Job summary
Looking
for something different? Wanting to take on a new challenge?
Then
the Mid Essex Clinical Commissioning Group NHS Continuing Healthcare Team might
be right for you.
We have some really exciting opportunities for enthusiastic
and experienced registered nurses from multiple disciplines including Learning
Disabilities, Mental Health and Adult nursing. Is this you? Why not join our dynamic team and
help deliver our vision for Continuing Healthcare in Mid Essex.
Unfortunately the CCG does not have a Sponsorship licence.
Main duties of the job
As a Continuing Healthcare Nurse Assessor, you will work under the guidance and support of the senior clinical team leads to implement the National Service Framework for NHS Continuing Healthcare and NHS Funded Nursing Care for residents in Mid Essex. You will promote best practice and provide professional advice to nursing homes and other providers, promote good relationships and be able to liaise with colleagues from other disciplines both internally and externally to the Clinical Commissioning Group.
You will have excellent communication and assessment skills. Be able to show a robust approach to problem solving and the ability to prioritise your own workload. You will need to have a flexible attitude and be a keen team player who enjoys working within a busy environment. If you wish to join our friendly team, we would welcome your application.
About us
Integrated
Care Systems (ICSs) are partnerships of health and care organisations that come
together to plan and deliver joined up services and to improve the health of people
who live and work in their area. If proposed legislation is passed, from
1stst July 2022 CCG’s will cease to exist and the Mid and South
Integrated Care Board (ICB) will be established. If you are employed by the CCG
on 30th June 2022 you will be transferred to the new ICB on 1st
July 2022 with your existing terms and conditions of employment. The headquarters
for the organisation will be Phoenix House, Basildon, but there will be a
hybrid model of working, which may include working across Mid and South Essex
and home working.
We are passionate about creating an inclusive workplace that promotes
and values diversity. We know through experience that the different
ideas, perspectives and backgrounds create a stronger and more creative work
environment that delivers better patient outcomes. We welcome applications
irrespective of people’s age, disability, sex, gender, identity and gender
expression, race or ethnicity, religion or belief, sexual orientation or other
personal circumstances. We have policies and procedures in place to ensure that
all applicants are treated fairly and consistently at every stage of the
recruitment process, including the consideration of reasonable adjustment for
people who have a disability.
Job description
Job responsibilities
ROLE DESCRIPTION / SUMMARY
The CHC Nurse Assessor will work under the guidance and support of the CHC Clinical Lead Nurse and CHC Operational Lead Nurse to implement the National Service Framework for NHS Continuing Healthcare and NHS funded Nursing Care for residents in Mid Essex. He/she will promote best practice and provide professional advice to nursing homes and other providers, promoting good relationships and liaising with colleagues from other disciplines both internally and externally to the CCG.
KEY RESPONSIBILITIES
- To work with provider services to assist in the development of competent assessors to undertake assessments and reviews.
- Responsible for collating evidence and information for the Decision Support Tool and liaising with the multidisciplinary team in order for a team recommendation to be made for eligibility for Continuing Healthcare funding.
- Present information for panel deliberation.
- Manage day to day communication with other team members within the continuing healthcare team.
- Responsible for recording client contacts and communications on Broadcare.
- To keep the CHC Clinical Lead Nurse and CHC Operational Lead Nurse informed of workload and resources required.
- To work within the National Framework for Continuing Healthcare and NHS-Funded Nursing care.
- Exhibit a sense of responsibility and accountability for the allocated caseload and coordinate care in all settings in the patient pathway.
- Act in an educational and advisory role to primary care staff and other partner organisations in order to share knowledge concerning Continuing Healthcare and NHS-funded Nursing Care.
- Apply any relevant local policies to assessments and CHC activity.
Dependent on allocated case load the role may include:
Clinical and Professional Duties
- The post holder will undertake statutory reviews and ensure that client’s needs have been met and progressed through the appropriate care pathway within agreed time frames. To ensure all reviews, reassessments include appropriate reports and evidence to support the level of care need identified within the Health Needs Checklist / Decision Support Tool / Needs Portrayal process.
- To provide contemporaneous records on all clients and reports as necessary adhering to NMC standards for record keeping.
- To coordinate and facilitate ‘fast track’ patients in line with operational policy and within agreed timescales. Ensuring the patients that are eligible receives a package of care or placement appropriate to their needs ensuring best value.
Communication Skills
- To assess, review and plan an appropriate care pathway, in liaison with other healthcare professionals involved with the client.
