Job summary
We are looking for a highly organised, resourceful individual with a genuine interest in least restrictive practice and enabling resolution of barriers that lead to people being delayed in restrictive hospital environments. The role of Complex Care Flow Lead is being offered as a 12 month secondment in the Complex Care Programme in the South London Partnership (SLP) which is a collaboration between three South London Mental Health Trusts.
The Complex Care Programme is responsible for access to circa 100 Inpatient Rehab beds hosted within the footprint of the three Trusts. The postholder would play a key role in overseeing movement in and out of these beds as well as supporting with discharges and step downs from spot purchase beds.
The successful candidate will be someone with experience of working with people with complex mental health issues with very strong communication skills and ability to liaise with a variety of stakeholders including health, social care, and others.
**NB - this post is being advertised with an indicative banding (AFC band 7). This is waiting confirmation.
Main duties of the job
- To oversee the effective use of the c100 inpatient rehabilitation beds within the SLP footprint; namely Barefoot Lodge (provided by Oxleas), Westways, Heather Close, Tony Hillis Unit (provided by SLAM), Burntwood Villas and Phoenix Ward (provided by SWLSTGs).
- To ensure people remain in the least restrictive settings and optimum flow is achieved ie that people are transferred to rehabilitation in a timely manner, and that they are discharged when no longer requiring inpatient care.
- To offer support in assessment, complex planning, implementation and overall evaluation of individual service users where there is likely indicated delay in discharge. In these circumstances to liaise with MDTs and external partners to plan complex discharges and resolve organisational or external issues impacting on a timely transfer of care as required.
- To escalate internal and external factors that could delay discharge
- To collaborate with partners to recommend innovative solutions to enable effective post discharge support ie personal health budgets.
- With the Programme Analyst CCP Team, to develop a robust system of managing waiting lists to NHS and private providers, forecast discharges, and to have an overall knowledge of bed usage.
- To attend MADE (multi-agency discharge events) as required, across all MH Trusts.
About us
As one of the few Trusts in London we are proud to offer flexible working as part of our new ways of working, and we are happy to talk flexible working at the interview stage.
We in the SLP believe in a good work/life balance while ensuring we offer a service that makes a positive impact on the lives of those we support. Our senior leadership team comprises of a range of qualified and unqualified professionals from psychology, occupational therapy, psychiatry, and social work to data analyst and other business support. We are always interested in considering new ideas on how to support people and where feasible going out to make these ideas happen.
About our locations:
The circa 100 inpatient rehab beds located within the 3 Trusts are as follows: Tony Hillis Unit (Lambeth Hospital SLAM moving to Ladywell Unit Lewisham Hospital SLAM), Burntwood Villas (Springfield Hospital SWLSTG) and Barefoot Lodge (Abbey Wood OXLEAS). The role will require you to support flow with patients on these wards but you will also be involved in supporting discharges from spot purchase beds. Travel to locations outside the 3 Trusts would be minimal.
The senior leadership team currently has offices at Lambeth Hospital but will be moving to Lewisham Town Hall upon Lambeth Hospital closure. The successful applicant has plenty of flexibility in terms of workplace when not required to be on the wards.
Job description
Job responsibilities
Clinical Duties:
- Work in conjunction with the SLP Complex Care Single Point of Access (SPA) and the respective rehabilitation units and referrers to ensure referrals and admissions are managed in a timely manner.
- Undertake trusted assessments for people being considered for admission by the SPA
- Ensure that service users who are referred for admission, meet eligibility criteria prior to admission ie their circumstances/health have not changed so that they are no longer eligible
- Use clinical knowledge to oversee appropriate use of rehab beds as a system ensuring people are cared for in the least restrictive setting possible for the shortest possible time. At times it may be appropriate to move someone between rehabilitation wards however this should always be in the persons best interest and not extend their total length of stay within inpatient care.
