Job summary
Calling all Registered Nurses (Learning
Disability) or Social Workers
Are you bored in your current role? Do
you want to learn new skills and want to work with complex people to improve
their quality of life with a small supportive team?
Do you need a better work/life balance?
Do you want to keep up your
professional skills?
Would you like to gain experience in
new areas?
Do you value diversity, fairness,
excellence and sustainability, and are passionate about working with others to
ensure high quality care for NHS patients, then Continuing Healthcare is the
place where you can thrive!
We currently have a
vacancy within our service and are looking for a motivated and enthusiastic
Learning Disability Nurses to join our team.
The role involves;
assessing eligibility criteria under the NHS National Framework for Continuing
Healthcare and Funded Nursing Care 2009 (revised 2022), planning and
commissioning packages of care (including Personal Health Budgets), supporting
individuals, their families and health professionals through the Continuing
Healthcare process (including transition from child to adult services) and
reviewing eligibility/packages of care.
Devon Partnership
NHS Trust is growing as we establish ourselves us as one of the leading
providers of mental health services in the country.
Working as part of
Devon Partnership NHS Trust, you will make a difference to peoples lives.
£32,306 - £39,027
per annum pro rata (Band 6)
Main duties of the job
We need a nurse practitioner who is experienced working with people who have learning disabilities - essential characteristic.
NHS Continuing Healthcare (CHC) is the name given to a package of care that is arranged and funded solely by the NHS for individuals who are not in hospital, but who have complex ongoing healthcare needs.
Devon Partnership NHS Trust is responsible for the decision making and commissioning processes, working closely with the Local Authority's, on behalf of Devon ICB.
Successful
candidates will have excellent communication and assessment skills; be resilient,
able to work autonomously but also work as part of a team. This is a community
based post and although the role is based in North and Mid Devon, post holders
will be expected to be able to travel covering the whole of Devon, and
occasionally out of the county.
The team values a
role which is fast paced and employs the use of holistic nursing where we look
at the needs of the person. The nature of the role is autonomous and
challenging but the benefit of supportive colleagues.
* New Assessments
* Reviews
* 117 reviews
* Case Management
This is a role for someone who is invested in supporting others to improve their health outcomes and quality of life using Best Practice. We are an innovative team who likes to use ideas to continually improve practice and work in partnership with other agencies to achieve this.
About us
About Devon Partnership Trust
We provide mental health & learning disability services, as well as a range of specialist & secure services for the wider south west region & nationally. We are passionate about promoting good mental health & wellbeing. We strive to use the expertise & resources within our organisation, and through our partnerships, to deliver high quality services that are safe & focused on people's recovery.
Our values
We not only recruit employees based on their qualifications & experience - we recruit individuals who possess and demonstrate the behaviours which underpin the core values of our organisation. These values include such attributes as showing a commitment to quality of care, improving lives of others, giving respect, dignity & compassion. We can bring those values to life in our everyday tasks by giving a smile; making time for people; challenging ourselves & others, & being open to new ideas.
We are committed to being an inclusive employer & applications are encouraged & welcomed from all sections of the community, regardless of any protected characteristics as governed by the Equality Act 2010. Part time & flexible working applications will be considered & supported, where possible. We particularly encourage applicants with lived experience of mental health & learning disabilities. We are a Disability Confident Employer.
Job description
Job responsibilities
Please see the
attached Job Description for further information.
To actively engage with a wide range
of stakeholders including staff, service users, their carers and other
statutory and voluntary sector agencies to ensure people are fully briefed,
know and understand commissioning and care management processes in relation to
Continuing Healthcare, Funded Nursing Care, health and social care funded
packages of care and section 117 aftercare.
Impart complex and sensitive information to :
- Service user and families/carers re assessment, care
planning, treatment and review
- Multi-disciplinary teams to ensure the provision of
consistent well-coordinated care
- Primary care teams regarding client care
- External agencies also involved in the provision of
care e.g.: voluntary and private sector, police, social services, housing,
employment etc.
- Safeguarding, DOLS teams, Clinical Commissioning
Groups and Devon County Council regarding concerns arising from commissioned
packages of care.
- Liaise with a wide range of other professionals and
agencies.
- To Liaise with Care Brokerage as appropriate.
- Contribute to the safe and effective day to day
operations of the service including the handling of clinical enquires.
- Provide and receive information some of which may
be contentious, sensitive and complex to and from individuals and their
families/carers, where there may be barriers to understanding.
- Provide high standard of written and verbal
communication that is clear and in line with professional documentation
standards
- Participate in and chair clinical meetings, this
will include multi-disciplinary meetings to agree DSTs and Section 117 reviews.
