Clinical Support Specialist - Homeless Care Coordinator | Royal Free London NHS Foundation Trust

Are you passionate about improving outcomes for some of the most vulnerable patients in our healthcare system?

We are seeking a proactive and highly motivatedHomeless Care Coordinatorto join our Transfer of Care Hub (TOCH) at North Middlesex University Hospital. This is ahigh-impact, system-facing rolefocused on improving discharge outcomes for patients experiencing homelessness.

You will play a critical role in addressing delays in discharge that impactbed capacity, patient flow, and system performanceacross North Central London.

1. Manage a caseload of patients experiencing homelessness

2. Complete and oversee Housing Checklists

3. Coordinate multi-agency discharge pathways

4. Escalate and resolve barriers to discharge

• Contribute to BCF reporting and performance metrics
• Support development of homeless discharge pathways at NMUH
• A unique opportunity to work at thecentre of system transformation
• Experience influencing across NHS and Local Authority partners
• The ability to directly impactpatient outcomes and hospital flow
• A supportive and forward-thinking multidisciplinary team

Specialist Case Management & Discharge Coordination

• Lead identification and proactive management of patients who are homeless or at risk of homelessness from admission.
• Undertake comprehensive assessments to inform safe and effective discharge planning.
• Manage a complex caseload requiring coordinated multi-agency input.
• Attend board rounds, TOCH meetings, and escalation forums to drive discharge outcomes.
• Ensure all discharge plans align with Trust policy and national discharge guidance.

Statutory Duties and Housing Processes

• Take responsibility for completion and quality assurance of the Housing Checklist.
• Lead on initiation, submission, and tracking of Duty to Refer (DTR) referrals.
• Ensure compliance with statutory responsibilities under the Homelessness Reduction Act 2017.
• Maintain oversight of all housing referrals to ensure timely progression.

System Navigation & Multi-Agency Coordination

• Act as the Trust’s key point of contact for homelessness-related discharge issues.

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Work collaboratively with

• Local Authority Housing Teams
• Housing Intermediate Care Team (HICT)
• Adult Social Care
• Voluntary sector partners
• Proactively follow up with Local Authority Housing Teams to confirm receipt, track outcomes, and challenge delays.
• Coordinate discharge pathways including interim accommodation and step-down care.

Escalation, Influence and Flow Management

• Identify and resolve barriers to discharge.
• Escalate delays through Trust and system escalation processes.
• Influence decision-making across organisations to improve patient flow.
• Contribute to reducing length of stay and delayed discharges.

Patient Advocacy, Safeguarding and Inclusion

• Advocate for vulnerable patients including those with mental health needs, substance misuse, and NRPF.
• Ensure safeguarding and Mental Capacity Act (MCA) processes are applied.
• Promote dignity, inclusion, and person-centred care.

Data, Performance and Governance

• Maintain accurate records of housing-related activity.

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Monitor and report on

• Duty to Refer compliance
• Housing Checklist completion
• Discharge delays
• Contribute to BCF reporting and Trust performance frameworks.
• Ensure compliance with information governance standards.

This advert closes on Friday 12 Jun 2026