NHS Dorset

Team Leader (S117/Named Patients/Joint Funding)

Information:

This job is now closed

Job summary

Are you an experienced registered nurse (Mental Health or Learning Disability), who is motivated by providing outstanding person-centred support and would like to work in a passionate and inspiring environment?

If you've answered 'yes' ,then we would like to hear from you. This is your opportunity to develop your commissioning and leadership skills across a diverse range of care.

We currently have an opportunity for an individual to ensure that care is provided in a safe, appropriate, and effective way that optimises outcomes on an individual patient basis.

The role requires an excellent understanding of mental health legislation and in particular the Mental Health Act and Mental Capacity Act. A sound knowledge of the Continuing Healthcare Framework and Care Act would also be advantageous.

The post-holder will lead on the commissioning of specialist out of area placements for mental health rehabilitation and treatment, working closely with specialised commissioners, local mental health services, and service providers with regards to all aspects of the care provided.

They will also develop strong working relationships with partner organisations in social care to ensure that jointly commissioned aftercare, provided under Section 117 of the Mental Health Act, meets the needs of the individual and avoids readmission to hospital,

Main duties of the job

You will also have responsibility for managing and supporting senior practitioners in their assessment of requests from local authorities for joint funding of packages of care for long term health needs, and their review of ongoing care.

The role requires an analytical and inquisitive mind, and the ability to assimilate, assess, and report on a complex set of information.

The individual will be committed to improving care and outcomes for the individual, ensuring that they receive care and support in the most appropriate and effective setting.

The role provides an unique opportunity to work across a wide range of areas, covering a diverse range of health needs through the commissioning of services and care which are both, commissioned by NHS Dorset and also commissioned on a joint basis in conjunction with social care partners.

The role therefore requires the post-holder to enhance and develop further on their experience of collaborative working to meet the needs of the individual and to ensure that a high quality of care is delivered.

The post-holder will work across Dorset, Monday-Friday, allowing the opportunity to balance the delivery of a challenging and rewarding role with other aspects of their life.

About us

We are joining up to tackle all the things that affect our health and wellbeing, make real change, and improve things for our communities.

Dorset ICS is made up of:

  • NHS Dorset Integrated Care Board
  • University Hospitals Dorset Foundation Trust
  • Dorset County Hospital Foundation Trust
  • Dorset HealthCare University Foundation Trust
  • Dorset Council
  • Bournemouth, Christchurch, and Poole Council
  • 194 town and parish councils
  • 18 primary care networks (made up of 73 GP practices)
  • Southwestern Ambulance Service Foundation Trust
  • Dorset Police
  • Dorset & Wiltshire Fire and Rescue Service
  • 7,300 voluntary organisations

What we do

The Health and Care Bill puts ICSs on a statutory footing empowering them to better join up health and care services, improve population health, and reduce health inequalities.

ICSs have four core purposes:

  • Improve outcomes in population health and healthcare
  • Tackle inequalities in outcomes, experience, and access
  • Enhance productivity and value for money
  • Help the NHS support broader social and economic development

Details

Date posted

24 January 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£41,659 to £47,672 a year

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

D9467-ICB-104-23

Job locations

Vespasian House

Barrack Road

Dorchester

Dorset

DT1 1TG


NHS Dorset - Canford House

Wallisdown Road

Poole

Dorset

BH12 5AG


Job description

Job responsibilities

JOB PURPOSE

The post holder will focus on:

