Care Assessor - Ilarna Limited - Aylesbury, Buckinghamshire
(2025-06)
- Hospital Engagement: Developing strong relationships with ward staff, discharge teams, and community services.
- Clinical Assessment: Undertaking assessments to inform discharge planning and ensure individual care needs are met.
- Care Package Facilitation: Collaborating with care teams to allocate appropriate support and ensure care packages are compliant.
- Problem Solving: Anticipating and addressing barriers to discharge, and escalating complex issues as necessary.
- Reporting: Maintaining accurate records and providing regular reporting on patient flow improvements.
Specialist Discharge Nurse - Frimley NHS Trust - Slough, Berkshire
(2024-11 - 2025-05)
I provided specialist expertise in discharge planning and health and social care pathways, playing a critical role in supporting hospital flow and serving as a key point of escalation for complex cases. I coordinate multidisciplinary meetings involving a range of professionals, including representatives from social care, care homes, and external service providers, to ensure cohesive and patient-centred planning. I possess practical experience and working knowledge of brokerage placements, ensuring that patients are discharged to settings that provide the appropriate level of care and support tailored to their individual needs.
Additionally, I manage a caseload of complex cases, requiring advanced clinical judgment, effective communication, and collaborative decision-making to achieve optimal outcomes
Quality Setting Care Home Nurse - Hertfordshire and West Essex ICB
(2021-11 - 2024-09)
- Provided advice and training to staff in the care homes (looked after 37 plus homes and carried out training about 4 sessions a week.).
- Support to review and improve systems and processes (example when homes implemented new electronic health care records systems in place).
- Support in providing training where residents with clinical issues have been identified (including deteriorating resident, care planning, UTI and falls) – I carried out a few sessions in order that all staff had received the training.
- Support proactive care planning which involves reviewing care plans and giving advice.
- Provide advice and support to care homes to meet the CQC and local authority standards.
- Support provision of avoidable admission pathways for residents who are unwell, preventing avoidable admissions to hospital and keeping resident care at home as much as possible.
Quality Setting Care Home Nurse - Hertfordshire and West Essex ICB
(2021-11 - 2024-09)
- Supported with the reduction of hospital admissions in care homes and build good relationships with care home staff.
- Supported care homes to come out of improvement processes example whereby I was the fresh pair of eyes in the home ensuring all policies and procedures were in place.
Impartial Nurse Assessor - HCPA - Watford General Hospital
(2018-11 - 2021-10)
- Undertake face to face assessments on behalf of the Care Homes, and act in the best interest of residents when they were deemed medically optimised for discharge.
- Carried out comprehensive and detailed and assessments which also assisted in relieving bed pressures at the hospital. I also bridged the gap with effective communication between the staff at the Hospital and the Care Homes and was a single point of contact.
- I liaised and worked well with the integrated discharge team, medical staff and interacted with Care Home managers to establish good working relationships and achieve good outcomes.
Impartial Nurse Assessor - HCPA - Watford General Hospital
(2018-11 - 2021-10)
- Facilitated with safe and timely discharges, and able to meet deadlines and targets.
Hospital Bank Staff - Imperial College Hospitals London
(2017-12 - 2018-09)
- I worked across sites covering the discharge unit and facilitating the daily discharges.
- I facilitated safe and timely discharges to reliever bed pressures. I provided nursing care and carried out medication administration while they waited in the Discharge Unit.
- I liaised with other disciplines and established good working relationships to safely support the discharges.
Hospital Bank Staff - Imperial College Hospitals London
(2017-12 - 2018-09)
- I managed to work well under pressure in order to achieve safe and timely discharges.
FNC Nurse Assessor - West Hampshire CCG
(2017-10 - 2017-12)
- I carried out daily FNC Checklist assessments in the Nursing and Residential Home settings and made recommendations based on the outcomes according to the CCG guidelines.
- My role also involved face to face contact with residents, meeting with relatives and reviewing documentations. I also liaised with Care Staff and discussed about the needs of the residents.
FNC Nurse Assessor - West Hampshire CCG
(2017-10 - 2017-12)
- I provided the detailed assessments in order to meet the criteria of needs.
Complex Discharge Nurse - Imperial College Hospital Trust
(2016-09 - 2017-09)
- I worked within the discharge team handling the complex discharges.
- My role involved facilitating complex discharges and undertaking CHC assessments which included Decision Support Tools and Checklist.
- I worked as part of a multidisciplinary team and had weekly meetings to discuss delayed hospital discharges.
- I made follow-up calls to the patients discharged and tried to resolve and issues reported.
Complex Discharge Nurse - Imperial College Hospital Trust
(2016-09 - 2017-09)
- I was able to manage expectations while working under pressure.
Complex Discharge Nurse - Chelsea and Westminster Hospital NHS Foundation Trust
(2016-09 - 2017-09)
- My role was to facilitate the complex discharges on the ward.
- It involved chairing Network and Family meetings.
- I worked as part of the Multidiscipline Team and Social Services to facilitate patients with their discharge destinations.
- I carried out assessments for patients to see if they met the requirements and was eligible for NHS Continuing Health funding.
- I liaised with families to collect collateral history about patients.
Complex Discharge Nurse - Chelsea and Westminster Hospital NHS Foundation Trust
(2016-09 - 2017-09)
- I became more assertive in my role and was able to develop the ability of managing expectations.
Rapid Response Sister and Discharge Nurse - Ashford and St Peters Hospital
(2014-01 - 2016-08)
- I worked as a Nursing Sister covering the Ashford and St Peters Hospital and the Northwest Surrey Community.
- I conducted clinical assessments in accident and emergency to avoid hospital admissions.
- I prioritised and triaged referrals from GPs, London Ambulance Services, Nursing Homes and families.
- I provided nursing care to services users in the community.
- I liaised with multi-disciplinary teams and worked as well as a team player.
Rapid Response Sister and Discharge Nurse - Ashford and St Peters Hospital
(2014-01 - 2016-08)
- I was accepted at the University of Surrey to enrol in the Nurse Practitioner's Course.
Senior Staff Nurse - Hillingdon Hospital
- I worked as the senior nurse managing the discharge unit and facilitating the daily discharges.
- I facilitated safe and timely discharges to reliever bed pressures and increase patient flow. I provided good nursing care and carried out medication administration while patients waited in their transport in the Discharge Unit.
- I liaised with MDTs and established good working relationships to safely support the discharges.
Senior Staff Nurse - Hillingdon Hospital
- Promoted to manager of the discharge unit.
