Senior Assistant Practitioner and Coordinator

EAST LONDON NHS FOUNDATION TRUST; Dunstable; On-site; GBP 30,000 - 40,000; Full time

Job summary

An opportunity at a leading healthcare provider in Dunstable for a case manager to oversee Transfer of Care patients. The role involves conducting assessments, coordinating care with multidisciplinary teams, and working autonomously in various community settings. Candidates should have relevant qualifications and a commitment to providing high-quality, inclusive care to diverse populations.

Benefits

Flexible working arrangements

Relocation support up to £10,000

Qualifications

• Proven experience in case management and patient assessments.
• Ability to work autonomously in community settings.
• Strong coordination skills for liaising with multiple agencies.

Responsibilities

• Manage a caseload of Transfer of Care patients effectively.
• Coordinate discharges and support Integrated working with system partners.
• Plan and implement daily tasks based on changing service demands.

Skills

Patient assessment

Multidisciplinary teamwork

Autonomous working

Communication

Education

Relevant health or social care qualification

Tools

Care management software

Job description

To case manage an agreed number of Transfer of Care patients, completing initial assessments, care plans and onward referrals referring to senior clinicians for support when required.

• Plan and implement daily work within the team and wider geographical area in the knowledge that this can be unpredictable and may change to meet the demands of the service and the changing priorities of clinical/health needs
• Works within the multidisciplinary team in a primary care setting including clients' homes, residential homes and clinic, providing support for a variety of therapeutic and clinical interventions based on the team skill mix.
• Supports Integrated working with system partners and services: inclusive of Falls, UCR and Virtual Wards.
• To liaise with multi-agenices to co-ordinate discharges in a timely and efficient manner
• To work autonomously and undertake lone working in the community using your own vehicle.
• To support in-reach processes into Bedfordshire Hospitals.
• To work a variety of shift patterns which include weekends and bank holidays on a rota basis.
• To participate in team planning, by organising new referrals as to who needs to be assessed within an agreed service time frame, and on-going work allocations, to enable the team to work effectively and efficiently whilst supporting the demand within the service.
• To support other members of the multidisciplinary team in planning and managing their own caseload particularly in the event of absence.
• To be responsible for prioritising and managing own workload, expecting some conflicting demands on your time.
• To support the In-Reach model into the Bedfordshire Hospitals, particularly MADE events and in times of service demand.
• To chair multi-disciplinary team caseload meetings and ensure information on individual patients is fed back to the team for planning purposes.
• To have an enhanced level of knowledge of system partners and services.
• To act as named person for the client to contact within the department and to feedback relevant issues to senior staff.
• To provide supervision and appraisals of staff within the team.
• To complete the duty rota for the Transfer of Care element of the locality team.
• Coordinate for the Transfer of Care Service, supporting hospital discharges, Urgent Care Response and Virtual Wards but ensuring clear communication and coordination of the service.
• Support in times of high pressures, reprioritising workloads of self and others to ensure continuous and smooth processes.
• Maintain a strong and professional relationships with systems partners, working in a collaborative, support and professional manner.
• Maintains own caseload of clients for rehabilitation and self management of conditions, providing education and health promotion to the population of Bedfordshire.
• To support management in times of service pressures.
• To have own vehicle to travel the County of Bedfordshire.

Making Things Better Quality Improvement is a key part of our work to improve our services and refine how we do things. We have a global reputation for our quality improvement work and we don't stand still! So we offer a fantastic opportunity for our staff to learn, lead and contribute towards improving our services. We launched our Five Year Strategy in April 2018, which identified four main strategic outcomes to improve: population health outcomes, experience of care, staff experience and improve value. This complements the NHS Long Term Strategy and sets out our direction of travel.

Our Community We provide a wide range of community health and mental health inpatient services to children, young people, adults of working age, and older adults in The City of London, Hackney, Newham, Tower Hamlets, Bedfordshire and Luton. We also provide psychological therapy services to the London Borough of Richmond, and provide Forensic services to the whole of North East London. We provide services in urban and rural settings, sometimes in our inpatient units, but mostly in the community close to where people live. Integrated care is key in making the best use of resources and providing effective care. Aiming High We were rated 'Outstanding' by the CQC in 2016, were proud to be rated 'Outstanding' again in 2018 and continue to be rated 'Outstanding' in 2021. We were named in the HSJ's Top 10 best places to work in healthcare and were voted Provider Trust of the Year in 2018. Staff and Service Users United We strive to ensure that staff feel valued by the Trust and as they are truly pivotal in delivering better outcomes for our patients and service users. Our aspiration is to help to make ELFT the best place to work. This Trust is clinician-led and provides the highest possible level of clinical expertise throughout its services. We pride ourselves on our service user involvement. A service user will be on your assessment centre and interview panel if you are invited to meet us. We especially welcome people with lived experience of health difficulties, with insight and understanding of different backgrounds, cultures and lifestyles in our population as we believe that this will equip staff to deliver a high standard of care to our service users and patients. Diversity ELFT Is committed to being a diverse organisation and our workforce is reflective of the population and communities we serve. We believe that having colleagues with a range of backgrounds and life experiences enriches and adds value to the outcomes we have set out to achieve. Having partnered and endorsed by organisations who are representative and experts in various areas of equality and diversity, we can ensure we are meeting the pre-set standards all the way from recruitment stage throughout the career journey of our employees by being accessible, having fair inclusive practices and a host of staff networks to support, nurture and celebrate our valued staff in the workplace. Other reasons to apply As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us and for our patients, and for you. Speak to us about how we might be able to accommodate a flexible working arrangement whether that's job share, part time or another flexible pattern. As part of the relocation scheme we presently have, the Trust could support you with offering up to £10,000 for removal and associated expenses. This is subject to change and terms and conditions apply.

ELFT has long been recognised as a centre of excellence for mental and health care, innovation and improvement. So it is a very exciting time for you to come and work for us. Our mission is to make a positive difference to people's lives by improving quality of life for all we serve. Our values are: We Care, We Respect, We are Inclusive - so we are looking for people who live and breathe these qualities when supporting service users and carers, and in their relationships with colleagues in the Trust and our partner organisations., Our mission is to make a positive difference to people's lives by improving the quality of life for all we serve. Our values are: We Care, We Respect, We are Inclusive - so we are looking for people who live and breathe these qualities when supporting service users and carers, and in their relationships with colleagues in the Trust and our partner organisations.