Integrated Neighbourhood Team (INT) Lead

Operational Coordination

• Provide strategic and operational oversight for INT delivery, working with partners to ensure collective accountability for performance, consistency, and outcomes across Multidisciplinary Teams (MDT)
• Define, implement and assure standards for multidisciplinary team effectiveness, intervening by exception where performance, quality or consistency fall below expectation
• Ensure referral pathways, escalation routes and handovers are clear, consistently applied and understood by all partners
• Monitor operational pressures (capacity, demand, bottlenecks) and take early action to resolve issues
• Provides strategic oversight of operational challenges, intervening by exception where system barriers persist

Integrated System & Effective MDT Working

• Hold and communicate shared priorities across all partner organisations, ensuring alignment with national and local requirements.
• Oversees the development and consistent application of MDT ways of working, including clarity of roles, responsibilities, decision making authority and escalation routes across partner organisations.
• Provides assurance that MDT processes, tools and information flows are fit for purpose, addressing variation and promoting consistency across neighbourhoods.
• Acts as a system facilitator, enabling constructive collaboration across organisational cultures, priorities and professional perspectives to support integrated neighbourhood delivery, integration & removing operational silos

System & Partnership Facilitation

Lead coordination not only of INT delivery but its alignment with Local Area Coordination, community-led approaches, and wider neighbourhood infrastructure

Ensure neighbourhood delivery is shaped by community insight, lived experience and co-designed approaches with residents and VCSE partners

Influence cross-sector partners to align priorities, resolve competing demands and co-own neighbourhood delivery, acting as a trusted system leader rather than a directive authority

Build and maintain effective working relationships across

• Primary care / Primary Care Networks (PCNs)
• Community services
• Social care
• Mental health services
• VCSE organisations
• District and place-based partners
• Facilitate collaboration between organisations with different incentives, pressures and constraints
• Act as a trusted operational broker, supporting shared problem solving rather than enforcing solutions
• Represent the INT in relevant operational and neighbourhood forums
• Enable Effective Case Management
• Provide strategic oversight and assurance of neighbourhood case management arrangements, ensuring systems and processes support effective coordination for complex cohorts
• Sets clear expectations for how INT Coordinator & Case Managers interact with MDTs and partner organisations, promoting consistency, accountability and timely multi agency responses.
• Uses insight from the INT Coordinator / Case Manager activity to identify recurring system barriers, informing pathway improvement, partner discussions and escalation where required.
• Assures that the INT Coordinator & Case Managers are supported by effective pathways, partner engagement and system processes, intervening at a system level where issues cannot be resolved locally.

Data, Insight & Performance Management

• Leads the use of population health data, and insight to assess performance, identify emerging risks and inform strategic decision making.
• Create and facilitate reflective learning environments where partners review delivery, share insight and co-develop solutions to neighbourhood challenges
• Incorporate qualitative insight from residents, communities and partners alongside data to inform evaluation and continuous improvement
• Provides assurance on neighbourhood outcomes and delivery effectiveness, translating insight into clear actions, recommendations and escalation where required.
• Promotes a culture of evaluation and continuous learning, ensuring learning from delivery is captured, shared and used to refine pathways, workforce approaches and partnership arrangements.
• Analyse data including complaints and patient/carer feedback to drive improvement.
• Produce high quality reports, briefings and performance summaries for senior leaders and system partners.

Pathway & Process Management

Provides strategic oversight of neighbourhood pathways, leading system-wide redesign to ensure alignment with population need, neighbourhood priorities and system objectives, with ongoing review to support continuous refinement

Workforce Leadership & Culture

• Provide day to day leadership for staff within the INT, creating a supportive, collaborative and high performing culture.
• Ensure staff are equipped with the skills, tools and information required to deliver safe and effective discharge processes.
• Support workforce planning, development and wellbeing, including preparation for seasonal demand and surge periods.
• Promote cross organisational working, shared learning and consistent standards across all teams within the integrated hub.

Governance, Risk & Assurance

• Identify risks and issues early, ensuring mitigating actions are agreed, monitored and escalated where required.
• Ensure compliance with local policies and system wide governance frameworks.
• Contribute to system wide planning, commissioning and performance discussions, providing local intelligence and operational insight.
• Support partners to deliver safe, person centred processes that improve patient, family and carer experience.

Ensure learning from operational issues is shared

Ensure information sharing and data use support integrated working and are compliant with requirements

Maintain clear operational records, action logs and decision trails where required

Support alignment between INT delivery and wider place / system priorities

General

All roles within East Coast Community Healthcare CIC (ECCH) require staff to demonstrate our Values and Signature Behaviours in the care and service they provide to patients, service users, stakeholders and colleagues. All members of staff should consider these as an essential part of their job role.

Our Values outline the core behaviours that we can all achieve and are summarised as an acronym within the word 'CARE'. These stand for: Compassion, Action, Respect and Everyone.

Underpinning our Values are our Signature Behaviours which highlight by taking the right actions we continue to build a strong culture. Our four Signature Behaviours are: Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together.