LeDeR Reviewer Band 6

Job description

Job responsibilities

Effectively liaise and collaborate with all key partners and stakeholders at all levels including the Local Area Contact, Senior Reviewer, LeDeR Administrator and other reviewers within the team. This will involve working and liaising closely with a range of colleagues from the statutory, non-statutory and independent/voluntary sectors, the spectrum of health and social care services across Cheshire and Merseyside and Greater Manchester; the ICB Place/ICS, LA partners, Primary Care, other NHS Provider trusts (acute, mental health and community) and other relevant statutory and 3rd sector organisations, who are commissioned to provide services as well as patient and carer groups and families of those who have died, to support the local programme

Conduct mortality reviews to a high level and attend local governance panels, update on the status of reviews, present areas of good practice and concern from each review and contribute to the discussion on determining actions to be taken and implement local service improvements as agreed.

• To support the Senior LeDeR Reviewer to deliver an ambitious programme of improvement, focusing on quality and performance in line with the NHSE guidelines and promote positive change throughout health and social care, based on the learning from the reviews.
• To provide a supportive and empathetic approach to the reviews and work closely with other professionals and families when reviewing each case.
• This role is integral to support the reduction on health inequalities.

Principal Duties

• To complete high quality reviews efficiently and within national timescale requirements and where necessary co-ordinate multi-agency reviews which may be of a complex nature
• Develop resources to support Reviewers to conduct quality reviews and enable Reviewers to adequately support bereaved carers and families with whom they come into contact through the course of undertaking a review
• To conduct both initial and focussed reviews, working collaboratively with the review team and other partners. LeDeR reviewers are expected to work collegiately and provide peer support to other reviewers, particularly around their own area of expertise and supporting progression to completion
• Ensure that Safeguarding principles are considered and applied within all elements of the LeDeR programme and establish links with key local Safeguarding contacts and ensure that any concerns are reported as per Safeguarding Children and Adults policies.
• Support the development of local LeDeR arrangements, working alongside the Local Area Contact and Senior Reviewer to ensure that the requirements of the new LeDeR policy are applied and embedded.
• Identify the most appropriate evidence available including the conversation with the family or loved one, conversations with the GP or GP records and other health and care data sources and using high level professional judgement and experience to determine and agree with senior reviewer, whether a review proceeds to a focused review.
• Explain the parameters of the LeDeR review, signpost to other processes such as complaints processes, and discuss with the family their expected outcome of any LeDeR review setting realistic expectations at the start.
• Present review findings at governance panels and actively participate and support the panel to define SMART actions offering professional challenge and proposing solutions to address recommendations identified in completed LeDeR reviews, to ensure that the actions that are developed will achieve the needs of the findings of the review.
• Agree with LACs (and senior reviewers where necessary) any actions coming out of initial reviews (these will be limited and infrequent).
• Share, present and submit the learning from completed reviews with the local teams and other partners to support identification of learning that can be actioned. To collate and analyse information from completed reviews and feedback to local groups and other forums as required.
• Have the ability to convey and present complex, sensitive and possibly contentious information to a range of audiences - this information includes, but is not limited to, feedback to and from families of deceased clients as well as learning and feedback from reviews which may challenge system partners and local groups.
• Build and maintain relationships with key personnel, including social care and other health care providers, to ensure that reviews are fully informed and that knowledge and information is shared across internal and external stakeholders to improve Learning Disability and Autism care across Cheshire and Merseyside ICS and Greater Manchester ICS.
• Ensure reviews and associated outcomes are delivered on time to quality standards.
• Encourage and promote a culture that values openness, honesty, rigour and challenge.
• Maintain their knowledge and expertise on local and national policy and demonstrate personal commitment to continuous self-development and implementation of local service improvement actions.
• Maintain high standards of documentation and adhere to the national LeDeR programme requirements.
• Be responsible for escalating concerns regarding gaps in provision. Link with, escalate and refer concerns to other processes where necessary and advise families where another process (for example a Trust complaints process) would be more appropriate.
• Actively support and contribute to the development of key performance indicators for the successful assessment of performance of LeDeR in Cheshire and Merseyside and Greater Manchester

