Transition Support Worker

We are looking for a Transition Support Worker with excellent people skills to assist clients who are transitioning from an acute admission back into the community. This requires you to work in a targeted way to facilitate a smooth transition back into the community by providing cohesive, person-centred care that ensures continuity of support. This role targets patients with frequent admissions, aiming to minimise the risk of future readmissions through tailored, person-centred support. You will assist patients, offering both practical and emotional support to help them achieve greater independence, inclusion and choice. Your approach will be solution-focused, prioritising the specific needs and preferences of the individuals you support.

This is a unique role that offers exposure to skills development across services, business functions and coordination with inpatient and discharge teams. Responsibilities include liaising with community organisations, government agencies, families and carers, community services, housing departments, third sector organisations, and other relevant parties to ensure smooth transition to the community from hospital

Main duties of the job

Work with individuals assigned and prioritised by the Clinical Lead, providing tailored support and ensuring effective discharge planning and community integration.

Facilitate smooth transitions from acute care to community settings by assisting with discharge planning, prevention planning, and identifying triggers and coping mechanisms.

Link service users with relevant community groups and resources, promoting social inclusion and engagement. Provide recovery-focused support and assist with accessing opportunities both within the Trust and the wider community.

Build and maintain respectful and supportive relationships with service users, incorporating their own goals and support needs into recovery plans. Ensure interactions are sensitive to their ethnic, cultural, and social backgrounds.

Encourage and support service users in taking ownership of their care, promoting personal responsibility, self-awareness, and informed decision-making.

About us

West London NHS Trust is one of the most diverse healthcare providers in the UK, delivering a range of mental health and physical healthcare and community services. The Trust runs Broadmoor Hospital, one of three high secure hospitals in the country, with an international reputation.

Our high secure services care for patients from South of England and we provide low and medium secure services across eight London boroughs. The Trust also provides mental and physical healthcare in three London boroughs (Ealing, Hounslow and Hammersmith & Fulham). We employ over 5,000 staff, of whom 59% are BME. Our turnover for 2024-25 is over £500m.

The Trust is rated as 'Good' overallby the Care Quality Commission. Forensic services are rated as 'Outstanding'.

The Trust is an established partner and contributor in the development of the evolving North West London Integrated Care System and the Integrated Care Board. The Trust leads the NW London Children and Adolescent Mental Health provider collaborative.

Details

Date posted

15 October 2026

Pay scheme

Agenda for change

Band

Band 4

Salary

£34,186 to £37,389 a year

per annum inclusive of 15% HCAS

Contract

Permanent

Working pattern

Full-time

Reference number

222-LS-Man-208

Job locations

H and F Mental Health Unit

Claybrook Road

London

W6 8NF

United Kingdom

Job responsibilities

The Candidate Pack provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. Please view as attached

The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.

Job responsibilities

The Candidate Pack provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. Please view as attached

The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.

Person Specification

Qualifications & Training

Essential

• Educated to GCSE level or equivalent
• Competence in using a range of IT systems for recording and managing patient information.

Desirable

• Educated to A level or higher level of further education
• BSc (Hons) or equivalent in a relevant field, such as healthcare or community services.

Experience

Essential

• Experience as a support worker, with a solid understanding of patient support and transition processes.
• Strong communication, interpersonal, and listening skills, with the ability to engage effectively with patients and their families.
• Excellent organisational and case management skills, with a track record of managing multiple tasks and priorities efficiently.

Desirable

• Experience of joint working in a multiagency environment, collaborating with various stakeholders to deliver integrated care
• Experience in coordinating patient care and discharge planning.
• Familiarity with financial support systems and benefits related to patient care.

Knowledge

Essential

• Understanding of recovery-focused principles and their application in supporting service users.
• Understanding of the issues and concerns that service users may have in relation to their care.
• Knowledge of mental health policies and legislation relevant to supporting service users.
• Knowledge of local community services and resources, including housing and social support systems.
• Clinical and environmental risk
• Equality and diversity
• Sensitivity to different cultures and socioeconomic conditions, ensuring equitable support for all patients.
• Principles of clinical governance

Desirable

• Evidence of training in Mental Health
• Relevant current legislation, NICE guidelines, CPA, risk assessment and risk management

Skills

Essential

• Strong organisational skills for managing multiple tasks and coordinating support activities effectively.
• Effective written and verbal communication skills, with the ability to build rapport with service users, carers, and colleagues.
• Demonstrated ability in assessment, support planning, intervention, and evaluation of patient needs.
• Experience using standardised assessment
• Ability to work independently and as part of a team, with skills in facilitating group activities.
• Computer literacy, including proficiency in using IT systems for documentation and communication.

Desirable

• Experience in preparing and presenting information at meetings or training sessions.
• Ability to apply evidence-based practices to improve support outcomes.

Other Requirements

Essential

• Ability to reflect, identify and take responsibility for continuing professional development needs
• Understand the need for and actively participates in own supervision and constructive use of feedback
• High levels of initiative, innovation and self-motivation
• Commitment to client-centred, non-discriminatory practice

Desirable

• Able to demonstrate a strong professional identity

Person Specification

Qualifications & Training

Essential

• Educated to GCSE level or equivalent
• Competence in using a range of IT systems for recording and managing patient information.