  • NHS Dorset's ICB statutory responsibility to jointly commission Section 117 (Mental Health Act) Aftercare
  • The ICBs responsibility to commission care for Named Patients being individuals (Adults and CAMHS) with mental health difficulties and/or a learning disability who cannot, because of their individual needs, receive that care in Dorset.
  • Representing the ICB and/or to chair Section 117 funding panels.
  • Representing the ICB at multi agency joint funding panels when required.
  • To attend planning and discharge meetings where funding may be required.
  • To provide support advice and consultation to the Section 117/Named Patient Administrator.
  • To work collaboratively and effectively with relevant healthcare professionals, health organisations, local authorities, providers, carers and families to provide expert advice on Section 117 aftercare issues.
  • To ensure that the ICB is fulfilling its statutory responsibilities in Section 117 Mental Health Act 1983 in accordance with the Pan Dorset s117 Policy (2016) and the Pan Dorset Section 117 Funding Agreement (2013).
  • Ensuring quality assurance within the funding process providing effective and efficient responsible commissioner advice and guidance to colleagues internally and with partner agencies to ensure ICB compliance with national guidance.
  • To undertake a management role in the development and ongoing management responsibility for the commissioning of services for Named Patients including Section 117 across partner local authorities.
  • To ensure that clinical requests for out of area treatment for Dorset residents are managed effectively and ensuring that there is a focus on the needs of the patient throughout the process.
  • To work in partnership with local authorities to ensure that the health needs of individuals placed by them are met and the appropriate input from health professionals secured and appropriately funded.
  • To ensure that the programme for placing individuals is managed within the financial allocation set by the ICB with delegated budgetary responsibility.
  • To work collaboratively with partners to develop joint commissioning opportunities across a range of areas promoting where appropriate the further integration of services across Dorset.
  • To ensure the appropriate engagement of individuals, carers and users in the development of services, and models of care, across social care and health.
  • To support effective management of all budget allocations associated with the services.
  • To manage and provide ongoing support to a small staff team consisting of joint funding Senior Practitioners and administrative and operational staff.

POST SPECIFIC, TASKS AND OBJECTIVES

  • To play an active role in complex patient assessments and provide highly specialised advice on packages of care.
  • To work with Local Authorities in agreeing the level of financial contribution to be made by the ICB in individual Local Authority led placements. Where appropriate to decline funding requests consistent with local and national NHS guidance.
  • To deal with emergency or crisis situations, having regard to clinical preference or local authority recommendations, balanced against financial implications for the ICB and to ensure that the service users interests are paramount in this process.
  • To work within the vulnerable adults safeguarding policy and work collaboratively with partners to address safeguarding issues related to Section 117/Named Patients.
  • To provide expert advice to ICB colleagues, acute trusts, community staff and social care staff on Section 117 eligibility and process and Responsible Commissioner Guidance.
  • To provide information, effective communication and support to families and carers on the Section 117/Named Patient funding process when required.
  • Where appropriate, to suggest alternative strategies to clinical staff with the aim of providing patients with treatment locally rather than patients having to move out of the area.
  • To oversee arrangements for Consultants and / or their colleagues to review their patients placed out of area and to take a lead in helping clinical staff consider other options including ways of returning patients to local Trust services.
  • To provide highly specialised advice on packages of care.
  • Where appropriate to decline funding requests consistent with local and national NHS guidance and policy.
  • To carry risk management responsibility for the appropriate placements of individuals ensuring levels of security meet the assessed need presented by the individual.
  • To take lead responsibility for the overall management of The Named Patient Programme with delegated budgetary responsibility for it
  • To work positively with clinicians and senior managers ensuring that individual users receive an appropriate response from the NHS.
  • To ensure that national and local legislation, policies and protocols are properly applied in determining an individuals entitlement to NHS funding.
  • To represent the Trust in initiatives being explored by other agencies as a means of offering local solutions as an alternative to out of area placements. To ensure that the Trusts interests are protected including those which may have a financial implication.
  • To communicate with patients, service users, relatives or advocates by telephone and/or letter on aspects relating to placements. To communicate officially on behalf of the Trust, handling individuals concerns sensitively, particularly in cases where funding may have been declined.
  • To represent the ICB at Joint Commissioning Panel meetings with local authority senior service managers. To make judgements on the level of funding for individual cases which are consistent with the views of the Director and the wider perspective of partnership between the Trust and local authorities.
  • To promote evidence-based practice.
  • To focus on the reduction of inequalities within the Joint Commissioning Agenda and contribute with partners to strategies to reduce inequalities.
  • To ensure the development of Health and Social Impact Assessment and Health and Social Impact Audits to inform commissioning.
  • To develop strategies for promoting health, independence and well-being to reduce inequalities and promote longer-term equity.
  • To develop policies and procedures on an inter-agency basis where necessary to promote agreed multi-agency practice.
  • To support the development of care outside of hospital.
  • To develop when required, policies and procedures to ensure that the local authority meet statutory requirements and comply fully with mental health legislation.
  • Clinical Governance / Risk Management
  • To develop/maintain a quality assurance system for Section 117/Named Patient assessments and decisions to ensure auditing and consistency of decision making.
  • To inform and support patients and families/carers through the appeals process for continuing Healthcare.
  • Education and Training
  • As a Registered Professional be personally accountable for their practice and in the exercise of professional accountability shall act in accordance with guidelines laid down by their relevant professional body.
  • To contribute to and deliver the training programmes for health and social care staff on Continuing Healthcare appeals process.

