Job Description
A NUMBER OF SENIOR CHC ADVISOR ROLES AVAILABLE FOR PLACE BASED TEAMS THROUGHOUT LANCASHIRE & SOUTH CUMBRIA
PLACE BASES INCLUDE: BLACKPOOL, FYLDE & WYRE, MORECAMBE, SOUTH CUMBRIA, LANCASTER, BLACKBURN WITH DARWEN, GREATER PRESTON, CHORLEY & SOUTH RIBBLE, EAST LANCASHIRE & WEST LANCASHIRE
ROLE IS FAMILY FRIENDLY AND OPEN TO ALL ALLIED HEALTH PROFESSIONALS & NURSES
The post holder will play a key role in supporting the All Age Continuing Health Care service across the region.
Working within the remit of the National Framework for Continuing Healthcare, the post holder will deliver an effective and competent level of service, consistently delivering a client-focused service.
The post holder will deputise for the Team Lead and provide specialist advice to the CHC Advisors. The post holder will have responsibility for the operational and line management duties of the CHC Team in the commissioning of care packages in the community and in residential settings. The post holder will work closely with the Team Lead CHC to jointly manage the CHC team and workload.
The post holder will work closely with adult social care colleagues and commissioning leads in the ICB and Local Authority in health developments and strategy and will develop close working relationships Local Authority leads.
Please Note - This vacancy may be closed early if there are a high number of applications received.
Currently we are looking for a motivated and experienced RMN, RGN OR ALLIED HEALTH PROFESSIONAL who can work autonomously and collaboratively in a multi-agency environment with individuals and their representatives to support the assessment and review process for NHS Continuing Healthcare (CHC) and NHS Funded Nursing Care (FNC). You will undertake comprehensive person-centred assessments so CHC and FNC eligibility can be determined.
Our hours of work are Monday -Friday, 9am -5pm with the opportunity for agile working. Lancashire & South Cumbria ICB is committed to the personal and professional development of their staff and offers a wide selection of learning and development opportunities.
Lancashire & South Cumbria ICB is a fully-authorised ICB responsible for the full range of ICB statutory duties and powers. Each Place Based Team within the ICB aims is to improve the health of the people and reduce health inequalities through strong, clinically-led commissioning of high quality healthcare services.
An exciting opportunity has arisen within our Continuing Health Care Teams. Role involves assessing patients for Continuing Care funding (CHC), holding a caseload and reviewing patients as necessary. Good induction and training offered. Friendly Multi-disciplinary Team. The role is varied and involves working closely with Local Authority, Acute Trusts and with providers
You will work within the Mental Capacity Act and gain experience involving Best Interest decisions and Court of Protection work.
This is an exciting opportunity to work within a successful, progressive ICB and to make a positive contribution to the lives of people in Lancashire & South Cumbria.
Please note that the main headquarters of Lancashire and South Cumbria ICB will move from Chorley House, Leyland to County Hall, Preston in spring/summer 2023.
Main Duties
- Deputise for the Service Manager/Team Lead CHC and Complex Cases Team Manager and ensure the effective and efficient use of human, physical and financial resources in the absence of the Team Lead
- Provide cross cover for Deputy Team Lead CHC team
- Contribute to professional and policy making activities that impact on the team and other health care professionals.
- Provide leadership and co-ordination across professional boundaries working closely with other clinicians within the same area of practice.
- Possess an in-depth knowledge of national policy area and changes to policy relating to CHC. Be actively involved in local policy development and implementation of policy changes within CHC.
- Attend CHC, PHB, and QMG panel as required and make high-level complex decisions with regard to client placements.
- Monitor Delayed Discharges of Care and engage in call conferences with other health and social care professionals about delays.
- Provide specialist expert knowledge of CHC to clinical and Social Care colleagues and safeguarding adults/Mental Capacity Act/ MHA advice and support.
- Take a lead role in governance within the CHC Team including undertaking audits and providing reports as requested
- Provide line management for the CHC Team
- Lead on multidisciplinary team (MDT) meetings/case conferences, for complex CHC cases
- Lead on and contribute towards evaluation/audit and clinical standard setting with other members of the team.
