Integrated Neighborhood Team Clinical Coordinator
Job summary
The post holder will be a key member of the Integrated Neighbourhood Teams (INT) and be responsible for the smooth operation of co-ordinating regular multi-disciplinary team meetings, and support the integration of health, social care and community-based services in Blackburn with Darwen. The post holder will be the link between primary care, voluntary sector, social care and community health provider services.
The post holder will be expected to work from multiple co-location sites in Pennine Lancashire. You will adopt a case management approach to promote the benefits of co-ordinated, health, social and community care for patients. This will be facilitated through the organisation and planning of regular multi-disciplinary team meetings.
You will need to be appropriately trained to undertake the comprehensive planning and delivery of health, social care and community services, to support advise and facilitate INT members and colleagues to deliver quality patient centred care to support the best outcomes for our patients. Car driver with access to a vehicle is essential for this role. Please refer to job description for further details.
Main duties of the job
1. Chair and facilitate the regular INT multi-disciplinary discussions. To document and record the outcomes of the meetings and provide high-quality activity reporting using appropriate systems and processes. 2. To liaise with and build effective working relationships with health, social and community care providers to ensure effective, high-quality MDT working and ensure patients/local peoples individualised care needs are met. 3.
Be an active member of the neighbourhood teams by regularly undertaking informal and formal promotion activity, attending service/provider team meetings, events, forums and contributing to continuous INT improvement. 4. Liaise with health, social care and community services within the neighbourhood to develop and secure up to date risk profiling lists.
You will also develop clear pathways between INTs and GSF meetings linked to risk stratification. 5. Working autonomously, you will use your highly specialised level of knowledge to coordinate INT meetings and support INT members to develop a case management approach. On occasion, you may be required to carry a small case load and support fellow INT colleagues with case management of complex cases. 6.
Be responsible for arranging, coordinating, and ensuring high quality, regular INT meetings take place and to ensure that all appropriate people attend or contribute to the meeting. Reporting and escalate to relevant people where this is not happening in a professional manner.
About us
Established in 2003, East Lancashire Hospitals NHS Trust (ELHT) is a large integrated health care organisation providing high quality acute and community healthcare for the people of East Lancashire and Blackburn with Darwen.
The organisation puts safety and quality at the heart of everything we do, invests in and develops its workforce, works with key stakeholders to develop effective partnerships and encourages innovation and pathway reform to deliver best practice. We employ over 10,000 staff, many of whom are internationally renowned and have won awards for their work and achievements.
The Complex Case Managers have a supportive environment and the staff are provided with professional development opportunities
Job responsibilities
Communication and Relationship Skills 1. Establish and maintain effective communication with INT members, GPs and partner professionals and agencies. 2. Use developed negotiation and networking skills to meet the needs of INT and patients/local people. 3.
In circumstances that may be highly sensitive and contentious including the safeguarding of vulnerable adults communicate effectively and sensitive with patients/local people, health, care and community partners 4. Remain professional and calm in situations of conflict, seeking support from others in keeping with organisational systems and policies. 5.
Proactively improve communication and engagement with partners involved in the care of individual patients/local people to achieve positive outcomes and enhance patient/local person experience. 6.
Ensure written communication complies with all relevant legal and professional requirements including for example Record Keeping, Caldicott and Storage policies and produce accurate, complete and contemporaneous records of any communication, assessment and interventions using both written and electronic systems. Analytical and Judgement Skills 1. To triage and assess service users health and social care needs.
This includes a comprehensive assessment of psychological and or physical health, medical history, social care needs. 2. Provide a comprehensive assessment of service users strengths, problems and needs to inform their case management plan and care planning. 3. Provide a comprehensive assessment and case management plan of patient / local persons clinical and care risk. 4.
Develop and exercise high levels of judgment and decision making in the care and treatment planning of patients / local people 5. To interpret and analyse clinical and non-clinical facts from a variety of mediums to develop specialised case management and care plans for patients/local people, their families and carers incorporating individual treatment plans and goals based upon clinical reasoning skills. Planning and Organisational Skills 1.
The post holder will be responsible for embedding the quality strategy within INTs and specific development projects. 2. Support developments to ensure all service lines are efficiently managed with quality at their heart. Contribute to the monitoring of quality and practice standards within the field of practice. 3.
Participate in projects that enable patients/local people and carers to be involved in the development of INTs, services and related projects. 4. Support the patient/local persons demand within the business unit, prioritizing against the service specifications and patient has identified needs. 5. Support the development of patient / local person related outcome measures for the business unit 6.
Ensure that services provided are delivered in accordance with service specifications, agreed care pathways and best practice guidelines. 7. To assist in the investigation of clinical complaints, where appropriate, in line with LSCFT policy and procedure. Patient and Client Care 1.
In conjunction with key partners / the INT, develop the ability to contribute to the prevention of avoidable hospital admissions and delivery of care and interventions in accordance with patient choice regarding preferred place of care. 2. Demonstrate leadership, support, and supervision for others in relation to transfer of care and admission avoidance. 3.
Share good practice and promote active learning and development within a supportive environment. 4. Gain a valid consent to assessment, interventions and onward referral in accordance with the legal framework and Organisational policy. 5.
Professional conduct and activity that is consistent with service/organisational objectives including communication and collaboration with key partners and stakeholders to secure care closer to home and positive outcomes for patients. 6. Continually review, evaluate and develop own clinical practice to reflect service need and provide quality outcomes for patients. 7.
Act always in accordance with your Code of Conduct and Professional Practice and take personal responsibility for maintaining an active professional registration and the maintenance of a personal, professional portfolio.
Person Specification
Qualification · Essential
RGN/ RMN/ HCPC registered therapist/ social worker Evidence of recent professional development
Desirable
Leadership qualifications / management qualifications Project Management qualifications/ experience
Experience · Essential
Working within a community services setting Understanding of a case management approach Care planning experience Multidisciplinary working
Desirable
Knowledge and experience of health promotion/education/hospital avoidance. Case management experience Knoweldge and
Skills · Essential
Community care legislation. Health and Social Care policy including Mental Capacity. Current developments in Integrated Neighborhood team developments. Up to date clinical knowledge. Including long term conditions management and integration Evidence based practice.
Desirable
Research awareness. Public Health. Quality Improvement knowledge or experience.
Personal Attributes · Essential
Leadership skills. Organisational skills. Problem solving. Communication skills . Time Management. Negotiation skills. Partnership and collaborative working. IT skills- proficient in use of word, excel and community patient activity systems. Able to work as part of a team, co-operating to work together and in conjunction with others and willing to help and assist wherever possible and appropriate, appreciating the value of diversity in the workplace. Excellent interpersonal skills. Reliable. Able to develop, establish and maintain positive relationships with others both internal and external to the organization and with patients/local people and their carers.
Desirable
Use of EMIS. Evidence of research. Patient engagement experience.
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.
Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) . From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) .
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