Information Systems

  • To Manage the effective management of records for Section 117/Named Patients, meeting the requirements set out in the departments procedures and ICB Record management policies.
  • To produce reports on activity as required by the ICB.

Service Promotion and Development

  • To support and assist senior managers with service developments.
  • To monitor and evaluate the implementation of the Section 117 policy and Pan Dorset funding Agreement and produce reports and recommendations as required.
  • To attend meetings on Section 117/Named Patients as required.
  • To develop a working knowledge and understanding of the ICB, localities, priorities, people, communities and services.

For further information, please see full Job Description attached.

Job description

Job responsibilities

JOB PURPOSE

The post holder will focus on:

  • NHS Dorset's ICB statutory responsibility to jointly commission Section 117 (Mental Health Act) Aftercare
  • The ICBs responsibility to commission care for Named Patients being individuals (Adults and CAMHS) with mental health difficulties and/or a learning disability who cannot, because of their individual needs, receive that care in Dorset.
  • Representing the ICB and/or to chair Section 117 funding panels.
  • Representing the ICB at multi agency joint funding panels when required.
  • To attend planning and discharge meetings where funding may be required.
  • To provide support advice and consultation to the Section 117/Named Patient Administrator.
  • To work collaboratively and effectively with relevant healthcare professionals, health organisations, local authorities, providers, carers and families to provide expert advice on Section 117 aftercare issues.
  • To ensure that the ICB is fulfilling its statutory responsibilities in Section 117 Mental Health Act 1983 in accordance with the Pan Dorset s117 Policy (2016) and the Pan Dorset Section 117 Funding Agreement (2013).
  • Ensuring quality assurance within the funding process providing effective and efficient responsible commissioner advice and guidance to colleagues internally and with partner agencies to ensure ICB compliance with national guidance.
  • To undertake a management role in the development and ongoing management responsibility for the commissioning of services for Named Patients including Section 117 across partner local authorities.
  • To ensure that clinical requests for out of area treatment for Dorset residents are managed effectively and ensuring that there is a focus on the needs of the patient throughout the process.
  • To work in partnership with local authorities to ensure that the health needs of individuals placed by them are met and the appropriate input from health professionals secured and appropriately funded.
  • To ensure that the programme for placing individuals is managed within the financial allocation set by the ICB with delegated budgetary responsibility.
  • To work collaboratively with partners to develop joint commissioning opportunities across a range of areas promoting where appropriate the further integration of services across Dorset.
  • To ensure the appropriate engagement of individuals, carers and users in the development of services, and models of care, across social care and health.
  • To support effective management of all budget allocations associated with the services.
  • To manage and provide ongoing support to a small staff team consisting of joint funding Senior Practitioners and administrative and operational staff.

