Integrated Neighbourhood Team Coordinator

2 weeks ago

Bury St Edmunds, United Kingdom West Suffolk NHS Foundation Trust Full time

The INT team members are based in the new, contemporary building at the Mildenhall Hub and the Brandon Health and Leisure Centre just off the main road at Brandon. The Health Centres are the base for a wide range of other health professionals and agencies including Adult Social Care, so we are able to work together in a fully integrated way. The successful applicant will join a dynamic, friendly team of community nurses, therapists, and social care colleagues.

As a neighbourhood team co-ordinator, you will provide data, co-ordination, support to clinicians and administrative support to multi-disciplinary teams of health and social services, including the administrative management and coordination of care and multidisciplinary home visits for an enhanced community support offer; you will work within the Mildenhall and Brandon locality in order to improve joint working practices leading to more effective patient care.

You will be required to utilise IT systems across both health and social care to maintain accurate records, providing timely information to members of the multi-disciplinary team in order to ease processes and communication in agreement with data protection protocol.

Experience of working in the health and social care field is an advantage. You will have the chance to be fully involved in working with the MDT and integrating with ACS staff and will need to be committed to ongoing learning and development in the team.

**Within this role you will**:

- Case-find and process referrals utilising the coordination links you have developed across the system.
- Co-ordinate care and multidisciplinary interventions for people receiving input from the Integrated Neighbourhood Team enhance offer.
- Co-ordinate regular Multidisciplinary Team (MDT) meetings, ensuring that relevant stakeholder are invited, prepare agendas, record actions and circulate relevant information to MDT members.
- Take referrals from the MDT meetings and act as a point of contact for health and social care colleagues. Facilitating the delivery of the right services, are in the right place at the right time.
- Maintain active communication with the acute hospitals (face to face and virtually) to influence admission avoidance and support timely discharges.
- Act as a central point of information and a guide to processes for both health and social care services in the localities to improve working practices.
- Arrange, attend and minute meetings, compiling agendas and undertaking associated administrative work and follow up action, including ensuring professional staff are aware of referrals.
- Coordination and technical support to the INTs for the use of telehealth, supporting set up and removal and troubleshooting telehealth problems. This may require home visits.
- Support MDT with delivery of equipment and medication as prescribed by clinician
- To manage and prioritise own workload without direct supervision.

BeKnown at West Suffolk NHS Foundation Trust. By us. By our patients. By our community

We are a busy, friendly, rural NHS Trust providing high-quality care and compassion to more than a quarter of a million people across west Suffolk. We care for, treat and support people in hospital, at home and in various community settings.

The West Suffolk Hospital in Bury St Edmunds provides acute and secondary care services (emergency department, maternity and neonatal services, day surgery unit, eye treatment centre, Macmillan unit and children's ward). It has 500+ beds and is a partner teaching hospital of the University of Cambridge.

Adult and paediatric community services, provided in collaboration with West Suffolk Alliance partners, include a range of nursing, therapy, specialist, and ongoing temporary care and rehabilitation, some at our Newmarket Community Hospital.

We do our utmost to achieve outstanding clinical outcomes for patients and our values of fairness, inclusivity, respect, safety and team work guide how we work and behave as a team.

With nearly 5,000 staff, from all over the world, we strive to make our organisation a great place to work. Whatever your role or ambition, we want to help you be the best you can be.

We promote a diverse and inclusive community where everyones voice counts and you can #BeKnown for whoever you are.

Join us. What will you #BeKnown for?

Integrated Care Co-ordination
- To process and case find referrals using coordination links within the whole system
- To coordinate the care and multi-disciplinary involvement of those people being treated/managed under the Integrated Neighbourhood Team enhanced care.
- To facilitate members of the multidisciplinary team (MDT) to meet on a regular basis, attend the meetings and ensure that the relevant people are invited. Circulate relevant information prior to the MDT’s, prepare agendas, ensure notes and any actions are taken and circulated to the relevant people.
- To take referrals from the MDT meetings within agreed format/process and act as

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