
Emergency Department High Intensity User Case Worker
Chelsea and Westminster Hospital NHS Foundation TrustJob overview
This position is a key role within the Borough-wide High Intensity User (HIU) service. The service’s aim is to provide adequate, tailored support for people identified as High Intensity Users (HIUs) of West Middlesex Hospital Urgent & Emergency Care services. The intention is to improve health outcomes and reduce inequalities by identifying the most appropriate medical and psycho-social support and ensuring that HIUs are able to access it as needed, reducing inappropriate demand on UEC services.
The HIU Case Worker will be responsible for providing front-line, hands-on, daytime support to High Intensity Users attending Wes Hospital Emergency Department (ED) and liaising closely with the local Borough HIU Care Coordinator to ensure that there is a seamless continuum of care between ED and the wider community.
Main duties of the job
- Accepting referrals of HIUs attending ED who do not have acute physical or mental health problems that need medical attention within ED.
- Attending the patient and assessing their immediate needs including any risks of self-harm or threats to others and their social situation such as housing, debt or isolation.
- Checking available records of medical and social care, and any existing care plans, to help formulate an immediate plan including referral to suitable agencies.
- Liaison with statutory and non-statutory services to enable access to relevant local services for the individual, ensuring that those with ongoing needs are referred to the Borough Care Coordinator
- Participating in Borough HIU MDT meeting(s)
- Supporting the creation of Urgent Care Plans for selected individuals and maintaining them within Cerner
- Supporting and delivering training to other ED staff in relation to the care of HIUs
Detailed job description and main responsibilities
- Accepting referrals of HIUs attending ED who do not have acute physical or mental health problems that need medical attention within ED.
- Attending the patient and assessing their immediate needs including any risks of self-harm or threats to others and their social situation such as housing, debt or isolation.
- Checking available records of medical and social care, and any existing care plans, to help formulate an immediate plan including referral to suitable agencies.
- Liaison with statutory and non-statutory services to enable access to relevant local services for the individual, ensuring that those with ongoing needs are referred to the Borough Care Coordinator
- Participating in Borough HIU MDT meeting(s)
- Supporting the creation of Urgent Care Plans for selected individuals and maintaining them within Cerner
- Supporting and delivering training to other ED staff in relation to the care of HIUs
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Applying for this NHS job
This advert is for Emergency Department High Intensity User Case Worker with Chelsea and Westminster Hospital NHS Foundation Trust in London, London, England. It is listed as a Band 6 Healthcare support worker role. The advertised salary is £39,959 - £48,117 Per annum plus HCAS. The contract type is 12 months (Fixed Term). The application deadline is 09 Jun 2026.
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