Homeless Healthcare Co-ordinator

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 impact Communication 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.