- Demonstrate the ability to communicate in a way
that is effective, empathic and reassuring whilst employing negotiating
techniques to gain co-operation from highly complex individuals.
- Communicate information in a way that makes it
relevant and understandable for service users
Analytical and
Judgement skills
- Use clinical judgement to support the
procurement and commissioning of packages of care for adults with a learning
disability and complex health needs to ensure people are maintained within
their local communities, avoid inappropriate admission to hospital and
facilitate timely discharge from inpatient settings.
- Use clinical judgement to consider
complex facts or situations, requiring analysis, interpretation and comparison
of a range of options when determining the type of care package required for
someone with complex health needs.
- Give written / oral evidence to
support rationale to assist verification and funding panels in determining the
eligibility for NHS Continuing healthcare
Planning and Organisational Skills
- Organise and facilitate complex
multi-disciplinary team meetings, these will include: DST review meetings and
Section 117 aftercare meetings.
- Lead on the process for contentious
decision making when other parties do not agree with outcomes with regard to
eligibility for CHC or FNC funding. This may involve the wider MDT, service
users, relatives, carers and advocates including legal representatives
- Plan and organise individuals
packages of care and ensure that reviews are held within the required time
frames, for example CHC, FNC and Section 117 annual reviews.
- Ensure care/support package meets the
individuals assessed needs and agreed outcomes and is appropriate to achieve
the identified intended outcomes in the care plan
- Responsible for managing their own
workload to ensure the needs to the individuals who use our services are met
taking the wider needs of the team into consideration.
- Ensure that interventions are planned
in an integrated and co-ordinated manner particularly where dependent on other
external agencies.
- Plan own workload and the workload of
junior colleagues to ensure that care is provided in the most high quality and
cost efficient manner, prioritise and make adjustments as appropriate.
Responsibility for Individuals eligible for health funded care
- To be responsible for comprehensive
high quality assessments to determine eligibility for Continuing Healthcare
Funding in accordance with national framework. This will also include Funded
Nursing Care and health and social care joint funding.
- To support the tendering of all
agreed packages of care that fully meets the needs of individuals with complex
health needs.
- To monitor procurement of cost
effective services
- Responsible for reviewing a persons
eligibility for Continuing Healthcare Funding and determining on going
eligibility for CHC / FNC ensuring that the national framework is applied and
adheres to all local policies and procedures.
- To monitor and review quality of care
and support arrangements to ensure person is being safely supported in an
environment which continues to meet their needs.
- To support discharge planning from
Hospital and commissioning of future package of care and support.
- Responsible for Case Management of
clients on Section 117 Aftercare, where required, as determined by DPT / DCC
local policy.
- To be responsible for reviewing
complex packages of care in partnership with clients, carers and
multi-professional agencies and representatives.
- To lead on brokerage and procurement
of alternative care and support for clients whose placements have broken down.
To ensure funding and brokerage are completed within a timely manner to prevent
unnecessary hospital admission.
- To support safeguarding
investigations by reviewing quality and provision of health funded packages of
care where required.
- To support transition of young people
who are eligible for health funded packages of care when entering adulthood
Responsibility for Policy and Service Development Implementation
- Be conversant with the vulnerable
adult and child protection procedures and policies of the organisation
- To keep up to date with nursing
practice and research, along with guidance from Nursing and Midwifery Council.
- To be responsible for own
professional development and to keep up to date with current issues in the
professional field
Responsibility for Human Resources e.g. Supervision, training, HR advice
and Management
- The post holder will deputise for the
CHC lead nurse as necessary in his / her absence
- To supervise and support work of Band
5 staff in planning, prioritising and organising workload according to the
needs of the service.
- To supervise Band 5 staff including
yearly appraisal and professional development planning.
- There is a requirement to support
learners on a regular basis which includes the achievement and updating of
profession specific training to the required standard to fulfil this role.
- To act as a role model for other
staff and students demonstrating high standards of practice and professional
conduct
- To deliver appropriate training and
subsequent support to other staff related to Continuing NHS Care
- To participate and facilitate clinical
supervision
- To work within the standards set out
by HCPC and N.M.C Code of Professional Practice
- To participate in and gather
information for safeguarding vulnerable adult processes as required.
Any Other Specific Tasks Required
- Practice in a way that actively
minimises dependency and promotes recovery.
- Communicate information in a way that
makes it relevant and understandable for service users and carers, working to
the principles of the functions policy implementation guidelines and practice
in line with the standards and values set out in them.
- Ensure a duty of care to service
users who are entitled to receive safe and competent care. The service users
wishes, feelings, values and beliefs should be taken into consideration as well
as the views of the people close to them.