- To work closely with rehabilitation ward teams to support MDTs to be proactive about discharge planning from day one of admission.
- Be actively involved in the planning and co-ordination of service users journey into appropriate placements
- Have awareness of the process relevant to placement panels to support situations where an aspect of the discharge pathway is delayed or unknown
- To have an understanding of pathways between services facilitating close working relationships where advantageous ie fostering step down opportunities to block housing provision commissioned by the MH Trust.
- Assist in the development and implementation of a strategic framework for service user flow through the complex care pathway.
- Have direct communication with inpatient and community teams to develop instrumental relationships that support the flow processes.
Management of information
- With the Programme analyst, maintain an accurate understanding of who is waiting for inpatient rehabilitation both within NHS and private rehabilitation settings.
- To identify who this should be communicated to so as to ensure a full understanding of system flow
- To have an overview of the trusted assessment process supporting the Consultant Psychiatrist in allocation of trusted assessments, - maintaining an accurate understanding of outcome ensuring reports are written up in time for dissemination. Currently there is a 7- day target from presentation to the SPA to outcome of the referral being known to the person who has referred the individual.
- To maintain accurate records of expected discharge dates, together with those who are delayed ensuring there is a joined-up action plan to facilitate discharge
- Provide oversight of people receiving care in the private sector and repatriate them to NHS beds when appropriate.
- Escalate issues that cannot be resolved to Senior Leadership Team (SLT) where appropriate maintain an action log until discharge is completed.
- Comply with Trust Bed Management Policy and its processes and escalations.
- Updating all relevant processes, forms and documentations on Clinical Systems.
- Have an overview of breach times and other relevant data to support with Clinical prioritisation.
Service improvement and innovation
- To assist in facilitating specific projects, including QI projects that may be relevant to the improvement of service user flow.
- Conduct internal audits for quality assurance.
- Work with the personal health budget team to support the commissioning of bespoke packages of care where needed.
- Raise to senior SLP management where there are genuine gaps in service provision to feed into commissioning plans.
- To produce reports on service performance and development as required
- To be a change agent driving a cycle of continuous quality improvement using lean methodology and other relevant techniques as required
Other
The post holder will
- Be prepared to physically move between all NHS sites and visit private rehabilitation units where necessary
- Develop relationships with services commissioned by the MH Trusts and LAs, such as Riverside (Wandsworth), the community rehabilitation services to be implemented from February 2024 to support smooth pathways of relevant referrals.
- To liaise with relevant stakeholders as needed ie Integrated Care Board continuing health care teams to support the person to access commissioning streams.
Job description
Job responsibilities
Clinical Duties:
- Work in conjunction with the SLP Complex Care Single Point of Access (SPA) and the respective rehabilitation units and referrers to ensure referrals and admissions are managed in a timely manner.
- Undertake trusted assessments for people being considered for admission by the SPA
- Ensure that service users who are referred for admission, meet eligibility criteria prior to admission ie their circumstances/health have not changed so that they are no longer eligible
- Use clinical knowledge to oversee appropriate use of rehab beds as a system ensuring people are cared for in the least restrictive setting possible for the shortest possible time. At times it may be appropriate to move someone between rehabilitation wards however this should always be in the persons best interest and not extend their total length of stay within inpatient care.
- To work closely with rehabilitation ward teams to support MDTs to be proactive about discharge planning from day one of admission.
- Be actively involved in the planning and co-ordination of service users journey into appropriate placements
- Have awareness of the process relevant to placement panels to support situations where an aspect of the discharge pathway is delayed or unknown
- To have an understanding of pathways between services facilitating close working relationships where advantageous ie fostering step down opportunities to block housing provision commissioned by the MH Trust.
- Assist in the development and implementation of a strategic framework for service user flow through the complex care pathway.
- Have direct communication with inpatient and community teams to develop instrumental relationships that support the flow processes.