- As part of the review process, ensure a review of placement, care package is also undertaken to ensure that all care needs are being met and to ensure best value for the funding authority. When appropriate proceed to the NHS- funded nursing care process.
- Ensure patient and family are informed throughout the process and aware of set timeframes.
- Ensure effective and timely communication regarding the review process and the outcome of the review, with all professionals involved and with the client and their representatives.
Analytical and Judgement Skills
- Clinical assessment skills required, nursing needs, holistic approach to the totality of the client’ needs.
- To make complex operational judgements and attempt to resolve conflicting views/ reconcile inter/intra professional differences of opinion including crisis intervention.
- To follow safeguarding policies and guidelines, and know how to seek specialist advice.
- To work in an integrated approach with partner agencies, to support the provision of assurance that CCG commissioned services, are safeguarding adults at risk.
- To be able to recognise the indicators of abuse and how to act on them.
- To be alert to the possibility of harm to children, young people and adults at risk through abuse and neglect. This includes being aware of adults who may find parenting difficult.
Patient/Client Care
- To maintain effective communication on issues in complex situations arising from the application of NHS Continuing Care criteria and the outcomes, including a range of professionals including GP’s and Health Professionals.
- To communicate decisions to clients and families regarding funding decisions which include distressing information whereby health funding may not be approved or has been reduced or withdrawn, or a decision has been deferred for further review.
- When appropriate assess clients for funded nursing care, ensuring timely reviews, and to engage with clients and their representatives to explain the assessment/review process.
- Support the CHC Clinical Lead Nurse in ensuring patient experience is captured and commitment to improving of patient experience.
Policy and Service Development
- To develop a good working knowledge of current key issues for the directorate.
- To adhere to local policies and processes.
- Flexibility to travel to meetings and other locations in order to fulfil the requirements of the post.
Planning and Organisation
- To liaise in partnership with key stakeholders in the independent sector and social care to enhance patient assessment outcomes.
- The post holder will ensure the necessary precautions are adhered to when information is transferred only disclosing patient identifiable information in line with Caldicott and Data Protection Act.
- Effectively communicate with other professionals and with voluntary organisations.
- In the absence of the CHC Nurse Manager to ensure, the team runs smoothly and any problems are escalated to the appropriate manager.
- To provide clinical support on specific pieces of work and projects as required by the dept. /directorate.
- To prioritise and manage weekly workload.
Financial and Physical
- Be aware of budgetary and resource issues when delivering care.
- Recommend the delivery of the service within available resources.
- Spend a proportion of the day inputting assessments and reviews on to the computer.
Education and Research
- Ensure Appraisal completed in line with organisation and personal development.
- To work within the NMC code of professional, conduct. To work within the Policies and Procedures of the CCG.
- Complete Mandatory training.
- Maintain skills, competence and knowledge required for role.
- Support students in practice.
Freedom to Act
- Freedom to plan their own workload managed rather than supervised. Works within defined departmental and national protocols/policies and professional code of conduct, however is required to interpret national policy for local implementation.
- Communicate closely with local, national and international organisations related to continuing healthcare.
- Attend local and national events, meetings and visits relating to continuing healthcare as and when required.
Environmental and Physical
- Intense concentration for short periods frequently interrupted. Physical Effort –sitting in a confined position i.e. driving or at a keyboard for periods.
Mental and Emotional Effort
- Discuss sensitive and contentious information with clients, their representatives, and staff from all levels of seniority within the CCG using negotiating, persuasive and empathetic skills.
Working Conditions
Normal working conditions for office based staff.
Lone working according to the CCG’s Lone Working Policy.
Agile working according to the CCG’s Agile Working Policy.
Job description
Job responsibilities
ROLE DESCRIPTION / SUMMARY
The CHC Nurse Assessor will work under the guidance and support of the CHC Clinical Lead Nurse and CHC Operational Lead Nurse to implement the National Service Framework for NHS Continuing Healthcare and NHS funded Nursing Care for residents in Mid Essex. He/she will promote best practice and provide professional advice to nursing homes and other providers, promoting good relationships and liaising with colleagues from other disciplines both internally and externally to the CCG.
KEY RESPONSIBILITIES
- To work with provider services to assist in the development of competent assessors to undertake assessments and reviews.
- Responsible for collating evidence and information for the Decision Support Tool and liaising with the multidisciplinary team in order for a team recommendation to be made for eligibility for Continuing Healthcare funding.
- Present information for panel deliberation.
- Manage day to day communication with other team members within the continuing healthcare team.
- Responsible for recording client contacts and communications on Broadcare.
- To keep the CHC Clinical Lead Nurse and CHC Operational Lead Nurse informed of workload and resources required.
