Chelsea and Westminster Hospital NHS Foundation Trust • London TW7 6AF

Emergency Department High Intensity User Case Worker

About this role

A Vacancy at Chelsea and Westminster Hospital NHS Foundation Trust.

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.

· 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

Our Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&E and children’s services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and an £80m Ambulatory Diagnostic Centre at West Mid.

We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.

We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring.

If you haven’t heard from us within 3 weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probation.Some roles may require weekend shifts at multiple sites.