Job summary
Welcome to FCMS!
Post: HomelessHospital Discharge Link Worker
Pay: £13.82 per hour
Hours: 15 hours over 2 days a week (likelyTuesday and Thursday)
08.00 16.00 with a 30-minute unpaid lunch break
Accountable to: Head of Inclusion Health
Base: Blackpool VictoriaHospital main base
There will be some co-location work to support this role linking withhousing teams across Blackpool, Fylde & Wyre
Overview of Role:
This role will enhance and support thehospital discharge process for people who are homeless and are admitted toBlackpool Victoria Hospital. Thesuccessful post holder will also support patients who attend the EmergencyDepartment and the co-located Urgent Treatment Centre. This is an integratedcare role, working across local health and housing teams and the wider multipledisadvantage partnership.
This provision isdelivered collaboratively with the Hospital Discharge Team/nominated DischargeFacilitator, Housing Teams (Blackpool, Fylde, Wyre) and wider partners whoprovide care via the community system delivery model for complex and multipledisadvantaged patients.
Main duties of the job
The purpose of the role is to provide timely and expert advice,assessment and support to patients on all pathways and to ensure that housingneeds are identified, and appropriate support and referrals actioned,especially when there are health concerns or when the person is at risk ofrough sleeping and / or known to be vulnerable.
The Integrated Discharge Service is a multi-agency single pointof access that supports the Acute Trust in transitioning patients fromhospital to their next care setting, whether that be home or to anotherfacility.
About us
The ethos of FCMS as a social enterprise, health andwellbeing services provider is to be passionate in its drive to ensure thatpatients and callers remain the central focus of all that it does. Coupled withexcellent and well-established clinical governance systems and extremelyeffective operational expertise, it has meant that the company has the abilityto strategically visualise, develop, and implement award winning services.
Over many years we have invested in our staff so that we havea core team of highly trained individuals who can manage the needs of ourpatients and callers. Our staff are able to significantly improve the servicedelivery and user experience due to their considerable experience andcommitment to what they do.
Come and be a part of our amazing team!
We offer NHS Pension
Cycle to Work Scheme
Career Development Opportunities
Attendance Bonus
Staff Benefit Scheme
Free Tea & Coffee
Eye Care Contributions
Job description
Job responsibilities
Day to Day Duties to include, but notexhaustive:
Identification of inpatients who arehomeless. This will include people withno fixed abode, people who are at risk of homelessness, and/or people whocannot safely return to their home.
Supporting people who are homeless, or at riskof homelessness, to have a safe, planned discharge from hospital following aninpatient admission.
Liaison between Fylde Coast Housing Teams andthe Blackpool Teaching Hospitals Bed Flow Team and Emergency Department.
Reducing inappropriate and preventable A&Eattendances at Blackpool Victoria Hospital and supporting the patient to accessthe services they need.
Taking referrals from Northwest AmbulanceService, NWAS, for people and who are identified with housing as a contributoryfactor to their health and social care needs.
Ensuring the delivery and raising theawareness of the discharge pathway for people who are homeless and ensuring thehospital Duty to Refer team, refer people who are homeless/threatened withhomelessness into a Local Authority - completing these referrals when needed.
Supporting onward referrals and follow-up careincluding Transfer of Care and raising any safeguarding concerns
Working across the Blackpool MultipleDisadvantage partnership to enable people to achieve a safe discharge fromhospital and to access support from the right person to meet the patientsneeds.
Attending the weekly Multiple DisadvantagePartnership meeting and contributing to this from a homeless link workerposition.
Working closely with the Care Navigators basedin the homeless nursing team.
Ensure complianceto internal, local and national safeguarding procedures and advocate forpatients who meet the criteria for assessment under the Care Act 2014.
Patient Identification
Use hospitalsystems and liaise with ward staff, discharge teams, and FCMS manager andfrontline staff to identify homeless patients.
Attend wards andmultidisciplinary team meetings to identify patients.
Work with Trustcolleagues to support frequent A&E attenders and address underlying needs.
Help preventunsafe or early discharges by coordinating with the hospital and communityteams.
DischargePlanning & Housing Support
Complete initialneeds assessments and share with local housing teams.
Notify housingteams and out-of-hours services of potential discharges.
Ensure compliancewith housing legislation (Housing Act 2004, Homeless Reduction Act 2019, etc.).
Maintaindischarge protocols and follow up post-discharge to confirm support is inplace.
Provide patientswith alternative healthcare options and refer frequent callers to appropriateservices.
Maintain aHousing Options resource pack for staff and deliver training as needed.
Provide patientswith details of support services available prior to discharge and undertake anyrelevant referrals e.g. to substance use providers.
