Job summary
Please note that priority will be given to NCL ICB employees who are affected by change.
To support the Assistant Director in delivering the DOH policies related to NHS Continuing Healthcare and Funded Nursing Care, so that the policies are implemented to a high standard which enable consistent decisions to be made on an individual's eligibility for NHS funded healthcare.
The Head of Service for CHC will be a clinician who is responsible for providing professional expertise in relation to CHC, including the legal associated frameworks, safeguarding issues and provider concerns. You will also, line manage, professionally supervise and support other clinicians to do so.
Main duties of the job
You will have clinical and operational management responsibility for the Continuing Healthcare (Adults with a Physical Disability and Learning Disabilities) and Funded Nursing Care services to ensure that a high quality and responsive service is provided and monitored within clinical and non-clinical legal governance frameworks.
You will support the clinicians across Barnet, Camden and Enfield CHC and other colleagues withinj the Complex Care team on a range of often clinically and operationally complex cases You will ensure all non-CHC pathways e.g. Discharge to assess, are safely and effectively managed and all clients are appropriately assessed e.g. Deprivation of Liberty, best interest assessments etc.
About us
NHS North Central London Integrated Care Board (NCL ICB) is a statutory body responsible for planning and allocating health and care resources to improve the lives of people in our five boroughs: Barnet, Camden, Enfield, Haringey, and Islington.
Our local population is large and diverse, with a wide range of health and care needs that are evolving all the time. We're committed to improving the health and experience of our patients and residents, working with partners across the North Central London Integrated Care System (ICS) - including Councils, providers, GPs and voluntary and community organisations - to plan and deliver high quality, joined-up and accessible health and care services that put people first.
As an ICB, we're focused on:
- improving outcomes in population health and healthcare
- tackling inequalities in outcomes, experience, and access
- enhancing productivity and value for money
- helping the NHS support broader social and economic development.
We're ambitious, driven, and passionate about working collaboratively and creatively to deliver the best health and care possible for our patients and residents through every stage of their lives. Our Population Health and Integration Strategy outlines our vision and priorities and will shape our focus as a system for the coming years.
Job description
Job responsibilities
Overall purpose of the role
To support the Assistant Director in delivering the DOH policies related to Continuing Healthcare and Funded Nursing Care, so that the policies are implemented to a high standard which enable consistent decisions to be made on an individuals eligibility for NHS funded healthcare and then subsequently safe and appropriate clinical care is commissioned monitored and reviewed. Responsible for providing professional expertise in relation to CHC, including the legal associated frameworks e.g. S117 Clinical and operational management responsibility for the Continuing Healthcare (Adults with a Physical Disability and Learning Disabilities) and Funded Nursing Care services to ensure that a high quality and responsive service is provided and monitored within clinical and non-clinical legal governance frameworks (NHS and Private providers). To support the development of the commissioning strategy for continuing healthcare and funded nursing care that it is integrated with other ICB commissioning strategies so that contracts are procured monitored and evaluated for high quality and cost-effective services that meet the needs of individuals eligible for NHS funded care. Lead on non- CHC pathways e.g. Discharge to assess, Ensure all clients are appropriately assessed e.g. Deprivation of Liberty, best interest assessments etc To implement the strategic and operational vision for the service area in line with National and Local commissioning strategies and deliver effective demand management systems that contribute to the ICBs objectives. Develop partnership working and support the joint planning and commissioning processes that are developing within the local health and social care economy. The post holder will define current processes, facilitate discussions, and advise colleagues as to how best practice might be adopted in the definition of future processes, document those processes as they are agreed and oversee their delivery. To provide expert advice to the Provider Services and senior colleagues in health and social care on service operational delivery, particularly where Nursing and Allied Health Professionals have a lead role.
