Summary
Job summary
This Job will be hosted by Three Harbours and Bosvena PCN on behalf of the Integrated Neighbourhood Team, working collaboratively with all system partners.
There will be an option to work on a secondment basis. Applicants should discuss options with their employer.
Job Purpose
The INT Strategic Manager will lead the development, implementation, and evolution of the Integrated Neighbourhood Team (INT) model, driving the transition from design and mobilisation to full operational delivery. Working closely with system partners the postholder will ensure the INT delivers integrated, person-centred care, reduces health inequalities, and improves population health outcomes.
This is a dual-faceted role: in the initial stages, the focus will be on change management and programme leadership to establish the INT, with a gradual shift towards overseeing day-to-day operational delivery and continuous improvement.
The initial primary piece of work will be a change management programme to align key service providers within the INT to become a cohesive and high-functioning frailty team. You will bring together workforce from primary and community teams, and work to support the Clinical Leadership from the Frailty Lead GP linking with hospital Eldercare Consultants to create a hospital in-reach and pull service to ensure that people return to their own bed as soon as possible. This will be a wide-MDT approach working with local organisations, who may support people within our community.
Main duties of the job
Key Responsibilities
* Strategic Leadership & Change Management
* Adopt and apply the key principle of the NHS 10-year plan to working within community at place and lead on integration and shared goals.
* Demonstrate a sound knowledge of the INT population drawing on themes from population health data being curious to extract reports, data and analytics that can be shared with wider system partners and commissioners.
* Lead the co-design and development of the INT model, working to strengthen a leadership team with system partners and local communities.
* Act as the key point of coordination for all INT development activities, facilitating collaboration across organisations and ensuring alignment with ICS strategic priorities.
* Service Transformation & Pathway Design
* Lead on a service redesign around frailty to bring together primary, community, social care and secondary care teams to wrap a team around this cohort of patients and provide cohesive and appropriate care at place.
* Map existing services and resources across the neighbourhood, identifying gaps, duplication, and opportunities for integration.
* Operational Oversight & Performance Lead
* As the INT matures, assess and evaluate the needs or the INT to ensure a transition to operational leadership, overseeing day-to-day service delivery and workforce management.
* Establish and monitor performance dashboards, using key metrics to measure impact, track progress, and inform continuous improvement.
About Us
This role will be based in the Three Harbours and Bosvena Integrated Neighbourhood team area, and will work with primary care services that cover the patient footprint for Bosvena Health, Fowey River Practice, Lostwithiel Medical Practice and Middleway Surgery – approximately 43,500 people live within this catchment area, and will be served by the INT.
The role is a senior leadership position working collaboratively within the INT steering group which brings together commissioners from the Integrated Care Board, General Practice Clinical Leadership, Adult Social care, Community Care (Cornwall Foundation Trust), Voluntary Sector organisations, and all health and wellbeing services based in this community.
The role will work peripatetically within the neighbourhood linking teams and forging strong links with secondary care colleagues to provide joined-up healthcare at place. You will join a dedicated and caring team of professionals that all want to improve health outcomes for our population, reducing health inequalities and providing a protecting, caring and preventative services for our population.