Collaboration& Communication
Work closely with BTHFT Safeguarding adultsteam for all service users of the Trust.
Build stronglinks with inpatients, ward staff, housing teams, GP practices, Primary CareNetworks and partners supporting people experiencing multiple disadvantage.
Refer patients tohousing providers for accommodation and make social care referrals when needed.
Work withhomeless health team and substance misuse providers to support patients at riskof self-discharge when it is believed unsafe to leave the hospital.
Attend RiskManagement and Multi-Agency Oversight Group meetings.
Ensure wheneverpossible that no patient is discharged to the street.
ServiceDevelopment
Contribute toservice improvement and protocol development.
Work within organisationalpolicies and your own competence, seeking advice when needed.
Undertaketraining and awareness sessions to support role delivery.
Activity Monitoring and Reporting
Complete patient contact notes in the relevanthospital system and the Homeless Health Community Instance of EMIS to providetransparency and to aid in collating reporting data.
Complete the KPI data for to include:
oPatient demographic data
oPatient locality
oNo of people who are homeless or at risk ofhomeless and have received supported with a safe discharge.
oAccommodation status
oHow patients are identified
oFrequent attenders
oNumber of onward referrals and who the patienthas been referred to.
oNo Duty to Reside data.
oDischarge outcomes including patient destination.
oQuarterly Case Study
Accuratelyrecord advice and outcomes of assessment, care planning and interventionshaving due regard to legal aspects, confidentiality, and managerial informationrequirements
Provide an update report highlightingsuccesses and challenges, for discussion at the Joint Governance meetingbetween FCMS (NW) Ltd and Blackpool Victoria Hospital and housing providers.
Contribute to / completea HomelessChecklist including Duty to Refer as per the Emergency Department pathway,checklist and toolkit PowerPoint Presentation(england.nhs.uk)
WorkingRelationships
The mainpeople that the postholder will be expected to communicate with will be:
Patients, their carers and relatives
BTHFTSafeguarding Adults team (including ISVA & IDVA practitioners)
Hospital bed flow and discharge team
Local authority housing teams in Blackpool,Fylde and Wyre Councils
Ward-based teams
Hospital emergency department
Disabled Facilities Services
Health and Social Care services.
Wider multiple disadvantage support services
Our key expectations are:
Self-awareness Living authentically.
Adaptability-Being ready to adjust depending on the situation.
Openness What you see is what you get.
Positivitywith a real sense of being able to strive for the impossible
Generosityof spirit- Everyday should be an opportunity to act with kindness.
Abilityto have fun Taking the role seriously, whilst being yourself
OurWhy: To nurture an environment of inspiration, innovation anddisruption so this people in our world receive exceptional healthcare for thisgeneration, and the next.
Values:Our organisational culture is very importantto us, so it is vital that the successful candidate livesand breathes complimentaryvalues and behaviours. Our behaviours should be in line with our values whichform part of our Company DNA:
Fun: People rarely succeed unless they are having fun.Happiness is healthy!
Awesome: We arent here to be average, were here to beawesome!
Humble: Were here to make a difference to the lives ofothers, NOT to see how important we can become
Brave: We challenge the norm. We have the courage toget the difficult jobs done
Oompf: We have natural oompf! Its infectious!
Go-getting: We are intuitive to changing needs andrespond quickly which we do with energy, ideas, and positivity
Disability Confident Employer
As users ofthe disability confident scheme, we guarantee to interview all disabledapplicants who meet the minimum criteria for the vacancy.
DBS - Thispost is subject to the Rehabilitation of Offenders Act (Exemption Order) 1975and as such it will be necessary for a submission for Disclosure to be made tothe Disclosure and Barring Service (formerly known as CRB) to check for anyprevious criminal convictions. This will require three forms of valid ID to beproduced and verified. The onboarding process is also subject to anOccupational Health check, suitable professional references and eligibility towork in the UK (with the requirement to provide relevant documentation asevidence). For Driverpositions you will also be required to undertake a Driver check.
The organisation is committed tosafeguarding and promoting the welfare of children, young people and vulnerableadults and expects all staff to share this commitment. You will beexpected to fulfil your mandatory safeguarding training at the level applicableto this role.
We reserve theright to close this vacancy early if we receive sufficient applications for therole. Therefore, if you are interested, please submit your application as earlyas possible.
Job description
Job responsibilities
Day to Day Duties to include, but notexhaustive:
Identification of inpatients who arehomeless. This will include people withno fixed abode, people who are at risk of homelessness, and/or people whocannot safely return to their home.
Supporting people who are homeless, or at riskof homelessness, to have a safe, planned discharge from hospital following aninpatient admission.
Liaison between Fylde Coast Housing Teams andthe Blackpool Teaching Hospitals Bed Flow Team and Emergency Department.
