Job summary
Do you need a new challenge? Do you want to join an
innovative and dynamic, caring team within NHS Somerset?
An exciting opportunity has arisen for an
appropriately skilled and experienced Registered Nurse/Social Worker/Allied
Health Professional to join NHS Somersets All Age Continuing Healthcare (CHC) team
as a Team Leader.
The post holder will contribute clinical expertise
to the NHS continuing healthcare (CHC) and Funded Nursing Care (FNC) process.
They will lead a team to deliver multi-disciplinary assessments and reviews in
a nursing home or community setting for patients both within in Somerset and out
of county in line with standard operating policy and procedures.
The vacancy is for 37.5 hours a week but part time
hours can be considered.
We reserve the right to close this vacancy early if sufficient applications are received prior to the advertised closing date.
Interviews will be held on the 30th January 2025
Main duties of the job
- To manage the day to
day service requirement of CHC, FNC, and Personal Health Budgets (PHBs).
- Lead and manage CHC
Assessors, including supervision, appraisal, and performance review.
- Coordinate reviews for
existing CHC patients and ensure consistency in applying CHC eligibility
policies.
- Lead CHC assessments
and reviews, including out-of-county cases and complex situations requiring
expert management.
- Plan and coordinate
complex care packages and Personal Health Budgets.
- Promote compliance with
the 28-day timeframe from checklist to decision.
- Build effective
relationships across NHS and non-NHS organisations at local and national
levels.
- Support organisational
development in personal health budget pathways and the personalization agenda.
- Oversee individual care
contracts, ensuring quality and safety in partnership with commissioning
managers.
- Ensure excellent
customer care throughout the CHC process, resolving concerns locally where
possible.
- Prepare appeal cases
and liaise with families in sensitive or contentious situations.
- Foster patient and
carer involvement throughout the CHC process.
- Collaborate with local
authorities on CHC decision-making and outcomes.
- Serve as an expert
resource for health and social care professionals, patients, and families.
- Investigate and address
CHC complaints alongside the Operational Manager
- To ensure that the
transition between children and adult services within NHS Somerset is smooth
and seamless
About us
NHS Somerset Integrated Care Board (ICB), known as NHS Somerset is the statutory NHS organisation responsible for implementing a health and care strategy developed by the Integrated Care Partnership.
NHS Somerset consists of approx. 350 staff, across 8 directorates, with multiple teams within each directorate.
We encourage applications from people of all backgrounds and welcome applications from underrepresented groups. When recruiting, we are committed to equality of opportunity for all. We believe that the best organisations are those that reflect the communities they serve.
We offer flexible working from your first day of employment and we also have an agile approach to home / office-based working. Please note however, that you will be required to work from our HQ, Wynford House in Yeovil for 2/3 days per week and that elements of the role may require you to travel to other locations across Somerset, to attend in-person meetings and meet the needs of the service. Please consider this before applying.
Note for existing NHS Employees applying for Fixed Term vacancies at NHS Somerset
If you are an existing NHS Employee and are applying for a Fixed Term role with NHS Somerset, the role will be offered on a secondment basis only.
You should gain agreement from your current employer before applying to allow you to be released on secondment.
Please ensure the reference section confirms your current HR Department details.
Thank you for your interest.
Job description
Job responsibilities
PURPOSE OF THE ROLE:
The
post holder will be responsible for:
Contributing clinical
expertise to continuing healthcare process, leading a team to deliver
multi-disciplinary assessments and reviews for patients including those in
Somerset and out of county in line with standard operating policy and
procedures
KEY RESPONSIBILTIES OF THE ROLE:
-
To
manage the day to day service requirement of the CHC, FNC and PHBs
-
To
directly manage and provide expert leadership to a team of CHC Assessors
including all managerial supervision, appraisal, professional leadership,
performance review and management as needed
-
To
provide line management cover in the absence of Team Leaders to Assessment
Teams as needed
-
To
co-ordinate reviews for existing CHC patients
-
To
ensuring consistency in the application of national and local policy on
eligibility for CHC
-
To
identify and support any requirement in relation to performance of staff and
work with HR as appropriate, this may include formal review of capability
-
To
lead on CHC assessments and reviews for patients in Somerset and provide care
management for CHC patients placed out of county
-
To
provide assessment of highly complex cases which require expert management due
to difficult circumstances where there may be antagonism
-
To
co-ordinate highly complex packages of care to meet individuals needs
-
To
co-ordinate and plan Personal Health Budgets for eligible patients
-
To
maintain full awareness of ethical considerations with regard to CHC issues
-
To
actively promote and drive compliance with 28 day time frame from checklist to
decision.
