Discharge Nurse Specialist

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University Hospitals of Leicester NHS Trust Discharge Nurse Specialist

The closing date is 19 November 2026

Apply for this job

Job summary

The Paediatric Discharge Specialist Nurse will lead, coordinate and facilitate safe, effective and timely discharge pathways for children and young people receiving care within Children's Services. The post holder will act as the clinical expert for discharge planning, supporting simple, complex and criteria-led discharges while ensuring high-quality care, effective patient flow and optimal use of hospital capacity.

The role will work collaboratively with multidisciplinary teams, community services, health and social care partners, families and commissioners to reduce unnecessary delays, improve patient experience and ensure children receive the right care in the right place at the right time.

The post holder will provide specialist advice, education and leadership in discharge planning and support clinical care delivery where service demands require.

Main duties of the job

• Lead and coordinate timely, safe and effective discharge planning.
• Act as the specialist lead for children with complex and long-term healthcare needs, working across acute, community and tertiary services to deliver seamless transitions of care.
• Develop, implement and support criteria-led discharge pathways to improve patient flow, reduce unnecessary delays and enhance patient experience.
• Help coordinate transition planning for young people moving from paediatric to adult healthcare services, ensuring continuity of care and effective communication between services.
• Contribute to service development, quality improvement, audit and pathway redesign initiatives that support improved discharge outcomes, capacity management and patient flow.
• Provide specialist clinical support and advice regarding discharge planning, complex care needs and family-centred care.
• Act as a key operational resource for Children's Services, supporting capacity management, escalation processes and the management of discharge delays.
• Demonstrate visible clinical leadership, champion proactive discharge planning from admission onwards and support teams in delivering high-quality, efficient care.

About us

Our new strategy, developed with the support and feedback of colleagues, patients, and partners, is our compass for the next seven years (2023-2030).

We have four primary goals:

• high-quality care for all,
• being a great place to work,
• partnerships for impact, and
• research and education excellence

And we will embed health equality in all we do - taking active steps to reduce the avoidable differences in healthcare that some people face, working in partnership with communities.

Our strategy is underpinned by new values and we will work to ensure they are an everyday reality for all:

• we are compassionate,
• we are proud,
• we are inclusive, and
• we are one team

This is an exciting moment as we look to the future with clarity on what we already do well and where we need to focus our energies to make an even bigger difference for the people we serve.

About the University Hospitals of Leicester NHS Trust:

https://www.uhleicester.nhs.uk

Details

Date posted

06 November 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,387 to £56,515 a year Pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

358-8343620-W&C

Job locations

LRI

Leicester

LE1 5WW

United Kingdom

Job description

Job responsibilities

Main Responsibilities

Discharge Planning and Coordination

Lead the planning, coordination and implementation of discharge arrangements for children and young people from admission through to discharge.

Ensure proactive discharge planning is commenced at the earliest opportunity and is embedded within daily clinical practice.

Coordinate safe and timely simple discharges by ensuring all discharge requirements are completed, including documentation, medication provision, follow-up arrangements and communication with families and primary care providers.

Act as the lead coordinator for complex discharges involving multiple agencies, specialist services and community providers.

Facilitate multidisciplinary discharge planning meetings and case conferences to ensure timely progression of discharge plans.

Identify and escalate barriers to discharge and work collaboratively with operational and clinical teams to minimise delays and optimise patient flow.

Monitor patients with extended lengths of stay and implement actions to facilitate safe discharge in a timely manner.

Support achievement of Trust targets relating to length of stay, discharge efficiency and patient flow.

Criteria-Led Discharge

Lead the development, implementation and evaluation of criteria-led discharge pathways across paediatric services.

Work collaboratively with medical teams to establish agreed discharge criteria for appropriate patient groups.

Support nursing staff to undertake criteria-led discharge processes safely and effectively.

Provide specialist advice and clinical oversight regarding discharge criteria and patient suitability.

Monitor compliance with criteria-led discharge pathways and identify opportunities for quality improvement and service development.

Undertake audits and contribute to reporting on pathway effectiveness and patient outcomes.

Children with Medical Complexities

Act as the specialist discharge lead for children with medical complexity, long-term conditions and ongoing healthcare requirements.

Coordinate complex discharge pathways involving continuing care, specialist equipment, home care packages, community nursing support, respite services and safeguarding considerations.

Work in partnership with tertiary centres, specialist teams and external agencies to ensure coordinated care plans are developed and implemented.

Support the development of personalised discharge plans that promote safe care closer to home wherever possible.

Ensure all required services, equipment and support packages are in place prior to discharge.

Provide expert advice to clinical teams regarding discharge planning for children with complex healthcare needs.

Parent, Carer and Family Training

Assess the educational and support needs of parents and carers in preparation for discharge.