Desirable

• Educated to A level or higher level of further education
• BSc (Hons) or equivalent in a relevant field, such as healthcare or community services.

Experience

Essential

• Experience as a support worker, with a solid understanding of patient support and transition processes.
• Strong communication, interpersonal, and listening skills, with the ability to engage effectively with patients and their families.
• Excellent organisational and case management skills, with a track record of managing multiple tasks and priorities efficiently.

Desirable

• Experience of joint working in a multiagency environment, collaborating with various stakeholders to deliver integrated care
• Experience in coordinating patient care and discharge planning.
• Familiarity with financial support systems and benefits related to patient care.

Knowledge

Essential

• Understanding of recovery-focused principles and their application in supporting service users.
• Understanding of the issues and concerns that service users may have in relation to their care.
• Knowledge of mental health policies and legislation relevant to supporting service users.
• Knowledge of local community services and resources, including housing and social support systems.
• Clinical and environmental risk
• Equality and diversity
• Sensitivity to different cultures and socioeconomic conditions, ensuring equitable support for all patients.
• Principles of clinical governance

Desirable

• Evidence of training in Mental Health
• Relevant current legislation, NICE guidelines, CPA, risk assessment and risk management

Skills

Essential

• Strong organisational skills for managing multiple tasks and coordinating support activities effectively.
• Effective written and verbal communication skills, with the ability to build rapport with service users, carers, and colleagues.
• Demonstrated ability in assessment, support planning, intervention, and evaluation of patient needs.
• Experience using standardised assessment
• Ability to work independently and as part of a team, with skills in facilitating group activities.
• Computer literacy, including proficiency in using IT systems for documentation and communication.

Desirable

• Experience in preparing and presenting information at meetings or training sessions.
• Ability to apply evidence-based practices to improve support outcomes.

Other Requirements

Essential

• Ability to reflect, identify and take responsibility for continuing professional development needs
• Understand the need for and actively participates in own supervision and constructive use of feedback
• High levels of initiative, innovation and self-motivation
• Commitment to client-centred, non-discriminatory practice

Desirable

• Able to demonstrate a strong professional identity

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

West London NHS Trust

Address

H and F Mental Health Unit

Claybrook Road

London

W6 8NF

United Kingdom

Employer's website

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

Employer details

Employer name

West London NHS Trust

Address

H and F Mental Health Unit

Claybrook Road

London

W6 8NF

United Kingdom

Employer's website

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

Job responsibilities

The Candidate Pack provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. Please view as attached

The person specification below is not the full person specification, but outlines the criteria against which your application form will be assessed.

Qualifications & Training

Essential

• Educated to GCSE level or equivalent
• Competence in using a range of IT systems for recording and managing patient information.

Desirable

• Educated to A level or higher level of further education
• BSc (Hons) or equivalent in a relevant field, such as healthcare or community services.

Experience

Essential

• Experience as a support worker, with a solid understanding of patient support and transition processes.
• Strong communication, interpersonal, and listening skills, with the ability to engage effectively with patients and their families.
• Excellent organisational and case management skills, with a track record of managing multiple tasks and priorities efficiently.

Desirable

• Experience of joint working in a multiagency environment, collaborating with various stakeholders to deliver integrated care
• Experience in coordinating patient care and discharge planning.
• Familiarity with financial support systems and benefits related to patient care.

Knowledge

Essential

• Understanding of recovery-focused principles and their application in supporting service users.
• Understanding of the issues and concerns that service users may have in relation to their care.
• Knowledge of mental health policies and legislation relevant to supporting service users.
• Knowledge of local community services and resources, including housing and social support systems.
• Clinical and environmental risk
• Equality and diversity
• Sensitivity to different cultures and socioeconomic conditions, ensuring equitable support for all patients.
• Principles of clinical governance

Desirable

• Evidence of training in Mental Health
• Relevant current legislation, NICE guidelines, CPA, risk assessment and risk management

Skills

Essential

• Strong organisational skills for managing multiple tasks and coordinating support activities effectively.
• Effective written and verbal communication skills, with the ability to build rapport with service users, carers, and colleagues.
• Demonstrated ability in assessment, support planning, intervention, and evaluation of patient needs.
• Experience using standardised assessment
• Ability to work independently and as part of a team, with skills in facilitating group activities.
• Computer literacy, including proficiency in using IT systems for documentation and communication.

Desirable

• Experience in preparing and presenting information at meetings or training sessions.
• Ability to apply evidence-based practices to improve support outcomes.

Other Requirements

Essential

• Ability to reflect, identify and take responsibility for continuing professional development needs
• Understand the need for and actively participates in own supervision and constructive use of feedback
• High levels of initiative, innovation and self-motivation
• Commitment to client-centred, non-discriminatory practice

Desirable

• Able to demonstrate a strong professional identity