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Job summary

Main area
Nursing
Grade
NHS AfC: Band 7
Contract
Permanent
Hours
Full time - 37.5 hours per week
Job ref
493-ICB-6621144
Employer
NHS Cheshire and Merseyside Integrated Care Board
Employer type
NHS
Site
Cheshire
Town
Chester
Salary
£46,148 - £52,809 pa
Salary period
Yearly
Closing
30/09/2024 23:59
Interview date
17/10/2024

Employer heading

NHS Cheshire and Merseyside Integrated Care Board logo

Snr Clinical Review Nurse

NHS AfC: Band 7

An exciting opportunity has arisen to be part of the changing shape of NHS commissioning in Cheshire and Merseyside. Our current organisational structure supports effective working both locally and across Cheshire and Merseyside as we develop as an Integrated Care System.

The population of Cheshire and Merseyside is diverse and growing and we are keen to see that diversity recognised within our own workforce. As an employer we seek to open opportunities for our staff to gain new skills, gain knowledge and develop careers in heath and care. 

We welcome students, staff, people of all races, religions, genders, sexual orientation, physical abilities, backgrounds, and philosophies and those who are accepting of others. Our goal is to support all of our workforce in their work, if you believe you can bring your skills and experiences and an open-minded approach into our fast paced and dynamic organisation, we are committed to providing a positive and supportive experience for all of our staff.

Job overview

A new and exciting key post has arisen for an enthusiastic registered nurse to join the All Age Continuing Care team in Cheshire.

We are part of the Nursing and Care Directorate of Cheshire and Merseyside ICB, and you will play a key role in helping our award-winning service, deliver key aspects of The National Framework for Continuing Healthcare. Cheshire and Merseyside ICB are committed to providing patients with the best level of care and there are exciting times ahead for All Age Continuing Care teams across the region.

The successful candidate will work across Cheshire and be flexible to meet the needs of the service. We operate a hybrid working model (blend of home and office working), however there may be occasions where travel outside of Cheshire may be required.

Cheshire Full time (37.5hrs), Monday-Friday.

If you feel that this is role for you and would be interested in finding out more, please contact: 

 

Karen Smith: 07342 078115

 

[email protected]

Main duties of the job

The post holder is responsible for the clinical decision making and the process and oversight of all of the screening and triaging for referrals that come into the Patient Access Team (Single Point of Access). They will need to use specialist knowledge of National Continuing Healthcare and Funded Nursing Care Framework and Mental Health Act to ensure referrals flow into appropriate assessment pathways. The post holder will make quality assurance decisions in line with operating procedures. They will be responsible for ensuring prompt and accurate assessment and approval of commissioned packages where appropriate.

The post holder is responsible for overseeing the management of all complaint’s pathways for the service. Will work on Appeals and Previously Unassessed Period of Care.

The post holder will lead the resolution of Responsible Commissioner disputes with out of area organisations. 

The post holder will lead a team delivering Continuing Healthcare ensuring that staff adhere at all times to the NHS Continuing Healthcare National Framework and work within established policies, procedures, protocols and systems, ensuring quality standards and performance.

They will be responsible for effective communication with a range of individuals and will need to use tact, diplomacy and conflict management skills to inform, advise and sign post. 

 

Working for our organisation

The service operates Monday to Friday between the hours of 9am-5pm. CHC All Age Continuing Care Services has a strong focus on the wellbeing of its staff and is able to offer regular 1-1’s, both formal and informal wellbeing activities and an employee assistance programme. 

We are an ambitious service with a national reputation for the development and implementation of technology to improve the experience of staff, patients and carers. We are committed to the ongoing learning and development of our staff and provide opportunities in line with the CHC Competency Framework. Strong leadership encourages personal growth, learning and development and there are opportunities for learning and further study.

