Job summary
Following the recent NHS 10year plan, Lewisham is transforming care by establishing Integrated Neighbourhood Teams (INT). The INTs are designed to deliver coordinated, community-based care and support.
To ensure a controlled and effective rollout, the initial focus of INTs will be on supporting patients with three or more cardiovascular long-term conditions (LTCs) including diabetes, atrial fibrillation, chronic kidney disease and hypertension.
Residents accessing the service will receive holistic support that addresses both physical and social factors affecting their lives. This includes:
- Analyse and assess population health data to identify high-priority patients or cohorts for INT intervention using e.g. EMIS Web, Microsoft Excel, AccuRx, Ardens manager and other systems as needed.
- Manage and maintain the INT caseload, ensuring efficient prioritisation and monitoring of patient progress.
- Collaborate with multidisciplinary teams (MDTs) to coordinate and manage patient support plans.
We are looking for an individual with a passion for providing proactive, person-centred care to work as an INT Caseworker within the Lewisham Community for the North Lewisham PCN.
Main duties of the job
The INT Caseworker will play a central role in supporting the implementation and delivery of Lewisham NHS 10 -Year Plan for integrated neighbourhood working.
The role holder will focus on improving outcomes for residents by streamlining care pathways, managing complex caseloads, conducting holistic assessments, and ensuring individuals receive the right support through effective signposting and coordination.
Acting as the critical link between health, social care, and community services, the INT Case
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Integrated Neighbourhood Team (Int) Caseworker in Lewisham employer: North Lewisham Primary Care Network
As a Community Health and Wellbeing Worker with NLPCN, you will be part of a dedicated team committed to reducing health inequalities and enhancing community wellbeing in North Lewisham. Our supportive work culture fosters professional growth through continuous training and collaboration with healthcare professionals, ensuring you have the tools to make a meaningful impact on the lives of local households. Enjoy the unique advantage of working within an integrated care system that prioritises patient-centred approaches and community engagement, making this an excellent opportunity for those passionate about health promotion and social care.
Contact Details:
North Lewisham Primary Care Network Recruitment Team