COMMUNICATION AND RELATIONSHIP SKILLS

• The nature of this role means that the reviewer is likely to be exposed to distressing situations and information which will be emotionally demanding on a daily basis. This is likely to include regular communication with family members who are grieving and may have had a negative experience of the health and care system.
• Lead a number of Learning Disability Mortality (LeDeR) reviews. In so doing communicate sensitively to relatives and carers regarding the life of and circumstances leading up to the death of a loved one or service user with a learning disability.
• Provide complex and sensitive information to patients, relatives/representatives as required
• Provide verbal feedback to others during and following visits to collate information to inform LeDeR reviews.
• Present comprehensive written and verbal report to LeDeR Steering and local groups
• Maximise opportunities for sharing good practice across the health and social care economy, learning from review outcomes.
• Develop and maintain effective joint collaborative working with Primary Care, social care, acute hospital and community service colleagues to extract verbal or written information relevant to the completion of reviews.
• Work closely with Acute Hospital leads to positively influence the format of structured judgement reviews for people with learning disability so that they more closely reflect the principles of LeDeR.
• Sensitively challenge the views of others that have the potential to reflect discriminatory attitudes that may influence premature or avoidable death.

ANALYTICAL AND JUDGEMENT SKILL

• Provide expertise regarding the expected healthcare of a person with a learning disability.
• Review the performance of provider achievement against quality indicators and make recommendations for remedial management where appropriate.
• Make judgements involving sometimes complex facts and information which require analysis and interpretation and make decisions about categorising and judging the actions or omissions taken by others in the care of a person with a learning disability, leading up to their death.
• Frequently review complex and sensitive medical information relating to medical history, clinical investigations proposed or undertaken, cause of death that will often be upsetting in nature.
• Advise the Senior Reviewer where Reviews identify gaps or omissions in care by contracted provider services.
• Exercise professional integrity at all times in particular when challenging others regarding potentially discriminatory attitudes toward people with a learning disability.

PLANNING AND ORGANISATION

• Plan and organise a number of reviews and activities simultaneously, that may impact across a number of organisations.
• Implement robust systems to ensure the effective completion of LeDeR reviews, ensuring that notification content suggestive of a provider complaint or safeguarding concern is escalated in a timely manner.
• Respond to presenting needs and risks, modifying planned activities as required.
• Provide assurance through reports via the Senior Review to the Local Area Contact and relevant committees on the work of the LeDeR programme within Cheshire and Merseyside and Greater Manchester, escalating exceptions in line with an agreed Quality Assurance Framework for LeDeR.
• Involve families and experts by experience in the LeDeR review process, including the development of recommendations arising from completed reviews.
• Manages own time responsibly, effectively using resources available. This will include ensuring timely comprehensive assessments, care planning, ongoing reviews and case management in line with national trajectories

RESPONSIBILITIES FOR PHYSICAL AND FINANCIAL RESOURCES

• Contribute to the effective monitoring and use of the LeDeR budget.
• Support commissioners in ensuring that all commissioned care is effective, person centred and meets the requirements of NICE and national guidance in reducing mortality for people with learning disabilities and/or autism.

RESPONSIBLE FOR POLICY SERVICE DEVELOPMENT IMPLEMENTATION

• Contribute toward the development of local policies and guidance for the LeDeR programme, including a Quality Assurance Framework for LeDeR and three-year LeDeR strategy.

