HIU Care Coordinator

The aim of the HIU service is to provide adequate, tailored support for people identified as High Intensity Users (HIUs) of 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 helping HIUs access it as needed, reducing inappropriate demand on UEC services.

The HIU Care Coordinator will be responsible for coordinating and driving delivery of these services, including identifying HIUs who need additional support, reviewing their needs, referring them to suitable providers (via a local MDT as needed) and tracking those processes and outcomes.

Given the nature of the role, the individual will also be central to efforts to publicise the service to users and staff across the Borough, and working with a wide range of health, social care and third sector organisations to prioritise care for this highly vulnerable group. This will include facilitating discussions between primary care, hospital and community services. The post holder will be required to manage patient caseloads and advise on improvements, which will be used to deliver measurable outcomes for the benefit of patients, staff and the public., The role requires extensive liaison with statutory and non-statutory services, to review and support the flow of referrals into the service and involves:

Identifying an agreed number of HIUs attending ED each month

Reviewing their needs (with suitable clinical and other support

Identifying which services are best placed to provide that support

Referring patients and making sure their care is picked up

Where necessary, referring people to the appropriate local MDT meeting for a wider review of needed, before onward referral

Tracking the processes and outcomes of the service

Providing information and training to local health & social care professionals

In particular, the Care Coordinator is responsible for tracking patient activity through use of the HIU dashboard and maintaining accurate records on the HIU Patient Case Tracker. They are responsible for organising and coordinating attendance at MDT meetings, recording accurate minutes and working with local providers to prioritise the needs of this highly vulnerable group.

Just as we care about our patients' wellbeing, we care about yours!

We can offer you:

• A comprehensive induction into the community service followed by a local induction to introduce you to the role


• Car lease scheme T&C's apply


• Flexible working options


• Annual travel card loan


• Training, support and development in your career


To have a full look at our benefits and what it's like working for us please go here: https://www.clch.nhs.uk/job/pay-and-benefits