About this role
Job summary
To work within the Home from Hospital team, providing an established hospital discharge service that includes aftercare and rehabilitation support. The service supports Bolton residents aged 65 and above in readjusting to living independently at home following hospital discharge, thereby reducing the likelihood of readmission. Additionally, it provides preventive support to community residents aged 50 and above who are at risk of hospital admission.
Main duties of the job
The Home from Hospital Co-ordinator supports older people to live safely and independently by providing practical and emotional support following hospital discharge and within the community. Working closely with patients, carers, NHS professionals, Age UK Bolton colleagues and volunteers, the post holder will assess individuals who may benefit from the service and coordinate tailored support to meet their needs.
The role includes undertaking assessments in A&E, hospital wards, intermediate care settings and the community, attending multidisciplinary team meetings, and developing person-centred support plans that promote recovery, wellbeing and independence. Home visits will be carried out to complete safety and welfare checks, identify risks, provide practical support, and connect individuals with appropriate services and community resources.
The post holder will support and coordinate volunteers, including students on placement, maintain accurate records, monitor outcomes, prepare reports, and ensure compliance with data protection requirements, organisational policies and quality standards.
The role also involves promoting the Home from Hospital Service, building effective partnerships with healthcare and community organisations, and supporting older people to retain, regain and develop the confidence and skills needed to remain independent and improve their quality of life.
About us
Age UK Bolton is a trusted local charity supporting older people across Bolton to live well, stay independent and remain connected to their communities. We provide a range of services, working closely with health, social care and voluntary sector partners to improve wellbeing and quality of life.
Our Home from Hospital team plays a vital role in helping people make a safe and confident transition from hospital back to their own homes. The team works across hospital and community settings, providing practical and emotional support that promotes independence, reduces isolation and helps prevent avoidable hospital readmissions.
We are proud of our supportive, inclusive and person-centred culture. Our staff are passionate about making a difference and work collaboratively to achieve positive outcomes. We encourage innovation, learning and professional development, creating an environment where employees feel valued and empowered.
As an employer, Age UK Bolton offers the opportunity to work within a respected local organisation where your contribution has a direct impact on the lives of older people. We provide regular support and supervision, training and development opportunities, and the chance to be part of a dedicated team committed to delivering high-quality services across Bolton.
Job description Job responsibilities
Overall role purpose
To work within the Home from Hospital team, providing an established hospital discharge service that includes aftercare and rehabilitation support. The service supports Bolton residents aged 65 and above in readjusting to living independently at home following hospital discharge, thereby reducing the likelihood of readmission. Additionally, it provides preventive support to community residents aged 50 and above who are at risk of hospital admission.
Essential requirement A full UK driving licence and access to a vehicle for work purposes, as regular travel across Bolton is required.
Key responsibilities As a Home From Hospital Co-ordinator, you will be responsible for:
1. Service Delivery and Co-ordination Work with older people, healthcare professionals, Age UK colleagues, and volunteers to deliver a high-quality hospital discharge and aftercare service, enabling individuals to live safely and independently at home. Conduct assessments of patients presenting at A&E or those preparing for discharge from wards or intermediate care beds, identifying suitable referrals to the Home from Hospital Service. Attend multi-disciplinary team (MDT) meetings, collaborating with colleagues to identify individuals who would benefit from the service. Develop person-centred interventions tailored to each individuals needs, promoting recovery, independence, well-being, and choice while managing risks effectively. Perform home visits post-discharge to: Conduct safety checks. Ensure the environment is warm and safe. Verify access to meals and ability to perform basic daily activities. Provide support with cleaning and shopping. Signpost clients to other agencies for additional support as needed.
2. Volunteer Support and Engagement Support and coordinate volunteers, including students on placement, ensuring they contribute effectively to the Home from Hospital service.
3. Administration and ComplianceMaintain accurate client records in compliance with Data Protection and privacy policies. Use IT systems to capture and evaluate service metrics such as outputs, outcomes, and quality standards. Prepare regular reports and provide timely information to the Senior Service Manager or designated colleagues to meet the needs of funders and commissioners. Ensure adherence to Age UK Boltons policies, quality standards, and good practice guidelines.
4. Promotion and Community Engagement Maintain accurate client records in compliance with Data Protection and privacy policies. Use IT systems to capture and evaluate service metrics such as outputs, outcomes, and quality standards. Prepare regular reports and provide timely information to the Senior Service Manager or designated colleagues to meet the needs of funders and commissioners. Ensure adherence to Age UK Boltons policies, quality standards, and good practice guidelines. Market and promote the Home from Hospital Service, as well as other community services offered by Age UK Bolton and its partners. Encourage individuals to retain, regain, and develop the skills needed to manage their lives independently. Build and maintain effective relationships with clients, carers, families, volunteers, NHS staff, and community partners to promote the safety, independence, and well-being of older people in Bolton.
Person Specification
Qualifications Essential
Essential skills and attributes Client-centric approach: experience working with older adults in a supportive, person-centred capacity. Assessment skills: ability to conduct thorough needs assessments and develop tailored care plans. Team collaboration: strong communication and interpersonal skills to work effectively with MDT colleagues, volunteers, and other stakeholders. Organisational skills: Ability to manage multiple tasks, maintain accurate records, and meet reporting deadlines. Knowledge of services: Familiarity with hospital discharge processes and community-based services supporting older adults. IT proficiency: Competence in using client management systems and data evaluation
Desirable
Desirable skills and attributes Previous experience in a hospital discharge service or similar healthcare/community setting. Knowledge of issues affecting older people, including rehabilitation and independent living challenges. Commitment to Age UK Boltons values, policies, and equal opportunities framework. Proactive and adaptable approach to service challenges and opportunities.
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.
Employer details Employer name Age UK Bolton
Address The Royal Bolton Hospital
Minerva Road
Farnworth
BOLTON
BL4 0JR
United Kingdom
Employer's website https://www.ageuk.org.uk/bolton/ (Opens in a new tab)