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Job description

An unique opportunity has arisen for a senior leader to join the Integrated Local Services (ILS) directorate as Service Lead for the Intermediate Care Lambeth (ICL) service.

We are an integrated partnership across health and social care delivering rehabilitation and care to people in their home environment. We use an enabling approach and goal orientated rehabilitation to maximise a client’s independent living skills and reduce the need for long term care.

You will work closely with the management team, providing clinical leadership for the service. Knowledge and understanding about health and social care systems will be of immense benefit in this role.

You will cover several high-profile established multi-disciplinary specialties and support transformation work including virtual ward expansion, outpatient clinic services and contribution to the development.

You will also have opportunities to lead on Trust-wide improvement projects, engage with our local commissioners, maintain strong health and social care partnerships with Lambeth Together and Partnership Southwark.

We encourage applicants from all backgrounds who have experience of working within multi-professional teams and collaborative working with internal and external stakeholders as well as have a strong proven track record of inclusive leadership and staff management.

Closing date: 06 August 2023
Proposed interview date: 16 August 2023 (to include a prepared presentation which will be sent at interview invite)

The Service Manager will provide a clinical leadership and as a single service lead who works alongside the Head of Service, Adult Social Care (Lambeth Council) and to be responsible for providing high-level, effective and visible strategic, operational, clinical and professional leadership of the service.

The post includes responsibility for working with partners to ensure responsive community services that will deliver effective out of hospital care. Critical to this will be the ability to develop the working culture and practices to embed and sustain integrated and inter-professional working in practice. This will involve acting as a role model for integrated working, inspiring and supporting staff to manage the changes and deliver a seamless and efficient service, co-ordinated around the person.

You will work in collaboration with academic institutions to help determine and define education, training, research and practice development requirements in intermediate care rehabilitation and reablement.

Guy’s and St Thomas’ NHS Foundation Trust comprises five of the UK’s best known hospitals – Guy’s, St Thomas’, Evelina London Children’s Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.

When you join GSTT, you are joining a family. We are committed to looking after the financial, physical, emotional and mental health of all of our staff and have a number of different schemes to promote staff wellbeing.

We know that working shifts and juggling life can be hard and at GSTT we want to ensure that our staff are given support to help them achieve a healthy balance.

From 24 hour free counselling, to reduced membership at our onsite gym and swimming pool, there is something for everyone.

We have a flexible working policy that encourages staff to have conversations with their managers about their individual circumstances ensuring that all requests are given fair consideration. Our ward managers receive training from our amazing e-roster team to help them create equitable staff rotas. These are monitored by the nursing workforce team to ensure that there is safe staffing across clinical areas and also to ensure that all staff are working reasonable shift patterns.

Management and Leadership

• Responsible for providing leadership that promotes, inspires and enables effective integrated and inter-professional working in practice.
• Act as a leader of change and role model for staff, encouraging the development of ideas and creative approaches to service delivery.
• Responsible for the clinical and operational leadership of the multidisciplinary team across health and social care.
• Ensure the workforce is developed to its full potential, including recruitment and development of staff, and the implementation of respective performance and capability management processes.
• Responsible for oversight of the geriatrician and pharmacy input to the service and for liaising with their line managers to agree work plans and priorities.
• To have strategic oversight of the Reablement provider contract, monitoring performance, training, skills and delivery to ensure that high quality care and service standard is delivered.
• To lead in the development and delivery of ASC and GSTT directorate strategies within the service.
• To be accountable for the effective planning, organising, delivery and continuous improvement and efficiency of the service, its resources and allocated budgets, utilising improvement and efficiency plans as required.
• To manage the budgets for the service and ensure that the resources of the service are used effectively.
• To ensure that orders and invoices are managed within standing financial instructions.
• To oversee the prioritisation and management of workload for all MDT staff in the service and ensure the provision of a high-quality service.
• Promote coordinated, integrated, and person-centred assessment and inter-disciplinary working within the team and the wider service, promoting joint assessments and case conferences with other disciplines, services or agencies where appropriate.
• Contribute to the business planning process for the ILS to ensure the development of the teams are reflected in service plans and staff work-plans.
• Ensure that the team use paper and electronic information systems appropriately to record and report their work, and support the implementation and development of electronic records and mobile working and that this is regularly audited.
• Resolve written and verbal complaints and be well versed with GSTT formal complaints procedures.
• To lead investigations and chair disciplinary hearings as required.
• Ensure that a range of methods to determine patient/ service user experience is in place and undertaken on a regular basis ensuring outcomes are discussed and where appropriate, action taken by clinicians and service managers to improve services.

