Job summary
Are you ready to unlock your potential within a challenging, creative and fast paced work environment? Do you want to work with people to build positive and productive lives, whatever their past?
This is an excellent opportunity for a Patient Services & Integrated Care Lead to join our team of diverse, talented healthcare professionals to deliver care that is not only efficient but deeply centred on the patient.
Our healthcare team have a real impact on promoting health and well-being to those in prison and we pride ourselves on using skills and strategies that instil hope for patient's future resettlement back into the community. We directly deliver Mental Health, Physical Health, Pharmacy and Clinical Substance Misuse in an integrated healthcare delivery model to provide effective and responsive care to improve wellbeing and support better outcomes in the future.
Important Sponsorship Information for this post: Due to service budget restrictions we are currently unable to offer a certificate of sponsorship for this post.
Main duties of the job
As a Patient Services & Integrated Care Lead you will play a pivotal role in ensuring high-quality, patient-centred care through effective coordination of services across prison and partner settings. You will be responsible for overseeing the patient journey from arrival through to transfer/release, with a particular focus on complex releases, continuity of care, and supporting safe and effective transitions across all partner settings.
Working closely with multidisciplinary teams, healthcare professionals, and community partners, you will manage patient engagement strategies, address complaints, and contribute to service improvement initiatives. The role includes maintaining accurate data and reports on patient flow, release planning, and engagement outcomes, ensuring that insights inform operational decisions and compliance with relevant standards.
You will act as a key liaison between clinical and non-clinical teams, championing a joined-up approach to care. Health promotion, patient education, and proactive service user engagement are also core to the role, supporting both individual wellbeing and broader public health objectives.
This is a highly collaborative and dynamic role requiring strong leadership, excellent communication skills, and a robust understanding of integrated care pathways and patient service operations.
About us
Oxleas offers a wide range of NHS healthcare services to people in community and secure environment settings. Our services include community health care such as district nursing and speech and language therapy, care for people with learning disabilities and mental health care such as psychiatry, nursing and therapies. Our multidisciplinary teams look after people of all ages and we work in close partnership with other parts of the NHS, local councils and the voluntary sector and through our new provider collaboratives. Our 4,300 members of staff work in many different settings including hospitals, clinics, prisons, secure hospitals, children's centres, schools and people's homes.We have over 125 sites in a variety of locations in the South of England. In London we operate within the Boroughs of Bexley, Bromley Greenwich and into Kent. We manage hospital sites including Queen Mary's Hospital, Sidcup and Memorial Hospital, Woolwich, as well as the Bracton Centre, our medium secure unit for people with mental health needs. We are the largest NHS provider of prison health services providing healthcare to prisons within Devon, Dorset, Bristol, Wiltshire and Gloucestershire, Kent and South London. We are proud of the care we provide and our people.
Our purpose is to improve lives by providing the best possible care to our patients and their families. This is strengthened by our new values:
- We're Kind
- We're Fair
- We Listen
- We Care
Job description
Job responsibilities
Release Planning
- Coordinate and monitor complex releases, ensuring appropriate community, social care, and third-sector input.
- Facilitate release planning and case conferences involving multidisciplinary teams. Ensure all patient releases and transfers receive robust planning and support, and ensure that clinicians provide release screening, including the provision of medication.
- Attend Prison Advisory Panel meetings to liaise with local authorities, housing, probation, and safeguarding teams to support safe releases.
Patient Engagement & Experience
- Lead on patient feedback, complaints, and concerns, ensuring timely resolution and learning from themes.
- Develop and implement patient engagement initiatives to promote inclusion, health literacy, and shared decision-making.
- Use analytical skills to manage complex situations to find suitable solutions.
Integrated Care
- Act as the operational link between acute healthcare providers, prison services and Oxleas during complex care episodes.
- Facilitate discharge planning and case conferences involving multidisciplinary teams. Ensure all patient discharges receive robust planning and support, including the provision of medication and equipment.
Data Management & Reporting
- Maintain accurate and up-to-date records of patient pathways, transfers/releases, and service interventions.
- Collate and analyse data to identify trends, inform planning, and support quality improvement efforts using SystmOne, Datix and other IT platforms
Health Promotion & Preventive Work
- Collaborate with public health and community teams to promote preventative health initiatives.
