Director of Nursing for All Age Continuing Health Care & Complex Care

Job responsibilities

Operational

Provide strategic leadership and direction for CHC and Complex Care services.

Responsible for the day to day management of the Continuing Care and Complex Care teams including work allocation, performance/attendance issues, participating in recruitment, appraisal and staff development.

To manage the outputs of CHC Framework and ensure systems are in place to ensure staff work to the compliance of the Framework.

To work with the Local Authority to ensure those patients with complex care are placed in the most appropriate and safe settings.

Attend Continuing Care and Complex Care meetings with the Local Authority and NHSE London and attend the strategic executive meetings as directed by the Chief Nursing officer.

Represent the ICB at NHSE Continuing Care meetings.

Lead on the Liberty Protection Safeguarding (LPS) / DoLS strategy across the ICB.

Pro-actively create an open, inclusive, equitable culture.

Ensure the contributions and perspectives of all staff are heard, valued and influence decision making within the directorate.

Provide visible, inspiring leadership to all nurses and support roles. Champion a professional and open culture which empowers staff to deliver quality care with compassion acting as a role model for high professional standards.

To work with the local care programmes and Local Authority to support the clinical development, training and education of nursing and AHP within funded care homes.

Ensure directorate staff are managed within agreed performance standards, including delivery of efficiency, and cost improvement plans.

Ensure the delivery of high-quality clinical care and services.

Hold staff to account for the delivery of their objectives and the cascade to their staff

Establish and maintain strong working relationships with ICS partners and with all internal and external stakeholders.

To support the implementation of the ICS Strategy, Joint Forward Plan and the Operating Plan and support the quality input in the key priorities.

Create an environment in which efficient delivery of patient care is in line with fundamental and evidenced based standards to ensure a framework of safe practices exists.

The post holder will work with programmes and services across the ICB and ICS to ensure that quality improvement priorities align with system priorities.

Contribute to the development of the ICS System Quality Group and lead on quality. improvements projects as directed by the Chief Nursing Officer and the Chief Medical Director.

To work with the Director of Nursing for Quality and the Director of Nursing for Primary Care on the development of the quality key lines of enquires (KLOE) for the ICS System Operational Meetings (SOMs). To attend SOMs as requested by the Chief Nursing Officer.

Lead a culture of quality improvement, which produces new ideas, approaches, innovation and insights, ensuring that plans are developed and taken forward to improve patient/client care and services.

Promote clinical excellence in professional practice for Nursing and Allied Health Professionals across the ICB.

Lead on the interface between the ICS CNOs and the CNOs in the Private sector. Develop sector wide senior nursing meetings.

Attend Social Care Nursing team meetings promoting quality and transformation across the ICS.

To attend internal and external meetings on the request of the Chief Nursing Officer.

Lead, as a member of the senior nursing team, the implementation of the ICB clinical strategy. Actively participate in, contribute to and implement the Nursing, Midwifery and Allied Health Professional Strategy and the quality strategy across the ICB.

Prepare robust full business cases to develop or sustain services in line with the strategic direction of the ICB Undertake appraisals for direct reports.

Ensure performance activity and finance reporting is presented monthly at the ICB Executive meetings and the Finance and Commissioning Committee meetings when requested.

Participate in the ICS Deputy Chief Nursing group and undertake activities as requested within the group or the ICS Chief Nurses.

Review CHC and Complex Care complaints prior to Chief Nursing Officer sign-off and ensure responses are within the Complaints Procedure timeframe. Attend family meetings as appropriate. Ensure all learning is implemented within the services.

To participate on the ICB procurement process.

Staff Management

Provide effective leadership and line management of staff and act as a role model across the ICB.

Supporting the ICBs ways of working, model behaviours to deliver against organisations values and champion and NHS Constitution.

Ensure processes are in place for the recruitment of staff promote and role model effective team working across the service.

Develop an organisational culture that fosters integrated working amongst all staff groups. Pro-actively support and encourage cross-ICB working.

Ensure staff throughout the directorate provide excellent levels of customer service to all partners within the ICS.

Ensure professional/clinical staff work within the Code of Conduct.

Ensure an effective staff appraisal process is implemented and that training and development needs are met appropriately.

Oversee the development of nursing clinical leadership capability.

Ensure the directorate in relation to CHC and Complex Care develops workforce plans to meet the ICBs strategic objectives.

Ensure effective use of resources and the development of new ways of working.

Continually review skill mix within CHC and Complex Care to ensure it reflects activity demands. Implement skill mix/ staff deployment changes as appropriate.

Demonstrate credibility, knowledge and influence in the health and care system and be able to influence policy development to include areas such as CHC and Complex Care

Communication

Effective communication, negotiation and influencing skills to enable change management with stakeholders with staff holders across the health and social care system.

Provide and receive highly complex, highly sensitive and highly contentious information, including presenting information to a wide range of internal and external stakeholders in formal settings

Deal with complex and conflicting subject matter problems in day to day workload internally or external meetings, one to one communications and other evens across the organisation and system

Represent the ICB in sensitive and political situations, delivering difficult messages where required to senior stakeholders/ /audiences.