Management of information
- With the Programme analyst, maintain an accurate understanding of who is waiting for inpatient rehabilitation both within NHS and private rehabilitation settings.
- To identify who this should be communicated to so as to ensure a full understanding of system flow
- To have an overview of the trusted assessment process supporting the Consultant Psychiatrist in allocation of trusted assessments, - maintaining an accurate understanding of outcome ensuring reports are written up in time for dissemination. Currently there is a 7- day target from presentation to the SPA to outcome of the referral being known to the person who has referred the individual.
- To maintain accurate records of expected discharge dates, together with those who are delayed ensuring there is a joined-up action plan to facilitate discharge
- Provide oversight of people receiving care in the private sector and repatriate them to NHS beds when appropriate.
- Escalate issues that cannot be resolved to Senior Leadership Team (SLT) where appropriate maintain an action log until discharge is completed.
- Comply with Trust Bed Management Policy and its processes and escalations.
- Updating all relevant processes, forms and documentations on Clinical Systems.
- Have an overview of breach times and other relevant data to support with Clinical prioritisation.
Service improvement and innovation
- To assist in facilitating specific projects, including QI projects that may be relevant to the improvement of service user flow.
- Conduct internal audits for quality assurance.
- Work with the personal health budget team to support the commissioning of bespoke packages of care where needed.
- Raise to senior SLP management where there are genuine gaps in service provision to feed into commissioning plans.
- To produce reports on service performance and development as required
- To be a change agent driving a cycle of continuous quality improvement using lean methodology and other relevant techniques as required
Other
The post holder will
- Be prepared to physically move between all NHS sites and visit private rehabilitation units where necessary
- Develop relationships with services commissioned by the MH Trusts and LAs, such as Riverside (Wandsworth), the community rehabilitation services to be implemented from February 2024 to support smooth pathways of relevant referrals.
- To liaise with relevant stakeholders as needed ie Integrated Care Board continuing health care teams to support the person to access commissioning streams.
Person Specification
Training & Qualifications
Essential
- oCurrent professional registration in relevant clinical subject/practice e.g. RMN, OT, Social Work, psychology or equivalent relevant experience in health, social care or voluntary sector
- oOngoing evidence of continuing professional development
Experience
Essential
- oDemonstrable experience of working at Band 6 or equivalent for 2 years
- oExperience of liaising with community agencies
- oExperience of working with people who have experienced serious ongoing mental health problems
- oExperience of implementing the principles and practice of the Recovery approach
Knowledge and Skills
Essential
- oClear understanding of the Mental Health Act, Care Act, Housing Act, Quality & Safety Governance, Clinical audit and relevant national policies
- oSound knowledge and skills in risk assessment
- oGood organisational skills
- oGood IT skills
Other
Essential
- oEmpathy for individuals who have experienced enduring mental health problems.
Person Specification
Training & Qualifications
Essential
- oCurrent professional registration in relevant clinical subject/practice e.g. RMN, OT, Social Work, psychology or equivalent relevant experience in health, social care or voluntary sector
- oOngoing evidence of continuing professional development
Experience
Essential
- oDemonstrable experience of working at Band 6 or equivalent for 2 years
- oExperience of liaising with community agencies
- oExperience of working with people who have experienced serious ongoing mental health problems
- oExperience of implementing the principles and practice of the Recovery approach
Knowledge and Skills
Essential
- oClear understanding of the Mental Health Act, Care Act, Housing Act, Quality & Safety Governance, Clinical audit and relevant national policies
- oSound knowledge and skills in risk assessment
- oGood organisational skills
- oGood IT skills
Other
Essential
- oEmpathy for individuals who have experienced enduring mental health problems.
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).
Employer details
Employer name
South London and Maudsley NHS Foundation Trust
Address
Lambeth Hospital and remote working and visiting other sites
Stockwell
SW9 9NU
Employer's website
https://www.slam.nhs.uk/ (Opens in a new tab)