- Undertake annual appraisals for identified team members and provide clinical supervision.
- Be an information asset administrator.
Clinical responsibilities
- Use advanced clinical assessment skills to analyse and interpret history of illness, presenting symptoms and physical findings to enable planning and treatment of patient care.
- Manage a small caseload of complex CHC cases
- Develop and use specialist skills and knowledge to deliver specialised advice and care.
- Advise on complex cases, supporting the CHC team in the absence of the Team Lead to undertake health needs assessments and continuing care screening within care homes/hospital/hospice/patients own homes.
- Establish partnerships and networks with social services, voluntary sector and other agencies to ensure patients with complex continuing health care needs have access to all resources available. Work closely with all of these agencies to act as an expert, support and advise these teams as appropriate in the assessment, appropriate care and placement for patients.
- Participate in the assessment of patients against the eligibility criteria for NHS Funded Continuing Health Care.
- Make recommendations to panel on eligibility, based on delegated authority and expert knowledge, informing the referrer of outcomes.
- Monitor and Review packages of care to assess changes of patients’ needs and costs.
- Arrange and participate continuing care reviews as designated by the Clinical Lead NHS Continuing Care / Funded Nursing Care.
- Maintain clinical competency in a range of extended skills, medical knowledge as required, to meet the needs of the patients.
- Make autonomous decisions about the management of clinical care based on assessment and differential diagnosis.
- Work with other health care colleagues, voluntary and statutory organisations to ensure that the holistic needs of patients are met wherever possible.
- To co-ordinate the interface between acute, primary, community and social care settings using the single assessment process.
- Provide support and guidance to patients and relatives re processes necessary to implement the government’s National Framework for NHS-fully funded Continuing Healthcare and Funded Nursing Care. Assist the Head of Safeguarding and Team Lead in co-ordinating the health component of safeguarding investigations in respect of care facilities.
- Attend safeguarding meetings and contribute to decisions as required.
- Attend Court of Protection as a witness as required and provide relevant documentation and detailed written reports as requested.
- Where necessary together with the Service Manager/Team Lead CHC and work with legal representations of the organisation.
- Analyse complicated information from various agencies, often conflicting, to make a judgement with regard to a client’s care. Recognise if information is missing and use expertise and experience to make decisions.
Communication
- Be able to provide and professionally and competently manage complex information and situations which may be contentious
- Possess a wide range of communication skills to address varying complex situations and levels.
- Have the ability to competently deal with own emotional and stressful situations as well as being able to offer support to colleagues with same.
- Contribute to responding to verbal and written complaints
- Communicate effectively in verbal, written and electronic format.
- Maintain effective internal and external communication
Training and Development
- Be responsible for maintaining personal skills and professional competencies to meet the requirements of the role and safeguarding adults/Mental Capacity Act 2005
- Ensure own compliance with mandatory training programmes and own on-going professional development and development of the advanced practice role.
- Engage in clinical supervision and self-reflection to develop own clinical standards and work practices according to organisational policies.
- Co-ordinate and provide Clinical Supervision and mentorship in the area of Complex Cases to other clinicians and professionals working across a wide range of organisations including independent nursing homes.
- Deliver education and training on Complex Cases to a variety of professional groups and disciplines.
- To take part in annual appraisal and objective setting
Organisational responsibilities
- Manage a complex case load effectively using expertise and experience and be accountable for service delivery.
- Ensure commissioned packages of care are delivered safely, effectively by liaising with provider of services.
- Plan appropriate strategies to support continuity of a package of care in case of breakdown of current provider/service.
- Deputise on a regular basis for the Service Manager/Team Lead CHC and Complex Cases to cover annual leave/sickness and at meetings as appropriate.
- Mange the CHC Team to ensure key government targets are met.
Professional responsibilities
- Maintain professional registration
- Maintain contemporaneous clinical records in line with ICB records keeping policy
- Be fully conversant with the organisations policy and procedures and the Safeguarding Adults procedures
- Comply with Information Governance requirements for information sharing in line with the Data Protection Act
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