Reducing inappropriate and preventable A&Eattendances at Blackpool Victoria Hospital and supporting the patient to accessthe services they need.
Taking referrals from Northwest AmbulanceService, NWAS, for people and who are identified with housing as a contributoryfactor to their health and social care needs.
Ensuring the delivery and raising theawareness of the discharge pathway for people who are homeless and ensuring thehospital Duty to Refer team, refer people who are homeless/threatened withhomelessness into a Local Authority - completing these referrals when needed.
Supporting onward referrals and follow-up careincluding Transfer of Care and raising any safeguarding concerns
Working across the Blackpool MultipleDisadvantage partnership to enable people to achieve a safe discharge fromhospital and to access support from the right person to meet the patientsneeds.
Attending the weekly Multiple DisadvantagePartnership meeting and contributing to this from a homeless link workerposition.
Working closely with the Care Navigators basedin the homeless nursing team.
Ensure complianceto internal, local and national safeguarding procedures and advocate forpatients who meet the criteria for assessment under the Care Act 2014.
Patient Identification
Use hospitalsystems and liaise with ward staff, discharge teams, and FCMS manager andfrontline staff to identify homeless patients.
Attend wards andmultidisciplinary team meetings to identify patients.
Work with Trustcolleagues to support frequent A&E attenders and address underlying needs.
Help preventunsafe or early discharges by coordinating with the hospital and communityteams.
DischargePlanning & Housing Support
Complete initialneeds assessments and share with local housing teams.
Notify housingteams and out-of-hours services of potential discharges.
Ensure compliancewith housing legislation (Housing Act 2004, Homeless Reduction Act 2019, etc.).
Maintaindischarge protocols and follow up post-discharge to confirm support is inplace.
Provide patientswith alternative healthcare options and refer frequent callers to appropriateservices.
Maintain aHousing Options resource pack for staff and deliver training as needed.
Provide patientswith details of support services available prior to discharge and undertake anyrelevant referrals e.g. to substance use providers.
Collaboration& Communication
Work closely with BTHFT Safeguarding adultsteam for all service users of the Trust.
Build stronglinks with inpatients, ward staff, housing teams, GP practices, Primary CareNetworks and partners supporting people experiencing multiple disadvantage.
Refer patients tohousing providers for accommodation and make social care referrals when needed.
Work withhomeless health team and substance misuse providers to support patients at riskof self-discharge when it is believed unsafe to leave the hospital.
Attend RiskManagement and Multi-Agency Oversight Group meetings.
Ensure wheneverpossible that no patient is discharged to the street.
ServiceDevelopment
Contribute toservice improvement and protocol development.
Work within organisationalpolicies and your own competence, seeking advice when needed.
Undertaketraining and awareness sessions to support role delivery.
Activity Monitoring and Reporting
Complete patient contact notes in the relevanthospital system and the Homeless Health Community Instance of EMIS to providetransparency and to aid in collating reporting data.
Complete the KPI data for to include:
oPatient demographic data
oPatient locality
oNo of people who are homeless or at risk ofhomeless and have received supported with a safe discharge.
oAccommodation status
oHow patients are identified
oFrequent attenders
oNumber of onward referrals and who the patienthas been referred to.
oNo Duty to Reside data.
oDischarge outcomes including patient destination.
oQuarterly Case Study
Accuratelyrecord advice and outcomes of assessment, care planning and interventionshaving due regard to legal aspects, confidentiality, and managerial informationrequirements
Provide an update report highlightingsuccesses and challenges, for discussion at the Joint Governance meetingbetween FCMS (NW) Ltd and Blackpool Victoria Hospital and housing providers.
Contribute to / completea HomelessChecklist including Duty to Refer as per the Emergency Department pathway,checklist and toolkit PowerPoint Presentation(england.nhs.uk)
WorkingRelationships
The mainpeople that the postholder will be expected to communicate with will be:
Patients, their carers and relatives
BTHFTSafeguarding Adults team (including ISVA & IDVA practitioners)
Hospital bed flow and discharge team
Local authority housing teams in Blackpool,Fylde and Wyre Councils
Ward-based teams
Hospital emergency department
Disabled Facilities Services
Health and Social Care services.
Wider multiple disadvantage support services
Our key expectations are:
Self-awareness Living authentically.
Adaptability-Being ready to adjust depending on the situation.
Openness What you see is what you get.
Positivitywith a real sense of being able to strive for the impossible
Generosityof spirit- Everyday should be an opportunity to act with kindness.
Abilityto have fun Taking the role seriously, whilst being yourself
OurWhy: To nurture an environment of inspiration, innovation anddisruption so this people in our world receive exceptional healthcare for thisgeneration, and the next.
