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Team Lead & Social Worker (case manager) Community Stroke Services

North Cumbria Integrated Care NHS Foundation Trust
£43,742 to £50,056 per annum
Closing date
18 Oct 2023

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Other Health Profession
Band 7
Full Time
North Cumbria stroke services are delighted to offer an exciting opportunity to be involved in implementing a new North Cumbria Community Stroke Discharge and Support Team. New developments has meant there is an opportunity to pilot community stroke rehabilitation and support services for all stroke patients leaving acute care in North Cumbria. If you have a passion for stroke rehabilitation and a commitment to working alongside stroke survivors to enable them to have the best possible quality of life after stroke, then this is your dream job!

The community rehabilitation service provides specialist assessment, rehabilitation and advice for patients, families and carers. Emphasis is placed on the provision of a holistic care package tailored to the individuals needs with the aim of developing maximum independence and hence improving quality of life.

Main duties of the job

  • Work alongside the stroke coordinator to lead a stroke interdisciplinary team and provide high quality specialist social care and support to patients following a stroke in their own home/communities, in order to allow patients to achieve their optimal level of independence and maximum rehabilitation potential.
  • To work collaboratively across the North Cumbria Integrated Stroke Service to ensure a seamless provision of stroke services across the acute hospital, inpatient rehabilitation and community teams.
  • To work autonomously, carrying out the assessment, implementation and evaluation of evidence based interventions for patients following a stroke, who may have a range of impairments and complex health needs.
  • To provide specialist advice and education to patients, families and carers to ensure those affected by stroke have the appropriate support for recovery and life after stroke.
  • To supervise and support junior staff and students.
  • Contribute to service development and data collection within North Cumbria Integrated Stroke Services.
  • The role will involve travelling across the North Cumbria region as well as utilising technology to offer services virtually

About us

At NCIC, we have an ambition to deliver outstanding hospital and health services to half a million people. Established on 1st October 2019, the Trust is creating a centre of excellence in providing rural and remote healthcare and provides a wide range of community and acute services throughout north Cumbria and beyond. We're responsible for delivering over 70 services across 15 main locations and we employ more than 6,500 members of staff.

Our 5 key principles demonstrate our belief in the delivery of 'safe, high quality care every time'.
  • Being a clinically led organisation
  • Quality and safety at the heart
  • A positive patient experience every time
  • A great place to work
  • Managing our money well

As an organisation we are serious about supporting a diverse workforce that reflects our local community and are very much focused on being an inclusive and compassionate place to work.

Across the North East and North Cumbria we are working together to deliver our ambition to be the greenest region in England by 2030. There is an expectation for all staff to support this by familiarising yourself with the Trust's sustainability initiatives such as waste and recycling, going paperless, videoconferencing, sustainable transport and others.

We encourage you to think about what you can do as an individual and within your team to contribute in to embedding carbon reduction into the everyday running of our organisation.

Job description

Job responsibilities

Please see attached Job description and person specification for further information regarding the role and the essential and desirable criteria required to be met by applicants.

Relocation assistance may be available for successful applicants moving to the region for certain posts. Please see our Policy for eligible vacancies?
  • Please ensure that you document evidence of meeting all the essential criteria in the supporting information.
  • If sufficient response is received this post could be closed earlier than the specified closing date, please apply as soon as possible to ensure that your application is considered.

Important Information

Candidates who have been successfully shortlisted for interview will be asked via an email notification to log on to their Trac account to select an interview time. This will usually be within 2 weeks of the closing date.

For candidates applying using a Hotmail account or have strict firewall settings please ensure the following:
  • Junk Mail is checked regularly

Disclosure and Barring Service:

On 28 November 2020, the new Disclosure and Barring Service filtering rules will come into effect.

The changes mean that:
  • youth cautions, reprimands and final warnings will no longer be subject to automatic disclosure
  • the multiple conviction rule has been removed, meaning that if an individual has more than one conviction, regardless of offence type or time passed, each conviction will be considered against the remaining rules individually, rather than being automatically disclosed.

If you are unsure about whether you need to disclose certain criminal record information, free confidential advice may be sought from one of the charity bodies listed below. These bodies can advise you on what you are legally required to declare and may also be able to advise you on how you can disclose criminal record information to a prospective employer and your legal rights when doing so.