- Take personal accountability for your
own practice. This means that you are answerable for your actions and
omissions, regardless of advice or directions from another professional
- Ensure that you remain professionally
competent by participating in your own and others clinical supervision.
- The ability to access all areas of
Devon in a timely manner is essential. Some out of area work may be required
from time to time
- The post-holder must be computer
literate in order to type his/her own documentation and reports - it is
important that these are accurate
Job description
Job responsibilities
Please see the
attached Job Description for further information.
To actively engage with a wide range
of stakeholders including staff, service users, their carers and other
statutory and voluntary sector agencies to ensure people are fully briefed,
know and understand commissioning and care management processes in relation to
Continuing Healthcare, Funded Nursing Care, health and social care funded
packages of care and section 117 aftercare.
Impart complex and sensitive information to :
- Service user and families/carers re assessment, care
planning, treatment and review
- Multi-disciplinary teams to ensure the provision of
consistent well-coordinated care
- Primary care teams regarding client care
- External agencies also involved in the provision of
care e.g.: voluntary and private sector, police, social services, housing,
employment etc.
- Safeguarding, DOLS teams, Clinical Commissioning
Groups and Devon County Council regarding concerns arising from commissioned
packages of care.
- Liaise with a wide range of other professionals and
agencies.
- To Liaise with Care Brokerage as appropriate.
- Contribute to the safe and effective day to day
operations of the service including the handling of clinical enquires.
- Provide and receive information some of which may
be contentious, sensitive and complex to and from individuals and their
families/carers, where there may be barriers to understanding.
- Provide high standard of written and verbal
communication that is clear and in line with professional documentation
standards
- Participate in and chair clinical meetings, this
will include multi-disciplinary meetings to agree DSTs and Section 117 reviews.
- Demonstrate the ability to communicate in a way
that is effective, empathic and reassuring whilst employing negotiating
techniques to gain co-operation from highly complex individuals.
- Communicate information in a way that makes it
relevant and understandable for service users
Analytical and
Judgement skills
- Use clinical judgement to support the
procurement and commissioning of packages of care for adults with a learning
disability and complex health needs to ensure people are maintained within
their local communities, avoid inappropriate admission to hospital and
facilitate timely discharge from inpatient settings.
- Use clinical judgement to consider
complex facts or situations, requiring analysis, interpretation and comparison
of a range of options when determining the type of care package required for
someone with complex health needs.
- Give written / oral evidence to
support rationale to assist verification and funding panels in determining the
eligibility for NHS Continuing healthcare
Planning and Organisational Skills
- Organise and facilitate complex
multi-disciplinary team meetings, these will include: DST review meetings and
Section 117 aftercare meetings.
- Lead on the process for contentious
decision making when other parties do not agree with outcomes with regard to
eligibility for CHC or FNC funding. This may involve the wider MDT, service
users, relatives, carers and advocates including legal representatives
- Plan and organise individuals
packages of care and ensure that reviews are held within the required time
frames, for example CHC, FNC and Section 117 annual reviews.
- Ensure care/support package meets the
individuals assessed needs and agreed outcomes and is appropriate to achieve
the identified intended outcomes in the care plan
- Responsible for managing their own
workload to ensure the needs to the individuals who use our services are met
taking the wider needs of the team into consideration.
- Ensure that interventions are planned
in an integrated and co-ordinated manner particularly where dependent on other
external agencies.
- Plan own workload and the workload of
junior colleagues to ensure that care is provided in the most high quality and
cost efficient manner, prioritise and make adjustments as appropriate.
Responsibility for Individuals eligible for health funded care
- To be responsible for comprehensive
high quality assessments to determine eligibility for Continuing Healthcare
Funding in accordance with national framework. This will also include Funded
Nursing Care and health and social care joint funding.
- To support the tendering of all
agreed packages of care that fully meets the needs of individuals with complex
health needs.
- To monitor procurement of cost
effective services
- Responsible for reviewing a persons
eligibility for Continuing Healthcare Funding and determining on going
eligibility for CHC / FNC ensuring that the national framework is applied and
adheres to all local policies and procedures.
- To monitor and review quality of care
and support arrangements to ensure person is being safely supported in an
environment which continues to meet their needs.
- To support discharge planning from
Hospital and commissioning of future package of care and support.
- Responsible for Case Management of
clients on Section 117 Aftercare, where required, as determined by DPT / DCC
local policy.
- To be responsible for reviewing
complex packages of care in partnership with clients, carers and
multi-professional agencies and representatives.
- To lead on brokerage and procurement
of alternative care and support for clients whose placements have broken down.
To ensure funding and brokerage are completed within a timely manner to prevent
unnecessary hospital admission.