Values:Our organisational culture is very importantto us, so it is vital that the successful candidate livesand breathes complimentaryvalues and behaviours. Our behaviours should be in line with our values whichform part of our Company DNA:
Fun: People rarely succeed unless they are having fun.Happiness is healthy!
Awesome: We arent here to be average, were here to beawesome!
Humble: Were here to make a difference to the lives ofothers, NOT to see how important we can become
Brave: We challenge the norm. We have the courage toget the difficult jobs done
Oompf: We have natural oompf! Its infectious!
Go-getting: We are intuitive to changing needs andrespond quickly which we do with energy, ideas, and positivity
Disability Confident Employer
As users ofthe disability confident scheme, we guarantee to interview all disabledapplicants who meet the minimum criteria for the vacancy.
DBS - Thispost is subject to the Rehabilitation of Offenders Act (Exemption Order) 1975and as such it will be necessary for a submission for Disclosure to be made tothe Disclosure and Barring Service (formerly known as CRB) to check for anyprevious criminal convictions. This will require three forms of valid ID to beproduced and verified. The onboarding process is also subject to anOccupational Health check, suitable professional references and eligibility towork in the UK (with the requirement to provide relevant documentation asevidence). For Driverpositions you will also be required to undertake a Driver check.
The organisation is committed tosafeguarding and promoting the welfare of children, young people and vulnerableadults and expects all staff to share this commitment. You will beexpected to fulfil your mandatory safeguarding training at the level applicableto this role.
We reserve theright to close this vacancy early if we receive sufficient applications for therole. Therefore, if you are interested, please submit your application as earlyas possible.
Person Specification
Experience
Essential
Essential
Essential
Experience
Essential
Essential
Essential
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.
Employer details
Employer name
FCMS
Address
Blackpool Victoria Hospital
Whinney Heys Road
Blackpool
Lancashire
FY3 8NR
United Kingdom
Employer's website
Welcome to FCMS!
Post: HomelessHospital Discharge Link Worker
Pay: £13.82 per hour
Hours: 15 hours over 2 days a week (likelyTuesday and Thursday)
08.00 16.00 with a 30-minute unpaid lunch break
Accountable to: Head of Inclusion Health
Base: Blackpool VictoriaHospital main base
There will be some co-location work to support this role linking withhousing teams across Blackpool, Fylde & Wyre
Overview of Role:
This role will enhance and support thehospital discharge process for people who are homeless and are admitted toBlackpool Victoria Hospital. Thesuccessful post holder will also support patients who attend the EmergencyDepartment and the co-located Urgent Treatment Centre. This is an integratedcare role, working across local health and housing teams and the wider multipledisadvantage partnership.
This provision isdelivered collaboratively with the Hospital Discharge Team/nominated DischargeFacilitator, Housing Teams (Blackpool, Fylde, Wyre) and wider partners whoprovide care via the community system delivery model for complex and multipledisadvantaged patients.
Main duties of the job
The purpose of the role is to provide timely and expert advice,assessment and support to patients on all pathways and to ensure that housingneeds are identified, and appropriate support and referrals actioned,especially when there are health concerns or when the person is at risk ofrough sleeping and / or known to be vulnerable.
The Integrated Discharge Service is a multi-agency single pointof access that supports the Acute Trust in transitioning patients fromhospital to their next care setting, whether that be home or to anotherfacility.
About us
The ethos of FCMS as a social enterprise, health andwellbeing services provider is to be passionate in its drive to ensure thatpatients and callers remain the central focus of all that it does. Coupled withexcellent and well-established clinical governance systems and extremelyeffective operational expertise, it has meant that the company has the abilityto strategically visualise, develop, and implement award winning services.
Over many years we have invested in our staff so that we havea core team of highly trained individuals who can manage the needs of ourpatients and callers. Our staff are able to significantly improve the servicedelivery and user experience due to their considerable experience andcommitment to what they do.
Come and be a part of our amazing team!
We offer NHS Pension
Cycle to Work Scheme
Career Development Opportunities
Attendance Bonus
Staff Benefit Scheme
Free Tea & Coffee
Eye Care Contributions
Job description
Job responsibilities
Day to Day Duties to include, but notexhaustive:
Identification of inpatients who arehomeless. This will include people withno fixed abode, people who are at risk of homelessness, and/or people whocannot safely return to their home.
Supporting people who are homeless, or at riskof homelessness, to have a safe, planned discharge from hospital following aninpatient admission.
Liaison between Fylde Coast Housing Teams andthe Blackpool Teaching Hospitals Bed Flow Team and Emergency Department.
Reducing inappropriate and preventable A&Eattendances at Blackpool Victoria Hospital and supporting the patient to accessthe services they need.
