Transfer of Care Hub, RSCH discharge team, ward staff and the social care practitioners to identify suitable patients for the CHC led Discharge to Assess pathway and CHC Fast Track, ensuring that referrals are progressed in a timely manner and submitted to the relevant CHC services. The aim of role is to prevent delays in discharge from hospital.
Working for our organisation
Royal Surrey is a compassionate and collaborative acute and community Trust. Recognising that our 5000 colleagues are our greatest strength, we offer a comprehensive health and wellbeing program along with a commitment to developing and advancing your career. Our diverse and welcoming Royal Surrey family will ensure you that you feel valued from your initial interview through your entire tenure.
We are clinically led and provide joined up care by bridging the gap between hospital and community services alongside regional specialist cancer care. Our main acute hospital site is in Guildford with community hospital sites at Milford, Haslemere and Cranleigh. We provide adult community health services in homes across Guildford and Waverley.
The Care Quality Commission (CQC) have given us an overall rating of Outstanding.
Royal Surrey has a strong reputation and history to build on. We are proud of our achievements and we are investing in our colleagues through our commitment to supporting professional development as well as investing more than £45 million in our physical environment and new equipment in the next few years. There has never been a better time to join us.
Although it isn't the Trusts normal practice, adverts may close early, so you are encouraged to submit an application as soon as possible.
A video about the Royal Surrey - https://www.youtube.com/watch?v=R96pMboIYdo
Detailed job description and main responsibilities
You will need to ensure that robust / lean protocols for assessment and discharge of patients are established and followed, in cooperation with the Acute hospital’s discharge team and with the relevant CHC services, namely CHC led D2A, and the CHC Fast Track team. The post holder will understand the care needs of the patients, to support the timely provision of appropriate services, to meet the care needs identified. This includes ensuring assessments and active participation in the CHC led D2A and Fast Track process ensuring patients are discharged in a timely manner once they meet their discharge ready date to prevent delays, and CHC assessments are undertaken outside of hospital.
You will be involved in training and supporting hospital and/or community staff in completing CHC led D2A and CHC Fast Track referrals and assessments to a competent level to enable robust mechanism for continuation of swift discharges when the post-holder is not on site.
This role involves linking and collaborating with patients and families/carers, and other health and social care providers in primary, secondary, independent, and voluntary care, to promote communication, provide information with regards the CHC D2A and assessment process, ensure seamless care and support for patients and their carers.
Very occasionally in special circumstances, and after authorised by the line manager, the post holder will undertake CHC assessments for NHS Continuing Healthcare, Checklist for patients in hospital.
You will work closely with the CHC Clinical Liaison Practitioner (CLP) and the CHC Case Manager/Nurse Assessor who will carry out care package reviews, CHC Checklists, FT reviews, and DSTs for patients discharged from hospital in community.
The job description and person specification are an outline of the tasks, responsibilities and outcomes required of the role. The job holder will carry out any other duties as may reasonably be required by their line manager within the Transfer of Care Hub and the CHC Senior Leadership Team.
This role is expected to evolve and progress, as the needs of the service and overall, the NHS are changing. The post holder will act as a key link between the hospital, Transfer of Care Hub and the Surrey Heartlands ICB/Continuing Healthcare Service.
The job description and person specification may be reviewed on an ongoing basis in accordance with the changing needs of the Department and the Organisation.
Person specification
Qualifications
Essential criteria
- • Educated to degree level in relevant subject or equivalent level of experience of working at a similar level in health or social care
- • Professional Healthcare / Clinical qualification and current registration with relevant professional body i.e. NMC or HCPC.
- • Experience of assessment of health and social care needs – care planning and coordination
- • Ability to work effectively under stressful conditions in a rapidly changing environment.
- • Knowledge of and experience of NHS Funded Continuing Health Care criteria – guidance and policies, including CHC led D2A.
- • Working knowledge of Microsoft software and it’s applications, experience with using Electronic Patients’ files in community and hospital NHS organizations.
Desirable criteria
- • Experience of developing, reviewing and altering care packages
- • Experience in communications and stakeholder management
- • A good understanding of the health and social care environment including acute hospitals and hospital discharge processes
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Sarah Holbrook
- Job title
- Lead Nurse Patient Flow
- Email address
- [email protected]
- Telephone number
- 01483 571122
- Additional information
For further information, discussion, or informal visits, please contact Sarah Holbrook, Lead Nurse for Patient Flow; [email protected]
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