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Homeless Outreach Case Manager

East Lancashire Hospitals NHS
locationBlackburn, UK
PublishedPublished: Published today
Full Time
At East Lancashire Hospitals NHS Trust our vision is to be widely recognised for providing safe, personal and effective care. We currently provide high quality services and treat over 600,000 people across East Lancashire and the surrounding area. We employ over 9,500 staff, many of whom are internationally renowned and have won awards for their work.

Job overview

The post holder will be a key member of the Integrated Neighbourhood teams, in which you will case manage complex patient who are homeless or at risk of becoming homeless. They will be responsible for the smooth operation of co-ordinating complex multi-disciplinary team meetings and working as an autonomous practitioner within their specialty area.

The post holder will be the link between primary care and key core provider services within the locality. You will be working with General Practitioners, Practice staff, Community services from ELHT, Advanced Nurse Practitioner(s) (where in post), specialist services and partner professionals and agencies from within and beyond the INT to build high impact partnerships and drive transformation.

You will be developing and promote a case management approach to care and promoting the benefits of coordinated, holistic care for patients and facilitating this process through the facilitation, organisation and planning of multi-disciplinary team meetings. You will need to be appropriately trained to understand holistic care planning and deliver quality patient centred service.

Main duties of the job

The post holder provides a case management approach for patient with complex need in the community who are experiencing homelessness or at risk of becoming homeless. This post holder will work with the Integrated Neighbourhood team. The post holder will work in the community, assessing patients in the own environments, to provide the best possible patient outcomes. They will ensure collaborative working across divisions, with General Practitioners, partner professionals and agencies to secure care in the community sooner with positive outcomes for patients with complex needs.

The post holder will provide the leadership, direction, for effective and efficient service delivery and will support the manger in the delivery of strategic and organisational initiatives and priorities, and reducing avoidable bed days/admissions, whilst maintaining high standards of clinical practice and professional conduct.

Car driver with access to a vehicle is essential

Please refer to job description for full details.

Working for our organisation

Established in 2003, East Lancashire Hospitals NHS Trust (ELHT) is a large integrated health care organisation providing high quality acute and community healthcare for the people of East Lancashire and Blackburn with Darwen.

The organisation puts safety and quality at the heart of everything we do, invests in and develops its workforce, works with key stakeholders to develop effective partnerships and encourages innovation and pathway reform to deliver best practice.

We employ over 8,000 staff, many of whom are internationally renowned and have won awards for their work and achievements.

Detailed job description and main responsibilities

  1. Work within the model of the INT, providing leadership and support on the matters relating to admission avoidance and the transfer of care.


  1. Work closely with all services. Integrating working practices to streamline processes, share knowledge; and benefit patient experience and outcomes.


  1. Contribute to the development and provision of a responsive and proactive neighbourhood locality based approach to the prevention of avoidable hospital admissions. To identify and mobilise interventions to reduce risk and maintain patients in the community and supporting them find appropriate accommodation working alongside our housing colleagues and partner services.


  1. Act as a resource and first point of contact for clinicians. To help improve communication and consistency of care for patients receiving a number of different services and or requiring additional support to minimise risk of admission as identified by risk profiling, case finding and local intelligence.


  1. Ensure the coordination, planning and delivery of regular multi disciplinary team meetings happens.


  1. Chair complex multidisciplinary meetings, ensuring all documentation is recorded regarding outcomes, facilitate the process of agreeing a case manager and case management approach.


  1. Support case managers in setting up of meetings and liaising with appropriate services and the patient and carers where relevant.
  2. To utilise clinical expertise to facilitate care closer to home and promoting a holistic, multi agency response to case management to meet the patients needs.

    9.Engage proactively with key stakeholders (for example General Practitioners, Advanced Practitioners, the Integrated Neighbourhood Teams, specialist services, Social Services, independent/ private sector providers and ICAT/ IHSS) to identify patients who require supportive intervention and case management to prevent avoidable hospital admission and enable safe quality of acre to those individuals.

    1. To follow the progress of those patients identified on case management registers from the localities who are admitted to acute care and support an early transfer to community once the patient's condition has stabilised, liaising with hospital staff and members of the integrated team and key partners to reduce the risks associated with transfer of care.


    1. To assess, receive and review data regarding patients who regularly attend/ are admitted to acute care, liaising with patients; and relatives/ carers as appropriate; the integrated neighbourhood team and key stakeholders to develop a holistic case management approach to support individuals to remain independent and prevent avoidable readmission.


    1. To be involved with and support the development and on going maintenance of data management systems.


    1. Contribute to the development and implementation of systems and processes that ensure the needs of disadvantaged groups are identified and progressed.