Nacro Tel: 0300 123 1999, or email:

Unlock Tel: 01634 247350, email or complete the online form on the Unlock website

The Trust is committed to safeguarding adults and children therefore if the post is subject to the Rehabilitation of Offenders Act (ROA) 1974 (Exceptions) Order 1975 (as amended) the successful candidate(s) will be subject to a criminal records check with the Disclosure and Barring Service (DBS). The cost of the DBS must be met by the successful candidate(s) through salary deduction. DBS charges are as follows if applicable to the post:

Standard Check: �18 + Administration cost of �3.85 = �21.85. Deducted at �6.85 from 1st month salary and �5 deducted from salary over following 3 months.

Enhanced Check: �38 + administration cost of �3.90 = �41.90. Deducted at �11.90 from 1st month salary and �10 deducted from salary over following 3 months.

As part of the one of the largest employers in the UK NCIC future employees will have also access to the following benefits.

A lease car may be available for this position further details will be provided upon appointment if applicable.

27-day holiday scheme rising to 33 after 10 years

Flexible working Scheme

Excellent opportunities for development

Competitive NHS Pension scheme

Access to NHS discounts with retailers and leisure companies

EAP (Employee Assistance Programme) a free, confidential counselling and information service to assist with personal or work-related problems

These schemes are subject to availability

Person Specification



  • Professional qualification recognised by HPC, UKCC or General Social Care Council
  • Evidence of postgraduate training/experience in neurorehabilitation
  • Professional registration with HPC, UKCC or GSCC to practice as a Social Worker
  • Evidence of successful completion of mandatory training
  • Enhanced Disclosure from the Criminal Justice System
  • Full driving license


  • Counselling qualification
  • Successful completion of Level 1 and Level 2 Adult Safeguarding training
  • Evidence of successful completion of higher level risk assessment training



  • Extensive Post graduate experience working with Adults with Acquired Neurological Conditions including clients with stroke
  • Post graduate experience of multidisciplinary working
  • Post graduate experience of working in hospital and/or community rehabilitation
  • Post-graduate experience of assessment and management of clients with highly complex physical and psychosocial needs
  • Post graduate experience of working in partnership with other agencies across organisational and geographical boundaries
  • Understanding and recognition of situations where there are issues of mental capacity and take appropriate action, including liaison with the Public Guardianship Office
  • Some experience of the commissioning process and continuing health care processes
  • Knowledge, recognition and management of prognostic indicators/potential barriers to successful rehabilitation


  • Experience of being a Case Manager
  • Experience of working within statutory and independent sectors
  • Knowledge of a wide range of current evidence-based therapeutic management strategies (relevant to the specialists stroke client group).
  • Knowledge of specialist regional/ national agencies relevant to client group (e.g. Stroke Association etc.).

Skills and Aptitudes


  • Well-developed ability to understand, interpret and remember highly complex/ abstract/ emotive information from assessment, discussions with professionals/ families, and subjective observations, in order to make clinical decisions.
  • The ability to formulate comprehensive arguments in written report format to secure funding for a variety of purposes.
  • The ability to be an effective team member.
  • The ability to explain abstract and/ or complex, condition related information in language which is easily understood, to clients, families, other professional and members of the wider community.
  • The ability to judge when communication has broken down, and to ensure that effective communication is achieved, especially where barriers to understanding may exist.
  • The ability to adjust communication style in order to deal with a range of different demands
  • The ability to handle/ cascade sensitive information appropriately, and within the bounds of confidentiality.
  • Capable of managing the range of external professionals involved with clients with stroke, and developing effective communication links with these where confidentiality issues may influence the situation.
  • Able to adhere to the professional and legal standards of record keeping.
  • The ability to adhere to the principles of confidentiality in situations where issues of competence and capacity are a consideration.
  • Understanding and adherence to the principles of infection control.
  • Excellent literacy skills.
  • Excellent presentation skills, both written and verbal.
  • The ability to combine risk information with clinical judgement in order to reduce the possibility of significant adverse incidents and crises arising for people with stroke
  • Well-developed communication skills including the ability to work in hostile environments and appropriate use of de-escalation techniques where indicated
  • Ability to travel around Footprint
  • Ability to respond appropriately in crisis situations and engage with other services including police, probation, mental health workers and the Trusts on-call managers in order to achieve clinically and socially appropriate resolutions
  • Be computer literate: competent at word processing, using e-mail, accessing the internet.
  • Excellent interpersonal skills - including observation, listening and empathy skills.
  • Problem solving and conflict management skills. Including the ability to anticipate potential areas of conflict and diffuse them before they occur.
  • Good analytical and reflection skills.
  • Any attachments will be accessible after you click to apply.


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