- To work within the National Framework for Continuing Healthcare and NHS-Funded Nursing care.
- Exhibit a sense of responsibility and accountability for the allocated caseload and coordinate care in all settings in the patient pathway.
- Act in an educational and advisory role to primary care staff and other partner organisations in order to share knowledge concerning Continuing Healthcare and NHS-funded Nursing Care.
- Apply any relevant local policies to assessments and CHC activity.
Dependent on allocated case load the role may include:
Clinical and Professional Duties
- The post holder will undertake statutory reviews and ensure that client’s needs have been met and progressed through the appropriate care pathway within agreed time frames. To ensure all reviews, reassessments include appropriate reports and evidence to support the level of care need identified within the Health Needs Checklist / Decision Support Tool / Needs Portrayal process.
- To provide contemporaneous records on all clients and reports as necessary adhering to NMC standards for record keeping.
- To coordinate and facilitate ‘fast track’ patients in line with operational policy and within agreed timescales. Ensuring the patients that are eligible receives a package of care or placement appropriate to their needs ensuring best value.
Communication Skills
- To assess, review and plan an appropriate care pathway, in liaison with other healthcare professionals involved with the client.
- As part of the review process, ensure a review of placement, care package is also undertaken to ensure that all care needs are being met and to ensure best value for the funding authority. When appropriate proceed to the NHS- funded nursing care process.
- Ensure patient and family are informed throughout the process and aware of set timeframes.
- Ensure effective and timely communication regarding the review process and the outcome of the review, with all professionals involved and with the client and their representatives.
Analytical and Judgement Skills
- Clinical assessment skills required, nursing needs, holistic approach to the totality of the client’ needs.
- To make complex operational judgements and attempt to resolve conflicting views/ reconcile inter/intra professional differences of opinion including crisis intervention.
- To follow safeguarding policies and guidelines, and know how to seek specialist advice.
- To work in an integrated approach with partner agencies, to support the provision of assurance that CCG commissioned services, are safeguarding adults at risk.
- To be able to recognise the indicators of abuse and how to act on them.
- To be alert to the possibility of harm to children, young people and adults at risk through abuse and neglect. This includes being aware of adults who may find parenting difficult.
Patient/Client Care
- To maintain effective communication on issues in complex situations arising from the application of NHS Continuing Care criteria and the outcomes, including a range of professionals including GP’s and Health Professionals.
- To communicate decisions to clients and families regarding funding decisions which include distressing information whereby health funding may not be approved or has been reduced or withdrawn, or a decision has been deferred for further review.
- When appropriate assess clients for funded nursing care, ensuring timely reviews, and to engage with clients and their representatives to explain the assessment/review process.
- Support the CHC Clinical Lead Nurse in ensuring patient experience is captured and commitment to improving of patient experience.
Policy and Service Development
- To develop a good working knowledge of current key issues for the directorate.
- To adhere to local policies and processes.
- Flexibility to travel to meetings and other locations in order to fulfil the requirements of the post.
Planning and Organisation
- To liaise in partnership with key stakeholders in the independent sector and social care to enhance patient assessment outcomes.
- The post holder will ensure the necessary precautions are adhered to when information is transferred only disclosing patient identifiable information in line with Caldicott and Data Protection Act.
- Effectively communicate with other professionals and with voluntary organisations.
- In the absence of the CHC Nurse Manager to ensure, the team runs smoothly and any problems are escalated to the appropriate manager.
- To provide clinical support on specific pieces of work and projects as required by the dept. /directorate.
- To prioritise and manage weekly workload.
Financial and Physical
- Be aware of budgetary and resource issues when delivering care.
- Recommend the delivery of the service within available resources.
- Spend a proportion of the day inputting assessments and reviews on to the computer.
Education and Research
- Ensure Appraisal completed in line with organisation and personal development.
- To work within the NMC code of professional, conduct. To work within the Policies and Procedures of the CCG.
- Complete Mandatory training.
- Maintain skills, competence and knowledge required for role.
- Support students in practice.
Freedom to Act
- Freedom to plan their own workload managed rather than supervised. Works within defined departmental and national protocols/policies and professional code of conduct, however is required to interpret national policy for local implementation.
- Communicate closely with local, national and international organisations related to continuing healthcare.
- Attend local and national events, meetings and visits relating to continuing healthcare as and when required.
Environmental and Physical
- Intense concentration for short periods frequently interrupted. Physical Effort –sitting in a confined position i.e. driving or at a keyboard for periods.
