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Job description

We are looking for a clinician (from medical, nursing or AHP background) with a strong interest and experience in population health approaches to help transform healthcare for the future. The Health Inequality Fellow will work closely with clinicians to provide support, training and advice to develop key areas for investigation and use population health data to define their key questions and shape local interventions on the ground. We are therefore looking for candidates with a keen interest in developing their population health competencies to inform key-decision making and improve health outcomes for the population.

PLEASE NOTE: This post will be available on NHS payscale and the medical and dental payscale.

Fellow(s) will be based, for up to three days a week, with the Lewisham Population Health and Care programme team and having prior knowledge of Lewisham’s landscape and its demographics would be a benefit. They will be supported by a suitable senior manager or population health advisor during their placement.

Key areas of work that we expect the Fellow to focus on will include:

• Supporting elective recovery and reducing health inequalities
• Improving data quality for protected characteristics and other vulnerable groups
• Core20PLUS5
• Other Lewisham system priorities, including supporting prevention and wellbeing, children and young people and mental health for all

1. To agree the rationale and drivers for exploring population health ideas/ problem statements
2. To establish how our information system (HealtheIntent) could support local work and translate data into actionable insights
3. To engage with clinical leads to set up and lead any working groups required to drive forward and manage the projects
4. To agree the characteristics and activity to case-find patients
5. To agree what the expected outcomes would be for projects
6. To support the development of a dashboard (or other tools if required) for end-users to support case-finding based on the above criteria
7. To agree the relevant interventions with colleagues based on the areas where the data suggests there is room for improvement
8. Facilitate MDT discussions as required
9. To agree how to realise benefits and monitor those benefits
10. To agree how they would embed the work as BAU
11. To present project(s) as and when requested
12. To consider wider dissemination of their project(s) through write-ups or sharing with other partners

Lewisham and Greenwich NHS Trust is a community focused provider of local and acute care, providing high quality services to over one million people living across the London boroughs of Lewisham, Greenwich and Bexley. With a turnover of around £700 million, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham and a range of community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.

As an organisation, we’ve made significant improvements for patients and staff in the last two and-a-half years. This is reflected in our most recent Care Quality Commission (CQC) inspection (from February 2020), which found improvements across the organisation and gave us an improved rating of “Good” in the Well-Led and Effective domains, in addition to the rating of “Good” that we had already achieved in the Caring domain. Our staff culture change programme has been key to the Trust’s improvement journey, as we’ve stabilised our workforce by reducing vacancy rates and improving staff retention. We’ve also significantly increased the representation of minority ethnic leaders across our clinical and corporate teams.

• The post-holder will lead and contribute to the delivery of high-quality care with an interest in acquiring a population health approach to help transform healthcare for the future
• The post-holder will be required to ensure effective partnership working with stakeholders to ensure timely responses and the delivery of project aims and outcomes
• The post-holder will be required to work to tight deadlines and produce high quality and accurate results
• Be able to work on own initiative and prioritise work
• The post-holder must have the ability to communicate effectively both verbally and in writing at all levels and be able to respond and perform under continuous pressure.
• The role requires the post-holder to be highly skilled in project management and administrative duties, to be versatile and deal with difficult situations
• To have a good general knowledge of the technical requirements of the systems used in primary and secondary care and be able to relay detailed information of a technical nature to both internal and external personnel

The post-holder will work closely with Lewisham Population Health and Care team, as well as wider stakeholders to develop projects. Organisations include:

• Lewisham and Greenwich NHS Trust (LGT)
• London Borough of Lewisham (LBL)
• South London and Maudsley NHS Foundation Trust (SLaM)
• One Health Lewisham (OHL – GP federation including all practices in Lewisham)
• Cerner (PH&C system provider)
• South East London Integrated Care System (SEL ICS)
• Clinical fellows, including SPIN and GP fellows
• Lewisham Health Equity Fellows
• Clinical leads across acute and primary care
• Nursing staff
• Allied Health Professionals
• Consultants
• Service Management Teams
• We are establishing a community of practice for our fellows to support collaboration and spread best practice