Job summary
- Main area
- Community
- Grade
- NHS AfC: Band 4
- Contract
- Permanent
- Hours
- Full time - 37.5 hours per week
- Job ref
- 391-NMUH-8189587-B
- Employer
- Royal Free London NHS Foundation Trust
- Employer type
- NHS
- Site
- Lucas House
- Town
- Edmonton
- Salary
- £33,262 - £36,027 per annum inclusive of (outer) HCAs
- Salary period
- Yearly
- Closing
- 23/10/2026 23:59
Employer heading
Care Navigator
NHS AfC: Band 4
Our trust has over 17,000 staff serving 2 million patients every year. It comprises Barnet Hospital, Chase Farm Hospital, the Royal Free Hospital, North Middlesex University Hospital and more than 30 services in the community. This larger scale organisation provides an unprecedented opportunity for us to continue our pioneering work, particularly in finding ways to deliver even better care to our patients.
Our mission is to deliver world class care and expertise in our clinical services, underpinned by world class teaching and research and we will continue to measure our progress against our five governing objectives: excellent outcomes, excellent patient and staff experience, excellent value for taxpayers’ money, being safe and meeting our external duties, and building a strong organisation.
Everyone is welcome at Royal Free London NHS Foundation Trust. We're proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME, gender equality, staff carers and people with disabilities and lived experiences to promote good relations and understanding between our staff.
Artificial intelligence (AI) is a set of technology that can perform various tasks that typically required human intelligence. Your application is your opportunity to demonstrate to us how you meet the requirements of the role. We recognise that AI tools can support accessibility, equity and confidence for applicants. However, it’s important that examples and responses genuinely reflect your own experience and abilities, as these will be explored further during the selection process. AI must not be used to provide misleading or false information during any stage of the application journey. Further guidance can be found in the NLPSS Applicant Toolkit https://royalfree.pagetiger.com/cuuomnr/1.
Click here to view our video Welcome to the Royal Free
Royal Free London NHS Foundation Trust is committed to ensuring that its recruitment processes are carried out with integrity, transparency, and fairness for all applicants. To help maintain these standards, we ask candidates to provide accurate and truthful information throughout the recruitment process.
If incorrect or misleading information is identified, this may affect the progression of an application, any employment offer, or continued employment. As part of our due diligence, the company may verify the information provided by applicants and take appropriate action where necessary.
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Job overview
The Enfield Integrated Proactive Care Service is an Enfield Community Services (ECS) Multi-Disciplinary Team (MDT) within the Royal Free London NHS Foundation Trust, operating under the North Middlesex University Hospital (NMUH) unit. The service provides coordinated, person-centred support and interventions for residents living with long-term health conditions and/or frailty, helping them to proactively manage their health and wellbeing through an integrated approach to care.
Working collaboratively with the local authority, acute hospital
trusts, primary care services, and the voluntary sector, the MDT delivers
integrated, person-centred care to Enfield residents who are registered with an Enfield GP, helping to improve health outcomes and support individuals to remain independent within their communities.
The successful candidate will join an ambitious and inclusive partnership that is helping to shape the future of integrated care in Enfield. Working closely with clinicians, community partners, and system leaders, you will play a key role in supporting residents through a more connected, preventative, and person-centred approach to care.
This role offers an exciting opportunity to further develop the Enfield Proactive Care Service Multi-Disciplinary Team (MDT) model and contribute to the design and delivery of an exemplary Integrated Neighbourhood Team (INT).
Main duties of the job
Main duties of the job
1 . Facilitating Access to Local Services
· Receive and process referrals from GPs and other members of the multidisciplinary team (MDT) for individual patients.
· Assess patients' needs in line with referral criteria and GP guidance, signposting them to appropriate health, social care, voluntary sector, and community services available within the borough.
· Support individuals to access services and activities that promote health, wellbeing, independence, and social inclusion, including both funded and self-funded options.
· Identify unpaid carers and assist them in accessing relevant support services and resources.
· Work collaboratively with volunteers, supporting their involvement and adhering to established procedures and best practices for volunteer engagement.
· Provide general information regarding potential benefit entitlements and refer individuals to specialist welfare advice services where appropriate.
· Develop personalised support plans outlining recommended services and access routes, ensuring relevant information is shared with GPs, carers, and other professionals involved in the individual's care.
· Maintain comprehensive knowledge of local services, community resources, and eligibility criteria, keeping up to date with service developments and changes.
· Promote awareness among GPs and healthcare professionals of the range of community-based services available and how these can be accessed.
