Job summary
- Main area
- Acute
- Grade
- Band 8b
- Contract
- Permanent
- Hours
- Full time - 37.5 hours per week (Monday to Friday)
- Job ref
- 197-R-HF8226A
- Employer
- Lewisham and Greenwich NHS Trust
- Employer type
- NHS
- 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
Employer heading
Senior Integrated Flow Lead
Band 8b
Please refer to the Applicant Guide via this link for key information:- Applying to LGT Guide - Key Information for Applicants
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.
To achieve this we value Respect, Compassion, and Inclusion; Being accountable over staying comfortable; Listening over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here
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.
Job overview
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
Main duties of the job
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.
Working for our organisation
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:
- Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
- Widening access (anchor institution) and employability
- Improving the experience of staff with disability
- Improving the EDI literacy and confidence of trust staff through training and development
- Making equalities mainstream
Detailed job description and main responsibilities
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.
Person specification
Education / Qualifications
Essential criteria
- Registered General Nurse/AHP
- Professional knowledge acquired through degree, supplemented by specialist training to Masters or level qualification/ experience.
- Evidence of continued professional development
- Management/leadership qualification
Experience
Essential criteria
- Demonstrated experience of co- ordinating projects in complex and challenging environments;
- Significant experience of successfully operating in a politically sensitive environment
- Experience of managing risks and reporting;
- Experience of drafting briefing papers and correspondence for a senior audience;
- Demonstrated experience in a Healthcare environment
- Experience of successfully setting up and managing internal processes and procedures.
- Experience of managing change
- Proven clinical leadership skills
- Experience of working across multi agency services
- Experience of establishing and maintaining good working relationships
Knowledge
Essential criteria
- Understanding of acute and community health and social care systems and
- Understanding of patient flow through acute hospital systems
- Understanding of acute hospital care and ward management
- Knowledge of the Care Act 2014 and ASC duties and responsibilities
- Knowledge of NHS Continuing Health Care Framework and criteria
Desirable criteria
- Understanding of the markets for residential, nursing and home care
- In depth knowledge of local and national FNC & CHC Criteria
Skills and Abilities
Essential criteria
- Ability to prepare and produce concise communications for dissemination to a broad range of stakeholders as required;
- Ability to assess patients with complex needs
- Proficient in the use of Microsoft software packages, particularly MS Excel and Word
Employer certification / accreditation badges
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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
Further details / informal visits contact
- Name
- Josh Bhatt
- Job title
- Director of Site Operations
- Email address
- [email protected]
- Telephone number
- 07958 494060
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