Develop and deliver structured training programmes to ensure families are competent and confident in managing their child's care at home.

Provide training and assessment relating to:

• Medication administration
• Enteral feeding
• Tracheostomy care
• Oxygen therapy
• Suctioning procedures
• Seizure management
• Medical equipment use
• Central venous access device care
• Other specialist care requirements

Maintain records of competency assessments and ensure appropriate documentation is completed.

Provide ongoing support and reassurance to families, recognising the emotional and psychological impact of caring for a child with complex healthcare needs.

Promote family-centred care and involve children, young people and families in decision-making throughout the discharge process.

Staff Training and Education

Act as a specialist resource for discharge planning across Children's Services.

Develop and deliver education and training programmes relating to discharge planning, criteria-led discharge, patient flow and management of complex discharges.

Support the development of nursing competencies and discharge-related learning resources.

Provide mentorship and coaching to nursing and multidisciplinary colleagues.

Promote best practice and evidence-based approaches to discharge management.

Contribute to induction, professional development programmes and service-wide educational initiatives.

Support staff to understand community pathways, continuing care processes and available support services.

Transition to Adult Services

Lead and support the planning of effective transition pathways for young people moving from paediatric to adult healthcare services.

Work collaboratively with adult service providers to ensure a coordinated and seamless transfer of care.

Facilitate transition meetings involving young people, families and relevant multidisciplinary professionals.

Support young people to develop independence and self-management skills where appropriate.

Monitor transition outcomes and contribute to service improvements aimed at enhancing patient experience.

Partnership Working

Develop and maintain effective working relationships with:

• Community Children's Nursing Teams
• Health Visitors
• General Practitioners
• Allied Health Professionals
• Education Providers
• Social Care Teams
• Continuing Healthcare Teams
• Local Authorities
• Voluntary and Charitable Organisations
• Regional Specialist Centres

Work collaboratively to coordinate timely assessment, provision of services and implementation of support packages required for discharge.

Act as a key point of contact for external agencies regarding discharge planning and community support provision.

Attend multidisciplinary and multi-agency meetings as required.

Service Development and Commissioning

Support the ongoing development of paediatric discharge services and community pathways.

Work with operational, commissioning and clinical teams to identify service gaps and opportunities for improvement.

Provide specialist knowledge and expertise to support business cases, service redesign and pathway development.

Contribute to commissioning discussions regarding services for children with medical complexity and community-based care delivery.

Collect, analyse and present activity and outcome data to demonstrate service impact and support future service planning.

Participate in audits, quality improvement projects, research and service evaluations.

Support initiatives that reduce avoidable admissions and facilitate earlier discharge where clinically appropriate.

Operational and Bleep Holder Responsibilities

Undertake discharge coordination and patient flow bleep holder duties as required.

Provide expert advice and support to clinical areas regarding discharge processes and capacity management.

Act as an escalation point for complex discharge issues and delays.

Support operational management of paediatric capacity and patient flow during periods of increased demand.

Maintain effective communication with bed management, site teams and operational managers.

Escalate risks and concerns in accordance with Trust policies and procedures.

Clinical Responsibilities

Maintain professional registration and clinical competence in accordance with NMC standards.

Undertake direct clinical care and clinical shifts where required to support service delivery and operational pressures.

Maintain advanced knowledge of paediatric nursing practice and discharge management.

Provide specialist assessment, advice and support regarding discharge readiness and ongoing care requirements.

Ensure all care is delivered in accordance with national guidance, Trust policies and safeguarding procedures.

Promote safe, high-quality and evidence-based care at all times.

Leadership and Professional Responsibilities

Provide visible clinical leadership across Children's Services.

Act as a role model for high standards of patient-centred care and professional practice.

Lead service improvement initiatives relating to discharge planning and patient flow.

Support achievement of organisational objectives relating to quality, safety, efficiency and patient experience.

Develop and maintain positive relationships with colleagues across acute, community and social care settings.

Ensure compliance with clinical governance, safeguarding, risk management and information governance requirements.

Maintain own professional development and contribute to the development of others.

Key Outcomes

• Timely and safe discharge of children and young people.
• Reduction in delayed discharges and avoidable bed days.
• Improved patient flow and capacity across Children's Services.
• Increased utilisation of criteria-led discharge pathways.
• Improved family experience and satisfaction.
• Safe management of children with medical complexity in community settings.
• Effective transition of young people into adult healthcare services.
• Enhanced partnership working across health, social care and commissioned services.
• Improved staff knowledge, confidence and competency in discharge planning.

Job description

Job responsibilities

Main Responsibilities

Discharge Planning and Coordination

Lead the planning, coordination and implementation of discharge arrangements for children and young people from admission through to discharge.

