Overseeing hospital discharges under the Discharge to Assess Framework / Care Act.

To work as a Social Worker as part of a multi-disciplinary team. To provide support to older people with diagnosed memory problems who need social care because of their mental health and/or memory problems.

To work in collaboration with colleagues from health and social care to respond to urgent requests for assessment/monitoring/support to people with a diagnosis of dementia or significant mental health disorder who are presenting with a physical health problem to prevent hospital admission and to facilitate a co-ordinated discharge back into community. 

To work in collaboration with the intermediate care team to facilitate reablement when identified. 

The team works closely with colleagues in the NHS to ensure that needs are met holistically and, in the ways, most appropriate to the person and their family carers.

The role is to coordinate the ...