# Emergency Department High Intensity User Case Worker

> NHS job listing from Job Clerk for Chelsea and Westminster Hospital NHS Foundation Trust.

## Canonical URLs

- **HTML:** https://www.jobclerk.com/job/emergency-department-high-intensity-user-case-worker/bdcf54fc-17cb-42cc-81d9-1ba5269d5b1b
- **Markdown:** https://www.jobclerk.com/job/emergency-department-high-intensity-user-case-worker/bdcf54fc-17cb-42cc-81d9-1ba5269d5b1b.md

## Summary

- **Status:** Live
- **Employer:** Chelsea and Westminster Hospital NHS Foundation Trust
- **Town:** London
- **Region:** London
- **Country:** England
- **Profession:** Healthcare support worker
- **Grade:** Band 6
- **Salary:** £39,959 - £48,117 Per annum plus HCAS
- **Contract type:** 12 months (Fixed Term)
- **Employment type:** Full time - 37.5 hours per week
- **Closing date:** 2026-06-09T23:59:00.000Z
- **Posted:** 2026-05-27T09:40:32.501Z
- **Source information URL:** https://www.healthjobsuk.com/job/UK/London/London/Chelsea_Westminster_Hospital_NHS_Foundation_Trust/Emergency_Department/Emergency_Department-v8016009
- **Application URL:** https://apps.trac.jobs/job-advert/8016009?ShowJobAdvert=&feedid=9002
- **Employer website:** https://www.chelwest.nhs.uk

## Job Content

### Job 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

## Job Details

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.

## Job Description

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

## 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

## Person Specification

### Education

**Essential**

- English and Maths GCSE
- Diploma in Social Work or equivalent educational experience/ standards

**Desirable**

- Experience of providing care in the urgent and emergency care setting

### Experience

**Essential**

- Knowledge and proficiency with Office 360
- Previous administrative roles
- Some knowledge of how to access housing/benefits support
- Previous experience of working in a clinical healthcare setting with adults

**Desirable**

- Having experience of working with HIUs or patients with similar problems eg mental health, addiction, psychosocial issues
- Knowledge of System 1/Cerner and/or Mosaic/Rio
- Knowledge on how to access social support in the clients local area

### Skills and Knowledge

**Essential**

- Good organisational and time management skills
- Ability to be flexible and adapt to different clients and circumstances
- High level of work organisation, self-motivation, drive for performance and improvement, and flexibility in approach and attitude
- Strong sense of commitment to openness, honesty and integrity in undertaking the role

**Desirable**

- A commitment to improving patient care through an ability to sustain a clear performance focus on achieving demanding goals

## Documents

- [recruitment pack (pdf, 2.8mb)](https://www.healthjobsuk.com/documents?edoc=1313)
- [policy statement (pdf, 144.5kb)](https://www.healthjobsuk.com/documents?edoc=891)
- [guidance for applicants (pdf, 85.4kb)](https://www.healthjobsuk.com/documents?edoc=890)
- [staff benefits and wellbeing (pdf, 177.9kb)](https://www.healthjobsuk.com/documents?edoc=1256)
- [emergency department high intensity user case worker (pdf, 936.2kb)](https://www.healthjobsuk.com/documents?vdoc=10301998)

## Agent Notes

- This Markdown page is generated from the same Job Clerk job record as the HTML job detail page.
- Use the canonical HTML URL for user-facing references.
- Use the application URL when the user wants to apply on the source NHS site.