Ensure proactive discharge planning is commenced at the earliest opportunity and is embedded within daily clinical practice.

Coordinate safe and timely simple discharges by ensuring all discharge requirements are completed, including documentation, medication provision, follow-up arrangements and communication with families and primary care providers.

Act as the lead coordinator for complex discharges involving multiple agencies, specialist services and community providers.

Facilitate multidisciplinary discharge planning meetings and case conferences to ensure timely progression of discharge plans.

Identify and escalate barriers to discharge and work collaboratively with operational and clinical teams to minimise delays and optimise patient flow.

Monitor patients with extended lengths of stay and implement actions to facilitate safe discharge in a timely manner.

Support achievement of Trust targets relating to length of stay, discharge efficiency and patient flow.

Criteria-Led Discharge

Lead the development, implementation and evaluation of criteria-led discharge pathways across paediatric services.

Work collaboratively with medical teams to establish agreed discharge criteria for appropriate patient groups.

Support nursing staff to undertake criteria-led discharge processes safely and effectively.

Provide specialist advice and clinical oversight regarding discharge criteria and patient suitability.

Monitor compliance with criteria-led discharge pathways and identify opportunities for quality improvement and service development.

Undertake audits and contribute to reporting on pathway effectiveness and patient outcomes.

Children with Medical Complexities

Act as the specialist discharge lead for children with medical complexity, long-term conditions and ongoing healthcare requirements.

Coordinate complex discharge pathways involving continuing care, specialist equipment, home care packages, community nursing support, respite services and safeguarding considerations.

Work in partnership with tertiary centres, specialist teams and external agencies to ensure coordinated care plans are developed and implemented.

Support the development of personalised discharge plans that promote safe care closer to home wherever possible.

Ensure all required services, equipment and support packages are in place prior to discharge.

Provide expert advice to clinical teams regarding discharge planning for children with complex healthcare needs.

Parent, Carer and Family Training

Assess the educational and support needs of parents and carers in preparation for discharge.

Develop and deliver structured training programmes to ensure families are competent and confident in managing their child's care at home.

Provide training and assessment relating to:

• Medication administration
• Enteral feeding
• Tracheostomy care
• Oxygen therapy
• Suctioning procedures
• Seizure management
• Medical equipment use
• Central venous access device care
• Other specialist care requirements

Maintain records of competency assessments and ensure appropriate documentation is completed.

Provide ongoing support and reassurance to families, recognising the emotional and psychological impact of caring for a child with complex healthcare needs.

Promote family-centred care and involve children, young people and families in decision-making throughout the discharge process.

Staff Training and Education

Act as a specialist resource for discharge planning across Children's Services.

Develop and deliver education and training programmes relating to discharge planning, criteria-led discharge, patient flow and management of complex discharges.

Support the development of nursing competencies and discharge-related learning resources.

Provide mentorship and coaching to nursing and multidisciplinary colleagues.

Promote best practice and evidence-based approaches to discharge management.

Contribute to induction, professional development programmes and service-wide educational initiatives.

Support staff to understand community pathways, continuing care processes and available support services.

Transition to Adult Services

Lead and support the planning of effective transition pathways for young people moving from paediatric to adult healthcare services.

Work collaboratively with adult service providers to ensure a coordinated and seamless transfer of care.

Facilitate transition meetings involving young people, families and relevant multidisciplinary professionals.

Support young people to develop independence and self-management skills where appropriate.

Monitor transition outcomes and contribute to service improvements aimed at enhancing patient experience.

Partnership Working

Develop and maintain effective working relationships with:

• Community Children's Nursing Teams
• Health Visitors
• General Practitioners
• Allied Health Professionals
• Education Providers
• Social Care Teams
• Continuing Healthcare Teams
• Local Authorities
• Voluntary and Charitable Organisations
• Regional Specialist Centres

Work collaboratively to coordinate timely assessment, provision of services and implementation of support packages required for discharge.

Act as a key point of contact for external agencies regarding discharge planning and community support provision.

Attend multidisciplinary and multi-agency meetings as required.

Service Development and Commissioning

Support the ongoing development of paediatric discharge services and community pathways.

Work with operational, commissioning and clinical teams to identify service gaps and opportunities for improvement.

Provide specialist knowledge and expertise to support business cases, service redesign and pathway development.

Contribute to commissioning discussions regarding services for children with medical complexity and community-based care delivery.

Collect, analyse and present activity and outcome data to demonstrate service impact and support future service planning.

Participate in audits, quality improvement projects, research and service evaluations.

Support initiatives that reduce avoidable admissions and facilitate earlier discharge where clinically appropriate.

Operational and Bleep Holder Responsibilities

Undertake discharge coordination and patient flow bleep holder duties as required.