Clinical/Professional/ Quality and Clinical Governance

• To be responsible for the clinical/professional development, clinical governance, management and performance of ICL.
• Ensure that staff adhere to the standards and requirements of their respective professional bodies and employers.
• Lead the quality, risk, performance and governance agenda including the development and management of a robust clinical governance framework, performance monitoring and quality standards.
• Provide assurance and improvement mechanisms that will ensure service delivery is effective, that targets are met and are consistent with CQC and statutory requirements and Directorates policies across both organisations.
• Provide the therapy leadership of the integrated service, leading the clinical governance, practice development and patient pathway strategies pan organisations.
• Manage clinical and other risk within the teams/ service by implementing national and local guidelines for best practice; proposing changes to these guidelines to maximise clinical effectiveness and implementing any agreed changes.
• Anticipate and review clinical and other incidents within the teams and employ critical reflection and analysis to identify and implement necessary changes to ensure the delivery of safe and effective care, in collaboration with relevant others.
• Ensure that quality services are supported through effective recruitment and retention strategies, workforce design and planning.
• To understand the Lambeth ASC assessment function within the service, which will determine people’s entitlement and financial obligations after their independence has been maximised.
• Provide expert clinical and professional advice on a day to day basis to staff.
• Ensure all staff work together to provide comprehensive person centred approach and assessment of needs.
• Develop team processes to ensure individually tailored therapy/ rehabilitation programmes are delivered, using advanced clinical reasoning, and demonstrating critical thinking, reflection and analysis to develop person centred, goal-oriented treatment plans, monitoring and evaluation of outcomes.
• Contribute to the identification and assessment of vulnerable adults who are experiencing or are at risk of abuse. To work with safeguarding leads and other colleagues in health and social care to ensure such cases are dealt with in a timely and sensitive manner in accordance with the safeguarding adults procedures.
• Ensure the team communicates and negotiates with individual service users, their carer’s and all those involved in their care, to gain informed consent to and understanding of treatment programmes to ensure that intervention is effective, and have the capacity to work within a legal framework with patients/clients who lack capacity to consent to treatment.
• Ensure adequate systems in the team for a competent role of assistants and rehabilitation support workers in service users’ rehabilitation programmes, which may include processes for delegation, handover, development, formal and informal supervision, and shadowing where required.
• Ensure multi-disciplinary team meetings are in place, so that there is facilitation of discussion, decision-making, allocation of tasks and caseload, with optimum contributions by all team members and encouraging different perspectives on providing person centred rehabilitation.
• To continually update own clinical practice in accordance with current research, evidence informed practice and ensure systems are in place for staff to demonstrate a high level of clinical and professional effectiveness by use of evidence-based practice and outcome measures.

Clinical/Professional/ Quality and Clinical Governance

• Clearly convey complex knowledge of operational matters or change strategy where evidence underpinning practice may be conflicting and ensuring sensitivity to the audience’s level of understanding and prior knowledge.
• Actively develop and promote the service within the care community, seeking opportunities to develop the scope and effectiveness of the service offered.
• Represent the service in strategic and operational working and steering groups across both Community Services and within ASC, GSTT & Kings health partners (KHP).
• Articulate effectively the specialist pathway perspective to staff, fellow colleagues and negotiate effectively when various service delivery and management options are available.
• Diffuse potentially hostile situations or antagonistic relationships between staff, patients and relatives, using highly developed negotiation and interpersonal skills.
• Develop close relationships with clinical commissioning groups Local care networks and GP practices and raise the profile of the services with them.
• Build partnerships with other agencies and voluntary organisations to ensure that there is a network of support available to people to assist them in maximising their independence.

Education & Professional Development

• To promote and facilitate the development of a learning environment to enable team members to achieve their potential.
• Responsible for the identification of learning needs at individual, team and service levels and developing and lead the training strategy for staff and developing the future workforce strategy.
• To personally provide clinical, professional and operational supervision to specific staff groups, operational supervision to other staff groups and ensure that a robust supervision framework is in place for all team members.
• Be responsible for under/post Graduate student supervision and education and ensure that a high standard of training for students is provided within the team.
• Responsible for multi-professional staff development within the department in co-ordination with other clinical leads in rehab and therapy services ensuring competency frameworks are implemented, reviewed and developed to meet needs of staff and service.
• To provide clinical/professional supervision of senior therapists.
• To identify own developmental needs and agree own personal development plan. To participate in all relevant training and education that directly relates to departmental objectives.
• To Maintain a CPD portfolio reflecting personal professional development.
• To undertakes some teaching both within and external to the team.

Research and audit

• To promote best practices in clinical care by creating a culture that integrates appropriate research theory into practice including necessary guideline/policy development and supports staff to identify gaps in the evidence base.
• To ensure effective clinical practice and the highest of professional standards through ensuring clinical audit, quality improvement methodologies and research forms part of routine service delivery and that the outcomes link directly into guideline/policy development, organisational learning and relevant commissioning streams.
• Sets and leads the research agenda in clinical area including support for appropriate grant applications, participation in internal/external research projects encouraging post graduate student placements and abstract/paper submissions.
• Leads/undertakes quality improvement/research projects.
• Present service development/ research regularly at local and occasionally national or international level.
• Contributes to the department research strategy.