About this role
Job summary
Inclusion Healthcare is looking for a compassionate and proactive Homeless Healthcare Co-ordinator to join an exciting new 6 month pilot project aimed at improving health outcomes for people experiencing homelessness, rough sleeping, substance misuse, mental health challenges and multiple disadvantage.
Working across healthcare, housing, social care and voluntary sector services, you will help some of Leicester's most vulnerable residents access the support they need, reduce barriers to healthcare, and improve engagement with services.
Main duties of the job
Key ResponsibilitiesCoordinate care and support for people experiencing homelessness and complex health and social needs.Build strong relationships with patients and partner agencies to improve engagement with healthcare and support services.Work closely with primary care, hospitals, mental health services, housing providers, social care and voluntary sector organisations.Support high-frequency users of urgent and emergency care to access appropriate community-based services.Undertake outreach work, home visits and community-based interventions, including supporting nurse-led clinics.Provide compassionate, trauma-informed support and advocacy, helping patients overcome barriers to accessing care.Facilitate referrals and signposting to health, housing, substance misuse and other support services.Participate in multidisciplinary team meetings and contribute to integrated care planning.Maintain accurate patient records and care plans using SystmOne.Collect and record data to demonstrate the outcomes and impact of the pilot programme.Act as a key point of contact for patients and partner organisations, promoting collaborative working across services.
About us
Inclusion Healthcare is a specialist primary care service supporting people experiencing homelessness, vulnerability and social exclusion across Leicester. Our dedicated multidisciplinary team is committed to reducing health inequalities through compassionate, person-centred care.
We offer a supportive, inclusive and collaborative working environment where staff are valued, encouraged to develop professionally and empowered to make a real difference. Working closely with NHS, local authority and voluntary sector partners, we deliver innovative services that improve outcomes for some of the city's most vulnerable residents.
Joining Inclusion Healthcare is an opportunity to be part of a friendly, values-driven organisation that is passionate about inclusion, partnership working and positive change.
Job description Job responsibilities
KEY DUTIES AND RESPONSIBILITIES
Patient Coordination and Support
Co-ordinate and navigate care for patients who are homeless, working across the health and social care system, advocating for patients to make the right connections, with the right teams at the right time.
Liaise with agencies and partnership staff to increase patient engagement with health care and social priorities.
Support individual patients who need to access the Emergency Department at the LRI to effectively access, stay and complete clinical assessment & receive treatment of the presenting problem.
To support those individuals with high frequency use of the Emergency Department, to reduce their use through improving access to wider support services including, Housing, ASC, substance use treatment & recovery services, & voluntary sector provision available within the local area.
To support those individuals in scope of the pilot and are admitted into UHL for inpatient treatment to stay on the designated ward until medically fit for discharge.
Work with UHL booking team to reduce Did not attend outpatient appointments
Support relevant patients to access appropriate primary care services at earliest opportunity to reduce the demand on the acute sector.
Build working relationships across statutory & voluntary sector partnership services including UHL, ASC, LCC, LPT, Help the Homeless, The Bridge, Dear Albert etc
Undertake home visits, assertive outreach and other community-based interventions as required including supporting nurse led clinics in the community.
Coordinate patient care between primary, secondary, and community services.
Provide compassionate, trauma-informed support to patients, ensuring they understand and can access appropriate care.
Help patients navigate the healthcare system, overcoming barriers such as language, literacy, social or digital exclusion.
Ensure accurate, timely updating of patient records, care plans, and communication logs in SystmOne.
Participate in multidisciplinary team meetings, sharing updates and supporting integrated care.
Timely and supportive formal referral or signposting to other appropriate services & interventions.
Administration and Practice Support
Champion up to date patient contact information in SystmOne records. Gather appropriate data that evidences the effectiveness of the pilot. Prepare documentation for meetings, audits, or case reviews. Respond to administrative queries from patients and healthcare professionals. Assist with data collection, QOF, IIF, and other enhanced service monitoring and reporting. Ability to obtain and document informed consent (either verbal or written). Support the creation of pilot information & communications. Ability to contribute to anonymised case studies and project reports demonstrating impactCommunication and Collaboration
Build effective relationships internally with Inclusions Clinical & administrative teams as well as externally with whole system partners. Use trauma informed communication to help those struggling to engage. Act as a key point of contact for patients and external agencies involved in care. Build effective working relationships with multidisciplinary teams across Inclusion Healthcare. Promote a culture of openness, compassion, and respect in all patient interactions.
Person Specification
Knowledge & Skills Essential
Excellent verbal, written and interpersonal communication skills. Strong organisational, time management and administrative skills. Good IT skills, including use of Microsoft Office and electronic record systems. Ability to build trusting relationships with people who may be reluctant to engage with services. Ability to work using trauma-informed, person-centred and strengths-based approaches. Knowledge of mental health conditions, substance misuse and dual diagnosis. Understanding of safeguarding legislation and procedures for adults at risk. Ability to maintain accurate records and manage confidential information. Ability to work independently and as part of a multidisciplinary team.
Desirable
Knowledge of SystmOne and other NHS clinical systems. Understanding of the Leicester health, social care and homelessness support network. Knowledge of housing, welfare benefits and community support services. Understanding of inclusion health principles and health inequalities. Experience of contributing to audits, service evaluations or pilot projects.
Other Requirements Essential
Full UK driving licence. Access to a vehicle insured for business use. Willingness to travel across Leicester and work in community settings, hospitals and partner organisations. Enhanced DBS clearance.
Experience Essential
Experience of working within healthcare, inclusion health, homelessness services, substance misuse services, or other services supporting vulnerable adults. Experience of working with individuals experiencing homelessness and/or multiple disadvantage. Experience of case managing individuals with complex needs and low engagement. Experience of undertaking risk assessments and risk management. Experience of assessing needs and developing personalised support plans. Experience of working collaboratively with statutory, voluntary and community sector organisations.
Desirable
Experience of working with individuals who display behaviours that challenge. Experience of working within an NHS setting. Experience of working with high-frequency users of Emergency Departments or urgent care services. Experience of outreach, assertive engagement or community-based support. Experience of supporting hospital discharge planning and reducing avoidable admissions. Experience of collecting data, monitoring outcomes and producing reports.
Qualifications Essential
GCSE Grade C/4 or above in English and Maths (or equivalent).
Desirable
Professional qualification in Nursing, Social Work, Occupational Therapy, Substance Misuse, Health and Social Care, or a related field.
Personal Attributes Essential
Compassionate, empathetic and non-judgemental. Proactive and solution-focused. Resilient and adaptable when working with complex and challenging situations. Committed to reducing health inequalities and improving outcomes for vulnerable populations. Ability to maintain professional boundaries and confidentiality.
Desirable
Passionate advocate for inclusion health and social justice. Culturally competent and able to engage with diverse communities. Innovative and able to identify opportunities to improve services and patient outcomes.
Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Employer details Employer name Inclusion Healthcare CIC
Address Charles Berry House
45 East Bond Street
Leicester
Leicestershire
LE1 4SX
United Kingdom
Employer's website https://inclusionhealthcare.co.uk/ (Opens in a new tab)