Taking referrals from Northwest AmbulanceService, NWAS, for people and who are identified with housing as a contributoryfactor to their health and social care needs.
Ensuring the delivery and raising theawareness of the discharge pathway for people who are homeless and ensuring thehospital Duty to Refer team, refer people who are homeless/threatened withhomelessness into a Local Authority - completing these referrals when needed.
Supporting onward referrals and follow-up careincluding Transfer of Care and raising any safeguarding concerns
Working across the Blackpool MultipleDisadvantage partnership to enable people to achieve a safe discharge fromhospital and to access support from the right person to meet the patientsneeds.
Attending the weekly Multiple DisadvantagePartnership meeting and contributing to this from a homeless link workerposition.
Working closely with the Care Navigators basedin the homeless nursing team.
Ensure complianceto internal, local and national safeguarding procedures and advocate forpatients who meet the criteria for assessment under the Care Act 2014.
Patient Identification
Use hospitalsystems and liaise with ward staff, discharge teams, and FCMS manager andfrontline staff to identify homeless patients.
Attend wards andmultidisciplinary team meetings to identify patients.
Work with Trustcolleagues to support frequent A&E attenders and address underlying needs.
Help preventunsafe or early discharges by coordinating with the hospital and communityteams.
DischargePlanning & Housing Support
Complete initialneeds assessments and share with local housing teams.
Notify housingteams and out-of-hours services of potential discharges.
Ensure compliancewith housing legislation (Housing Act 2004, Homeless Reduction Act 2019, etc.).
Maintaindischarge protocols and follow up post-discharge to confirm support is inplace.
Provide patientswith alternative healthcare options and refer frequent callers to appropriateservices.
Maintain aHousing Options resource pack for staff and deliver training as needed.
Provide patientswith details of support services available prior to discharge and undertake anyrelevant referrals e.g. to substance use providers.
Collaboration& Communication
Work closely with BTHFT Safeguarding adultsteam for all service users of the Trust.
Build stronglinks with inpatients, ward staff, housing teams, GP practices, Primary CareNetworks and partners supporting people experiencing multiple disadvantage.
Refer patients tohousing providers for accommodation and make social care referrals when needed.
Work withhomeless health team and substance misuse providers to support patients at riskof self-discharge when it is believed unsafe to leave the hospital.
Attend RiskManagement and Multi-Agency Oversight Group meetings.
Ensure wheneverpossible that no patient is discharged to the street.
ServiceDevelopment
Contribute toservice improvement and protocol development.
Work within organisationalpolicies and your own competence, seeking advice when needed.
Undertaketraining and awareness sessions to support role delivery.
Activity Monitoring and Reporting
Complete patient contact notes in the relevanthospital system and the Homeless Health Community Instance of EMIS to providetransparency and to aid in collating reporting data.
Complete the KPI data for to include:
oPatient demographic data
oPatient locality
oNo of people who are homeless or at risk ofhomeless and have received supported with a safe discharge.
oAccommodation status
oHow patients are identified
oFrequent attenders
oNumber of onward referrals and who the patienthas been referred to.
oNo Duty to Reside data.
oDischarge outcomes including patient destination.
oQuarterly Case Study
Accuratelyrecord advice and outcomes of assessment, care planning and interventionshaving due regard to legal aspects, confidentiality, and managerial informationrequirements
Provide an update report highlightingsuccesses and challenges, for discussion at the Joint Governance meetingbetween FCMS (NW) Ltd and Blackpool Victoria Hospital and housing providers.
Contribute to / completea HomelessChecklist including Duty to Refer as per the Emergency Department pathway,checklist and toolkit PowerPoint Presentation(england.nhs.uk)
WorkingRelationships
The mainpeople that the postholder will be expected to communicate with will be:
Patients, their carers and relatives
BTHFTSafeguarding Adults team (including ISVA & IDVA practitioners)
Hospital bed flow and discharge team
Local authority housing teams in Blackpool,Fylde and Wyre Councils
Ward-based teams
Hospital emergency department
Disabled Facilities Services
Health and Social Care services.
Wider multiple disadvantage support services
Our key expectations are:
Self-awareness Living authentically.
Adaptability-Being ready to adjust depending on the situation.
Openness What you see is what you get.
Positivitywith a real sense of being able to strive for the impossible
Generosityof spirit- Everyday should be an opportunity to act with kindness.
Abilityto have fun Taking the role seriously, whilst being yourself
OurWhy: To nurture an environment of inspiration, innovation anddisruption so this people in our world receive exceptional healthcare for thisgeneration, and the next.
Values:Our organisational culture is very importantto us, so it is vital that the successful candidate livesand breathes complimentaryvalues and behaviours. Our behaviours should be in line with our values whichform part of our Company DNA:
Fun: People rarely succeed unless they are having fun.Happiness is healthy!
