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
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
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 the Housing Checklist.
* Lead on initiation, submission, and tracking of Duty to Refer (DTR) referrals.
* Ensure compliance with statutory responsibilities under the Homelessness Reduction Act 2017.
* Maintain oversight of all housing referrals to ensure timely progression.
System Navigation & Multi‑Agency Coordination
* Act as the Trust’s key point of contact for homelessness‑related discharge issues.
* Work collaboratively with:
o Local Authority Housing Teams
o Housing Intermediate Care Team (HICT)
o Adult Social Care
o Voluntary sector partners
* Proactively follow up with Local Authority Housing Teams to 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 and Mental 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:
o Duty to Refer compliance
o Housing Checklist completion
o Discharge delays
* Contribute to BCF reporting and Trust performance frameworks.
* Ensure compliance with information governance standards.
Person Specification
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 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 frameworks
* Ability to manage a caseload autonomously and prioritise effectively
* Strong communication, influencing and escalation skills
Desirable
* Experience in working in a 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 coordinating HICT or step‑down pathways
* Experience influencing or escalating system delays
* Experience delivering training or contributing to service improvement
* Understanding of BCF, system flow, or performance metrics
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and requires a Disclosure to the Disclosure and Barring Service to check for any previous criminal convictions.
Certificate of Sponsorship
Applications from job seekers who require Skilled Worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the standard guidance.
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