About this role
Job summary
The post holder will be responsible for assessing and determining eligibility for people with complex health needs who are eligible for NHS funding for long term care and treatments under The National Framework for NHS Continuing Healthcare and NHS Funded Nursing Care, The Mental Health Act. The service also commissions packages of care for clients requiring Transforming Care and Neurological Rehabilitation pathways.
The post holder will be responsible to clinically plan and commission the care required, ensuring that the care is safe, effective and good quality. Communication and relationships with individuals and independent providers is a key part of this role as well as abilities to manage risks, problem solve influence and negotiate to ensure appropriate clinical commissioning case management of complex individuals.
The post holder will chair multi-disciplinary meetings in order to make eligibility recommendations for NHS Continuing Healthcare and NHS Funded Nursing Care. Complete reviews of commissioned packages ensuring that people are receiving high quality safe and effective care as well as ensuring they still have eligibility for the relevant funding stream. You will also provide expert advice to other professionals commissioned to provide care in relation to NHS continuing Healthcare and NHS Funded Nursing Care packages.
Main duties of the job
The post holder will act as CHC commissioning nurse for patients whose care is either jointly or solely funded by NHS GM and the care is provided by the independent sector
Identify and case manage clients who may be eligible for NHS funding, chair and coordinate eligibility assessments and reviews
Provide expert advice to other professionals commissioned to provide care in relation to NHS Individualised Commissioning
Complete the restitution process for all claims which includes presentation of findings to the NHS GM multi-agency funding panel and the NHS England Independent review panel
Contribute to the quality monitoring of care home providers
Support with the duty function of the service
About us
NHS Greater Manchester Integrated Care
Integrated Care Systems (ICSs) are partnerships of health and care organisations that come together to plan and deliver joined up services and to improve the health and wellbeing of people who live and work in their area. Their purpose is to improve outcomes in population health and healthcare; tackle inequalities in outcomes, experience, and access; enhance productivity and value for money and support broader social and economic development in their area efficiency. This will be delivered in neighbourhood, place, combinations of places and GM system. This role is in the Trafford locality within the Healthcare commissioning and is attributed to the Personalised Care Service.
Our NHS People Promise - the promise we must all make to each other, to work together to improve the experience of working in the NHS for everyone. Like many other employers, NHS GM currently has evidence of unwarranted inequalities in the workforce, most notably in relation to minoritised ethnic, female and\or disabled staff and their intersectionality. As a result, we will use positive action measures to bring benefits to our organisation, including a wider pool of talented, skilled, and experienced people from which to recruit and a better understanding of the needs of a more diverse range of customers.
Job description Job responsibilities
Promote ICSs vision and mission and to uphold ICSs values in all day to day activities and delivery of services.
Participate in the objective setting process as part of the annual Performance Development Review/appraisal process, to understand how own role and objectives are linked to team, directorate and corporate objectives, to review what aspects of your role are being done well, and to identify any areas for development.
Undertake relevant activities and mandatory training to meet objectives identified in Personal Development Plan.
Adhere to all ICS policies and guidelines, including HR, Information Governance, Risk Management and Health & Safety policies.
Comply with relevant ICS and own professional codes of conduct and accountability.
Maintain professional registration if this is a requirement of the job.
Carry out your duties in a way that supports equality and values diversity and the values and behaviours of Trafford ICS. This responsibility includes your actions in relation to service users, carers, work colleagues, people in other organisations and members of the public.
In accordance with the Health and Safety at Work Act 1974 and subsequent legislation the post holder is required to undertake a proactive role in the management of risks in all their actions. This includes:
1. Undertaking risk assessments in line with ICS risk assessment process.
2. Reporting all incidents, near misses and hazards in line with ICSs reporting arrangements/system
3. Undertaking a statutory duty of care for your own personal safety and that of others
4. Attending all statutory and mandatory health and safety training, appropriate to the role.
Maintain the security and confidentiality of information you come across in your role in ICS in line with ICS policies and protocols. All staff have a duty to complete training on Information Governance as part of Mandatory Training and on an on-going basis through Essential Training updates.
All employees have a responsibility to protect and safeguard people (children and adults). They must be aware of child and adult safeguarding procedures and who to contact within ICS for further advice. All employees are required to attend safeguarding awareness training and to undertake additional training appropriate to their role.
To carry out all duties and responsibilities of the post in accordance with ICSs Equality, Diversity and Human Rights policies, avoiding unlawful discriminatory behaviour and actions when dealing with colleagues, service users, members of the public and all other stakeholders; to promote awareness of and respect for Equality, Diversity and Human Rights in accordance with ICS policies and procedures and to be compliant with the ICSs values and behaviours.
Person Specification
PROFESSIONAL REGISTRATION Essential
Nursing qualification or equivalent Allied health professionals, Occupational Therapist, Physiotherapy etc
Qualifications Essential
BSC (Hons) Degree in Nursing or related subjects Nursing qualification or equivalent Allied health professionals, Occupational Therapist, Physiotherapy etc Or relevant experience
Experience Essential
Significant nursing experience at band 5 or equivalent experience Evidence of post qualifying and continuing professional development Experience of working as a Registered Nurse with patients with multiple/complex needs Responsibility for a defined caseload which includes assessment, planning, implementation and evaluation of nursing care Experience in working within a multi-disciplinary team setting Experience of clinical supervision and reflective practice discussions
Desirable
Experience of working with Older People with Mental Health difficulties
Knowledge Essential
Knowledge and understanding of current national policy/framework guidance relating to NHS Continuing Healthcare and NHS Funded care Awareness of current legislation relating to health and social care Understanding of the current issues impacting on the NHS Confidence to manage complex multi-disciplinary
Desirable
Knowledge of retrospective reviews
COMPETENCIES Essential
Ability to build effective partnerships with a wide number of partners and stakeholders Effective negotiating and influencing skills Use effective verbal communication skills with a wide range of individuals including patients and families/representatives, health and social care professionals, commissioners and private and public sector care providers The ability to lead multi professional MDT's Ability to assess and re-prioritise own work Ability to change plans and respond effectively to meet service demands Adaptability, flexibility and ability to cope with uncertainty and change or challenging situations Ability to engage with and learn from peers, other professionals and colleagues in the desire to provide or support the most appropriate interventions. Experience of involvement in Safeguarding Investigations
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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name NHS Greater Manchester Integrated Care
Address Trafford Town Hall
Talbot Road
STRETFORD
M32 0TH
United Kingdom
Employer's website https://www.gmsharedservices.nhs.uk/ (Opens in a new tab)