# Senior Integrated Flow Lead > NHS job listing from Job Clerk for Lewisham and Greenwich NHS Trust. ## Canonical URLs - **HTML:** https://www.jobclerk.com/job/senior-integrated-flow-lead/2c21a840-59e1-43fc-b919-63719055a5ae - **Markdown:** https://www.jobclerk.com/job/senior-integrated-flow-lead/2c21a840-59e1-43fc-b919-63719055a5ae.md ## Summary - **Status:** Live - **Employer:** Lewisham and Greenwich NHS Trust - **Town:** London - **Region:** London - **Country:** England - **Profession:** Manager and corporate - **Grade:** Band 8 - **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. - **Contract type:** Permanent - **Employment type:** Full time - 37.5 hours per week (Monday to Friday) - **Closing date:** 2026-06-30T23:59:00.000Z - **Posted:** 2026-06-16T10:01:02.029Z - **Source information URL:** https://www.healthjobsuk.com/job/UK/London/Woolwich/Lewisham_Greenwich_NHS_Trust/Acute/Acute-v8086261 - **Application URL:** https://apps.trac.jobs/job-advert/8086261?ShowJobAdvert=&feedid=9002 - **Employer website:** https://www.lewishamandgreenwich.nhs.uk ## Job Content ### 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. ### 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. ## Job Details 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 ## Job Description 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. ## 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 ### Knowledge **Essential** - 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** - Understanding of the markets for residential, nursing and home care - In depth knowledge of local and national FNC & CHC Criteria ### Experience **Essential** - 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 ### Skills and Abilities **Essential** - 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 ### Education / Qualifications **Essential** - 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 ## Documents - [working at lgt (pdf, 4.2mb)](https://www.healthjobsuk.com/documents?edoc=2533) - [candidates guidance on applying (pdf, 175.2kb)](https://www.healthjobsuk.com/documents?edoc=2964) - [candidate guidance on the use of ai (pdf, 3.8mb)](https://www.healthjobsuk.com/documents?edoc=2978) - [job description and candidate information pack (pdf, 421.9kb)](https://www.healthjobsuk.com/documents?vdoc=10379124) - [visa and certificate of sponsorship information for applicants (pdf, 3.8mb)](https://www.healthjobsuk.com/documents?edoc=2936) ## 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.