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System Head of Integrated Transfer of Care

Essex Partnership University NHS Foundation Trust
£70,417 to £81,138 per annum
Closing date
18 Jun 2024

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Other Health Profession
Band 8C
Contract Type
Full Time
This is an exciting newly created system role on behalf of West Essex Health & Care Partnership, which will be hosted by Essex Partnership University Trust (EPUT). The post-holder will be based within the West Essex Care Coordination Centre (CCC) ) with equal responsibility and accountability to all system provider organisations. This will allow the successful candidate to make a real difference within our system on the back of the creation of an integrated single transfer of care team and approach.

The post holder will take a lead role in the development and management of a fully integrated multi-disciplinary Transfer of Care Hub (ToCH) which will support both West Essex and Hertfordshire flow for The Princess Alexandra Hospital Trust. The post holder will also have oversight and responsibility for the transfer of care of adults from Cambridge University Hospital Trust (CUHT), Barts Health NHS Trust (BHT), Mid & South Essex Foundation Trust (MSEFT) as well as Hertfordshire Community Trust (HCT) and EPUT community hospitals.

The successful candidate will have an excellent working knowledge of hospital discharge and admission avoidance policy and best practice. Candidates will need to demonstrate excellent leadership and communication skills, have recent experience of service transformation and be able to take responsibility for the day-to-day oversight and management of the integrated transfer of care hub, ensuring patients receive timely, safe and co-ordinated care.

Please note that interviews are being held on 19th June.

Main duties of the job

The post holder will:
  • Provide effective leadership and direction whilst managing a rapidly changing environment to meet the diverse needs of all stakeholders, staff, and the people of Hertfordshire and West Essex.
  • Quickly build credibility & excellent relationships at all levels internally and externally & utilise these to ensure sound decisions are made in all aspects of transformation & service delivery.
  • Plan and organise the multiple transfer of care function to ensure that any blockages which impact on the prompt discharge of patients, particularly as they cross organisational boundaries, are unblocked and that new processes/procedures are implemented to ensure that a seamless discharge service is maintained
  • Act as a point of escalation for staff within the service to ensure smooth delivery of service(s) as well as addressing any operational issues impacting on service deliverability.
  • Interpret and develop national policy relating to discharge and transfer of care on behalf of the system proposing options and recommendations for agreement by system partners.
  • Engage, support, and develop high performing teams promoting effective structures and processes and a culture of delivery and collective working and have line management responsibility across multiple teams and will hold budgetary responsibilities within their portfolio

About us

EPUT are looking for motivated staff who shares our Trust values of Care, Learn and Empower. In return, EPUT can offer you a range of benefits and development including
  • Season Ticket Loans
  • NHS discounts for staff
  • Excellent Training facilities and opportunities
  • Buying and Selling annual leave scheme
  • The opportunity to work bank shifts and expand knowledge and experience in other areas
  • Salary Sacrifice schemes including lease cars and Cycle to Work
  • Day One Flexible Employer

The Trust supports and actively encourages flexible working for all employees. We offer many options and you are encouraged to ask the recruiting manager what is possible for this role. If appointed, you will have the opportunity to apply for a flexible working request from the first day of your employment

Join our Staff bank

What is Staff Bank?

Our EPUT NHS staff bank is an entity managed by the trust that hires clinical and non-clinical healthcare professionals to take on shifts at our trust hospitals and community settings. Here at EPUT we maintain our own bank of specialist staff to ensure that we are able offer safe and effective care at all times.

All our permanent staff are automatically enrolled onto the staff bank however this does not mean you have to work any additional shifts, but the option is there for you if you wish.

If you are joining our Trust in a fixed term role, please indicate on your New Starter Paperwork that you wish to join our staff bank.

