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Clinical Support Specialist - Homeless Care Coordinator

North Middlesex University Hospital NHS Trust
locationLondon N18 1QX, UK
PublishedPublished: Published today
Full Time
Job summary

Are you passionate about improving outcomes for some of the most vulnerable patients in our healthcare system?

We are seeking a proactive and highly motivated Homeless Care Coordinator to join our Transfer of Care Hub (TOCH) at North Middlesex University Hospital. This is a high-impact, system-facing role focused on improving discharge outcomes for patients experiencing homelessness.

You will play a critical role in addressing delays in discharge that impact bed capacity, patient flow, and system performance across North Central London.

Main duties of the job

  1. Manage a caseload of patients experiencing homelessness
  2. Complete and oversee Housing Checklists
  3. Coordinate multi-agency discharge pathways
  4. Escalate and resolve barriers to discharge
  • Contribute to BCF reporting and performance metrics
  • Support development of homeless discharge pathways at NMUH
About us

  • A unique opportunity to work at the centre of system transformation
  • Experience influencing across NHS and Local Authority partners
  • The ability to directly impact patient outcomes and hospital flow
  • A supportive and forward-thinking multidisciplinary team
Job description

Job responsibilities

Specialist Case Management & Discharge Coordination
  • Lead identification and proactive management of patients who are homeless or at risk of homelessness from admission.
  • Undertake comprehensive assessments to inform safe and effective discharge planning.
  • Manage a complex caseload requiring coordinated multi-agency input.
  • Attend board rounds, TOCH meetings, and escalation forums to drive discharge outcomes.
  • Ensure all discharge plans align with Trust policy and national discharge guidance.
Statutory Duties and Housing Processes
  • Take responsibility for completion and quality assurance of theHousing Checklist.
  • Lead on initiation, submission, and tracking ofDuty to Refer (DTR)referrals.
  • Ensure compliance with statutory responsibilities under theHomelessness Reduction Act 2017.
  • Maintain oversight of all housing referrals to ensure timely progression.
System Navigation & Multi-Agency Coordination
  • Act as the Trusts key point of contact for homelessness-related discharge issues.
  • Work collaboratively with:
    • Local Authority Housing Teams
    • Housing Intermediate Care Team (HICT)
    • Adult Social Care
    • Voluntary sector partners
  • Proactivelyfollow up with Local Authority Housing Teamsto confirm receipt, track outcomes, and challenge delays.
  • Coordinate discharge pathways including interim accommodation and step-down care.
Escalation, Influence and Flow Management
  • Identify and resolve barriers to discharge.
  • Escalate delays through Trust and system escalation processes.
  • Influence decision-making across organisations to improve patient flow.
  • Contribute to reducing length of stay and delayed discharges.
Patient Advocacy, Safeguarding and Inclusion
  • Advocate for vulnerable patients including those with mental health needs, substance misuse, and NRPF.
  • Ensure safeguarding andMental Capacity Act (MCA)processes are applied.
  • Promote dignity, inclusion, and person-centred care.
Data, Performance and Governance
  • Maintain accurate records of housing-related activity.
  • Monitor and report on:
    • Duty to Refer compliance
    • Housing Checklist completion
    • Discharge delays
  • Contribute toBCF reportingand Trust performance frameworks.
  • Ensure compliance with information governance standards.
Job description
Job responsibilities

