Job summary
This role is key in developing the operating processes for the Transfer of Care Hub (ToCH), and the relationships with health and care partners across the acute, community, social and voluntary care sectors to drive the changes required to streamline the discharge processes across all discharge pathways.
The Transfer of Care Hub (ToCH) will be based at St Helier Hospital and will bring together key specialist teams from across the health and social care sector under one umbrella to facilitate discharges of patients with ongoing complex health and care needs.
The ToCH is undergoing significant transformation to enable a fully integrated model joining up providers to deliver effective discharge planning and pathway management, and to optimise the current resource of discharge coordinators currently based within the acute trust.
Sutton Alliance have developed a clear vision to improve and streamline the discharge processes for patients leaving hospital after an acute spell of care, and this role will be responsible for setting up the ToCH across the health and care system and will start this exciting programme towards enabling this vision.
The successful candidate will need an in-depth knowledge of discharge processes aligned with the ability to forge excellent working relationships with operational and managerial partners across the health and care system.
Main duties of the job
The Transfer of Care Hub (ToCH), based at St. Helier Hospital, brings together key specialist teams from across the health and social care sector under one umbrella to facilitate discharges of patients with ongoing complex health and care needs. These include a team of community health providers, South West London Integrated Care Board (SWLICB), London Borough of Sutton Social Care and Brokerage teams (LBS), housing services and voluntary organisations.
The post holder will lead the strategic development of the TOC as set out and agreed by the Sutton Alliance. They will implement and deliver responsive out of hospital pathways and provision to ensure that collaborative services within the community (notably those provided by Sutton Health and Care, LBS, Primary Care and the voluntary sector) are as responsive as they possibly can be to the capacity demands within the acute trust.
The post holder will be accountable for the operational management of the ToCH including direct line management of the restructured Discharge Coordinator Team Leaders and matrix management of all other professionals who are part of the infrastructure.
About us
St George's, Epsom and St Helier University Hospitals (ESTH) and Health Group cares for a population of four million people in SW London and NE Surrey.
After years of collaboration, our 2 Trusts became a hospitals group in 2021. While remaining as 2 separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our workforce.
Sutton Health and Care (SHC) was an innovative joint venture between local partner health and social care organisations, which sees community services fully integrated to support the delivery of a new model of care for the people of Sutton.
Hosted by ESTH, the model ensures the breaking down of traditional organisational barriers to enable the provision of care to be wrapped around the patient.
An Alliance Board representing all partners has been formulated to support consensus decision making. SHC's vision is to deliver seamless excellent coordinated care that is person centred and of high quality for people at risk of an unrequired hospital admission and for those that require admission ensure they are supported promptly to get home again as quickly as possible.
SHC prides itself on having a highly dedicated team and offer a stimulating and dynamic working environment with a wide range of staff benefits and development opportunities. We are looking for employees who aspire to excellence, share our values and can play a crucial role in our ongoing achievements.
Job description
Job responsibilities
Please see the attached supporting document which contains more information about the Transfer of Care Hub Lead role at Epsom and St Helier.
Job description
Job responsibilities
Please see the attached supporting document which contains more information about the Transfer of Care Hub Lead role at Epsom and St Helier.
Person Specification
Education/Qualifications
Essential
- Educated to Batchelor degree level with management level qualification
- Clinical or social work qualification and/or demonstrable expertise in the field of the ToCH environment and effective work across organisations
Desirable
- Educated to Masters level with additional in depth professional knowledge in own discipline
Experience
Essential
- Experience and understanding of performance and change management, business planning, budget setting and contracting processes in a health setting
- Experience of leading and managing the delivery and improvement of services within a complex and diverse organisation and across organisations
- Experience of leading teams and joint/collaborative matrix teams
- Experience of supporting the development of strategies to meet challenging organisational needs
- Experience of inter-agency working and the development of joint projects
Skills/Abilities
Essential
- Ability to identify, define, promote, communicate and achieve clear organisational values and goals, effective management processes and rational and timely decision making
- Ability to work in partnership with lead clinicians and healthcare professionals within and outside the ICB and a partnership approach to working across organisations
- Ability to analyse complex issues, to think and plan to achieve both tactical and strategic objectives and to exercise sound judgement in the face of conflicting pressures
- Skills to evaluate and learn from outcomes, with a clear commitment to innovation, learning and improvement
- Effectiveness in complex and highly sensitive conflict resolution and management
- Ability to write clear concise reports as well as present them in a manner to multiple organisations including Boards, in a manner by which they are understood
Knowledge
Essential
- In depth knowledge of discharge pathways from an acute hospital setting
- Understanding of national policies relating to discharge including the updated 'Hospital Discharge and Community Support Guidance 2024' and Health and Social Care Act
Personal Attributes
Essential
- Stamina, energy and enthusiasm and the ability to work effectively under pressure
- Strong leadership influencing, negotiating and interpersonal skills
- Collaborative management style, which recognises and values personal contributions and agenda and encourages team working
- Ability to work flexibly across the seven day working week if required
Person Specification
Education/Qualifications
Essential
- Educated to Batchelor degree level with management level qualification
- Clinical or social work qualification and/or demonstrable expertise in the field of the ToCH environment and effective work across organisations
Desirable
- Educated to Masters level with additional in depth professional knowledge in own discipline
Experience
Essential
- Experience and understanding of performance and change management, business planning, budget setting and contracting processes in a health setting
- Experience of leading and managing the delivery and improvement of services within a complex and diverse organisation and across organisations
- Experience of leading teams and joint/collaborative matrix teams
- Experience of supporting the development of strategies to meet challenging organisational needs
- Experience of inter-agency working and the development of joint projects
Skills/Abilities
Essential
- Ability to identify, define, promote, communicate and achieve clear organisational values and goals, effective management processes and rational and timely decision making
- Ability to work in partnership with lead clinicians and healthcare professionals within and outside the ICB and a partnership approach to working across organisations
- Ability to analyse complex issues, to think and plan to achieve both tactical and strategic objectives and to exercise sound judgement in the face of conflicting pressures
- Skills to evaluate and learn from outcomes, with a clear commitment to innovation, learning and improvement
- Effectiveness in complex and highly sensitive conflict resolution and management
- Ability to write clear concise reports as well as present them in a manner to multiple organisations including Boards, in a manner by which they are understood
Knowledge
Essential
- In depth knowledge of discharge pathways from an acute hospital setting
- Understanding of national policies relating to discharge including the updated 'Hospital Discharge and Community Support Guidance 2024' and Health and Social Care Act
Personal Attributes
Essential
- Stamina, energy and enthusiasm and the ability to work effectively under pressure
- Strong leadership influencing, negotiating and interpersonal skills
- Collaborative management style, which recognises and values personal contributions and agenda and encourages team working
- Ability to work flexibly across the seven day working week if required
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
