The closing date is 17 March 2025
Salary: Depending on experience
Job summary
Join Our Team in Continuing Healthcare!
Are you passionate about making a real difference in peoples lives? Looking for a role where your skills will truly have an impact? Come and join our friendly and dedicated team at NHS Cheshire and Merseyside Integrated Care Board.
We welcome interest from Registered Nurses with a background in, mental health, learning disabilities, adult, children and young people; commissioning, specialist commissioning and dispute resolution, in addition to quality improvement.
Join us and be a part of something bigger making a real difference in the lives of people across Cheshire and Merseyside.
Who Were Looking For
Were seeking dedicated, compassionate professionals with experience in nursing and healthcare assessment. If you’re passionate about patient care, have strong assessment skills, and enjoy working in a collaborative environment, we’d love to hear from you!
Why Work With Us?
Work within a collaborative, supportive, and forward-thinking environment.
Engage in meaningful work that directly improves the lives of our patients.
Be part of a team dedicated to service innovation and best practice.
Competitive salary and benefits package.
Opportunities for professional growth and development.
Main duties of the job
As a very brief overview, your role will be to work closely with acute Trusts to support discharge to assess pathways, completing all reviews and assessments in line with the services key performance indicators.
You will:
Deliver optimum holistic care to service users identified for NHS healthcare funding
be actively involved in ensuring that service users meet the eligibility criteria for NHS Continuing Healthcare
Ensure service users are reviewed in line with national and local policies and procedures, as well as those eligible for Section 117.
Assess, commission, plan and procure packages of care for service users in line with the AACC Commissioning Policy.
Job responsibilities
This will be varied and will adapt over time as both the ICB/S develops. However, the
postholder is expected to fulfil the following key functions: –
- Play a key role in delivering the All Age Continuing Care Service, ensuring an effective, person-focused and competent level of service.
- Work within the remit of the National Framework for All Age Continuing Healthcare and Previously Unassessed Periods of Care (PUPoC) Guidance.
- Work as part of the Retrospective Review and Dispute Resolution Team and will be responsible for providing clinical expertise on reviewing previously assessed periods of care in accordance with Service operational procedures this will include:
- Scrutiny of appropriate evidence used to make an eligibility decision and provided by claimant.
- Completion of Local Resolution Report, Needs Portrayal, Checklist and Decision Support Tool documents where appropriate.
- Leading meetings with individuals or their representatives.
- Leading MDT meetings with Local Authority colleagues.
- Conducting quality assurance decisions and tasks.
- Liaison with key stakeholders including the Local Authority / Finance Department / Solicitors / Claims Companies.
- Be responsible for effective communication with a range of individuals and will need to use tact, diplomacy and conflict management skills to inform and advise.
- Evaluate local resolution and retrospective review requests to ensure that the NHS All Age Continuing Healthcare processes has been adhered to and identify the responsible commissioner prior to commencing any review process.
- Produce comprehensive reports identifying a patients journey throughout the period of review.
Have a good understanding of All Age Continuing Healthcare and high-level communication skills to chair local resolution meetings with claimants and their representatives.
- Provide support to families/representatives to improve their experiences.
Key working relationships
The post holder will have regular contact with a wide range of staff at all levels within the
ICB/S, with senior and other representatives of local stakeholders, as well as with
patients and their representatives. Some of the key direct relationships include:
- Cheshire and Merseyside ICB/S executive teams
- Cheshire and Merseyside ICB leadership teams
- Chief Information Officers / Digital Leads
- Clinical Leaders
- Colleagues within NHSE/I
- Senior leaders across Cheshire and Merseyside, NHS, local authorities and other third sector organisations
Main duties and responsibilities
- Use clinical judgment to analyse, review and prepare retrospective / dispute cases regarding eligibility for NHS All Age Continuing Healthcare funding.
- Produce accurate and contemporaneous reports.
- Assist the patient, carer and/or their representative to understand All Age Continuing Healthcare policy and procedures giving explanations in understandable language demonstrating and empathetic and sensitive approach.
- Ensure the effective communication of all aspects of the process, dealing with the exchange of correspondence with legal representatives, advocates and when necessary Parliamentary Health Ombudsman.
- Liaise as appropriate with the patient, carer and/or their representative throughout the local resolution / retrospective review process, ensuring, where possible, their involvement at each stage of the process.
- Be involved in the management of highly complex, contentious, and sensitive cases which may be distressing in nature for families and requiring de-escalating skills being utilised.
- Chair and present individual cases within the local resolution process.
- Attend, when appropriate, Independent Review Panels and related meetings appropriate to the role and as agreed by the line manager.
- Ensure that the patient, carer and/or their representative are involved and informed of the recommended outcome of the review and to communicate clearly the next stages required if relevant.
- Support in identifying areas for service improvement and policy development within the sphere of the local process and related areas of All Age Continuing Healthcare.
- Be responsible for own workload in maintaining high standards and professionalism throughout.
- Feedback learning and work closely with others to support staff so that they can fulfil their roles effectively.
- Liaise with the Finance Department regarding retrospective review overturns, providing proof of overturn and consent. Respond to queries as required.
- Assist the All Age Continuing Healthcare Team with resolution of complaints and disputes
- Raising issues of concern through the Senior Management Team where necessary.
- Mentoring and supervision of All Age Continuing Healthcare Associate Practitioners and Practitioners where appropriate.
- Line manage staff as requested, ensuring HR policies are followed.
- Contribute to performance improvement within the team ensuring that services are delivered to a high standard.
- Work with members of the team to investigate the causes of any variance from target/plan and proactively contribute to the implementation of solutions.
- Actively supporting the All Age Healthcare team in working towards goals and objectives.
- Communicate information, risks, issues, and dependencies, including briefings and reports.
- Maintain professional registration and up-to date knowledge of legislation.
- Provide relevant and timely specialist advice and guidance on functional and information matters relating to the service.
- Deliver against objectives, achieving quality outcomes, prioritising own workload, and working to tight deadlines.
- Audit of the retrospective review service collating and providing data as required.
- Foster transparency and a person-centred approach with patients, families, and representatives.
- Ensure the principles and duties of safeguarding are holistically, consistently, and contentiously applied.
- Contribute to maintenance and monitoring of service standards around quality.
- Ensure their mandatory training is up to date and expected to adhere and complete the NHS All Age Continuing Healthcare competency framework on an annual basis
Opportunities for professional growth and development.
Person Specification
Qualifications
Essential
- Educated to degree level or equivalent level of qualification or experience in working at a similar level in a specialist area.
- Nursing qualification and professional registration.
- Evidence continued professional development.
Experience
Essential
- Knowledge of NHS All Age Continuing Healthcare National Framework and associated processes.
- Good understanding of the CHC Retrospective Review and Appeal processes.
- Ability to analyse very complex cases where material is conflicting and drawn from multiple sources.
- Conversant with national and local policy and guidance on All Age Continuing Healthcare and NHS Funded Care for adults. Data protection legislation.
- Demonstrated capability to act upon incomplete information, using experience to make inferences and decision making.
- Evidence of working on Retrospective Review / Local Resolution cases.
- Attending and participating in Local Resolution Meetings.
- In order to apply please upload your CV via NHS Jobs
- Please note we review applications as they arrive so please consider applying prior to the closing date
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).