Specialist Case Management & Discharge Coordination
  • Lead identification and proactive management of patients who are homeless or at risk of homelessness from admission.
  • Undertake comprehensive assessments to inform safe and effective discharge planning.
  • Manage a complex caseload requiring coordinated multi-agency input.
  • Attend board rounds, TOCH meetings, and escalation forums to drive discharge outcomes.
  • Ensure all discharge plans align with Trust policy and national discharge guidance.
Statutory Duties and Housing Processes
  • Take responsibility for completion and quality assurance of theHousing Checklist.
  • Lead on initiation, submission, and tracking ofDuty to Refer (DTR)referrals.
  • Ensure compliance with statutory responsibilities under theHomelessness Reduction Act 2017.
  • Maintain oversight of all housing referrals to ensure timely progression.
System Navigation & Multi-Agency Coordination
  • Act as the Trusts key point of contact for homelessness-related discharge issues.
  • Work collaboratively with:
    • Local Authority Housing Teams
    • Housing Intermediate Care Team (HICT)
    • Adult Social Care
    • Voluntary sector partners
  • Proactivelyfollow up with Local Authority Housing Teamsto confirm receipt, track outcomes, and challenge delays.
  • Coordinate discharge pathways including interim accommodation and step-down care.
Escalation, Influence and Flow Management
  • Identify and resolve barriers to discharge.
  • Escalate delays through Trust and system escalation processes.
  • Influence decision-making across organisations to improve patient flow.
  • Contribute to reducing length of stay and delayed discharges.
Patient Advocacy, Safeguarding and Inclusion
  • Advocate for vulnerable patients including those with mental health needs, substance misuse, and NRPF.
  • Ensure safeguarding andMental Capacity Act (MCA)processes are applied.
  • Promote dignity, inclusion, and person-centred care.
Data, Performance and Governance
  • Maintain accurate records of housing-related activity.
  • Monitor and report on:
    • Duty to Refer compliance
    • Housing Checklist completion
    • Discharge delays
  • Contribute toBCF reportingand Trust performance frameworks.
  • Ensure compliance with information governance standards.
Person Specification

Essential

Essential

  • Educated at Degree Level 3
  • Experience in Discharge Planning, housing, or community services
  • Experience managing complex multi-agency cases
  • Experience working with vulnerable populations e.g Homeless, Social exclusion
  • Experience with working with local Authority Housing systems and processes
  • Knowledge of Duty to Refer (Homelessness Reduction Act 2017) and housing pathways
  • Knowledge of hospital discharge pathways processes and Frame works
  • Ability to manage a caseload autonomously and prioritise effectively
  • Strong communication, influencing and escalation skills.
Desirable

  • Experience in working in Transfer of care Hub/ IDT/Acute hospital setting
  • Experience working with local Authorities in North London Central (e.g. Haringey, Enfield)
  • Knowledge of NRPF pathways and complex discharges
  • Experience of Coordinating HICT or Step-down Pathways
  • Experience of Influencing or escalating system delays
  • Experience Delivering training or contributing to service improvement
  • Understanding of BCF, System flow, or performance metrics
Essentail

Essential

  • Educated at Degree Level 3
  • Experience in Discharge Planning
  • Experience managing complex multi-agency cases
Desirable

  • Experience in Discharge Planning, housing, or community services
  • Effective communication and influencing skills
Person Specification
Essential

Essential

  • Educated at Degree Level 3
  • Experience in Discharge Planning, housing, or community services
  • Experience managing complex multi-agency cases
  • Experience working with vulnerable populations e.g Homeless, Social exclusion
  • Experience with working with local Authority Housing systems and processes
  • Knowledge of Duty to Refer (Homelessness Reduction Act 2017) and housing pathways
  • Knowledge of hospital discharge pathways processes and Frame works
  • Ability to manage a caseload autonomously and prioritise effectively
  • Strong communication, influencing and escalation skills.
Desirable

  • Experience in working in Transfer of care Hub/ IDT/Acute hospital setting
  • Experience working with local Authorities in North London Central (e.g. Haringey, Enfield)
  • Knowledge of NRPF pathways and complex discharges
  • Experience of Coordinating HICT or Step-down Pathways
  • Experience of Influencing or escalating system delays
  • Experience Delivering training or contributing to service improvement
  • Understanding of BCF, System flow, or performance metrics
Essentail

Essential

  • Educated at Degree Level 3
  • Experience in Discharge Planning
  • Experience managing complex multi-agency cases
Desirable

  • Experience in Discharge Planning, housing, or community services
  • Effective communication and influencing skills
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.
Certificate of Sponsorship

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 .

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. .

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.
Certificate of Sponsorship

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 .

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. .

Employer details

Employer name

Royal Free London NHS Foundation Trust
Address

North Middlesex University Hospital

North Middlesex Hospital

Edmonton - London

N18 1QX

United Kingdom

Employer's website