Transfer of Care Hub Clinical and Operational Lead

Job Overview

JOB SUMMARY:

The post holder will be responsible for delivering a robust integrated discharge model that ensures effective, person-centred and integrated pathways of care out of hospital are embedded through interdisciplinary ways of working and clear, well managed processes and protocols.

The Integrated Discharge Service is a collaborative and partnership approach with the Royal Free Hospital to coordinating and planning the transfer of patients, including those with complex health

and social care needs, back to their usual place of residence wherever possible following an episode in hospital. The post holder will also work with University College London Hospital to support the

discharge of Camden and Barnet patients. It is acknowledged that as

changes occur nationally, the scope of the role may change to meet requirements. In addition to the Transfer of Care Hub role the post holder will also be the lead for the Camden Community Access

team, which is line managed by the Operational Support Manager. This team coordinates community health referrals within the borough of Camden.

The post holder will provide visible leadership for the whole Camden Community Access and Integrated Discharge Service and directly manage the team’s strategic and operational

responsibilities.

Main duties of the job

 Provision of operational leadership to the Integrated Discharge Team, and Central Access team & overisght of the ICE Hub

 Operational provision and delivery of the established IDT (Transfer of Care Hub) focusing on an integrated model to increase patient flow

 Ensure daily management (clinical and operational), challenge and escalation of any delayed discharges

 Problem-solving and unblocking issues with partner organisations to ensure delays are resolved as swiftly as possible, escalating only where necessary

 Escalation and reporting of issues relating to clinical risk

 Initiating, leading and facilitating, with the support of other posts within the team, quality

improvement and other projects within the department and with stakeholders as necessary.

 Leading capacity planning and assurance processes for key events

 Attending and providing system leadership to MADE and other events and meetings as needed

 Providing accurate reporting data as required including for governance forums

r> Monitoring, reporting, and acting on key trends and themes identified

 Responsible for a range of policy implementation and policy or service development across CNWL and partners

 Development, sign-off and implementation of Standard Operating Procedures incorporating agreed pathways out of hospital

 Discharge Alerts: ensuring that these are reported, reviewed and themes with learning and relevant action-plan to improve discharges are carried out and shared via local Governance meetings

Working for our organisation

CNWL (Central and North West London NHS Foundation Trust) has almost 8,000 staff providing integrated healthcare to a third of London's population, Milton Keynes and areas beyond. We involve service users, carers, the public, staff and partner organisations in the way that we are run.

Our catchment area spans diverse communities, with over 100 first languages spoken. It contains areas of great affluence as well as areas of much deprivation. We are committed to providing services that meet the needs of the people who use them, and we actively encourage involvement from local people who can help make a difference. We’re proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME and people with disabilities to promote good relations and understanding between our staff.

We are recognised locally, nationally and internationally for providing high quality, innovative healthcare. We aim to employ only the best people, and our experts are frequently called upon to contribute to national health strategy and policy, and many models of our care have been adapted for use in other countries.

CNWL NHS Foundation Trust are committed to safeguarding all children and vulnerable adults and expect all staff and volunteers to share this commitment. We follow safe recruitment practices to protect children and vulnerable adults.

Detailed Job Description And Main Responsibilities

Ability to collaborate constructively with

internal and external partners to create

the conditions for successful

partnership working

 A good understanding of the

changing NHS environment;

particularly in relation to community

services, primary care networks and

integrated care systems

 A detailed understanding of the

national agenda for health

services

– both legislative and

direction of travel

 Track record of undertaking and

completing significant projects

 Ability to relate to people of all

disciplines and at all levels within an

organisation

 Prioritising and managing workload

within a busy operational role

 Self

• motivated and autonomous
  
  

Person specification

Qualifications And Training

Essential criteria

• University degree or equivalent level professional qualification or experience
• Administrative proficiency for accurate data management and reporting
• Demonstrate capability and capacity for service management at a senior level in a complex healthcare environment, including staff management and change management
• Relevant Professional Clinical, Social Work, AHP, Nursing qualification.
  
  

Desirable criteria

• MSc/MA relevant to post (or equivalent) – achieved or working towards
  
  

Knowledge and Experience

Essential criteria

• Previous managerial experience in a large and complex team/service/organisation
• Previous experience working in a management role within Adult Services or physical healthcare services including comprehensive understanding of the discharge to assess principles.
• Previous clinical experience of discharge within health and/or community settings
• Demonstrate success in delivering change and performance with and through management of teams

Ability to work within scope of own role, delegating to others as appropriate to ensure best use of own skills and time

Ability to analyse complex problems and to develop practical and workable solutions to address them

Ability to think and plan strategically, tactically and creatively, and to prioritise work programmes in the face of competing demands

Ability to manage and deliver to deadlines and within resources. A strong sense of personal and team accountability coupled with a clear understanding of the boundaries around delegated authority

Desirable criteria

• Breadth of management experience in different environments/across different areas (NHS or non-NHS)
• Knowledge of the NCL discharge pathways and processes
  
  

Specific Skills

Essential criteria

• Excellent inter-personal and communication skills, with a track record in writing complex papers/policies and, presentations
• Advance keyboard skills knowledge of a full range of IT software including databases, Microsoft Office and MS Teams
• Flexible and adaptable to meet deadlines, commitments and priorities
• Ability to be intellectually flexible and to look beyond existing structures, ways of working, boundaries and organisations to produce more effective and innovate service delivery and partnerships
• High level of work organisation, self motivation, drive for performance and improvement, and flexibility in approach and attitude