Detailed job description and main responsibilities

  • To use expert knowledge of National Continuing Healthcare and Funded Nursing Care Framework and Mental Health Act (117 aftercare) to ensure appropriate referrals to the Service;
  • To provide patient focussed service by ensuring prompt and accurate and effective decisions within the single point of access of NHS Continuing Healthcare Services;
  • To use Who pays – Determining Responsible Commissioner guidance to determine appropriate patient referrals;
  • Responsible for the verification of Continuing Healthcare decisions on behalf of the ICB, in line with operational procedure and organisational policy;
  • To ensure the single point of access function is delivered in line with national guidance and best practice;
  • Overseeing the management resolution of complaints, appeals and disputes, ensuring operational staff complete to a high standard;
  • Lead the resolution of Responsible Commissioner disputes with out of area ICB’s’s or other organisations; liaising with legal and Senior ICB leadership when appropriate.
  • Lead and manage staff as requested ensuring a high quality service is delivered, supporting staff development and continuous improvement in line with HR policies;
  • Contributing to performance improvement, taking a lead for identified areas where agreed, and overall day to day management of performance in their area;
  • To be aware of and implement functions and responsibilities around the Mental Health Act and 117 aftercare;
  • Support the analysing, interpreting and communicating complex national directives into processes, policies and presentations for application;
  • Actively supporting the team in working towards goals and objectives and investigates the causes of any variance from target/plan and proactively contributes to the implementation of solutions;
  • Communicating information, risks, issues and dependencies, including briefings and reports;
  • Maintaining up-to-date knowledge of legislation, policies and guidance in line with appropriate healthcare sector and ensuring this is disseminated appropriately and in a timely manner to the clinical team;
  • Accurately input information onto departmental databases and tools used in Continuing Healthcare adhering to NMC standards for record keeping;
  • To work autonomously, being accountable for own actions and decisions without direct supervision or support;
  • To prevent care package crisis by supporting in a timely and appropriate manner, through good decision-making and sign posting to other services where appropriate;
  • To work collaboratively with the colleagues and multi-disciplinary professionals within the Service and other agencies to support complex decision-making for referrals.
  • Attend and participate in agreed meetings, training, development and supervision sessions as an individual and as part of the team;

·       Participate in the development and review of Service procedures and protocols;

·       To be vigilant for quality and safeguarding concerns and to act appropriately in line with policy in reporting concerns through appropriate routes;

·       Maintaining constructive relationships with a broad range of internal and external stakeholders including Health and Social care services;

  • To participate as a health panel member at Independent Review panels on an as required basis;
  • Raising issues of concern through the Senior Management Team where necessary;

·       Contribute to specific audits/ data collection processes to monitor and measure performance against local and national directives;

  • To line manage staff as directed by the Operational Lead, ensuring HR policies are followed;
  • To ensure any staff that are line managed by the post holder receive appropriate supervision;
  • Ensure own and any direct reports compliance with all statutory and mandatory training;
  • The job description and person specification are an outline of the task, responsibilities and outcomes of the role. The post holder will carry out any other duties as may reasonably be required by their line manager. The job description and person specification may be reviewed on an on-going basis in accordance with the changing needs of the department and organisation;
  • All staff are expected to adhere and complete the NHS Continuing Healthcare competency framework on an annual basis.

 

Person specification

Qualifications

Essential criteria
  • Educated degree level or equivalent level of experience of working in specialist area.
  • Current NMC Registration.
Desirable criteria
  • Evidence of continued professional development.
  • Leadership qualification.

Knowledge

Essential criteria
  • Understanding of the patient experience agenda & its contribution to quality.
  • Conversant with national and local guidance on NHS Continuing Health care/NHS Funded Care for adults.
  • Conversant with Mental Health Act 1983.
  • Working knowledgeable of Who Pays Guidance 2020.
  • Strong understanding of the operational management and clinical role of the NHS
  • Full understanding of Social Services and other Local Authority functions.
  • Knowledge & understanding of the current NHS agenda and of primary care.
Desirable criteria
  • Understanding of the commissioning agenda including its scope, structure, methods of operation, processes and inter-relationships
  • Working knowledge Children’s and Young People Continuing Care Framework.
  • Understanding of dispute resolution process both for individuals and organisiations.

Skills

Essential criteria
  • Highly developed communication skills both verbal & written
  • Ability to communicate with clinical and all levels of staff effectively.
  • Capability to work across boundaries and foster close collaboration; using influencing and negotiation skills.
  • Ability to build effective working relationships across a range of health care and other organisations.
  • IT skills ability to use Microsoft Office programmes (Word, Outlook).
  • Accurate data entry and text processing skills.
  • High level critical thinking skills and ability to develop logical and comprehensive opinions with attention to detail.

Experience

Essential criteria
  • Clear evidence of successfully working with a wide range of external organisations.
  • Manages self and own workload, delivering outcomes in a timely and efficient manner.
  • Track record in clinical quality & performance activities.
  • Effective delegator when required.
  • Ability to motivate/ support team members.
Desirable criteria
  • Experience of partnership working with other agencies
  • Managerial experience.
  • Experience of managing change.

Employer certification / accreditation badges

Positive about disabled peopleMindful employer.  Being positive about mental health.

Applicant requirements

You must have appropriate UK professional registration.

The postholder will have access to vulnerable people in the course of their normal duties and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.

Documents to download

Apply online now

Further details / informal visits contact

Name
Karen Smith
Job title
Associate Director
Email address
[email protected]
Telephone number
07342078115
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