-
To
undertake regular quality assurance reviews of new applications to support
quality and consistency.
-
To
provide expertise to CHC panels and to the wider CHC team in relation to CHC
applications and care provision
-
To
create and maintain effective working relationships at all levels, internal and
external to the NHS Somerset CCG, including NHS and non NHS organisations
locally and nationally
-
To
support in the development across the organisation in the personalisation
agenda and to support the pathway delivery for Personal Health Budgets within
NHS Continuing Healthcare
-
To
co-ordinate and monitor individual contracts for packages of care
-
To
work with Contract and Commissioning Managers to ensure that Providers of care
to CHC funded patients are delivering care that is safe and effective through
clinical quality contract review
-
To
undertake and support audit requirements relating to CHC
-
To
support the development of and implement local policies, systems and processes
around CHC, linked to the relevant key national and local priorities
-
To
promote excellent customer care throughout the CHC process ensuring local
resolution of any concerns where possible. This will include providing and
receiving highly complex, sensitive and contentious information requiring
agreement or co-operation where there are barriers to understanding. This
relates to external organisations and the public as well as to staff of the ICB
and local authority
-
To
support service requirements, undertake training and assessments (Best Interest
Assessor) relating to Deprivation of Liberty Safeguards (DoLS)
-
To
ensure effective timely communication and liaison with key stakeholders,
including partner agencies, GPs, patients and their families, and care
providers
-
To
work with CHC manager and cascade information as appropriate
-
To
be responsible for providing first level contact for disputes between partner
agencies or with patients / families / legal bodies, for example following
unwelcome financial decisions
-
To
undertake preparation of appeals cases within the defined policy, to include
the up to date clinical information required and involving liaison with
families in complex situations where there is often hostility displayed
-
To
implement patient / carer involvement at all stages of the CHC process
-
To
ensure that the local authority is involved appropriately in the CHC decision
making process, and informed of the outcome where appropriate
-
To
promote awareness of NHS funded CHC
-
To
provide information relating to the monitoring of CHC activity and contract
compliance
-
To
act as an expert resource to health and social care workers, patients, families
and other organisations and individuals as appropriate
-
To
investigate and respond to any complaints about CHC in partnership with the CHC
Operational Manager
-
To
be responsible for letters, rationale and minutes sent to patients, families,
solicitors and referrers
-
To
devise and provide training packages for multi-agency staff on CHC issues, and
promoting good practice. These training sessions will accommodate in excess of
30 individuals and are delivered regularly (3-6 monthly) on a rolling programme
-
To
deliver expert clinical and non-clinical advice in relation to CHC
-
To
work with discharge teams to promote timely discharges and support
understanding of CHC as part of the discharge process
-
To
provide senior support to clinicians and resolution of complex discharge issues
-
To
maintain expert knowledge of county-wide services including public and private
sector provision
-
To
undertake necessary training
-
To
undertake chairing of CHC Panels as required including complex MDTs
-
To
identify priorities within own workload. Devise and implement programmes to
manage work load demands
-
To
contribute to professionally related working groups in excess of 30
participants involved in the development of local policies
-
To
lead in projects, pilots, research related to CHC, for example in response to
specific requests for local data from the Department of Health and provide
comprehensive reports to Service Lead.
-
To
maintain full awareness of child protection issues and alertness to potential
vulnerable adults
-
To
raise safeguarding concerns where appropriate and working with Safeguarding
leads in support of CHC funded individuals
-
To
support quality improvement in relation to the services provided to CHC funded
patients
-
To
authorise Joint Equipment Service (JES) requests for CHC patients
-
To
case manage out-of-county placements
-
To
attend case conferences as necessary
-
To
contribute to the development of contracts and commissioning arrangements for
packages of care
-
To
implement local systems and processes around CHC linked to the relevant key
national and local priorities
-
To
cascade and ensuring implementation of policies and guidance to Trust staff and
partner organisations
-
To
maintain accurate records with CHC database
-
To
monitor the systems in place to meet CHC patients assessed needs appropriately
-
To
collate information to ensure quality standards are met and sustained
-
To
be able to travel independently across a wide range of settings
-
To
frequently use PC and have a wide knowledge of IT systems
-
To
show awareness of equity of service provision and value for money with regard
to CHC across the county
-
To
provide and receive highly complex, sensitive and contentious information,
communicating unwelcome financial decisions to members of the public and using
interpersonal skills to overcome barriers to acceptance where there may be
hostility and antagonism.
-
To
liaise is an integral part of the role and will take the form of regular
contact by telephone, face to face meetings, written and electronic
communication, presentations and training sessions.