Awesome: We arent here to be average, were here to beawesome!
Humble: Were here to make a difference to the lives ofothers, NOT to see how important we can become
Brave: We challenge the norm. We have the courage toget the difficult jobs done
Oompf: We have natural oompf! Its infectious!
Go-getting: We are intuitive to changing needs andrespond quickly which we do with energy, ideas, and positivity
Disability Confident Employer
As users ofthe disability confident scheme, we guarantee to interview all disabledapplicants who meet the minimum criteria for the vacancy.
DBS - Thispost is subject to the Rehabilitation of Offenders Act (Exemption Order) 1975and as such it will be necessary for a submission for Disclosure to be made tothe Disclosure and Barring Service (formerly known as CRB) to check for anyprevious criminal convictions. This will require three forms of valid ID to beproduced and verified. The onboarding process is also subject to anOccupational Health check, suitable professional references and eligibility towork in the UK (with the requirement to provide relevant documentation asevidence). For Driverpositions you will also be required to undertake a Driver check.
The organisation is committed tosafeguarding and promoting the welfare of children, young people and vulnerableadults and expects all staff to share this commitment. You will beexpected to fulfil your mandatory safeguarding training at the level applicableto this role.
We reserve theright to close this vacancy early if we receive sufficient applications for therole. Therefore, if you are interested, please submit your application as earlyas possible.
Job description
Job responsibilities
Day to Day Duties to include, but notexhaustive:
Identification of inpatients who arehomeless. This will include people withno fixed abode, people who are at risk of homelessness, and/or people whocannot safely return to their home.
Supporting people who are homeless, or at riskof homelessness, to have a safe, planned discharge from hospital following aninpatient admission.
Liaison between Fylde Coast Housing Teams andthe Blackpool Teaching Hospitals Bed Flow Team and Emergency Department.
Reducing inappropriate and preventable A&Eattendances at Blackpool Victoria Hospital and supporting the patient to accessthe services they need.
Taking referrals from Northwest AmbulanceService, NWAS, for people and who are identified with housing as a contributoryfactor to their health and social care needs.
Ensuring the delivery and raising theawareness of the discharge pathway for people who are homeless and ensuring thehospital Duty to Refer team, refer people who are homeless/threatened withhomelessness into a Local Authority - completing these referrals when needed.
Supporting onward referrals and follow-up careincluding Transfer of Care and raising any safeguarding concerns
Working across the Blackpool MultipleDisadvantage partnership to enable people to achieve a safe discharge fromhospital and to access support from the right person to meet the patientsneeds.
Attending the weekly Multiple DisadvantagePartnership meeting and contributing to this from a homeless link workerposition.
Working closely with the Care Navigators basedin the homeless nursing team.
Ensure complianceto internal, local and national safeguarding procedures and advocate forpatients who meet the criteria for assessment under the Care Act 2014.
Patient Identification
Use hospitalsystems and liaise with ward staff, discharge teams, and FCMS manager andfrontline staff to identify homeless patients.
Attend wards andmultidisciplinary team meetings to identify patients.
Work with Trustcolleagues to support frequent A&E attenders and address underlying needs.
Help preventunsafe or early discharges by coordinating with the hospital and communityteams.
DischargePlanning & Housing Support
Complete initialneeds assessments and share with local housing teams.
Notify housingteams and out-of-hours services of potential discharges.
Ensure compliancewith housing legislation (Housing Act 2004, Homeless Reduction Act 2019, etc.).
Maintaindischarge protocols and follow up post-discharge to confirm support is inplace.
Provide patientswith alternative healthcare options and refer frequent callers to appropriateservices.
Maintain aHousing Options resource pack for staff and deliver training as needed.
Provide patientswith details of support services available prior to discharge and undertake anyrelevant referrals e.g. to substance use providers.
Collaboration& Communication
Work closely with BTHFT Safeguarding adultsteam for all service users of the Trust.
Build stronglinks with inpatients, ward staff, housing teams, GP practices, Primary CareNetworks and partners supporting people experiencing multiple disadvantage.
Refer patients tohousing providers for accommodation and make social care referrals when needed.
Work withhomeless health team and substance misuse providers to support patients at riskof self-discharge when it is believed unsafe to leave the hospital.
Attend RiskManagement and Multi-Agency Oversight Group meetings.
Ensure wheneverpossible that no patient is discharged to the street.
ServiceDevelopment
Contribute toservice improvement and protocol development.
Work within organisationalpolicies and your own competence, seeking advice when needed.
Undertaketraining and awareness sessions to support role delivery.
Activity Monitoring and Reporting
Complete patient contact notes in the relevanthospital system and the Homeless Health Community Instance of EMIS to providetransparency and to aid in collating reporting data.
