Job overview

Royal Surrey NHS Foundation Trust is seeking a visionary and experienced healthcare leader to oversee our Integrated Transfer of Care Hub (ToCH). This is a strategic and operational leadership role focused on improving hospital discharge pathways ensuring timely, safe transitions from acute care to community services.

As the ToCH lead, you’ll lead a multi-agency team, collaborate with system-wide partners to improve patient flow, reduce delays, and enhance the discharge experience in line with the national Home First principles. This is a unique opportunity to shape integrated care delivery and improve patient outcomes across Guildford and Waverley.

This post is only open to staff from Royal Surrey NHS Foundation Trust and its system partners (Ashford and St Peters NHS Foundation Trust, Surrey Heartlands ICB, and Surrey County Council). Applicants from outside of these organisations will not be considered.

Please note: This advert closes on 20 October 2025, and interviews are scheduled to take place on 24 October 2025. 

Interviews will be conducted in person unless candidates encounter substantial challenges in attending, in light of the short notice.

Main duties of the job

The main purpose of this role is to lead the Integrated Transfer of Care Hub and the services within it, managing them as one integrated team under a single management structure. The post holder will have operational and strategic accountability for timely discharges from acute settings to community health and social care providers. The postholder is required to travel across sites and must have a full driving licence and access to their own car.

They will provide daily oversight of system flow, including capacity and demand, and escalate issues when required. Working closely with system wide Health and Social Care Senior Operational Leads, the post holder will ensure flow across discharge pathways (Pathways 0-3), expedite discharge times, minimise barriers, and improve patient experience.

The role involves monitoring, reviewing, and reporting performance related to discharge and delays, and working with system leads to develop and implement robust, collaborative systems across partner organisations.

The post holder will lead the evaluation and continuous improvement of the service to enhance discharge pathways and support regional and local goals, including reducing the number of patients with no reason to reside in hospital.

This role includes senior clinical oversight of hospital discharge pathways, supporting teams to ensure efficient, effective assessments and interventions. 

Working for our organisation

Royal Surrey is a compassionate and collaborative acute and community Trust. Recognising that our 5000 colleagues are our greatest strength, we offer a comprehensive health and wellbeing program along with a commitment to developing and advancing your career. Our diverse and welcoming Royal Surrey family will ensure you that you feel valued from your initial interview through your entire tenure.

We are clinically led and provide joined up care by bridging the gap between hospital and community services alongside regional specialist cancer care. Our main acute hospital site is in Guildford with community hospital sites at Milford, Haslemere and Cranleigh. We provide adult community health services in homes across Guildford and Waverley.

The Care Quality Commission (CQC) have given us an overall rating of Outstanding.

Royal Surrey has a strong reputation and history to build on. We are proud of our achievements and we are investing in our colleagues through our commitment to supporting professional development as well as investing more than £45 million in our physical environment and new equipment in the next few years. There has never been a better time to join us.

Although it isn't the Trusts normal practice, adverts may close early, so you are encouraged to submit an application as soon as possible.

A video about the Royal Surrey - https://www.youtube.com/watch?v=R96pMboIYdo