Mental and Emotional Effort
- Discuss sensitive and contentious information with clients, their representatives, and staff from all levels of seniority within the CCG using negotiating, persuasive and empathetic skills.
Working Conditions
Normal working conditions for office based staff.
Lone working according to the CCG’s Lone Working Policy.
Agile working according to the CCG’s Agile Working Policy.
Person Specification
Experience
Essential
- Ability to build effective partnerships with a wide number of partners and stakeholders.
- Ability to conduct nursing needs assessments, analyse the information collected in order to make an informed recommendation as to eligibility for continuing healthcare or for funded nursing care.
- Demonstrates the ability to work independently using own initiative.
- Leadership: Experience providing advice, guidance and support to other team members
- Experience of working across organisations, local authority, other NHS Trusts, voluntary and independent sectors.
- Successful experience working as part of a multidisciplinary team.
Desirable
- Experience of working in a CCG.
Qualifications
Essential
- Current 1st Level Registered General Nurse/NMC Registration
- Relevant degree or extensive knowledge, skills and experience to equivalent level
- Evidence of continuing professional development
Desirable
- Management qualification or relevant specialist training
Skills
Essential
- Knowledge and understanding of current national and local policy/Framework Guidance relating to NHS Continuing Healthcare and NHS Funded Nursing Care
- Knowledge and experience of working with Safeguarding issues and Policy guidance
- Experience of working with patients with multiple /complex needs
- Ability to address complex or sensitive issues in an organised and appropriate manner both verbally and in writing at all levels; written documents, spread sheets and presentations to a professional standard
- Ability to self-motivate, to manage and prioritise own workload with a high level of planning and organisational skills; having an innovative, influencing and creative approach to problem solving; being assertive and influencing in negotiation
Desirable
- Awareness of current legislation in relation to Health and Social Care for older people
- Knowledge of budget management
Knowledge/ Understanding
Essential
- To operate with a high level of professionalism, passion and dedication to deliver timely standards of work under challenging deadlines, with a solid capacity for attention to detail and a high degree of accuracy
- IT literate and advanced working knowledge and computer proficiency of all Microsoft Office packages (e.g. word processing, spread sheets, e-mail and internet use)
Desirable
- Understanding of the current issues impacting on the NHS
- Knowledge of current DoH and NHS governance policy and an understanding of its implications so as to interpret and communicate them locally
Personal Attributes/Other
Essential
- Full UK Driving License
- Member of Professional body e.g. NMC
Person Specification
Experience
Essential
- Ability to build effective partnerships with a wide number of partners and stakeholders.
- Ability to conduct nursing needs assessments, analyse the information collected in order to make an informed recommendation as to eligibility for continuing healthcare or for funded nursing care.
- Demonstrates the ability to work independently using own initiative.
- Leadership: Experience providing advice, guidance and support to other team members
- Experience of working across organisations, local authority, other NHS Trusts, voluntary and independent sectors.
- Successful experience working as part of a multidisciplinary team.
Desirable
- Experience of working in a CCG.
Qualifications
Essential
- Current 1st Level Registered General Nurse/NMC Registration
- Relevant degree or extensive knowledge, skills and experience to equivalent level
- Evidence of continuing professional development
Desirable
- Management qualification or relevant specialist training
Skills
Essential
- Knowledge and understanding of current national and local policy/Framework Guidance relating to NHS Continuing Healthcare and NHS Funded Nursing Care
- Knowledge and experience of working with Safeguarding issues and Policy guidance
- Experience of working with patients with multiple /complex needs
- Ability to address complex or sensitive issues in an organised and appropriate manner both verbally and in writing at all levels; written documents, spread sheets and presentations to a professional standard
- Ability to self-motivate, to manage and prioritise own workload with a high level of planning and organisational skills; having an innovative, influencing and creative approach to problem solving; being assertive and influencing in negotiation
Desirable
- Awareness of current legislation in relation to Health and Social Care for older people
- Knowledge of budget management
Knowledge/ Understanding
Essential
- To operate with a high level of professionalism, passion and dedication to deliver timely standards of work under challenging deadlines, with a solid capacity for attention to detail and a high degree of accuracy
- IT literate and advanced working knowledge and computer proficiency of all Microsoft Office packages (e.g. word processing, spread sheets, e-mail and internet use)
Desirable
- Understanding of the current issues impacting on the NHS
- Knowledge of current DoH and NHS governance policy and an understanding of its implications so as to interpret and communicate them locally
Personal Attributes/Other
Essential
- Full UK Driving License
- Member of Professional body e.g. NMC
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).