Job description

Job responsibilities

Service Delivery
  • Coordination of system flow and discharge pathways P1, P2 and P3 as part of the Transfer of Care Hub functions within Hertfordshire and the West Essex Care Coordination Centre
  • Engagement in system escalation calls, deputising for the Deputy Director of Care Coordination and other senior system leaders as required.
  • Lead on system discharge meetings, ensuring that agreed actions are implemented and maintaining daily briefings to the Operational leads across the system.
  • Creating a culture of trust and collaborative working to help reduce handoffs and duplication
  • To identify the key blockages to effective discharge and to manage a programme of work to ensure that those blockages both internally and externally are addressed.
  • To provide senior oversight on the management of complex cases in order to reach fast resolution. This will involve partnership working and rapid problem solving with families and partner organisations.
  • To ensure a good understanding of the local resources across West Essex and Hertfordshire to enable expedited appropriate support.
  • To provide visible leadership for areas of responsibility and clinical services and create a climate which encourages teamwork, partnership working, maximises individual potential and stimulates innovation
  • To provide a structure within which the sharing of information/responsibilities/ feedback is managed across the different organisations working within the transfer of care hubs/Care Coordination Centre i.e., social care, community services, voluntary services, acute hospital.
  • To monitor and review complex data streams and report performance in relation to discharge and delays at all levels across all dimensions of care and delivery
  • To facilitate multidisciplinary team meetings on the wards, ensuring that the discharge planning process starts on admission and early referrals to the multidisciplinary team are made.
  • Ensure regular and appropriate engagement of relevant parties in the discharge of people to ensure that people are managed on the correct discharge pathway, receive consistent information and are discharged at the earliest opportunity.
  • Ensure robust systems are in place for receiving daily and timely information that enable early discharge of patients
  • Maintain an overview of Hertfordshire & West Essex Surge and Escalation policies and procedures (OPEL) as they apply to discharge.
  • Support teams in managing complex discharges and application of the Choice Policy
  • Pro-actively lead the decision-making process, collecting and analysing highly complex information in order to make effective decisions in complex situations.
  • Regularly review performance of flow, (for example, stranded- and super- stranded outcomes), and address any blockages to effective flow.
  • Provide high quality professional leadership and advice and guidance to the discharge team and system partners, on all complex and potentially sensitive discharge issues.
  • Be familiar with the respective pressures within each of the organisations and support the daily management of these through prioritisation of work, sharing of timely information and regular feedback to the operational teams.

  • Direct line management responsibilities of Transfer of Care Team. This will require both direct line management as well as matrix working across teams in the system who contribute to discharge.
  • Responsibility for objective setting, regular 1-2-1 meetings and mid-/year-end appraisals.
  • Ensure effective rostering of staff to cover capacity and demand requirements over operational hours.
  • Ensure that the discharge team are supported and enabled to effectively support, advise and develop ward staff in relation to discharge best practice.
  • Ensure all staff are trained and, have access to on-going learning and development to fulfil their roles.
  • Ensure all staff are regularly offered access to health and well-being support.
  • Within the parameters of matrix working, direct activity and refer issues of performance to organisational line management. Therefore, ensuring the highest professional standards of practice and patient care are achieved

Person Specification



  • oHealth or Social Care qualification eg RN, AHP, Social Worker
  • oEducated to Master's degree level or significant relevant equivalent experience in relevant field


  • oExperience & knowledge of working within both health and social care systems



  • oHighly developed communication skills (written, oral, presentational, and interpersonal)
  • oAble to engage and motivate people in different settings, including negotiation, reconciliation.
  • oComprehensive understanding of discharge agenda and health and social care policy.
  • oUnderstanding of Equality & Diversity
  • oComprehensive knowledge of change management & service improvement processes.



  • oPartnership working with a range of agencies and stakeholder organisations
  • oLine/ matrix management of teams presenting across Organisations
  • oDeveloping effective networks and strong relationships with a range of partners
  • oImprovement/transformation of benefits for patients/ service users /customers and colleagues
  • oSignificant experience in delivering improvements to complex discharge through partnership working
  • oExperience of operational management of staff and services


  • oSignificant experience and in-depth knowledge of influencing through matrix management and with no direct management responsibilities

Personal Qualities


  • Able to use political judgement in understanding and working with complex policy and diverse interest groups.
  • Highly developed leadership and influencing qualities with the ability to enthuse, motivate and involve individuals and teams working towards a culture of integration.

Employer details

Employer name

Essex Partnership University NHS Foundation Trust


St Margaret's Hospital

The Plane


CM16 6TN

Any attachments will be accessible after you click to apply.


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