Step into a place where exceptional care, patients, culture, and careers come together.
Explore our current vacancies and take your first step toward making a real difference.
Watch our video to learn what it’s like to work at LGT.
Join us. Make a difference. Be part of Team LGT.
Lewisham and Greenwich NHS Trust 2.79K subscribers
Main area Acute Grade Band 8b Contract Permanent Hours Full time - 37.5 hours per week (Monday to Friday) Job ref 197-R-HF8226A
Site Queen Elizabeth Town Woolwich Salary £66,582 - £77,368 Previous applicants should not apply. New applicants must book an appointment to discuss the role as part of the application process. Salary period Yearly Closing 30/06/2026 23:59
Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.
Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.
We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.
Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.
Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.
LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.
We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ics in Bexley, Greenwich and Lewisham.
This post is for the Bexley population
To work directly with hospital discharge teams (in acute units mostly the Queen Elizabeth Hospital, Princess Royal University Hospital and Darrent Valley) and our community and social care teams to proactively ensure the management of patients being discharged from acute services into the community or social care provision.
Ensuring that discharges from acute settings for individual patients are managed in an integrated way and provide a fast and efficient pathway for each individual patient.
To proactively assess and identify issues within patient pathways, across our Intermediate Care community beds, and between the continuing healthcare, community and social care support services to provide recommendations on timely patient discharge.
Implement actions, where appropriate and influencing change amongst stakeholder partners.
Provide system wide reporting directly to senior leaders i on behalf of the Bexley ICB Executive Team and the LGT Site Operations Director
To participate in the on-going development and implementation of the Transfer of Care Collaborative (TOCC).
Oversee the delivery of the local Discharge to Assess Models, working with local partners, and contributing to the development of systems and processes that will support patient flow.
The post holder will also have an honorary contract to work within NHS Southeast London ICB offices as necessary for the delivery and function of the role
To ensure a responsive service (across the range of support services for discharge) for complex discharge of patients from acute trusts.
To identify within the current systems “blockages” that are preventing effective discharge and to provide recommendations on solutions to the Director of Integrated Commissioning
To monitor the taverage length of stay for our Intermediate Care beds, liaising with senior clinicians and the contract manager, making recommendations for change.
To ensure daily SITREPs for Intermediate Care beds to provide Ready fof Discharge and patient projections.
To work closely with the contract manager for integrated care (Head of Integrated Commissioning for Older People) to monitor the performance of the Intermediate Care services and ensure it plays a full part in managing the flow of patients out of the acute setting, including the application of flex criteria at critical points when appropriate.
To work closely with the Head of Integrated Commissioning for Mental Health to ensure that that mental health services, especially for older people, are supportive in the management of people with mental health needs upon discharge from an acute admission.
To work closely with our neighbouring Discharge Flow Teams (e.g. Greenwich) and work on shared solutions.
To monitor daily Ready for Discharge (RFD) and long length of stay activity and provide reports to senior leaders.
Our people are our greatest asset. When we feel supported and happy at work, this position reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
To work with hospital discharge teams
To ensure that discharges from acute settings for individual patients are managed in an integrated way - to provide fast, safe and efficient pathways of care for each individual patient.
To provide system wide reporting directly to senior leaders
To work closely with the team to ensure escalations are consistently de‑escalated and resolved in a timely and appropriate manner
As the role evolves, there is potential for closer operational alignment with the TOCH Hub, including defined links and possible direct accountability to the TOCH Lead, reflecting emerging system governance and delivery arrangements.
To support partnership working, with commissioners, providing high‑level case management for complex discharges, contributing significantly to system performance and reputation. Future alignment with the TOCH Hub, including links to the TOCH Lead, may form part of the evolving remit.
To prepare reports on patient flow and acute activity that will include the analysis of complex and multiple data sources, in conjunction with the ICB and LGT Business Analytics Team.
To liaise with organisations within the health and social care system at both an operational and strategic level.
We reserve the right to close the post before the stated closing date, please apply early. We do not contact applicants with the outcome of the shortlisting. If you have been shortlisted, you will receive an invite to an assessment day or interview.
As a local employer and anchor institution we work closely with our community to recruit locally and we welcome applications from the widest variety of people to ensure our workforce are reflective of the local communities which we serve. We encourage all suitable candidates to apply including if you are Black, Asian or other ethnic minorities, live with a disability (visible or not) or are LGBT+. We have a number of active staff networks including Disability, LGBT+, Multicultural Inclusion and Women’s staff networks to bring staff together and celebrate diversity across our whole workforce.
Please note: Information provided during recruitment and pre‑employment checks must be accurate. Misrepresentation may be investigated as fraud and could lead to withdrawal from the process, professional sanctions, or criminal action.
Please note: that sponsorship under the Skilled Worker route is subject to Trust allocation and UK Visas and Immigration (UKVI) approval.
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.