Leadership and management

• Retain an expert level of knowledge with regards LeDeR and be able to impart this knowledge to a variety of audiences

Person Specification

Experience

Essential

• Significant experience of the health and social care of people with learning disabilities and their families | Experience of completing clinical/professional reviews and/ or investigations of care and service provision | Experience of working within health/care settings and multi-agency working across organisations | Understanding of the types of service provision for people with LD/ASD and the specialist terminology | Able to summarise complex information and provide robust and concise evidence to support their reviews. | Knowledge and application of pertinent legislation and guidance relating to the care of people with a Learning Disability i.e., Mental Capacity Act (2007), Equalities Act (2010), Liberty Protection Safeguards, Transforming Care agenda, Valuing People (2001) | Track record of consistently achieving high standards and delivering agreed objectives within timescales | Proven experience of case management with patients who have complex health needs | Proven experience of overcoming barriers

Desirable

• Desirable Previous LeDeR reviewer, or equivalent experience | Post registration learning and development specific to learning disability/ASD | Understanding of the NHS Long Term Plan

Qualifications

Essential

• Educated to degree level or equivalent relevant specialist experience | Registered Health or Care Professional (with active registration, without restrictions) | Post graduate level or equivalent specialist knowledge/management experience | Evidence of post registration education and training

Desirable

• Leadership qualification | Project management knowledge/experience or relevant qualification

Skills

Essential

• Ability to systematically review and critically analyse and evaluate evidence from care home and clinical notes | Concentration required when absorbing complex documents and analysing statistics with some interruption for urgent work | Highly refined analytical skills in order to make informed judgements and conclusions related to mortality reviews (Clinical outcomes, nursing assessments, complexity of health and care needs, quality of patient journey) | Ability to synthesise information together from a range of resources to form themes and conclusions | Ability to interpret specialist terminology | Effective communicator with skills in communicating with sensitivity | Effective in negotiating shared outcomes and influencing the engagement of others | Ability to influence and negotiate both verbally and in writing with other stakeholders | Ability to understand a broad range of complex data items and reports promptly and act accordingly | Ability to produce concise and accurate verbal/written reports and presentations, self-motivated, reliable, approachable | Ability to devise processes that are effective | High level of emotional intelligence | Demonstrate personal integrity | A respectful and empathetic individual with well-developed people skills | Ability to work on own initiative and organise own workload without supervision working to tight deadlines and often changing timescales | Committed to service improvement and recognition/promotion of positive practice. Significant experience of implementing service improvements | A reflective practitioner | Willing to work flexibly to meet the needs of the LeDeR programme | Ability to identify proposals for solutions to identified problem | Ability to provide specialist advice and support to others | Ability to work autonomously to tight and often changing timescales | Responsible, self-motivated and committed | Experienced in use of Microsoft IT software and computer literate across a range of software programmes | Ability to write clear and coherent reports, with a good standard of written English. | Ability to clearly outline and justify decision making processes

Desirable

• Ability to keep abreast of best practice and translate into local requirements

Knowledge

Essential

• Highly developed level of specialist knowledge of the complex health and social care needs of people with learning disabilities and/or autism and their application to wellbeing. | Able to impart knowledge to a variety of audiences | High level of working knowledge of the relevant legislation and theories underpinning the provision of services to the relevant client group | Understanding of Data Protection legislation and confidentiality | A clear knowledge and understanding of service provision available locally, regionally and nationally for the client group | Understanding of relevant current NHS and social care market mechanisms

Desirable

• Knowledge and experience of using a range of service improvement techniques and tools

Other

Essential

• Well organised, able to prioritise work and meet tight deadlines | Able to deal with difficult situations and conflict, remaining calm, assertive, fair and diplomatic | An understanding of the need for confidentiality and empathy | Personal and professional credibility with clinical and managerial colleagues. | Credibility with family carers | Motivated and enthusiastic | Ability to be self-directive and work unsupervised

Mobility

Essential

• Able to travel to meetings across Cheshire, Greater Manchester and Merseyside

Desirable

• Able to be flexible on working hours and willing to work unsocial hours on occasion.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

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 Cheshire and Merseyside Integrated Care Board

Address

NHS Cheshire and Merseyside Integrated Care Board (Wirral Place)

Cheshire Lines building, 6 Canning Street

Birkenhead, Wirral

CH41 1AU

Employer's website

https://www.cheshireandmerseysidepartnership.co.uk/ (Opens in a new tab)