Integrated Neighbourhood Team

2 months ago

Croydon, United Kingdom Croydon Health Services NHS Trust Full time

Job summary

Integrated Neighbourhood Team (INT) Senior Case Manager

We are looking for an enthusiastic and dynamic individual to join the Integrated Neighbourhood Team. The INT Senior Case Manager will work with core community-based MDTs and wider professional network to develop integrated neighbourhood/care teams. They will proactively undertake case finding, manage, co-ordinate and support patients with multiple complex long-term conditions using the whole systems integrated care approach.

The post holder has the overall responsibility for overseeing core MDT operations and developing INTs. Building relationships with Primary Care Networks (PCNs) and key stakeholders to improve outcomes and quality of life and prevent unnecessary admissions to hospital.

The post holder will support core team members to ensure patients with complex needs on the community caseload are receiving optimum health and social care support. The role is approximately 60% clinical . You will work flexibly across the team, and will ideally have experience operational change management as well as good knowledge of social care and/or health delivery.

As the role supports partnership working, good communication and inter-personal skills are fundamental, alongside strong technical ability. You will use your experience to ensure a structured management process of methodologies and principles to deliver positive outcomes and measurable results.

Interviews: tbc

Main duties of the job

The key responsibilities include :

1. Responsibility for the operational management and professional clinical leadership of INT functions. This includes supporting Huddle meetings on GP and/or Neighbourhood level.

2. Oversee the performance of the core teams, delivering against agreed objectives and target outcomes within available allocated resources

3. Oversee the coordination function that supports the existing community base services with forming multidisciplinary teams, delivering care via MDT meetings and enabling closer working across Health and Care Localities teams and Primary Care Networks

4. Oversee the core co-ordination function and support alignment and integration across the teams as part of service delivery. Y

5. Work closely with the Integrated Management Team and existing service leads, to focus on testing and embedding innovative solutions to transform service delivery and work towards improving outcomes for residents.

6. Responsible for exploring current practice, identifying areas for improvement, and providing professional and expert input into development, and planning of the appropriate change using current evidence to evaluate outcomes.

7. Ensure the quality of patients' experience and lead on facilitating changes designed to improve patient experience.

8. Support the development of care pathways that deliver on partner objectives and ensure excellent patient outcomes and experience.

About us

Croydon Health Services NHS Trust provide hospital and community services from a number of community and specialist clinics throughout Croydon. The Trust was formed on 1st August 2010 through the integration of Croydon Community Health Services and Mayday Healthcare NHS Trust. Around 4,100 staff provide services for a population of over 360,000 people who are relatively young with a high level of ethnic main hospital site, Croydon University Hospital is one of the busiest in London. We're also leading the way in providing more healthcare outside hospitals at clinics, specialist centres and in people's homes. Our experienced district nursing teams, Allied Health Professionals and community matrons look after people of all ages across the NHS everyone is working hard to meet growing demand and we're no exception. But with the right people on board, we are rising to this challenge, putting our people in the driving seat, encouraging innovation and transforming our services to give local people the quality of care they deserve. Croydon Health Services puts a great deal of importance on education and training throughout the careers of all of our you want the opportunity to have a real impact, challenge yourself and be part of an NHS Trust that's making a real difference then a career at Croydon Health Services could be just what you're looking for.

Job description

Job responsibilities

Please see the attached supporting document (Job Description) which contains more information about the role

Person Specification

Education and qualifications

Essential

Education to first level degree or equivalent Independent prescriber V300 Enhanced Physical Assessment Skills and history taking Current NMC/HCPC registration Car driver and owner

Desirable

Masters level study or willing to work towards ENB 998/997 or equivalent mentoring training Case Management of people with LTC module

Experience

Essential

Evidence of post registration education specialist practitioner, nurse practitioner, post, registration cousperses or portfolio of evidence Primary Care experience in care of people with long term conditions Experience of working in Community services Experience of clinical audit, benchmarking and evaluation of services Experience of interagency and collaborative working

Skills

Essential

Report writing skills, including presentation of data Excellent IT, written and communication skills Excellent time management skills and well-developed ability to prioritise work and to tight internal and external deadlines across multiple delivery areas Able to influence and lead change at senior level Ability to monitor the quality of work in others, to identify their learning and development needs, devising strategies to resolve

Personality and personal attributes

Essential

Able to work effectively in different situations, with groups or individuals exhibiting a range of competences, behaviours, and motivations Able to investigate, de-escalate and resolve issues that may be sensitive or difficult, requiring tact and patience Able to plan and deliver work effectively, logically, and systematically. Organised, methodica Experience of customer service in a multi-cultural environment

Knowledge and understanding

Essential

Knowledge of current community service changes and direction Knowledge of current local priorities and developments within the community setting Knowledge of clinical risk strategies and able to apply risk reduction techniques Good working knowledge of wider health and social care system and structures, policies, procedures, and legislation relevant to services areas. Understanding of effective team working Understanding of change management

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