Key Working Relationships
Internal Complex Care staff Finance team Quality and safeguarding teams Corporate governance DPH Directorate
External Local authorities NHS trusts Non-NHS organisations, care providers Members of the public and service users Legal services Courts
Main Responsbilities
- To ensure the service is delivered with the service user at the heart of the assessment process and that the pathway is completed in line with best practice incorporating timelines and eligibility processes and outcomes To make eligibility decisions on behalf of the ICB in respect of NHS continuing healthcare processes and multi-disciplinary recommendations ensuring all evidence is present to support the final recommendation and verification Support collaborative working across NCL with key stakeholders including, but not exclusively, all appropriate local authorities, NHS Trusts, third party providers, service user and carers groups. Assist with public relations and marketing activities. Coordinate Freedom of Information requests, keep under review the framework and in accordance with the legislation. Overall responsibility CHC teams ensuring high quality service delivery to individuals requiring an NHS continuing healthcare assessment ensuring full compliance with the National Framework for NHS Continuing Healthcare and NHS Funded nursing-care (2018). Ensuring the patient pathway is robust and delivered to best practice and national and locally defined standards To support the identification and sharing of best practice, clinically and managerially for the delivery of a high-quality NHS Continuing Healthcare service. To provide professional support to the Assistant Director and service as a whole Ensure prescribed packages of care meet the patients need and are Value for Money. Responsible for matching the available budget for each workstream to the appropriate staff resources and projects and for ensuring that the budget breaks even. Co-ordinate the budget, monitoring expenditure against target areas. Represent the ICB on Independent Review Panels held and managed by NHS England. To be responsible for the management of complaints and appeals including outstanding appeals against previously unassessed periods of care, in line with national policy changes. To take the lead in the management of investigations relating to appeals, complaints, and Freedom of Information requests. To ensure an up-to-date log is kept of the same and what stage each is at any moment in time. Responsible for supporting and monitoring the commissioning of packages of care and procurement of services to ensure high quality care delivery. Support the preparation strategic reports / dashboards and briefings for directors and stakeholders. In depth analysis, interpretation and production of complex and multiple reports including financial returns. Highlight exceptions and risks ensuring mitigating action can be taken to keep the programme on track. Drafting reports summarising status on issues, appraising outcomes, and providing progress reports for the Head of Department Delegated responsibility for the provision of a NHS Continuing Healthcare service which is compliant with all statutory duties, Standing Rules and Regulations. Ensure the service is delivered on time, to national and local quality standards and in a cost-effective manner, adjusting practices and processes as required. To be responsibility for developing policy and procedures that are necessary to ensure the safe, robust, and high-quality delivery of the NHS Continuing Healthcare service, including briefings, commissioning, business, or resources. Requirement to be part of the NCL on-call rota.
Job description
Job responsibilities
Overall purpose of the role
To support the Assistant Director in delivering the DOH policies related to Continuing Healthcare and Funded Nursing Care, so that the policies are implemented to a high standard which enable consistent decisions to be made on an individuals eligibility for NHS funded healthcare and then subsequently safe and appropriate clinical care is commissioned monitored and reviewed. Responsible for providing professional expertise in relation to CHC, including the legal associated frameworks e.g. S117 Clinical and operational management responsibility for the Continuing Healthcare (Adults with a Physical Disability and Learning Disabilities) and Funded Nursing Care services to ensure that a high quality and responsive service is provided and monitored within clinical and non-clinical legal governance frameworks (NHS and Private providers). To support the development of the commissioning strategy for continuing healthcare and funded nursing care that it is integrated with other ICB commissioning strategies so that contracts are procured monitored and evaluated for high quality and cost-effective services that meet the needs of individuals eligible for NHS funded care. Lead on non- CHC pathways e.g. Discharge to assess, Ensure all clients are appropriately assessed e.g. Deprivation of Liberty, best interest assessments etc To implement the strategic and operational vision for the service area in line with National and Local commissioning strategies and deliver effective demand management systems that contribute to the ICBs objectives. Develop partnership working and support the joint planning and commissioning processes that are developing within the local health and social care economy. The post holder will define current processes, facilitate discussions, and advise colleagues as to how best practice might be adopted in the definition of future processes, document those processes as they are agreed and oversee their delivery. To provide expert advice to the Provider Services and senior colleagues in health and social care on service operational delivery, particularly where Nursing and Allied Health Professionals have a lead role.