    1. Contribute to training and/or development activities within and beyond the Division to raise awareness of community provision, capacity and capability.


    1. Actively promote a focus on self-care/management to reduce reliance on services and increase levels of independence within the patient population.


    1. Work in collaboration with the integrated neighbourhood team to provide information, prepare patients and their families/ carers for changes in the patients' condition and actively encourage and support decision making and choice for end of life care including the use of fast track and CHC processes.


    1. Prioritise and manage own workload to ensure responsive care/interventions by staff with the level of skill and competence to meet patient need and provide advice and support to team members regarding the care/ management plan.


    1. Responsibility for the post holder to ensure the smooth running of the MDT meetings occurs and meets planned objectives.


    1. Ensure own leadership style facilitates effective communication, collaboration and motivation of staff and partners to promote an integrated and holistic approach to the management of future care for patients and carers.


Person specification

Person Spec

Essential criteria
  • RGN/ RMN/ HCPC registered therapist/ social worker
  • Evidence of recent professional development
  • Post registration experience
  • Understanding of a case management approach
  • Ability to demonstrate evidence of working holistically to deliver person centred care
  • Understanding of self management and self care principles
  • Community care legislation. Health and Social Care policy including Mental Capacity. Current developments in Integrated Neighborhood team (e.g. NHS 10 year plan)
  • Up to date clinical knowledge. Including evidence based practice for long term conditions management.
Desirable criteria
  • Leadership qualifications
  • Management Qualifications
  • recent community experience or rehabilitation experience.
  • Experience of being a case manager
  • Knowledge of health promotion/education/hospital avoidance.
  • Non-medical prescribing and/or clinical examination and/or clinical diagnostic CPD module
Dear Potential Applicant,

It is important you are made aware of the following as regards your application to East Lancashire Hospitals NHS Trust
  • Please note that the salary advertised is for full time hours. If this post is less than 37.5 hours per week, the salary will be pro-rata. For posts on Agenda for Change pay-scales, new entrants to the NHS will normally commence on the first pay point of the relevant band.
  • This vacancy may close before the closing date if the recruiting manager deems sufficient applications have been received. Therefore it is advised to complete your application as early as possible to avoid disappointment.
  • Please ensure you check the email account from which you apply regularly as we will use this to contact you regarding your application.
  • Please note that shortlisting is completed anonymously with candidates being assessed against the essential criteria for the post. Therefore only applicants, who can clearly demonstrate how they meet our person specification criteria in their application, will be short-listed.
Disclosure and Barring Scheme (DBS)

If the role you are applying for is identified as either controlled or regulated activity as defined in in the Safeguarding vulnerable Groups Act (2006) any offer of employment is provisional upon a satisfactory DBS check being obtained.

The healthcare sector is exempted from the Rehabilitation of Offenders Act 1974.

In line with other NHS organisations in the North West Region, the Trust is now passing the charge for undertaking a DBS check on to candidates in the event they are successfully appointed into the post for which they have applied. Candidates can choose whether to pay this over 1-3 months as a deduction from the monthly salary. However, if you are applying for a post as a BANK worker, the payment must be made in full at the time of employment checks. By applying for this vacancy you are agreeing to this undertaking in the event you are successfully appointed.

The cost of an Enhanced Disclosure will be £55.38 and for a Standard Disclosure will be £27.38.

This cost is not applicable for a Volunteer post

The Trust is an equal opportunities employer, committed to improving the working lives of our staff and operates a 'Zero Tolerance' policy to aggression, violence, bullying and harassment. In addition, our aim is to help protect children and vulnerable adults by providing a first-class service to the recruitment of people into positions of trust.

We aim to employ a workforce that reflects the diverse communities we serve.

We welcome applications from everyone irrespective of ethnic origin, gender, age, gender identity, sexual orientation, religion, marital status, disability or social background.

We especially welcome applications from members of our black, Asian and minority ethnic (BAME) communities, as we have identified that ELHT has an under-representation of BAME employees. Appointments will be made on merit.

Applicants who have a disability and meet the essential criteria for the job will be interviewed if you indicate you wish to be considered under the Guaranteed Interview Scheme.

If you require a reasonable adjustment at any stage of the recruitment process please make the recruitment services team aware as soon as possible. By telephone 01254 732075 or email admin.recruitment@elht.nhs.uk or write to Employment Services, Parkview Offices, Haslingden Road, Blackburn, BB2 3HH

Employer certification / accreditation badges

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

  • JD and Person Spec (PDF, 328.4KB)
  • Privacy Notice (PDF, 305.1KB)
  • Benefits of working at ELHT (PDF, 1.2MB)
  • Additional Candidate information 2024 (PDF, 408.6KB)