POST SPECIFIC, TASKS AND OBJECTIVES

  • To play an active role in complex patient assessments and provide highly specialised advice on packages of care.
  • To work with Local Authorities in agreeing the level of financial contribution to be made by the ICB in individual Local Authority led placements. Where appropriate to decline funding requests consistent with local and national NHS guidance.
  • To deal with emergency or crisis situations, having regard to clinical preference or local authority recommendations, balanced against financial implications for the ICB and to ensure that the service users interests are paramount in this process.
  • To work within the vulnerable adults safeguarding policy and work collaboratively with partners to address safeguarding issues related to Section 117/Named Patients.
  • To provide expert advice to ICB colleagues, acute trusts, community staff and social care staff on Section 117 eligibility and process and Responsible Commissioner Guidance.
  • To provide information, effective communication and support to families and carers on the Section 117/Named Patient funding process when required.
  • Where appropriate, to suggest alternative strategies to clinical staff with the aim of providing patients with treatment locally rather than patients having to move out of the area.
  • To oversee arrangements for Consultants and / or their colleagues to review their patients placed out of area and to take a lead in helping clinical staff consider other options including ways of returning patients to local Trust services.
  • To provide highly specialised advice on packages of care.
  • Where appropriate to decline funding requests consistent with local and national NHS guidance and policy.
  • To carry risk management responsibility for the appropriate placements of individuals ensuring levels of security meet the assessed need presented by the individual.
  • To take lead responsibility for the overall management of The Named Patient Programme with delegated budgetary responsibility for it
  • To work positively with clinicians and senior managers ensuring that individual users receive an appropriate response from the NHS.
  • To ensure that national and local legislation, policies and protocols are properly applied in determining an individuals entitlement to NHS funding.
  • To represent the Trust in initiatives being explored by other agencies as a means of offering local solutions as an alternative to out of area placements. To ensure that the Trusts interests are protected including those which may have a financial implication.
  • To communicate with patients, service users, relatives or advocates by telephone and/or letter on aspects relating to placements. To communicate officially on behalf of the Trust, handling individuals concerns sensitively, particularly in cases where funding may have been declined.
  • To represent the ICB at Joint Commissioning Panel meetings with local authority senior service managers. To make judgements on the level of funding for individual cases which are consistent with the views of the Director and the wider perspective of partnership between the Trust and local authorities.
  • To promote evidence-based practice.
  • To focus on the reduction of inequalities within the Joint Commissioning Agenda and contribute with partners to strategies to reduce inequalities.
  • To ensure the development of Health and Social Impact Assessment and Health and Social Impact Audits to inform commissioning.
  • To develop strategies for promoting health, independence and well-being to reduce inequalities and promote longer-term equity.
  • To develop policies and procedures on an inter-agency basis where necessary to promote agreed multi-agency practice.
  • To support the development of care outside of hospital.
  • To develop when required, policies and procedures to ensure that the local authority meet statutory requirements and comply fully with mental health legislation.
  • Clinical Governance / Risk Management
  • To develop/maintain a quality assurance system for Section 117/Named Patient assessments and decisions to ensure auditing and consistency of decision making.
  • To inform and support patients and families/carers through the appeals process for continuing Healthcare.
  • Education and Training
  • As a Registered Professional be personally accountable for their practice and in the exercise of professional accountability shall act in accordance with guidelines laid down by their relevant professional body.
  • To contribute to and deliver the training programmes for health and social care staff on Continuing Healthcare appeals process.

Information Systems

  • To Manage the effective management of records for Section 117/Named Patients, meeting the requirements set out in the departments procedures and ICB Record management policies.
  • To produce reports on activity as required by the ICB.

Service Promotion and Development

  • To support and assist senior managers with service developments.
  • To monitor and evaluate the implementation of the Section 117 policy and Pan Dorset funding Agreement and produce reports and recommendations as required.
  • To attend meetings on Section 117/Named Patients as required.
  • To develop a working knowledge and understanding of the ICB, localities, priorities, people, communities and services.

For further information, please see full Job Description attached.

