Job summary
Herts & West Essex Integrated Care Board is a leading NHS organisation with an award-winning governing body. Working closely with partner organisations, the ICB'sstaff design, plan and commission health services for more than half a million people and monitor the quality and effectiveness of those services.The ICB currently has a vacancy for a Local Resolution Lead within the All Age Continuing Care (AACC) team.
The ICB is looking for an experienced nurse who will work as part of the AACC Team and will lead on the review of Continuing Healthcare (CHC) disputes, CHC Local Resolutions and CHC Retrospective review requests to ensure that the NHS Continuing Healthcare processes have been adhered to.
Main duties of the job
The post holder will work as part of the CHC Team embedded within the ICB and will be responsible for providing clinical expertise on reviewing both previously unassessed and assessed periods of care.
The post holder will lead on the review of CHC disputes, CHC Local Resolution's and CHC retrospective review requests to ensure that the NHS Continuing Healthcare processes has been adhered and identify the responsible commissioner prior to commencing any dispute or retrospective review process.
The Post Holder will be expected to produce and oversee comprehensive reports identifying a patient journey throughout the period of review.
The post holder will be expected to have an excellent understanding of Continuing Health Care and high-level communication skills to Chair local resolution meetings with claimants and their representatives.
The Post Holder will be required to provide support to families/representatives to improve their experiences.
About us
Here at Hertfordshire and West Essex Integrated Care Board, we're responsible for planning and overseeing how NHS money is spent to support the people who live in Hertfordshire and west Essex.
We have around 750 employees and our role is to make sure health services work well and are of high quality as well as value for money.
It's an exciting time for us and we're looking for people who enjoy working in a fast-paced, vibrant environment that can help us achieve our aim.
So if you share our passion for people and want to make a positive change to their health and health services then we want to hear from you.
Job description
Job responsibilities
The role will involve supporting the ICB to manage the clinical elements of the dispute process. This involves extensive scrutinising and analysing the appropriate health and social care information, meeting with representatives to attempt to resolve the dispute locally, considering and examining representative comments and providing thorough responses to any concerns raised.
Supporting Patient Experience teams in investigating any complaints which may occur in relation to the dispute process. Rationalizing and evaluating eligibility decisions by presenting cases to senior managers as required. Ensure that all assessments have been completed in line with the National Framework for NHS Continuing Healthcare and NHS- funded Nursing Care, NHS Continuing Healthcare (responsibilities) Directions and any other relevant national and local guidance.
Providing continuous support to colleagues across the CHC team and providing up-to-date information regarding any changes within both national and local policies and procedures.
Job description
Job responsibilities
The role will involve supporting the ICB to manage the clinical elements of the dispute process. This involves extensive scrutinising and analysing the appropriate health and social care information, meeting with representatives to attempt to resolve the dispute locally, considering and examining representative comments and providing thorough responses to any concerns raised.
Supporting Patient Experience teams in investigating any complaints which may occur in relation to the dispute process. Rationalizing and evaluating eligibility decisions by presenting cases to senior managers as required. Ensure that all assessments have been completed in line with the National Framework for NHS Continuing Healthcare and NHS- funded Nursing Care, NHS Continuing Healthcare (responsibilities) Directions and any other relevant national and local guidance.
Providing continuous support to colleagues across the CHC team and providing up-to-date information regarding any changes within both national and local policies and procedures.
Person Specification
Knowledge
Essential
- Evidence of degree level nursing study or equivalent
- Evidence of post qualifying and continuing professional development
- Valid NMC registration
Experience
Essential
- Experience of working at band 6 or above in Continuing Healthcare and Appeals of at least 2 years
- Significant experience of successfully operating in a politically sensitive environment
- Evidence of continued professional development
- Demonstrated experience of co-ordinating projects in complex and challenging environments
Desirable
- Experience of managing risks and reporting
- Experience of drafting briefing papers and correspondence at SMT level
Communication
Essential
- Ability to prepare and produce concise yet insightful communications for disseamination to senior stakeholders and a broad range of stakeholders as required
- Experience of creating and giving presentations to varied group of internal and external stakeholders
Analytical
Essential
- Ability to analyse very complex issues where material is conflicting and drawn from multiple sources.
- Ability to analyse very complex issues where material is conflicting and drawn from multiple sources.
- Numerate and able to understand complex financial issues combined with deep analytical skills
- Experience of setting up and implementing internal processes and procedures
- Knowledge of Financial Systems e.g. monitoring budget management, processing invoices and procurement
Person Specification
Knowledge
Essential
- Evidence of degree level nursing study or equivalent
- Evidence of post qualifying and continuing professional development
- Valid NMC registration
Experience
Essential
- Experience of working at band 6 or above in Continuing Healthcare and Appeals of at least 2 years
- Significant experience of successfully operating in a politically sensitive environment
- Evidence of continued professional development
- Demonstrated experience of co-ordinating projects in complex and challenging environments
Desirable
- Experience of managing risks and reporting
- Experience of drafting briefing papers and correspondence at SMT level
Communication
Essential
- Ability to prepare and produce concise yet insightful communications for disseamination to senior stakeholders and a broad range of stakeholders as required
- Experience of creating and giving presentations to varied group of internal and external stakeholders
Analytical
Essential
- Ability to analyse very complex issues where material is conflicting and drawn from multiple sources.
- Ability to analyse very complex issues where material is conflicting and drawn from multiple sources.
- Numerate and able to understand complex financial issues combined with deep analytical skills
- Experience of setting up and implementing internal processes and procedures
- Knowledge of Financial Systems e.g. monitoring budget management, processing invoices and procurement
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).
