Senior Transfer of Care Nurse - Kent and Medway ICS Only

Job summary

Please note this role is currently only being advertised to staff members who are currently working within the Kent and Medway ICS

The post holder will be a highly motivated, enthusiastic, and experienced professional with a strong background in discharge planning, patient flow, and pathway coordination. They will play a pivotal role in supporting the effective and timely discharge of patients with complex health and social care needs, ensuring safe transitions of care and promoting positive patient outcomes.

The successful candidate will demonstrate exceptional leadership, problem-solving, and communication skills, thriving in a fast-paced and continually evolving environment. They will work collaboratively with multidisciplinary teams, community services, social care partners, and external agencies to facilitate integrated discharge planning and minimise delays across the patient journey.

As a visible and influential leader, the post holder will act as a role model for the Transfer of Care Team, supporting service development, quality improvement, and the achievement of local and national performance targets.

Main duties of the job

• Provide operational and clinical leadership to the Transfer of Care Team, supporting the delivery of high-quality discharge planning services.
• Support patients, families, carers, and ward teams in facilitating safe, effective, and timely discharges, particularly for individuals with complex health and social care needs.
• Take responsibility for managing complex discharge pathways within designated clinical areas, proactively identifying and resolving barriers to discharge.
• Support clinical teams in developing discharge planning knowledge and skills to ensure patients receive appropriate care and support on discharge.
• Lead the implementation of the Patient Choice Policy in relation to delayed discharges and complex care arrangements.
• Monitor patient pathways and identify delays in diagnostics, referrals, assessments, and care provision, escalating concerns appropriately.
• Promote effective communication and collaborative working between multidisciplinary teams, community providers, social care colleagues, patients, and families.
• Support the Trust in achieving national and local discharge, flow, and performance targets.
• Ensure safeguarding concerns are identified, escalated, and managed in accordance with Trust policies and statutory requirements.

About us

Maidstone and Tunbridge Wells NHS Trust ranks among the top 10 NHS Trusts nationwide and was named the second-best Trust to work for in the South East in the 2023 and 2024 NHS Staff Survey.

We are a large acute hospital trust in south-east England, providing general hospital services and specialist care to around 600,000 residents in West Kent and East Sussex. With a dedicated and diverse team of over 8,000 staff we are proud to offer specialised cancer services to over two million people through the Kent Oncology Centre.

Fordcombe Hospital, near Tunbridge Wells, became part of the Trust in October 2024. Specialising in planned care, it offers two operating theatres, 28 inpatient and day-care beds, diagnostic services (X-ray, MRI, CT, and endoscopy), and consultation/treatment rooms.

Looking for flexible working?We are a flexible working-friendly organisation. Whether it's adjusting your hours or exploring other flexible arrangements, we want to work with you to find the best solution for you, our patients, and the Trust. Talk to us about how we can accommodate your working needs.

Click here to hear what our staff say.

Joining us includes a comprehensive benefits package:

• At least 27 days of annual leave plus public/bank holidays (pro-rata for part-time staff).
• Membership in the NHS Pension Scheme, with a employer contribution of 23.7% and life assurance benefits
• Blue Light card eligibility

And more, additional benefits can be found in the benefits documents below