PLEASE REFER TO THE ATTACHED JOB DESCRIPTION FOR FULL DUTIES OF THE ROLE. Strategically lead on the development and implementation of systems and processes to ensure effective flow of patients between hospital and community settings, using a Home First and Discharge to Assess Model. Ensure best use of all available community capacity and resolve blockages to timely discharge through effective co-ordination of resources across all partner agencies, working with partners to ensure a timely and integrated health and care response. Be instrumental in working with partners to ensure capacity matches demand and where deficiencies occur, make recommendations to the ICB at Place, regarding solutions to resolve issues with flow and safe transition from hospital, developing cases for change and business cases where necessary. It is fundamental that the health and social care system creates safe levels of capacity and maintains sufficient flow across all areas. Lead on the implementation and embedding of the Transition From Hospital business case, the associated workforce model and will support system partners to develop safe and timely pathways for patients to leave hospital. Fully implement the National Hospital Discharge Policy and Community Support: Policy and Operational Guidance at Place. Be a senior manager who can make decisions on behalf of all agencies in the system to facilitate discharge; to connect and be seen as working for the interest of the system as a whole. The post is unique in that it will support key operational staff from partner organisations, who will be accountable to the post holder for the delivery of work whilst working within the Transfer of Care Hub at both Sunderland and South Tyneside Hospital sites, to ensure the national Hospital Discharge and Community Support: Policy and Operating Guidance is implemented, monitored and evaluated locally for the system. Be impartial and not be seen, or perceived, to be aligned with any one organisation Build strong networks and alliances to deliver change and act assertively to challenge lack of progress and resolve conflict. Strategically lead the work required around capacity and demand modelling, for bed-based rehabilitation and community services related to discharge to assess, to ensure good flow out of hospital. Promoting a Home First approach.