Key Working Relationships
Internal Complex Care staff Finance team Quality and safeguarding teams Corporate governance DPH Directorate
External Local authorities NHS trusts Non-NHS organisations, care providers Members of the public and service users Legal services Courts
Main Responsbilities
- To ensure the service is delivered with the service user at the heart of the assessment process and that the pathway is completed in line with best practice incorporating timelines and eligibility processes and outcomes To make eligibility decisions on behalf of the ICB in respect of NHS continuing healthcare processes and multi-disciplinary recommendations ensuring all evidence is present to support the final recommendation and verification Support collaborative working across NCL with key stakeholders including, but not exclusively, all appropriate local authorities, NHS Trusts, third party providers, service user and carers groups. Assist with public relations and marketing activities. Coordinate Freedom of Information requests, keep under review the framework and in accordance with the legislation. Overall responsibility CHC teams ensuring high quality service delivery to individuals requiring an NHS continuing healthcare assessment ensuring full compliance with the National Framework for NHS Continuing Healthcare and NHS Funded nursing-care (2018). Ensuring the patient pathway is robust and delivered to best practice and national and locally defined standards To support the identification and sharing of best practice, clinically and managerially for the delivery of a high-quality NHS Continuing Healthcare service. To provide professional support to the Assistant Director and service as a whole Ensure prescribed packages of care meet the patients need and are Value for Money. Responsible for matching the available budget for each workstream to the appropriate staff resources and projects and for ensuring that the budget breaks even. Co-ordinate the budget, monitoring expenditure against target areas. Represent the ICB on Independent Review Panels held and managed by NHS England. To be responsible for the management of complaints and appeals including outstanding appeals against previously unassessed periods of care, in line with national policy changes. To take the lead in the management of investigations relating to appeals, complaints, and Freedom of Information requests. To ensure an up-to-date log is kept of the same and what stage each is at any moment in time. Responsible for supporting and monitoring the commissioning of packages of care and procurement of services to ensure high quality care delivery. Support the preparation strategic reports / dashboards and briefings for directors and stakeholders. In depth analysis, interpretation and production of complex and multiple reports including financial returns. Highlight exceptions and risks ensuring mitigating action can be taken to keep the programme on track. Drafting reports summarising status on issues, appraising outcomes, and providing progress reports for the Head of Department Delegated responsibility for the provision of a NHS Continuing Healthcare service which is compliant with all statutory duties, Standing Rules and Regulations. Ensure the service is delivered on time, to national and local quality standards and in a cost-effective manner, adjusting practices and processes as required. To be responsibility for developing policy and procedures that are necessary to ensure the safe, robust, and high-quality delivery of the NHS Continuing Healthcare service, including briefings, commissioning, business, or resources. Requirement to be part of the NCL on-call rota.
Person Specification
Education / Qualifications
Essential
- Educated to masters level or equivalent level of experience.
- Evidence of continuing professional development
- Current clinical registration with the appropriate regulatory body.
- Membership of a Professional body.
- Thorough knowledge of the National framework for Continuing Healthcare and the associated legal frameworks.
Desirable
- Leadership and / or management courses undertaken.
Experience
Essential
- Significant experience of managing CHC services.
- Experience of being involved in complex safeguarding situations.
- Experience of managing teams.
- Experience of managing a significant budget
- Experience of developing services, including introducing technology to enhance productivity.
- Significant experience of working at this level.
- Experience of working with Local Authorities.
- Experience of managing differences of opinion.
Desirable
- Experience of developing and delivering a business strategy.
Knowledge/Skills/ Abilities
Essential
- Ability to manage and deal with contentious or sensitive issues.
- Ability to manage aggressive/antagonistic behaviour.
- Able to keep calm in a fast-paced environment.
- Ability to chair panels, where there are often conflicting views, and make a decision based on best practice.
Person Specification
Education / Qualifications
Essential
- Educated to masters level or equivalent level of experience.
- Evidence of continuing professional development
- Current clinical registration with the appropriate regulatory body.
- Membership of a Professional body.
- Thorough knowledge of the National framework for Continuing Healthcare and the associated legal frameworks.
Desirable
- Leadership and / or management courses undertaken.
Experience
Essential
- Significant experience of managing CHC services.
- Experience of being involved in complex safeguarding situations.
- Experience of managing teams.
- Experience of managing a significant budget
- Experience of developing services, including introducing technology to enhance productivity.
- Significant experience of working at this level.
- Experience of working with Local Authorities.
- Experience of managing differences of opinion.
Desirable
- Experience of developing and delivering a business strategy.
Knowledge/Skills/ Abilities
Essential
- Ability to manage and deal with contentious or sensitive issues.
- Ability to manage aggressive/antagonistic behaviour.
- Able to keep calm in a fast-paced environment.
- Ability to chair panels, where there are often conflicting views, and make a decision based on best practice.
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.
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).
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.
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).
