Senior CHC Appeals Nurse

NHS Birmingham and Solihull Integrated Care Board

The closing date is 30 December 2024

Job summary

The All Age Continuing Health Care (AACHC) team are seeking motivated, passionate and enthusiastic Registered nurses with a can-do attitude to join our dynamic team.The opportunity to work autonomously and collaboratively in a multi-agency environment with individuals and their representatives to support the CHC Appeals Processes

As a Senior CHC Appeals Nurse you will be responsible for theassessmentof Continuing Healthcare patients following an Appeal. You will use your knowledge and clinical skills to ensure that outcomes are determined in a consistent manner to ensure effective application and interpretation of the National Framework for NHS CHC

You will also review applications for review of Periods of Previously Unassessed Care (PUPoC) and ensure robust, and evidence based assessments are completed.

You will be:

An experienced clinician with knowledge of the CHC National Framework, and a clear understanding of the CHC Appeals Process and PUPoC guidance.

Experienced working within a team

The team has strong links with community services and collaborative working within the multi-disciplinary team and with our community colleagues in health and social care is essential.

This is an excellent opportunity to gain a wide range of experience working with individuals who have a broad range of health care needs and to work in a service that is constantly committed to improving patient care and experience.

Main duties of the job

We are a clinically led and supportive team working with some of the most vulnerable individuals in our community. There is an opportunity work with colleagues in the CHC assessment teams, and the wider health and social care system to deliver the best outcomes for individuals who have been assessed for CHC.

The post holder will work jointly with health, social care and independent sector colleagues to autonomously gather evidence and information to populate the assessment

To follow the process laid out in the National Framework for NHS Continuing Healthcare; to include organisation, co-ordination and participation in MDT eligibility recommendations to be verified by ICB. for both Appeals and PUPoC requests.

Ensure assessments conducted are robust, transparent and multi-agency (where required) for NHS Continuing Healthcare/NHS-funded Nursing Care.

The post holder will be responsible for complex clinical caseload comprising of; Appeal and PUPoC cases.
The post holder will review CHC appeals and CHC PUPoC requests to ensure that the NHS Continuing Healthcare processes have been adhered to.

The post holder will work as part of the CHC Appeals Team and will be responsible for providing clinical expertise on reviewing both Appeals and previously unassessed and assessed periods of care (PUPoC)

About us

Birmingham and Solihull ICB bring together local NHS, councils and voluntary, community and faith sectors to better serve our communities. With a population of circa 1.55 million, our vision is for Birmingham and Solihull to be the healthiest place to live and work, driving equity in life chances and health outcomes .

As a member of our system you will actively demonstrate system values in all that you do. You will be driven to address health inequalities and create an environment that is inclusive for all people.

NHS BSOL can offer you the opportunity to thrive and develop in a team that is supportive, ambitious and inclusive. You will have opportunities to build your skills and experience, with a chance to work with colleagues across our Provider Trusts, Local Authorities, voluntary organisations, ICB and NHSE to truly effect change and add value.

We are a Disability Confident Employer and welcome applications from people with a disability, and commit to shortlisting suitable applicants who meet the essential criteria for an interview. Please let us know of any reasonable adjustments you require in order to participate in the recruitment process.

BSOL ICB is committed to personal and professional development of their staff and offers a wide selection of learning and development opportunities within a supportive and collaborative environment which enables you to reach your full potential and develop a rewarding career.

