Job summary
- Main area
- Discharge
- Grade
- Band 8a
- Contract
- Permanent
- Hours
- Full time - 37.5 hours per week
- Job ref
- 197-R-HF7743
- Employer
- Lewisham and Greenwich NHS Trust
- Employer type
- NHS
- Site
- Queen Elizabeth Hospital
- Town
- Woolwich
- Salary
- £55,690 - £62,682 Per annum plus HCA
- Salary period
- Yearly
- Closing
- 14/01/2026 23:59
Employer heading
Greenwich Integrated Flow Lead
Band 8a
Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.
Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.
We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.
To achieve this we value Respect, Compassion, and Inclusion; Being accountable over staying comfortable; Listening over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here
Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.
Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.
LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.
We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.
Job overview
The Royal Borough of Greenwich Council and the South East London Integrated Care Board have come together to create an integrated approach to commissioning services within Greenwich, this postholder has a key role in implementing this new approach.
Key Result Areas & Performance:
This role will work collaboratively with relevant teams in the acute and community services to identify opportunities for improvements in flow pathways.
The opportunities may proactively prevent avoidable admissions (those with no clinical requirement), or facilitate people being discharged from acute services/community hospitals into community and/or social care provision.
The purpose of the role is to ensure that only those people requiring acute care are admitted to hospital and these are then discharged to the appropriate destination following the completion of their acute treatment.
The role will maintain oversight of the patients on the TOCC list ensuring all actions not completed within agreed timeframes are escalated through daily touchpoints with community health and social care partners following an escalation cascade when necessary.
This role will work closely with the TOCC list co-ordinator and TOC hub manager to facilitate flow and timely updates as required
Main duties of the job
Main duties
To monitor and ensure a responsive service (across the range of support services for discharge) for complex discharge of patients from acute trusts. To ensure that patients receive safe and effective discharge care from the range of providers (community, social care, continuing healthcare) to meet their individual care needs in a timely manner.
To identify within the current systems and processes “blockages” that are preventing effective discharge and to provide recommendations on solutions to the ToCH Lead and alerting senior leaders across the system as appropriate.
To implement with partners and providers any recommendations agreed and ensure timely service change.
To monitor the throughput and average length of stay for our Intermediate Care beds, liaising with senior clinicians and the contract manager, making recommendations for change.
To work closely with the contract manager for integrated care to monitor the performance of the Intermediate Care services and ensure it plays a full part in managing the flow of patients out of the acute setting.
To work closely with the Associate Director and Head of Integrated
Commissioning and System Development for Disabilities and Mental Health to ensure that mental health services, especially for older people, are supportive in the management of people with mental health needs upon discharge from an acute admission.
To work closely with our neighbouring discharge flow teams and work on shared solutions.
To monitor daily patients Not Meeting Criteria To Reside (NMCTR) and long length of stay activity and provide reports to ToCH lead and other senior leaders.
To participate in senior discharge meetings (and planning meetings) on behalf of the Director of Integrated Commissioning – Adults.
To participate in (and monitor) agreed Winter Planning initiatives on behalf of Greenwich borough working closely with the Director of Integrated Commissioning – Adults and other members of the Executive Team as appropriate.
Working for our organisation
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
- Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
- Widening access (anchor institution) and employability
- Improving the experience of staff with disability
- Improving the EDI literacy and confidence of trust staff through training and development
- Making equalities mainstream
Detailed job description and main responsibilities
To prepare reports on patient flow and acute activity that will include the analysis of complex and multiple data sources, in conjunction with the SEL ICB /QEH Business Analytics Team.
Monitor key performance metrics and work with partners to identify root causes of variation to inform improvements.
Review trend analysis to understand blockages in the system and work with partners to understand and solutions to unblock and improve flow.
To liaise with organisations within the health and social care system at both an operational and strategic level.
Ensure overview of system flow by attending TOC (transfer of care) meetings with system colleagues to review all hospital discharges.
Provide advice, challenge and flexible support to system partners regards system flow, with the aim of identifying improvement opportunities across the system and in collaboration with multiple professional groups.
To work with the integrated commissioning partnership (Adults) on the procurement and mobilisation of Greenwich flow provision for out of hospital bedded units e.g. D2A, Winter step down beds.
Attend key meetings and provide update reports in support of the portfolio.
Participation in strategic discussions regarding hospital discharge and flow with local and ICB colleagues.
To work directly with the discharge teams (in acute hospitals) and our community and social care teams to proactively ensure the management of patients being discharged from acute services into community or social care provision. Ensuring that discharges from the services for individual patients are managed in an integrated way and provide a fast and efficient pathway for each individual patient.
Daily review and management of the patients on the ToCH list following up on updates and escalating delays for all patients referred to all partners outside of the acute trust.
Work closely with the hospital discharge team to ensure optimal discharges from hospital.
The role will work closely with the borough and hospital admissions avoidance teams supporting admissions avoidance or LOS reductions through early referrals to the ToCH.
Take a lead role in ensuring all updates from system partners are available for ToCH meetings.
To support the further development of new models of care that are integrated across health and care in the borough as the ICB and the council develop new ways of working together.
Drive change through providing inspired consistent and effective leadership and develop an ethos of high performance through promoting continuous personal and professional development.
To implement a systems leadership approach and ensure that their behaviour reflects these values.
The post holder will be expected to participate in ongoing professional development to optimise their impact on delivery, and present value for money.
To undertake any other work appropriate to the level and general nature of the post’s duties.
To plan and undertake formal and informal training and presentations to a range of audiences/stakeholders and across boundaries, explaining matters regarding flow and policy in a compelling way.
Person specification
Experience
Essential criteria
- At least one year’s experience of a similar role within an acute hospital setting.
- Experience of reviewing the current service and demand flow and pathways and undertaking gap analysis
- Experience of the delivery of complex transformational change projects
- Experience of quality management and the development of quality characteristics which guide how services will be provided
Education and Qualifications
Essential criteria
- Degree
- Post graduate qualification or equivalent experience
- Practicing clinician or social worker with current registration of appropriate professional body
- Evidence of continued professional development after qualifying
- Extensive knowledge of health care policy and practice along with experience of its implementation gained in a health care or Local Authority setting
- Knowledge of Care Act 2014 and knowledge of the NHS CHC Framework and criteria
Skills and Abilities
Essential criteria
- Wider knowledge of the Greenwich health and social care system, and political landscape
- Understanding of patient flow through acute hospital systems.
- Understanding of the markets for residential or nursing and home care.
- Ability to facilitate meetings and discussions, with an understanding of how to manage challenging situations.
- Ability to prepare information (both numerical and narrative) in reports and present to Senior Management.
- Ability to manage knowledge and assess need, identify gaps analyse data and forecast demand.
- Ability to explain complex matters in a clear, compelling and collaborative way to different audiences and stakeholders and across organisational boundaries
Employer certification / accreditation badges
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Applicant requirements
The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.
Documents to download
Further details / informal visits contact
- Name
- Cheryl James
- Job title
- Transfer of Care Hub Lead
- Email address
- [email protected]
- Telephone number
- 07776664382
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