Provide expert advice and support to clinical areas regarding discharge processes and capacity management.

Act as an escalation point for complex discharge issues and delays.

Support operational management of paediatric capacity and patient flow during periods of increased demand.

Maintain effective communication with bed management, site teams and operational managers.

Escalate risks and concerns in accordance with Trust policies and procedures.

Clinical Responsibilities

Maintain professional registration and clinical competence in accordance with NMC standards.

Undertake direct clinical care and clinical shifts where required to support service delivery and operational pressures.

Maintain advanced knowledge of paediatric nursing practice and discharge management.

Provide specialist assessment, advice and support regarding discharge readiness and ongoing care requirements.

Ensure all care is delivered in accordance with national guidance, Trust policies and safeguarding procedures.

Promote safe, high-quality and evidence-based care at all times.

Leadership and Professional Responsibilities

Provide visible clinical leadership across Children's Services.

Act as a role model for high standards of patient-centred care and professional practice.

Lead service improvement initiatives relating to discharge planning and patient flow.

Support achievement of organisational objectives relating to quality, safety, efficiency and patient experience.

Develop and maintain positive relationships with colleagues across acute, community and social care settings.

Ensure compliance with clinical governance, safeguarding, risk management and information governance requirements.

Maintain own professional development and contribute to the development of others.

Key Outcomes

• Timely and safe discharge of children and young people.
• Reduction in delayed discharges and avoidable bed days.
• Improved patient flow and capacity across Children's Services.
• Increased utilisation of criteria-led discharge pathways.
• Improved family experience and satisfaction.
• Safe management of children with medical complexity in community settings.
• Effective transition of young people into adult healthcare services.
• Enhanced partnership working across health, social care and commissioned services.
• Improved staff knowledge, confidence and competency in discharge planning.

Person Specification

Training & Qualifications

Essential

• Current NMC registration with no restrictions to practice. Or other professional registration HCPC with no conditions on practise
• Degree with relevance to specialism
• Education at degree level ( L7) or above in specialism
• Qualification in Teaching/mentoring

Desirable

• Non-medical prescriber

Experience

Essential

• Significant experience at band 6 or above in specialist area, or relevant area with transferable skills.

Communication and Relationship Skills

Essential

• Ability to work autonomously as well as part of a multi-disciplinary team
• Excellent communication both written and verbal
• Excellent interpersonal skills.

Equality, Diversity & Inclusion

Essential

• Able to demonstrate a commitment to and understanding of the importance of treating all individuals with dignity and respect appropriate to their individual needs.

Skills

Essential

• Evidence of managing/ leading change
• Able to use computer

Analytical & Judgement Skills

Essential

• Evidence of participation/ undertaking research/ audit

Commitment to Trust Values & Behaviours

Essential

• Must be able to demonstrate behaviours consistent with the Trust's Values and Behaviours

Planning and organisation skills

Essential

• Able to organise own workload
• Able to plan and delegate roles to others as appropriate

Person Specification

Training & Qualifications

Essential

• Current NMC registration with no restrictions to practice. Or other professional registration HCPC with no conditions on practise
• Degree with relevance to specialism
• Education at degree level ( L7) or above in specialism
• Qualification in Teaching/mentoring

Desirable

• Non-medical prescriber

Experience

Essential

• Significant experience at band 6 or above in specialist area, or relevant area with transferable skills.

Communication and Relationship Skills

Essential

• Ability to work autonomously as well as part of a multi-disciplinary team
• Excellent communication both written and verbal
• Excellent interpersonal skills.

Equality, Diversity & Inclusion

Essential

• Able to demonstrate a commitment to and understanding of the importance of treating all individuals with dignity and respect appropriate to their individual needs.

Skills

Essential

• Evidence of managing/ leading change
• Able to use computer

Analytical & Judgement Skills

Essential

• Evidence of participation/ undertaking research/ audit

Commitment to Trust Values & Behaviours

Essential

• Must be able to demonstrate behaviours consistent with the Trust's Values and Behaviours

Planning and organisation skills

Essential

• Able to organise own workload
• Able to plan and delegate roles to others as appropriate

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

University Hospitals of Leicester NHS Trust

Address

LRI

Leicester

LE1 5WW

United Kingdom

Employer's website

https://www.jobsatleicestershospitals.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

University Hospitals of Leicester NHS Trust

Address

LRI

Leicester

LE1 5WW

United Kingdom

Employer's website

https://www.jobsatleicestershospitals.nhs.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Matron

Helen Legg

[email protected]

07717694420

Details

Date posted

06 November 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£49,387 to £56,515 a year Pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

358-8343620-W&C

Job locations

LRI

Leicester

LE1 5WW

United Kingdom

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University Hospitals of Leicester NHS Trust's privacy notice (opens in a new tab)

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