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Emergency Department Flow Co-ordinator

3 months ago


London, Greater London, United Kingdom Lewisham and Greenwich NHS Trust Full time
This is an exciting and challenging time within the QEH Emergency Department.

An opportunity has arisen for a position for a Flow Coordinator


We are seeking a committed, dynamic and forward thinking individuals, who will join a well respected, established team within the Emergency dept.


Effective communication, strong collaborative approaches and the ability to engage the entire multidisciplinary workforce within an ever changing, ever challenging environment is essential.

You will confidently balance and deliver on daily capacity and flow priorities to optimize patient clinical pathways.

You will be joining a vibrant and enthusiastic Emergency dept team.

We offer a friendly supportive environment that supports and values individuals in their personal and professional development.

The posts are offered at full and part time

  • We will be unable to interview you if you have applied for this post in the last 6 months.


We are seeking a committed, dynamic and forward thinking individual, who will join a well respected, established team within the Emergency department to support the flow of patients, and deliver on Emergency Department targets.


Effective communication, strong collaborative approaches and the ability to engage the entire multidisciplinary workforce within an ever changing, ever challenging environment is essential.

You will be expected to optimize patient clinical pathways, enhancing patient experience, and reducing patient length of stay.


You will need to work as part of a wider team but also be able to work autonomously, prioritising your workload and communicating delays and concerns in a timely manner.

We offer a friendly supportive environment that values individuals in their personal and professional development.


Lewisham and Greenwich NHS Trust is a community focused provider of local and acute care, providing high quality services to over one million people living across the London boroughs of Lewisham, Greenwich and Bexley.

With a turnover of around £700 million, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham and a range of community settings in Lewisham.

We also provide some services at Queen Mary's Hospital in Sidcup.

As an organisation, we've made significant improvements for patients and staff in the last two and-a-half years.

This is reflected in our most recent Care Quality Commission (CQC) inspection (from February 2020), which found improvements across the organisation and gave us an improved rating of "Good" in the Well-Led and Effective domains, in addition to the rating of "Good" that we had already achieved in the Caring domain.

Our staff culture change programme has been key to the Trust's improvement journey, as we've stabilised our workforce by reducing vacancy rates and improving staff retention.

We've also significantly increased the representation of minority ethnic leaders across our clinical and corporate teams.

Support the maintenance of the 4 and 12 hour timelines and all department key performance indicators

  • Support areas where there are surges in flow or delays such as administrative delays.
  • Understand and be familiar with all aspects of ED pathways and KPIs to adequately support all areas.
  • Escalation of delays as per ED escalation policy including escalation to consultants as required.
  • Link with pathology/imaging in line with ED escalation policy.
  • Liaise with and support nurse in charge.
  • Regular link with Senior Clinical Site Manager (CSM) regarding any delays.
  • Review of DTAs to ensure reviews and decisions as well as any specific care requirements take place or are highlighted e.g. side rooms. This includes chasing any delays for discharge, e.g. pharmacy, transport.
  • Support the appropriate use of Clinical Decision Unit (CDU) and Rapid Assessment and Treatment (RAT) models with advice from the Nurse in charge or ED Consultant in charge.
  • Document causation for any breaches during the working period in patient documents and maintain in a daily breach document.
  • Collation of audit data with daily evaluation prepared at the end of each shift.
  • Prepare and present accurate data and highlight any issues within ED at the regular daily bed meetings.
  • Attend and complete the proforma for the 2 hourly ED huddles with Nurse and Consultant/Reg in charge.
  • Complete the 2 hour log as required.