Person Specification

Skills, Abilities and Knowledge

Essential

  • Demonstrable ability to prioritise effectively
  • Ability to use own initiative within sphere of responsibility
  • Evidence of good communication skills, both verbal and written
  • Experience of working with patients with complex needs
  • Experience of working in difficult and challenging situations with patients and families/carers
  • Experience of leading and motivating others.
  • Proven ability to maintain and monitor high standards of practice
  • Track record of partnership working and stakeholder management at an operational level
  • Health needs assessment and analysis
  • Budgeting experience and participating in audit
  • Demonstrable evidence of management skills in the following areas:
  • oRecruitment and selection
  • oPerformance management
  • Understanding of the commissioning/ procurement process for adults Personal Health Commissioning care packages

Experience

Essential

  • Recent previous experience within a comparable role
  • Previous supervision/management experience
  • Demonstrate effective team leadership abilities and good teamwork
  • Able to deal with sensitive situations with tact and diplomacy
  • Ability to project plan, manage workload and meet deadlines
  • Excellent organisational skills
  • Ability to work with a variety of people at all organisational levels across different sectors
  • Ability to present complex information in written and verbal form for a range of different audiences
  • Excellent communication skills both written and verbal.
  • Interpersonal and influencing skills
  • IT capability and presentation skills
  • Ability to work in a self-directed manner and to demonstrate an ability to make decisions
  • Innovative approach to problem solving
  • Experience of working with Mental health and LD operationally

Qualifications

Essential

  • Masters level or equivalent level of experience to demonstrate highly specialist post specific knowledge across the range of work procedures and practices, underpinned by theoretical knowledge
Person Specification

Skills, Abilities and Knowledge

Essential

  • Demonstrable ability to prioritise effectively
  • Ability to use own initiative within sphere of responsibility
  • Evidence of good communication skills, both verbal and written
  • Experience of working with patients with complex needs
  • Experience of working in difficult and challenging situations with patients and families/carers
  • Experience of leading and motivating others.
  • Proven ability to maintain and monitor high standards of practice
  • Track record of partnership working and stakeholder management at an operational level
  • Health needs assessment and analysis
  • Budgeting experience and participating in audit
  • Demonstrable evidence of management skills in the following areas:
  • oRecruitment and selection
  • oPerformance management
  • Understanding of the commissioning/ procurement process for adults Personal Health Commissioning care packages

Experience

Essential

  • Recent previous experience within a comparable role
  • Previous supervision/management experience
  • Demonstrate effective team leadership abilities and good teamwork
  • Able to deal with sensitive situations with tact and diplomacy
  • Ability to project plan, manage workload and meet deadlines
  • Excellent organisational skills
  • Ability to work with a variety of people at all organisational levels across different sectors
  • Ability to present complex information in written and verbal form for a range of different audiences
  • Excellent communication skills both written and verbal.
  • Interpersonal and influencing skills
  • IT capability and presentation skills
  • Ability to work in a self-directed manner and to demonstrate an ability to make decisions
  • Innovative approach to problem solving
  • Experience of working with Mental health and LD operationally

Qualifications

Essential

  • Masters level or equivalent level of experience to demonstrate highly specialist post specific knowledge across the range of work procedures and practices, underpinned by theoretical knowledge

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

NHS Dorset

Address

Vespasian House

Barrack Road

Dorchester

Dorset

DT1 1TG


Employer's website

https://nhsdorset.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

NHS Dorset

Address

Vespasian House

Barrack Road

Dorchester

Dorset

DT1 1TG


Employer's website

https://nhsdorset.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Senior Operational Manager

Michael Cross

Michael.cross@nhsdorset.nhs.uk

01305368938

Details

Date posted

24 January 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£41,659 to £47,672 a year

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

D9467-ICB-104-23

Job locations

Vespasian House

Barrack Road

Dorchester

Dorset

DT1 1TG


NHS Dorset - Canford House

Wallisdown Road

Poole

Dorset

BH12 5AG


Supporting documents

Privacy notice

NHS Dorset's privacy notice (opens in a new tab)