Complete the KPI data for to include:
oPatient demographic data
oPatient locality
oNo of people who are homeless or at risk ofhomeless and have received supported with a safe discharge.
oAccommodation status
oHow patients are identified
oFrequent attenders
oNumber of onward referrals and who the patienthas been referred to.
oNo Duty to Reside data.
oDischarge outcomes including patient destination.
oQuarterly Case Study
Accuratelyrecord advice and outcomes of assessment, care planning and interventionshaving due regard to legal aspects, confidentiality, and managerial informationrequirements
Provide an update report highlightingsuccesses and challenges, for discussion at the Joint Governance meetingbetween FCMS (NW) Ltd and Blackpool Victoria Hospital and housing providers.
Contribute to / completea HomelessChecklist including Duty to Refer as per the Emergency Department pathway,checklist and toolkit PowerPoint Presentation(england.nhs.uk)
WorkingRelationships
The mainpeople that the postholder will be expected to communicate with will be:
Patients, their carers and relatives
BTHFTSafeguarding Adults team (including ISVA & IDVA practitioners)
Hospital bed flow and discharge team
Local authority housing teams in Blackpool,Fylde and Wyre Councils
Ward-based teams
Hospital emergency department
Disabled Facilities Services
Health and Social Care services.
Wider multiple disadvantage support services
Our key expectations are:
Self-awareness Living authentically.
Adaptability-Being ready to adjust depending on the situation.
Openness What you see is what you get.
Positivitywith a real sense of being able to strive for the impossible
Generosityof spirit- Everyday should be an opportunity to act with kindness.
Abilityto have fun Taking the role seriously, whilst being yourself
OurWhy: To nurture an environment of inspiration, innovation anddisruption so this people in our world receive exceptional healthcare for thisgeneration, and the next.
Values:Our organisational culture is very importantto us, so it is vital that the successful candidate livesand breathes complimentaryvalues and behaviours. Our behaviours should be in line with our values whichform part of our Company DNA:
Fun: People rarely succeed unless they are having fun.Happiness is healthy!
Awesome: We arent here to be average, were here to beawesome!
Humble: Were here to make a difference to the lives ofothers, NOT to see how important we can become
Brave: We challenge the norm. We have the courage toget the difficult jobs done
Oompf: We have natural oompf! Its infectious!
Go-getting: We are intuitive to changing needs andrespond quickly which we do with energy, ideas, and positivity
Disability Confident Employer
As users ofthe disability confident scheme, we guarantee to interview all disabledapplicants who meet the minimum criteria for the vacancy.
DBS - Thispost is subject to the Rehabilitation of Offenders Act (Exemption Order) 1975and as such it will be necessary for a submission for Disclosure to be made tothe Disclosure and Barring Service (formerly known as CRB) to check for anyprevious criminal convictions. This will require three forms of valid ID to beproduced and verified. The onboarding process is also subject to anOccupational Health check, suitable professional references and eligibility towork in the UK (with the requirement to provide relevant documentation asevidence). For Driverpositions you will also be required to undertake a Driver check.
The organisation is committed tosafeguarding and promoting the welfare of children, young people and vulnerableadults and expects all staff to share this commitment. You will beexpected to fulfil your mandatory safeguarding training at the level applicableto this role.
We reserve theright to close this vacancy early if we receive sufficient applications for therole. Therefore, if you are interested, please submit your application as earlyas possible.
Person Specification
Experience
Essential
- Proven experience working with vulnerable groups, including homeless individuals.
- Firsthand experience delivering frontline services.
- Excellent communication and partnership-building skills.
- Ability to manage complex cases and coordinate across multiple agencies.
- Strong problem-solving and decision-making skills.
- Proficient in IT systems and comfortable using multiple platforms.
- Ability to work independently and collaboratively within multi-agency teams.
- Skilled in engaging with a diverse range of clients.
- Experience working in a multi-disciplinary environment.
- Ability to work under pressure and meet deadlines.
- Effective caseload management and prioritization skills.
- Competence in conducting assessment interviews.
- Identifying safeguarding concerns and reporting these appropriately.
- Good understanding of housing legislation and hospital discharge planning.
- Previous experience in health or social care environments.
- Knowledge of substance misuse and mental health issues.
- Familiarity with hospital systems and discharge protocols.
- Direct experience supporting individuals with alcohol, drug, or mental health challenges.
- Lived Experience relevant to the community we serve.
Essential
- Literacy skills
- A good standard of education
- GCSE English / Maths or equivalent
- Motivational Interviewing
- Up to date mandatory training e.g. Safeguarding.
- Health & Social Care NVQ 3 or equivalent
- CIH Level 3 Certificate in Providing Homeless Services or equivalent.
