Job Description
The post holder will work as part of a dynamic team, including
commissioners and providers in delivering an effective service
supporting people with Learning Disabilities in their CHC Journey
The role involves; assessing eligibility criteria under the NHS National Framework for Continuing Healthcare and Funded Nursing Care 2009 (2022), planning and commissioning packages of care (including Personal Health Budgets), supporting individuals, their families and health professionals through the Continuing Healthcare process (including transition from child to adult services) and reviewing eligibility/packages of care.
The post holder will undertake comprehensive professional Continuing Healthcare and Funded Nurse Care assessments for adults over 18 years of age with complex health needs including the assessment, review and monitoring of care for those whose health needs are funded via NHS
Continuing Healthcare within the dedicated time scales. This will include retrospective and appeal cases.
ICB Values and Behaviours
The ICB has developed a set of values which apply to all staff. You will be expected to conduct yourself at all times in line with the values and behaviours. This includes conducting yourself professionally and operating in a respectful and collaborative way.
Health and Safety
Employees have a legal responsibility not to endanger themselves, fellow employees and others by their individual acts or omissions. The post holder is required to comply with the requirements of any policy or procedure issued in respect of minimising the risk of injury or disease.
Data Protection and Confidentiality
All employees are subject to the requirements of the Data Protection Act 1998 and must maintain strict confidentiality in respect of patient, client and staff records.
The ICB is committed to having a workforce which is representative of the population of Birmingham and Solihull.
Our current staffing profile demonstrates that we are not as representative as we would like to be at this level within the organisation. We would actively welcome applications from males for this role.
The ICB is registered as a Disability Confident Employer. We actively welcome applications from applicants with a disability and commit to shortlisting all such 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.
- The post holder will work jointly with health, social care and independent sector colleagues to ensure care management processes are appropriate and at time may be asked to present assessments to the BSOL continuing care panels for ratification.
- 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 decision makers.
- The post holder will be responsible for complex clinical caseload comprising of; Assessments, undertaking of review (3/12 CHC review unscheduled review and Fast Tracks and implementation on Personal Health Budgets and ongoing Case Management of Patients funded
by Continuing Healthcare (CHC), Mental Health & Learning Disabilities.
- Ensure assessments conducted are robust, transparent and multi-agency (where required) for NHS Continuing Healthcare/NHS-funded Nursing Care.
- To support the seamless implementation of the National Framework for Continuing Healthcare including contribution to the development of training programmes and delivery plans as required to facilitate others learning.
- Within Birmingham and Solihull Clinical Commissioning Group provide advice, screen and coordinate assessments against the National Framework for Continuing Healthcare and Funded Nursing Care within Nursing Homes.
- To work with the Senior Nurses to process Funded Nursing Care and Continuing NHS Health Care Applications. Influence best practice by providing professional nursing advice on a range of physical and mental health nursing issues, which will require the individual to work in collaboration with partners and other professionals to ensure patients' health care needs are met appropriately and effectively.
- To work closely with the Funded Nursing Care Lead Nurse by assisting in observing the quality of care in homes visited, identifying unmet need and being proactive in the encouragement of improvement in care standards.
- A strong business focus as well as clinical expertise is a key requirement for this role to ensure delivery of best possible care within available funding representing value for money.
- Assist in the implementation of policies involving National Framework for Continuing Healthcare and Funded Nursing Care in Care Homes with Nursing.
- To assess new applications for client’s eligibility against the National Framework for Continuing Healthcare and Funded Nursing Care
- To co-ordinate new applications for consideration of eligibility for Continuing NHS Care
- To undertake Nursing Assessments for patients with identified health needs.
- To complete the Decision Support Tool and recommendation as indicated.
- To complete Continuing Healthcare Review assessments and complete appeal assessments.
- To provide Clinical Cover to include processing Fast Track applications; preparation of cases for panel; and provide advice and guidance to external agencies.
- To make recommendations following Nursing Assessment relating to all identified needs of a client
- Identify clients who are at risk and act upon/ manage any issues related to the findings
- Report any concerns related to client care following assessment to the Senior Nurse within the Continuing Care Team, Care Quality Commission, Adult Protection and Social Services
- To participate in Safeguarding of Vulnerable Adults process related to individuals in Care Homes with Nursing.
- To undertake robust quality Nursing Assessments and Reviews.
- To identify specialist nursing equipment needs and advise about provision of that which is over and above the minimum standard.
- To ensure suitability of equipment for patients with identified health problems
- To ensure every assessment (new or review) represents value for money within available funding.
- To work within agreed systems and processes to secure best value for money packages that meet clinical needs
- To promote physical and mental well-being and maximise client and carer empowerment in the management of their care. Where necessary ensure individuals have access to an advocate
- To undertake Joint Assessments in conjunction with family/ carers and with other professionals from health and social care, to ensure the health needs of patients are identified and appropriately met
- To prepare Continuing Health Care Assessments for the Continuing Care eligibility Panel
- To act as an information resource for Birmingham and Solihull Clinical Commissioning Group in relation to Funded Nursing and Continuing NHS Healthcare, providing appropriate advice to the public, professionals, and others as appropriate
- To participate in the appeals, process and Continuing Care Review Panels
- To have a working knowledge of the National Framework for Continuing Healthcare and Funded Nursing Care and maintain relevant and up to date knowledge and skills
- To act in accordance with the legal requirements and statutory rules related to practice and registration, NMC Code of Conduct and CSU Policies and Procedures including Financial Procedures, Health & Safety Policies and Safe Systems of Work
- To attend all mandatory updates
- To be responsible for the supervision and teaching of staff/students as necessary
- To deputise when necessary for the Senior Nurse
- To promote clinical governance within all settings, encouraging the development and participation in clinical audit, research evidenced based practice and reflective practice and lifelong learning.