- Support delivery of health promotion campaigns targeted at at-risk or hard-to-reach patient groups.
- Signpost patients to relevant health, social care, and wellbeing services.
Governance, Policy & Compliance
- Ensure that all services comply with organisational policies, safeguarding standards, and regulatory frameworks.
- Contribute to policy development and service redesign to support more effective integrated care.
- Participate in audits, service reviews, and risk assessments.
- Lead or support initiatives to improve patient flow, reduce delayed discharges, and enhance service efficiency.
- Contribute to training, mentorship, and development of junior staff or new team members.
- Implement national regulations and policies
General
- Procurement of supplies for service
- Delegate and allocate suitable work to wider administrative and clinical teams.
- Assist in recruitment, selection and training of administration staff joining the service
Communication
- Communicate effectively and professionally with a wide range of internal and external stakeholders, including patients, clinical staff, social care teams, partners, and prison services, to support integrated care delivery and complex release and discharge planning.
- Use advanced communication skills to manage sensitive and sometimes contentious issues, such as complaints, safeguarding concerns, or patient dissatisfaction, demonstrating empathy, diplomacy, and respect for confidentiality.
- Provide and receive complex or sensitive information, ensuring it is communicated clearly and appropriately, often requiring persuasion, reassurance, or negotiation with distressed, vulnerable, or resistant individuals.
- Contribute to multidisciplinary meetings, presenting patient information and service updates confidently, facilitating discussion, and ensuring that agreed actions are clearly understood and documented.
- Support health promotion and engagement activity, tailoring communication to suit a wide range of health literacy levels, languages, and cultural needs, including use of interpreters or accessible materials when necessary.
- Document and share information accurately and securely, using approved NHS systems and following data protection legislation, information governance, and safeguarding protocols.
- Escalate risks or concerns effectively to appropriate senior staff, safeguarding teams, or governance structures, ensuring timely resolution and patient safety
IMPORTANT INFORMATION, PLEASE READ:
All applicants must be willing to undertake National Security Vetting in order to work in a Prison Setting. This will be completed as part of the pre-employment checks through Oxleas and the prison vetting team.
You will need to provide:
Proof of right to work documentation
Proof of ID, needs to include 1 photographicID
Proof of address documentation
Non-UK passport holders will need to have correct documentation (right to work in the UK) and a Home office Share code.
Address History:
5 years address history will be needed.
Applicants that are not UK Passport holders who provide less than 5 years UK address history will need to provide a Police Certificate which must be in English from where they resided previously.
Applicants who are UK Passport holders who have lived abroad for a period of more than six months during the last three years will need to provide a certificate of good conduct or an overseas police check in English from the countries resided in or visited.
In order to assist you in obtaining a Police Certificate, guidance can be sought from:https://www.gov.uk/government/publications/criminal-records-checks-for-overseas-applicants
If the country you have resided in is not listed here, you can obtain the necessary information by contacting the relevant Embassy or High Commission for that Country. Their contact details can be found on the Foreign & Commonwealth Office website (http://www.fco.gov.uk/en).
Job description
Job responsibilities
Release Planning
- Coordinate and monitor complex releases, ensuring appropriate community, social care, and third-sector input.
- Facilitate release planning and case conferences involving multidisciplinary teams. Ensure all patient releases and transfers receive robust planning and support, and ensure that clinicians provide release screening, including the provision of medication.
- Attend Prison Advisory Panel meetings to liaise with local authorities, housing, probation, and safeguarding teams to support safe releases.
Patient Engagement & Experience
- Lead on patient feedback, complaints, and concerns, ensuring timely resolution and learning from themes.
- Develop and implement patient engagement initiatives to promote inclusion, health literacy, and shared decision-making.
- Use analytical skills to manage complex situations to find suitable solutions.
Integrated Care
- Act as the operational link between acute healthcare providers, prison services and Oxleas during complex care episodes.
- Facilitate discharge planning and case conferences involving multidisciplinary teams. Ensure all patient discharges receive robust planning and support, including the provision of medication and equipment.
Data Management & Reporting
- Maintain accurate and up-to-date records of patient pathways, transfers/releases, and service interventions.
- Collate and analyse data to identify trends, inform planning, and support quality improvement efforts using SystmOne, Datix and other IT platforms
Health Promotion & Preventive Work
- Collaborate with public health and community teams to promote preventative health initiatives.