- IT Qualification EDCL
- DANOS
- Trauma Informed knowledge and training
Essential
- Technical and Organisational Skills
- High level of IT ability (IT is integral to the role and will form part of the interview process).
- Excellent record-keeping and attention to detail.
- Strong organisational and time management skills, with the ability to prioritise workloads and meet deadlines.
- Ability to implement processes effectively to deliver all aspects of the role.
- Communication and Interpersonal Skills
- Excellent verbal and written communication skills, including active listening and adaptability to meet patient needs in stressful or complex situations.
- Effective negotiation and problem-solving skills, including the ability to present issues persuasively and resolve challenging situations.
- Ability to build and maintain positive relationships with colleagues and partner agencies, even where agendas differ.
- Personal Attributes and Professional Approach
- Non-judgemental attitude and ability to remain calm under pressure.
- Capacity to work independently and collaboratively within a multi-agency team, managing a personal caseload and exercising sound judgment to achieve the best possible outcomes, even when complete information is not available.
- Creative and lateral thinking to identify opportunities for improvement.
- Reliable, conscientious, and committed to maintaining confidentiality.
- Ability to navigate complex social issues, including working with people experiencing homelessness who face stigma, discrimination, and systemic exclusion.
- Frequent concentration is required during patient assessment, care provision, and meetings.
- Knowledge of Core20PLUS5, an improvement approach designed to reduce health inequalities at both national and system levels.
- Understanding of local homeless services.
- Working knowledge of relevant legislation.
- Working knowledge of the benefit system and how it relates to the client group.
- Understanding of local and national homeless strategies.
Experience
Essential
- Proven experience working with vulnerable groups, including homeless individuals.
- Firsthand experience delivering frontline services.
- Excellent communication and partnership-building skills.
- Ability to manage complex cases and coordinate across multiple agencies.
- Strong problem-solving and decision-making skills.
- Proficient in IT systems and comfortable using multiple platforms.
- Ability to work independently and collaboratively within multi-agency teams.
- Skilled in engaging with a diverse range of clients.
- Experience working in a multi-disciplinary environment.
- Ability to work under pressure and meet deadlines.
- Effective caseload management and prioritization skills.
- Competence in conducting assessment interviews.
- Identifying safeguarding concerns and reporting these appropriately.
- Good understanding of housing legislation and hospital discharge planning.
- Previous experience in health or social care environments.
- Knowledge of substance misuse and mental health issues.
- Familiarity with hospital systems and discharge protocols.
- Direct experience supporting individuals with alcohol, drug, or mental health challenges.
- Lived Experience relevant to the community we serve.
Essential
- Literacy skills
- A good standard of education
- GCSE English / Maths or equivalent
- Motivational Interviewing
- Up to date mandatory training e.g. Safeguarding.
- Health & Social Care NVQ 3 or equivalent
- CIH Level 3 Certificate in Providing Homeless Services or equivalent.
- IT Qualification EDCL
- DANOS
- Trauma Informed knowledge and training
Essential
- Technical and Organisational Skills
- High level of IT ability (IT is integral to the role and will form part of the interview process).
- Excellent record-keeping and attention to detail.
- Strong organisational and time management skills, with the ability to prioritise workloads and meet deadlines.
- Ability to implement processes effectively to deliver all aspects of the role.
- Communication and Interpersonal Skills
- Excellent verbal and written communication skills, including active listening and adaptability to meet patient needs in stressful or complex situations.
- Effective negotiation and problem-solving skills, including the ability to present issues persuasively and resolve challenging situations.
- Ability to build and maintain positive relationships with colleagues and partner agencies, even where agendas differ.
- Personal Attributes and Professional Approach
- Non-judgemental attitude and ability to remain calm under pressure.
- Capacity to work independently and collaboratively within a multi-agency team, managing a personal caseload and exercising sound judgment to achieve the best possible outcomes, even when complete information is not available.
- Creative and lateral thinking to identify opportunities for improvement.
- Reliable, conscientious, and committed to maintaining confidentiality.
- Ability to navigate complex social issues, including working with people experiencing homelessness who face stigma, discrimination, and systemic exclusion.
- Frequent concentration is required during patient assessment, care provision, and meetings.
- Knowledge of Core20PLUS5, an improvement approach designed to reduce health inequalities at both national and system levels.
- Understanding of local homeless services.
- Working knowledge of relevant legislation.
- Working knowledge of the benefit system and how it relates to the client group.
- Understanding of local and national homeless strategies.
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.
Employer details
Employer name
FCMS
Address
Blackpool Victoria Hospital
Whinney Heys Road
Blackpool
Lancashire
FY3 8NR
United Kingdom
Employer's website