Date posted

06 December 2024

Pay scheme

Agenda for change

Band

Band 6

Salary

£37,338 to £44,962 a year Per annum

Contract

Permanent

Working pattern

Full-time

Reference number

529-6816434

Job locations

Alpha Tower

Suffolk Street Queensway

Birmingham

B1 1TT

Job description

Job responsibilities

We offer:
- 6 month probationary period with an experienced team member so you feel confident and part of the team straight away.
- Integrated team working with support from specialist departments within the All Age CHC Service and BSOL ICB
- Comprehensive induction underpinned by a clinical competency framework that supports with achieving competencies throughout the probationary period and can be used to submit as evidence for NMC revalidation.
- Clinical and restorative supervision.
- Comprehensive training, support and opportunities for professional development to develop your career within a caring and inclusive environment.
- Opportunity to participate in work streams of interest and lead on projects.
- Access to leadership training
- Flexible working options and hybrid working to support individuals work life balance.
- Detailed job description and main responsibilities:
- The post holder will be expected to produce comprehensive reports, and Needs Portrayal documents identifying a patients journey throughout the period of review for both Appeals and PUPoC.
- The post holder will be expected to have a good understanding of Continuing Health Care and high level communication skills to Chair Local resolution meetings with claimants and their representatives
- The post holder will play a key role in supporting the Continuing Healthcare service across the BSOL region. Working within the remit of the National Framework for Continuing Healthcare and PUPoC Guidance.
- The post holder will deliver an effective and competent level of service and consistently deliver a client-focused service.
- To work autonomously in managing a caseload of patients as directed and to accept case coordinator responsibilities.

Job description

Job responsibilities

We offer:
- 6 month probationary period with an experienced team member so you feel confident and part of the team straight away.
- Integrated team working with support from specialist departments within the All Age CHC Service and BSOL ICB
- Comprehensive induction underpinned by a clinical competency framework that supports with achieving competencies throughout the probationary period and can be used to submit as evidence for NMC revalidation.
- Clinical and restorative supervision.
- Comprehensive training, support and opportunities for professional development to develop your career within a caring and inclusive environment.
- Opportunity to participate in work streams of interest and lead on projects.
- Access to leadership training
- Flexible working options and hybrid working to support individuals work life balance.
- Detailed job description and main responsibilities:
- The post holder will be expected to produce comprehensive reports, and Needs Portrayal documents identifying a patients journey throughout the period of review for both Appeals and PUPoC.
- The post holder will be expected to have a good understanding of Continuing Health Care and high level communication skills to Chair Local resolution meetings with claimants and their representatives
- The post holder will play a key role in supporting the Continuing Healthcare service across the BSOL region. Working within the remit of the National Framework for Continuing Healthcare and PUPoC Guidance.
- The post holder will deliver an effective and competent level of service and consistently deliver a client-focused service.
- To work autonomously in managing a caseload of patients as directed and to accept case coordinator responsibilities.

Person Specification

Essential

Registered Nurse with a current NMC registration or equivalent
Previous experience of undertaking CHC assessments
Conversant with national and local guidance on NHS Continuing Health care/NHS Funded Care for Adults Continuing Healthcare and with detailed understanding of the correct use of the national tools (checklist, DST, Fast Track)
Educated to degree level or equivalent level of experience working in a specialist area
Extensive nursing skills in Adults with complex healthcare need
Strong verbal and written communication skills
Conversant in CHC Appeals Best Practise Guidance and current PUPoC Guidance

Desirable

Knowledge of Commissioning arrangements in CHC
Demonstrate previous experience in progressing CHC Appeals and PUPoC
Evidence of having undertaken leadership role in working across boundaries

Person Specification

Essential

Registered Nurse with a current NMC registration or equivalent
Previous experience of undertaking CHC assessments
Conversant with national and local guidance on NHS Continuing Health care/NHS Funded Care for Adults Continuing Healthcare and with detailed understanding of the correct use of the national tools (checklist, DST, Fast Track)
Educated to degree level or equivalent level of experience working in a specialist area
Extensive nursing skills in Adults with complex healthcare need
Strong verbal and written communication skills
Conversant in CHC Appeals Best Practise Guidance and current PUPoC Guidance

Desirable

Knowledge of Commissioning arrangements in CHC
Demonstrate previous experience in progressing CHC Appeals and PUPoC
Evidence of having undertaken leadership role in working across boundaries

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.