Working for our organisation
The Enfield Integrated Proactive Care Service is an Enfield Community Services (ECS) Multi-Disciplinary Team (MDT) within the Royal Free London NHS Foundation Trust, operating under the North Middlesex University Hospital (NMUH) unit. The service provides coordinated, person-centred support and interventions for residents living with long-term health conditions and/or frailty, helping them to proactively manage their health and wellbeing through an integrated approach to care.
Working collaboratively with the local authority, acute hospital
trusts, primary care services, and the voluntary sector, the MDT delivers
integrated, person-centred care to Enfield residents who are registered with an Enfield GP, helping to improve health outcomes and support individuals to remain independent within their communities.
Detailed job description and main responsibilities
- MAIN DUTIES AND RESPONSIBILITIES
The post holder will offer World Class Care to service users, staff, colleagues, clients and patients alike so that everyone at the Royal Free can feel:
1 . Facilitating Access to Local Services
· Receive and process referrals from GPs and other members of the multidisciplinary team (MDT) for individual patients.
· Assess patients' needs in line with referral criteria and GP guidance, signposting them to appropriate health, social care, voluntary sector, and community services available within the borough.
· Support individuals to access services and activities that promote health, wellbeing, independence, and social inclusion, including both funded and self-funded options.
· Identify unpaid carers and assist them in accessing relevant support services and resources.
· Work collaboratively with volunteers, supporting their involvement and adhering to established procedures and best practices for volunteer engagement.
· Provide general information regarding potential benefit entitlements and refer individuals to specialist welfare advice services where appropriate.
· Develop personalised support plans outlining recommended services and access routes, ensuring relevant information is shared with GPs, carers, and other professionals involved in the individual's care.
· Maintain comprehensive knowledge of local services, community resources, and eligibility criteria, keeping up to date with service developments and changes.
· Promote awareness among GPs and healthcare professionals of the range of community-based services available and how these can be accessed.
2. Personalisation Support
· Support individuals in accessing Community Care Assessments and Carers' Assessments where appropriate.
· Monitor progress following referrals and liaise with local authority staff and other agencies to help ensure timely access to assessments and support.
· Provide general guidance regarding personal budgets and available options, including Direct Payments and associated choices, where applicable.
· Signpost individuals and carers to suitable free, voluntary, community, and statutory services regardless of eligibility for council-funded support.
· Empower individuals to make informed decisions about their care, support arrangements, and available community resources.
3. Care Coordination and Integrated Working
· Liaise effectively with a range of healthcare, social care, and voluntary sector professionals involved in an individual's care to promote a coordinated and person-centred approach.
· Support integrated care planning and case management initiatives that enable patients to manage their health and wellbeing effectively and reduce avoidable hospital admissions.
· Actively participate in practice-based MDT meetings and case discussions.
· Recognise situations requiring urgent intervention or escalation and promptly alert the appropriate healthcare professional or service.
· Foster effective communication between agencies to ensure seamless support for patients and carers.
Person specification
Experience
Essential criteria
- Own vechicle business use with UK driving licence
- Experience of working in a health, social care, community, voluntary sector, or customer service environment.
- Experience of supporting patients, service users, or members of the public to access services.
- Experience of managing competing priorities and working to deadlines and accurate record keeping.
- Knowledge of health and wellbeing services available within the local community.
- Excellent communication and interpersonal skills.
- Understanding of integrated care and multidisciplinary team working.
Desirable criteria
- Care Certificate.
- Knowledge of RiO, or similar clinical systems.
- Understanding of integrated care and multidisciplinary team working.
- Experience supporting people with long-term conditions, frailty, mental health needs, or complex care needs.
Education and Qualification
Essential criteria
- • Nationally recognised qualification in health, social care, counselling or other relevant professional or academic qualification
- • Commitment to/evidence of continuous professional development.
- • Level of educational attainment to NVQ 3 / AS Level or equivalent
Desirable criteria
- Willingness to undertake further training relevant to and in line with the development of peer support role.
Skills and Aptitudes
Essential criteria
- Computer literate, able to use email, the internet and web searches as standard applications and databases
- Excellent communication skills, both verbal and written; able to supply reports as required.
- Ability to collect data efficiently in order to provide statistical evidence for analysis
Desirable criteria
- Can demonstrate an approach to gaining knowledge of local services.
- Thorough and up-to-date knowledge and understanding of policy and practice in Adult Social Care and Health, including the principles of personalisation
Employer certification / accreditation badges
Applicant requirements
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.
Application numbers
Documents to download
Further details / informal visits contact
- Name
- Nnamdi Igwe
- Job title
- Proactive Care Lead
- Email address
- [email protected]
- Telephone number
- 07886345664
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