- To support safeguarding
investigations by reviewing quality and provision of health funded packages of
care where required.
- To support transition of young people
who are eligible for health funded packages of care when entering adulthood
Responsibility for Policy and Service Development Implementation
- Be conversant with the vulnerable
adult and child protection procedures and policies of the organisation
- To keep up to date with nursing
practice and research, along with guidance from Nursing and Midwifery Council.
- To be responsible for own
professional development and to keep up to date with current issues in the
professional field
Responsibility for Human Resources e.g. Supervision, training, HR advice
and Management
- The post holder will deputise for the
CHC lead nurse as necessary in his / her absence
- To supervise and support work of Band
5 staff in planning, prioritising and organising workload according to the
needs of the service.
- To supervise Band 5 staff including
yearly appraisal and professional development planning.
- There is a requirement to support
learners on a regular basis which includes the achievement and updating of
profession specific training to the required standard to fulfil this role.
- To act as a role model for other
staff and students demonstrating high standards of practice and professional
conduct
- To deliver appropriate training and
subsequent support to other staff related to Continuing NHS Care
- To participate and facilitate clinical
supervision
- To work within the standards set out
by HCPC and N.M.C Code of Professional Practice
- To participate in and gather
information for safeguarding vulnerable adult processes as required.
Any Other Specific Tasks Required
- Practice in a way that actively
minimises dependency and promotes recovery.
- Communicate information in a way that
makes it relevant and understandable for service users and carers, working to
the principles of the functions policy implementation guidelines and practice
in line with the standards and values set out in them.
- Ensure a duty of care to service
users who are entitled to receive safe and competent care. The service users
wishes, feelings, values and beliefs should be taken into consideration as well
as the views of the people close to them.
- Take personal accountability for your
own practice. This means that you are answerable for your actions and
omissions, regardless of advice or directions from another professional
- Ensure that you remain professionally
competent by participating in your own and others clinical supervision.
- The ability to access all areas of
Devon in a timely manner is essential. Some out of area work may be required
from time to time
- The post-holder must be computer
literate in order to type his/her own documentation and reports - it is
important that these are accurate
Person Specification
Qualifications
Essential
- Registered Nurse - with Learning Disability experience
Desirable
- Post graduate qualification relevant to specialism
Other
Essential
- Ability to be mobile across a geographical area to meet the demands of the role
Knowledge and skills
Essential
- Sound understanding of the Continuing Healthcare Framework, including Funded Nursing Care and Section 117 aftercare.
- Knowledge and understanding of Mental Health and Mental Capacity Acts.
- Skilled communicator
- Engaging and liaising with colleagues
- Discretion and confidentiality
- Ability to work flexibly within a complex environment
- Negotiation and motivational skills in hostile and complex situations
- Ability to work alone and as part of a team
- Time management and prioritisation skills
- Ability to work across a large rural area and different services.
- Service development principles and strategies
- Excellent clinical assessment skills
- Skilled at providing clinical, professional and management supervision
- A range of good IT skills
Desirable
- Reflective and responsive to feedback
- Clarity of thought and creative approach to problem solving.
- Budget management.
- Staff management.
- Ability to manage change in a positive manner.
Experience
Essential
- Demonstrates experience of effective multidisciplinary and multi-agency work
- Experience of working with people with a Learning Disability with complex physical health, challenging behaviour and or mental health needs
Person Specification
Qualifications
Essential
- Registered Nurse - with Learning Disability experience
Desirable
- Post graduate qualification relevant to specialism
Other
Essential
- Ability to be mobile across a geographical area to meet the demands of the role
Knowledge and skills
Essential
- Sound understanding of the Continuing Healthcare Framework, including Funded Nursing Care and Section 117 aftercare.
- Knowledge and understanding of Mental Health and Mental Capacity Acts.
- Skilled communicator
- Engaging and liaising with colleagues
- Discretion and confidentiality
- Ability to work flexibly within a complex environment
- Negotiation and motivational skills in hostile and complex situations
- Ability to work alone and as part of a team
- Time management and prioritisation skills
- Ability to work across a large rural area and different services.
- Service development principles and strategies
- Excellent clinical assessment skills
- Skilled at providing clinical, professional and management supervision
- A range of good IT skills
Desirable
- Reflective and responsive to feedback
- Clarity of thought and creative approach to problem solving.
- Budget management.
- Staff management.
- Ability to manage change in a positive manner.
Experience
Essential
- Demonstrates experience of effective multidisciplinary and multi-agency work
- Experience of working with people with a Learning Disability with complex physical health, challenging behaviour and or mental health needs
Additional information
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