- Support delivery of health promotion campaigns targeted at at-risk or hard-to-reach patient groups.
- Signpost patients to relevant health, social care, and wellbeing services.
Governance, Policy & Compliance
- Ensure that all services comply with organisational policies, safeguarding standards, and regulatory frameworks.
- Contribute to policy development and service redesign to support more effective integrated care.
- Participate in audits, service reviews, and risk assessments.
- Lead or support initiatives to improve patient flow, reduce delayed discharges, and enhance service efficiency.
- Contribute to training, mentorship, and development of junior staff or new team members.
- Implement national regulations and policies
General
- Procurement of supplies for service
- Delegate and allocate suitable work to wider administrative and clinical teams.
- Assist in recruitment, selection and training of administration staff joining the service
Communication
- Communicate effectively and professionally with a wide range of internal and external stakeholders, including patients, clinical staff, social care teams, partners, and prison services, to support integrated care delivery and complex release and discharge planning.
- Use advanced communication skills to manage sensitive and sometimes contentious issues, such as complaints, safeguarding concerns, or patient dissatisfaction, demonstrating empathy, diplomacy, and respect for confidentiality.
- Provide and receive complex or sensitive information, ensuring it is communicated clearly and appropriately, often requiring persuasion, reassurance, or negotiation with distressed, vulnerable, or resistant individuals.
- Contribute to multidisciplinary meetings, presenting patient information and service updates confidently, facilitating discussion, and ensuring that agreed actions are clearly understood and documented.
- Support health promotion and engagement activity, tailoring communication to suit a wide range of health literacy levels, languages, and cultural needs, including use of interpreters or accessible materials when necessary.
- Document and share information accurately and securely, using approved NHS systems and following data protection legislation, information governance, and safeguarding protocols.
- Escalate risks or concerns effectively to appropriate senior staff, safeguarding teams, or governance structures, ensuring timely resolution and patient safety
IMPORTANT INFORMATION, PLEASE READ:
All applicants must be willing to undertake National Security Vetting in order to work in a Prison Setting. This will be completed as part of the pre-employment checks through Oxleas and the prison vetting team.
You will need to provide:
Proof of right to work documentation
Proof of ID, needs to include 1 photographicID
Proof of address documentation
Non-UK passport holders will need to have correct documentation (right to work in the UK) and a Home office Share code.
Address History:
5 years address history will be needed.
Applicants that are not UK Passport holders who provide less than 5 years UK address history will need to provide a Police Certificate which must be in English from where they resided previously.
Applicants who are UK Passport holders who have lived abroad for a period of more than six months during the last three years will need to provide a certificate of good conduct or an overseas police check in English from the countries resided in or visited.
In order to assist you in obtaining a Police Certificate, guidance can be sought from:https://www.gov.uk/government/publications/criminal-records-checks-for-overseas-applicants
If the country you have resided in is not listed here, you can obtain the necessary information by contacting the relevant Embassy or High Commission for that Country. Their contact details can be found on the Foreign & Commonwealth Office website (http://www.fco.gov.uk/en).
Person Specification
Education & Qualifications
Essential
- Evidence of further professional education to degree level or equivalent experience working at level 5 or above
Experience
Essential
- Sound working knowledge of primary care setting
- Experience/understanding of complex releases/discharges
- Experience of using SystmOne
- Experience of using Datix
- Experience of informal and formal complaints management
- Experience of managing multiple priorities and meeting deadlines
Skills
Essential
- Computer literacy - use of several different computer programmes and systems
- Communication and relationship skills - provide and receive complex information with all stakeholders, readily identifying any required actions
Person Specification
Education & Qualifications
Essential
- Evidence of further professional education to degree level or equivalent experience working at level 5 or above
Experience
Essential
- Sound working knowledge of primary care setting
- Experience/understanding of complex releases/discharges
- Experience of using SystmOne
- Experience of using Datix
- Experience of informal and formal complaints management
- Experience of managing multiple priorities and meeting deadlines
Skills
Essential
- Computer literacy - use of several different computer programmes and systems
- Communication and relationship skills - provide and receive complex information with all stakeholders, readily identifying any required actions
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.
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).
Additional information
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.
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).