-
To
be responsible for ensuring value for money in all matters relating to packages
for continuing NHS healthcare.
-
To
ensure that the transition between children and adult services within NHS Somerset
is smooth and seamless
Job description
Job responsibilities
PURPOSE OF THE ROLE:
The
post holder will be responsible for:
Contributing clinical
expertise to continuing healthcare process, leading a team to deliver
multi-disciplinary assessments and reviews for patients including those in
Somerset and out of county in line with standard operating policy and
procedures
KEY RESPONSIBILTIES OF THE ROLE:
-
To
manage the day to day service requirement of the CHC, FNC and PHBs
-
To
directly manage and provide expert leadership to a team of CHC Assessors
including all managerial supervision, appraisal, professional leadership,
performance review and management as needed
-
To
provide line management cover in the absence of Team Leaders to Assessment
Teams as needed
-
To
co-ordinate reviews for existing CHC patients
-
To
ensuring consistency in the application of national and local policy on
eligibility for CHC
-
To
identify and support any requirement in relation to performance of staff and
work with HR as appropriate, this may include formal review of capability
-
To
lead on CHC assessments and reviews for patients in Somerset and provide care
management for CHC patients placed out of county
-
To
provide assessment of highly complex cases which require expert management due
to difficult circumstances where there may be antagonism
-
To
co-ordinate highly complex packages of care to meet individuals needs
-
To
co-ordinate and plan Personal Health Budgets for eligible patients
-
To
maintain full awareness of ethical considerations with regard to CHC issues
-
To
actively promote and drive compliance with 28 day time frame from checklist to
decision.
-
To
undertake regular quality assurance reviews of new applications to support
quality and consistency.
-
To
provide expertise to CHC panels and to the wider CHC team in relation to CHC
applications and care provision
-
To
create and maintain effective working relationships at all levels, internal and
external to the NHS Somerset CCG, including NHS and non NHS organisations
locally and nationally
-
To
support in the development across the organisation in the personalisation
agenda and to support the pathway delivery for Personal Health Budgets within
NHS Continuing Healthcare
-
To
co-ordinate and monitor individual contracts for packages of care
-
To
work with Contract and Commissioning Managers to ensure that Providers of care
to CHC funded patients are delivering care that is safe and effective through
clinical quality contract review
-
To
undertake and support audit requirements relating to CHC
-
To
support the development of and implement local policies, systems and processes
around CHC, linked to the relevant key national and local priorities
-
To
promote excellent customer care throughout the CHC process ensuring local
resolution of any concerns where possible. This will include providing and
receiving highly complex, sensitive and contentious information requiring
agreement or co-operation where there are barriers to understanding. This
relates to external organisations and the public as well as to staff of the ICB
and local authority
-
To
support service requirements, undertake training and assessments (Best Interest
Assessor) relating to Deprivation of Liberty Safeguards (DoLS)
-
To
ensure effective timely communication and liaison with key stakeholders,
including partner agencies, GPs, patients and their families, and care
providers
-
To
work with CHC manager and cascade information as appropriate
-
To
be responsible for providing first level contact for disputes between partner
agencies or with patients / families / legal bodies, for example following
unwelcome financial decisions
-
To
undertake preparation of appeals cases within the defined policy, to include
the up to date clinical information required and involving liaison with
families in complex situations where there is often hostility displayed
-
To
implement patient / carer involvement at all stages of the CHC process
-
To
ensure that the local authority is involved appropriately in the CHC decision
making process, and informed of the outcome where appropriate
-
To
promote awareness of NHS funded CHC
-
To
provide information relating to the monitoring of CHC activity and contract
compliance
-
To
act as an expert resource to health and social care workers, patients, families
and other organisations and individuals as appropriate
-
To
investigate and respond to any complaints about CHC in partnership with the CHC
Operational Manager
-
To
be responsible for letters, rationale and minutes sent to patients, families,
solicitors and referrers
-
To
devise and provide training packages for multi-agency staff on CHC issues, and
promoting good practice. These training sessions will accommodate in excess of
30 individuals and are delivered regularly (3-6 monthly) on a rolling programme
-
To
deliver expert clinical and non-clinical advice in relation to CHC
-
To
work with discharge teams to promote timely discharges and support
understanding of CHC as part of the discharge process
-
To
provide senior support to clinicians and resolution of complex discharge issues
-
To
maintain expert knowledge of county-wide services including public and private
sector provision
-
To
undertake necessary training
-
To
undertake chairing of CHC Panels as required including complex MDTs
-
To
identify priorities within own workload. Devise and implement programmes to
manage work load demands
-
To
contribute to professionally related working groups in excess of 30
participants involved in the development of local policies
-
To
lead in projects, pilots, research related to CHC, for example in response to
specific requests for local data from the Department of Health and provide
comprehensive reports to Service Lead.
