NHS Lancashire and South Cumbria Integrated Care Board (125)

Clinical Case Reviewer/Assessor, NHS CHC Appeals Team

The closing date is 20 January 2026

Job summary

The post holder will have a lead role with respect to NHS Continuing Healthcare (CHC) appeals and retrospective reviews. ,

The role requires the clinician to review and collate large amounts of evidence (including medical, health and care records), coordination of meetings with families/solicitors and the completion of eligibility reviews that includes outcome letters/reports. Required to attend Local Resolution and Multi-disciplinary Team meetings, engage with applicants and participate in deliberations concerning CHC eligibility.

Main duties of the job

Provide clinical expertise for CHC appeals, and retrospective reviews

Ensure that processed outlined within the National Framework process has been robustly applied within the Appeal, retrospective review and dispute process, with evidence to support CHC eligibility recommendations and decision making

Co-ordinate and Chair both local resolution and retrospective review meetings and provide the expert clinical CHC advice at the meetings where patients/families have disputed decisions or requested back dated reviews of eligibility

Meet with patients/representatives in potentially highly contentious situations and provide responses to complex CHC-related challenges. This can include via telephone, via video call or in person (as required)

Be expected to engage with patients and public in a meaningful way in relation to CHC appeals and retrospective reviews (including leading on the stage 1 clinical call process)

Ensure patient/families/representatives are supported and aware of the appeal and retrospective review processes followed by the ICB in relation to CHC

Complete detailed, accurate and efficient reviews of all evidence sourced

Provide timely relevant correspondence to patients/families/representatives ensuring they are kept informed of developments

About us

  • Adhere to and uphold the ICB's vision and values.
  • Observe the provisions of and adhere to all ICB policies and procedures.
  • Complete ICB Statutory and Mandatory training as required and any other training courses relevant to the post.
  • Abide by the ICB's commitment that all staff will be treated with respect by management, colleagues, patients and visitors and equally staff will treat management, colleagues, patients and visitors with the same level of respect. Staff will be supported to challenge any discriminatory behaviour that may be based on differences in race, disability, language, culture, religion, sexuality, age, and gender or employment status.
  • Adhere to relevant Code of Practice of Professional body (if appropriate).
  • The post holder must be flexible in the duties performed and it is expected that similar duties, not specifically listed above, will be carried out as required and may be cross site.

Details

Date posted

06 January 2026

Pay scheme

Agenda for change

Band

Band 6

Salary

£38,682 to £46,580 a year per annum

Contract

Permanent

Working pattern

Full-time, Part-time, Job share

Reference number

125-ICB043-25

Job locations

County Hall

Fishergate Hill

Preston

PR1 8XB


Job description

Job responsibilities

Provide clinical expertise for CHC appeals, and retrospective reviews

Ensure that processed outlined within the National Framework process has been robustly applied within the Appeal, retrospective review and dispute process, with evidence to support CHC eligibility recommendations and decision making

Co-ordinate and Chair both local resolution and retrospective review meetings and provide the expert clinical CHC advice at the meetings where patients/families have disputed decisions or requested back dated reviews of eligibility

Meet with patients/representatives in potentially highly contentious situations and provide responses to complex CHC-related challenges. This can include via telephone, via video call or in person (as required)

Be expected to engage with patients and public in a meaningful way in relation to CHC appeals and retrospective reviews (including leading on the stage 1 clinical call process)

Ensure patient/families/representatives are supported and aware of the appeal and retrospective review processes followed by the ICB in relation to CHC

Complete detailed, accurate and efficient reviews of all evidence sourced

Provide timely relevant correspondence to patients/families/representatives ensuring they are kept informed of developments

Attend with Line manager to present and defend CHC cases at NHS England's 'Independent Review Panels' on behalf of the ICB

Support Line Manager to review CHC appeals and retrospective review processes to identify any opportunities to improve pathways as appropriate to enhance quality and effectiveness

Job description

Job responsibilities

Provide clinical expertise for CHC appeals, and retrospective reviews

Ensure that processed outlined within the National Framework process has been robustly applied within the Appeal, retrospective review and dispute process, with evidence to support CHC eligibility recommendations and decision making

Co-ordinate and Chair both local resolution and retrospective review meetings and provide the expert clinical CHC advice at the meetings where patients/families have disputed decisions or requested back dated reviews of eligibility

Meet with patients/representatives in potentially highly contentious situations and provide responses to complex CHC-related challenges. This can include via telephone, via video call or in person (as required)

Be expected to engage with patients and public in a meaningful way in relation to CHC appeals and retrospective reviews (including leading on the stage 1 clinical call process)

Ensure patient/families/representatives are supported and aware of the appeal and retrospective review processes followed by the ICB in relation to CHC

Complete detailed, accurate and efficient reviews of all evidence sourced

Provide timely relevant correspondence to patients/families/representatives ensuring they are kept informed of developments

Attend with Line manager to present and defend CHC cases at NHS England's 'Independent Review Panels' on behalf of the ICB

Support Line Manager to review CHC appeals and retrospective review processes to identify any opportunities to improve pathways as appropriate to enhance quality and effectiveness

Person Specification

Experience

Essential

  • Educated to degree level in relevant subject or equivalent level of experience of working at a similar level in a specialist area

Knowledge

Essential

  • A good understanding of the health and social care environment and roles and responsibilities within it

Analytical skills

Essential

  • Ability to analyse and interpret information, pre-empt and evaluate issues and recommend appropriate course of action to address the issue

Management skills

Essential

  • Ability to engender trust and confidence and demonstrate integrity in the provision of advice and support
Person Specification

Experience

Essential

  • Educated to degree level in relevant subject or equivalent level of experience of working at a similar level in a specialist area

Knowledge

Essential

  • A good understanding of the health and social care environment and roles and responsibilities within it

Analytical skills

Essential

  • Ability to analyse and interpret information, pre-empt and evaluate issues and recommend appropriate course of action to address the issue

Management skills

Essential

  • Ability to engender trust and confidence and demonstrate integrity in the provision of advice and support

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).

Additional information

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 Lancashire and South Cumbria Integrated Care Board (125)

Address

County Hall

Fishergate Hill

Preston

PR1 8XB


Employer's website

https://www.lancashireandsouthcumbria.icb.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

NHS Lancashire and South Cumbria Integrated Care Board (125)

Address

County Hall

Fishergate Hill

Preston

PR1 8XB


Employer's website

https://www.lancashireandsouthcumbria.icb.nhs.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Lead Nurse and Service Manager

Amanda Walsh

amanda.walsh6@nhs.net

Details

Date posted

06 January 2026

Pay scheme

Agenda for change

Band

Band 6

Salary

£38,682 to £46,580 a year per annum

Contract

Permanent

Working pattern

Full-time, Part-time, Job share

Reference number

125-ICB043-25

Job locations

County Hall

Fishergate Hill

Preston

PR1 8XB


Supporting documents

Privacy notice

NHS Lancashire and South Cumbria Integrated Care Board (125)'s privacy notice (opens in a new tab)