Hospital to Home Outreach Worker

Company: NHS
Apply for the Hospital to Home Outreach Worker
Location: London
Job Description:

The hospital to home service works collaboratively with hospitals to support people when they are discharged from hospital to return home. As a Hospital to Home Outreach Worker, you will provide temporary, practical and emotional support to service users within their home and make sure they understand the care and local community services available to them.

The service is time limited, usually up to 4 or 6 weeks, to adjust and settle back in their homes.

Main duties of the job

  • Assess the needs of service users either in hospital before discharge, or in their homes, and understand what barriers and enablers there might be to moving home.
  • Aid the discharge process and improve patient experience.
  • Provide and/or arrange the practical and emotional support needed to enable service users to return home and/or remain safely at home.
  • Be vigilant and make referrals/signpost for additional needs that our wider team, or partners can support. E.g. for benefit checks, energy advice, carers support, befriending.
  • Help maximise service user independence by adopting an enabling approach.
  • Develop a listening, caring and professional relationship with the service user and their families/carers.
  • Provide domestic practical support within the home.
  • Prepare and service drinks and simple meals with or for the service user ensuring nutritional needs are met.
  • Accompany service user outside the home e.g. hospital/GP appointments etc.
  • Support service users with other tasks.
  • Ensure services provided by AUKEL in the community are safe and person centred.
  • Report safeguarding concerns, in accordance with AUKEL safeguarding procedures.
  • Provide cover in the case of sickness and annual leave periods of colleagues.
  • Support service user reviews, ensuring all visiting information is uploaded on to Salesforce.
  • Support volunteers in the team and provide support and guidance to their development.
  • Work with a range of professionals.

Age UK East London is committed toEquity, Diversity and Inclusion (EDI), we recognise it as central both to our service delivery and to ‘our people’. We want to build a diverse and inclusive team where everyone feels that they belong. We are aiming for a staff team that,at every level,reflects the profile of our local community and for this reason particularly welcome applications from people we want to see better represented in our organisation – people of colour, LGBTQ+ people and disabled people.

Job responsibilities

Administration

  • Input all records, reviews, and visiting information to service users case notes in a timely manner to maintain up-to-date and accurate records on Salesforce.
  • Report all no access failed visits, or changes in service users condition or circumstances in accordance with AUKELs policies and procedures.
  • Ensure service user comment sheets are completed.
  • Ensure service users feedback questionnaires are sent at the end of each intervention and record returns.
  • Submit travel expenses regularly for sign off by manager.

Quality

  • Be familiar with and to implement AUKEL policies and procedures in line with our Values.
  • Ensure the service is delivered in accordance line with Care Quality Commission principals.
  • Ensure integration with other AUKEL projects, and service users are referred and/or sign-posted to appropriate support services available to them.
  • Respond to safeguarding or other concerns and make appropriate reports and management action.
  • Work in collaboration with other agencies providing support within the service users home.
  • Work under the direction of the service manager and project officer/s.
  • Represent AUKEL and participate in appropriate external meetings and events to remain aware of local, regional, and national issues affecting quality and compliance issues affecting care and home support services.

General

  • Meet regularly with your line manager for support, supervision, and appraisal.
  • Attend team and staff meetings, and other meetings as required.
  • Undertake any other duties within the competence of the post holder as may be required from time to time for the continued smooth running of AUKEL.
  • Complete any training which is required to fulfil the role.
  • Carry out the duties of the post in accordance with AUKEL policies and procedures including Equal Opportunities, Mental Capacity, Deprivation of Liberty, Food Hygiene, Health & Safety, Confidentiality, Complaints, GDPR (General Data Protection Regulation), Safeguarding Vulnerable Adults etc.
  • Work within AUKELs expectations of professional boundaries and confidentiality.

Functional Links

  • The post holder reports to the manager /or Project Officer.
  • Close working with NHS health & social care professionals.
  • Close working with AUKEL internal departments e.g. Finance Team, Information and Advice, Befriending services, Community services, and our Handyperson services.
  • Close working with external partner agencies e.g. Food Banks, Age UK Redbridge, Barking & Havering, and Age UK Waltham Forest.

Additional Requirements

  • This post is subject to the relevant check through the Disclosure & Barring Service (DBS)
  • The role is required travel across East London, primarily in Tower Hamlets and Hackney.
  • Flexibility in working hours to meet organisational needs.

Experience

  • Experience of one-to-one work with vulnerable service users, including those with multiple issues and needs either through paid or unpaid position.
  • Understanding and commitment to empowering individuals to reach their full potential.
  • Understanding the principles of confidentiality in practice.
  • Understanding of safeguarding and when to raise a concern.
  • Understanding of stigma and discrimination, and the impact this has on peoples lives.
  • Excellent interpersonal skills.
  • Good English verbal and written communication skills.
  • Good planning and organisational skills.
  • Ability to work independently and as part of a team.
  • Ability to prioritise and manage time and resources in a competent manner.
  • IT skills to the level of being able to use email, internet, mobile phone apps and logging information on AUKELs CRM.
  • Can demonstrate AUKEL values (accountable, kind, flexible, inclusive, collaborative) in the way the service is delivered.
  • Care Certificate or CQF Diploma NVQ Level 2, or equivalent, in Health & Social Care.
  • Experience of working collaboratively with external partners.
  • Knowledge of local services available to adults and their carers.
  • Ability to speak community languages e.g. Bengali, Urdu, Punjabi, Turkish etc.
  • Able to use Salesforce (CRM used by AUKEL). Training will be provided as necessary.

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.

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Posted: June 20th, 2026