Duty Clinician

Job description

Job responsibilities

Communication & Relationships Skills

To provide relevant and timely specialist advice and guidance on functional and information matters.

To support the development of internal and external communications where required by regular contact with the teams, stakeholders and Communications team

To be responsible for preparation of correspondence and complex report, assessments and papers

To undertake complex clinical assessment and clinical report writing.

To represent the team on panels and decision making forums as required, participating in the decision-making process and clarification of funding responsibilities for clients who are registered with a NHS Shropshire, Telford and Wrekin GP.

To represent NHS Shropshire, Telford and Wrekin on NHSE appeal panels.

To work with team members and other health and social care professionals to promote joint working to achieve positive benefits and added value for individual service users and carers.

To liaise and communicate with external agencies including; NHS England, care providers, solicitors

To maintain constructive relationships with a broad range of internal and external stakeholders.

To participate in relevant internal and external working groups/projects, services, and initiatives which may be highly complex, sensitive, political, and contain contentious information with the aim of providing information and analytical advice to the teams.

To communicate complex, clinical, personal and emotive information about patients and circumstances including risks, issues and dependencies, diagnosis, prognosis and eligibility to NHS funded services.

To lead on the management of contentious cases which are highly complex and sensitive, acting as

representative in legal proceedings.

To deal with regular telephone calls throughout the day, addressing highly sensitive and complex enquiries, issues of concern regarding patient wellbeing, complaints and referrals that may require an immediate response

To participate in the monitoring, review and complaints procedures of individuals with complex needs whose care is managed in their own homes or in residential care settings.

Analytical & Judgement Skills

To undertake complex and detailed analysis of specific projects and patients requiring high levels of concentration.

To update, maintain, organise, gather and analyse information to predict/meet future individual patient, organisational and team needs by identifying best professional practice.

To contribute to the information management of performance, taking a lead for specific projects

To provide co-ordination of and participate in relevant meetings, reporting attendance and providing information advice and support where requested

Planning & Organisational Skills

To plan own workload and diary to ensure local, national and statutory targets and deadlines are met.

To undertake complex clinical assessment and care planning to ensure patient need is met and that where appropriate, step-down/discharge is planned and co-ordinated to ensure patient need is met in the least restrictive way.

To work with members of the team and key stakeholders to investigate the causes of any variance from plan/delivery targets and contribute to the implementation of solutions.

Patient/Client Care

To manage a defined caseload undertaking responsibilities as delegated by the Team Leader/Manager - this will include the routine management of complex cases and the planning, organising and commissioning of specialised care packages ensuring the maintenance of accurate records.

To participate in the assessment, monitoring, review and complaints procedures of individuals with varying levels of complex needs whose care is managed in their own homes or in care settings.

To assist or lead (depending on who is the responsible commissioner) in the co-ordination of complex decisions involving members of the multi-disciplinary / multi-professional team as required.

To assist in the collaboration and the co-ordination of the review and assessment process and to undertake reviews and assessments, including formal eligibility assessments as indicated.

To undertake needs portrayal and retrospective assessments for PUPOC and appeals.

To practice at all times in a manner that is within the NMC Code of Conduct and Guidelines or equivalent for specialist health profession.

To practice at all times within a clinical governance framework that promotes quality.

To co-ordinate and commission complex care packages involving members of the multi-disciplinary /

multi-professional team

Policy/Service Development

To contribute to the strategic planning recommending adjustments, as necessary.

To support implementation of strategic modernisation/service improvement, public health, workforce or commissioning strategies and any associated action plans, in accordance with the agreed priorities of the team

To contribute to the development of performance and governance strategies and the development and implementation of improvement programmes

To deliver against objectives, achieving quality outcomes, prioritising own workload and working to tight deadlines.

To propose changes to own function, informing policy and making recommendations for other projects delivery.

Financial & Physical Resources

To support and inform teams on the targeting of resources, monitoring, implementing, evaluating and delivery of plans by providing sophisticated, high quality information and analysis.

To continually strive for delivering project/function/patient outcomes, value for money and greater efficiency.

To contribute to the financial delivery of the service ensuring it is cost effective and delivered on time.

To commission care to meet individual patient need and ensure best value, least restrictive care is achieved.

To work in collaboration with all providers of care to negotiate packages ensuring optimal value for money and advise on needs for market development purposes

Human Resources/Staff Management

To provide specialist training, advice and support on own role/responsibilities across NHS Shropshire, Telford and Wrekin and the wider system.

To participate in the recruitment process of support staff.

To be accountable for own professional development and to participate in performance review.

To attend relevant training and staff meetings as required including participation in nursing and clinical development across NHS Shropshire, Telford and Wrekin.

To commit to undertake clinical supervision.

Information Resources

To contribute to the review and development of existing information management systems and contribute to the development of an integrated approach.

To maintain accurate and comprehensive clinical records.

To participate in and undertake audits and support the implementation of recommended actions.

To update, maintain, organise, gather and analyse information to predict/meet future organisational and team needs by identifying best professional practice.

To carry out timely and accurate information analysis and reporting on agreed areas of portfolio

To actively support and contribute to the development of key performance indicators for the successful assessment of performance.

Research & Development

To be accountable for own professional development and to participate in performance review.

Freedom to Act

To independently make eligibility recommendations using professional judgement which is fully supported by clinical evidence and rationale.

To manage their own caseload independently whilst complying with all relevant clinical and commissioning process and policy.

Person Specification

Essential

Essential

• Significant experience of working in a clinical field.
• Clear communicator with excellent writing, report writing and presentation skills; capable of constructing and delivering clear ideas and concepts concisely and accurately for diverse audiences
• Ability to analyse and interpret information, pre-empt and evaluate issues, and recommend and appropriate course of action to address the issues
• Takes decisions on difficult and contentious issues where they may be a number of courses of action.
• Ability to work on own initiative and organise own workload without supervision working to tight and often changing timescale
• Demonstrate a strong desire to improve performance and make a difference by focusing on goals
• Experience of assessment and commissioning (writing care plans etc)

Desirable

• A good understanding of the health and social care environment and roles and responsibilities within this
• Previous experience in a similar role in public sector.

Experience & Knowledge

Essential

• CHC Experience / Knowledge

Qualifications

Essential

• Registered with the NMC (or equivalent specialist health profession) according to competency.

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 Shropshire, Telford and Wrekin Integrated Care Board

Address

Wellington Civic Offices

Tan Bank

Wellington

TF1 1LX

Employer's website

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