-
To
maintain full awareness of child protection issues and alertness to potential
vulnerable adults
-
To
raise safeguarding concerns where appropriate and working with Safeguarding
leads in support of CHC funded individuals
-
To
support quality improvement in relation to the services provided to CHC funded
patients
-
To
authorise Joint Equipment Service (JES) requests for CHC patients
-
To
case manage out-of-county placements
-
To
attend case conferences as necessary
-
To
contribute to the development of contracts and commissioning arrangements for
packages of care
-
To
implement local systems and processes around CHC linked to the relevant key
national and local priorities
-
To
cascade and ensuring implementation of policies and guidance to Trust staff and
partner organisations
-
To
maintain accurate records with CHC database
-
To
monitor the systems in place to meet CHC patients assessed needs appropriately
-
To
collate information to ensure quality standards are met and sustained
-
To
be able to travel independently across a wide range of settings
-
To
frequently use PC and have a wide knowledge of IT systems
-
To
show awareness of equity of service provision and value for money with regard
to CHC across the county
-
To
provide and receive highly complex, sensitive and contentious information,
communicating unwelcome financial decisions to members of the public and using
interpersonal skills to overcome barriers to acceptance where there may be
hostility and antagonism.
-
To
liaise is an integral part of the role and will take the form of regular
contact by telephone, face to face meetings, written and electronic
communication, presentations and training sessions.
-
To
be responsible for ensuring value for money in all matters relating to packages
for continuing NHS healthcare.
-
To
ensure that the transition between children and adult services within NHS Somerset
is smooth and seamless
Person Specification
Experience
Essential
- Understanding of the public sector
- The promotion of equality of opportunity and good working relations (providing practical leadership)
- Demonstrated experience of co-ordinating projects in complex and challenging environments
-
- Experience of managing risks and reporting
- Experience of drafting briefing papers and correspondence
- Experience of setting up and implementing internal processes and procedures;
- Needs to have a thorough understanding of and commitment to equality of opportunity and good working relationships both in terms of day-to-day working practices, but also in relation to management systems
Personal Statement / Motivation for Applying
Essential
- Please use this section to explain how you meet the additional criteria in the Personal Specification including your reasons and motivation for applying.
Communication
Essential
- Clear communicator both verbally and in writing
- Capable of constructing and delivering clear information/ instructions to staff and service users via documents, including presentations, reports and e-mails
- Able to handle and deliver sensitive patient information
- Must be able to receive highly complex, sensitive or contentious information, negotiate with senior stakeholders/customers on difficult and controversial issues, and present complex and sensitive information to large and influential groups/customers
- Negotiate on difficult and controversial issues including performance and change
- Attention to detail and an eye for accuracy
Qualifications
Essential
- Educated to degree level in relevant subject or equivalent level qualification or significant experience of working at a similar level in specialist area
- Registered Nurse/ Allied Health Professional/Social Worker
Desirable
- Evidence of continued professional development (CPD)
- Professional/Best Interest Assessment training
- District Nurse/ CPN registration
Person Specification
Experience
Essential
- Understanding of the public sector
- The promotion of equality of opportunity and good working relations (providing practical leadership)
- Demonstrated experience of co-ordinating projects in complex and challenging environments
-
- Experience of managing risks and reporting
- Experience of drafting briefing papers and correspondence
- Experience of setting up and implementing internal processes and procedures;
- Needs to have a thorough understanding of and commitment to equality of opportunity and good working relationships both in terms of day-to-day working practices, but also in relation to management systems
Personal Statement / Motivation for Applying
Essential
- Please use this section to explain how you meet the additional criteria in the Personal Specification including your reasons and motivation for applying.
Communication
Essential
- Clear communicator both verbally and in writing
- Capable of constructing and delivering clear information/ instructions to staff and service users via documents, including presentations, reports and e-mails
- Able to handle and deliver sensitive patient information
- Must be able to receive highly complex, sensitive or contentious information, negotiate with senior stakeholders/customers on difficult and controversial issues, and present complex and sensitive information to large and influential groups/customers
- Negotiate on difficult and controversial issues including performance and change
- Attention to detail and an eye for accuracy
Qualifications
Essential
- Educated to degree level in relevant subject or equivalent level qualification or significant experience of working at a similar level in specialist area
- Registered Nurse/ Allied Health Professional/Social Worker
Desirable
- Evidence of continued professional development (CPD)
- Professional/Best Interest Assessment training
- District Nurse/ CPN registration
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