Work in partnership with other leaders/teams to ensure CHC and Complex Cases are placed in the right place at the right time.

Finance

Financial delivery and delegated budget management from Chief Nursing Officer.

Responsible for ensuring adherence to the CHC and Complex Care budget, ongoing monitoring of expenditure against budget.

Responsible for managing related activity, liaising with finance colleagues to ensure appropriate costings.

Responsible for the management of the CHC and Complex budget working with the finance team on the monitoring, control and forecasting budgets and mitigate any overspends.

Ensure CHC and Complex staff working within the financial environment.

Ensure that there are systems in place for brokerage and invoicing within the agreed timeframe.

Sign off invoices with budgetary limitations.

Responsible for CHC and Complex Care Cost Improvement Programme (CIP) and providing updates to the relevant committees as requested.

To promote quality, innovation, productivity and performance that improves quality of care and patient outcomes; driving transformation through agreed improvement models to improve value for money

Ensure team compliance with Standing Orders and Standing Financial Instructions in the

discharge of this responsibility.

Information Management

Provide and receive highly complex, sensitive and contentious information, including presenting information involving a wide range of stakeholders in formal settings; therefore, the post holder must have the ability to deal with resulting potentially challenging situations.

Highly effective communication with the Local Authority, Ministers, Coroners Court and media enquiries.

Developing and presenting highly complex presentations and reports at the System Quality Group, Performance Committee, Contracting & Finance Committee and other meetings as directed by the Chief Nursing Officer and Executive team.

Responsible for the management and reporting of information to internal and external stakeholders.

Responsible for ensuring accurate patient record system is always maintained, and in line with NMC Professional standards for documentation.

Ensure CHC and Complex Care element of the directorate risk register are updated.

Planning and Organisation

Oversee, with the directorate, the development of strategic and annual plans for the directorate that contribute to the delivery of the ICBs strategic and annual plans.

Identify opportunities for growing, improving and redesigning services in line with the ICBs objectives.

Ensure all policies and standard operating procedures relating to CHC and Complex Care are up to date and staff are familiar with the contents to deliver high quality personalised care.

To ensure the ICBs objectives and patient safety requirements are fulfilled within the directorate portfolio of services.

Policy and Service Development

Liaising with the ICB programme and to ensure quality is embedded in provider contracts, liaising with the Programme Directors to ensure a full understanding of provider pressures which may impact on provider quality and making a corporate contribution to the delivery of the commissioning strategy and plans of the ICS.

Ensure there are processes in place for spreading and sharing learning and outcomes.

Qualifications

Essential

• Registered Nurse and current registration with Nursing & Midwifery Council (NMC)
• Educated to Masters level or equivalent level of working at a senior level in specialist area
• Significant evidence of continued professional development

Communication Skills

Essential

• Dynamic personality and ability to build trusted relationship with the Executive team, Local Authority, Providers and other stakeholders
• Strong external communications skills in a politically sensitive environment
• Extensive experience of delivering presentations and report writing to large groups at sub-board and board committees
• Ability to analyse highly complex issues where material ins conflicting and drawn from multiple sources

Planning Skills

Essential

• Demonstrate leadership, vision, strategic thinking and planning with highly developed political skills
• Demonstrates capability to plan short, medium and long-term timeframes and adjust plans and resources requirements accordingly
• High level analytical skills and the ability to drawn complex qualitative and quantitative data from a wide range of sources and present in a clear concise manner

Knowledge

Essential

• Extensive knowledge of the national Framework for CHC
• Proven and significant leadership experience
• Ability to justify decisions and actions in an ICB/ICS or a large provider organisation and demonstrate reasoning where required
• In depth knowledge of methods on developing clinical quality assurance, quality improvement, evaluations and evidenced based practice
• Management of serious incidents under PSIRF
• High knowledge of legal and statutory obligations required for good governance.
• Significant knowledge of the NHS Long Term Plan, Operating Model, QIPP and NICE.
• Extensive knowledge of current healthcare and social care policy

Autonomy

Essential

• Demonstrated capabilities to manage own workload and make informed decisions in the absence of required information, working to tight and often changing timescales.
• Ability to make decisions autonomously when required, on difficult issues

Experience

Essential

• Significant leadership and management experience in leading CHC and Complex Care teams or significant clinical and not clinical teams
• Proven board level or sub-board level experience at a senior level
• Significant experience in managing large scale budgets
• Significant experience in working in a complex environment
• Significant experience in translating policy into strategy
• In depth understanding of the health and care system and the relationships with both local and regional teams

Management Skills

Essential

• Significant experience of successfully operating in and delivering priorities in a partnership environment
• Significant experience in motivating and inspiring staff to work together to achieve a common objective
• Ability to delegate effectively
• Ability to work effectively between strategic and operational activities where required
• Ability to analyse numerical and written data, assess options and draw appropriate initiatives.

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.

Certificate of Sponsorship

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).