Job summary
Do you have what it takes to improve patient flow and long-term discharge outcomes for people with complex care needs?
Do you have experience in supporting patients with complex dementia and leading discharge planning in partnership with multiple agencies?
We have an exciting opportunity for an experienced, compassionate and skilled Enhanced Care Review Nurse to join our UEC team, providing excellent clinical leadership to the UEC team whilst supporting improvement and transformation of these services across the Birmingham and Solihull integrated care system.
This role focuses on improving patient discharge pathways and case management, particularly for people with complex dementia who may also have 1:1 nursing requirements, to ensure a safe, person-centred transition from hospital to independent sector D2A placements.
As an Enhanced Care Review Nurse, you will lead face-to-face reviews of patients receiving 1:1 care within Discharge to Assess (D2A) settings, working closely with a MDT professionals. You will help to shape safe and appropriate discharge decisions, reduce unnecessary prolonged stays, and explore alternatives to intensive care packages through collaborative working and innovation.
Main duties of the job
You will be responsible for reviewing and case managing the discharge journey of patients. In particular those with complex dementia who are placed in independent sector D2A beds with 1:1 support, ensuring clinical appropriateness and promoting timely, safe discharge.
You will coordinate multidisciplinary input, assess ongoing clinical need, and support the reduction of 1:1 care where appropriate by exploring alternatives such as assistive technologies and community support.
You will collaborate with key stakeholders including the CHC and discharge teams, hospital discharge hubs, local authority colleagues, mental health services, and care providers across the Birmingham and Solihull system. You will educate and improve the referral process for this cohort of patients, in particular around 1-1 care requirements and onward timely flow from these beds, and support the transformation and improvement of the delivery of these services with the selected stakeholders.
You will need strong assessment, clinical judgement, and negotiation skills, alongside a deep understanding of discharge legislation, the Mental Capacity Act, and safeguarding frameworks.
About us
Birmingham and Solihull Integrated Care System brings together local NHS, councils and voluntary, community and faith sectors to better serve our communities. With a population of circa 1.55 million, our vision is for BSOL to be the healthiest place to live and work, driving equity in life chances and health outcomes for everyone. For an chance to be part of the fantastic opportunity we have as an Integrated Care System, apply for this role today.
As a member of our system you will actively demonstrate system values in all that you do. You will be driven to address health inequalities and create an environment that is inclusive for all people.
In return NHS Birmingham and Solihull can offer you the opportunity to thrive and develop in a team that is supportive, ambitious and inclusive. You will have plenty of opportunities to build your skills and experience, with a chance to work with colleagues across our five Provider Trusts, two Local Authorities, voluntary organisations, Integrated Care Board (ICB) and NHS England to truly effect change and add value.
We know that diversity fosters creativity and innovation and are committed to challenging discrimination, promoting equality of opportunity for all, being a fair and inclusive employer, and creating a place of work in which all of us feel we belong.
Job description
Job responsibilities
- Act as the lead case manager for patients in D2A (mainly P2) independentsector beds placements including the operational and clinicalcommissioning for D2A beds in the independent sector, coordinatingongoing review, discharge planning, and MDT involvement. Reviewing request for Independent sector D2A beds and SPOT purchasebeds, including mental health via STOC referral from the discharge hub. Reviewing funding requests for 1:1 packages of care following a dischargeinto a D2A Independent setting including the on-going review of the 1:1package to the point of discharge. Conduct in person 1:1 reviews of patients receiving 1:1 care withincommissioned P2 (Discharge to Assess) beds; and ensuring all decisionsfollowing a review of 1:1 packages of care are made jointly via an MDTformat with the relevant health and social care professionals including theD2A independent setting providers. The rationale for any decision madeshould be transparent and clearly documented using the relevant proformasand ensuring all stakeholders are informed of the outcome. Assess the ongoing appropriateness and clinical need for 1:1 support, usingclinical frameworks, behavioural assessments (e.g. incidents, any triggers,evidence review of behaviour) and multidisciplinary team input.
Full details of the duties and responsibilities can be found within the attached job description.
Males are underrepresented at this pay band, therefore please ensure there is male representation on the shortlisting and interview panel and include the following positive action statements in the advert.The ICB is committed to having a workforce which is representative of the population of Birmingham and Solihull. Our current staffing profile demonstrates that we are not as representative as we would like to be at this level within the organisation. We would actively welcome applications from males for this role.The ICB is registered as a Disability Confident Employer. We actively welcome applications from applicants with a disability and commit to shortlisting all such suitable applicants who meet the essential criteria for an interview. Please let us know of any reasonable adjustments you require in order to participate in the recruitment process.
Job description
Job responsibilities
- Act as the lead case manager for patients in D2A (mainly P2) independentsector beds placements including the operational and clinicalcommissioning for D2A beds in the independent sector, coordinatingongoing review, discharge planning, and MDT involvement. Reviewing request for Independent sector D2A beds and SPOT purchasebeds, including mental health via STOC referral from the discharge hub. Reviewing funding requests for 1:1 packages of care following a dischargeinto a D2A Independent setting including the on-going review of the 1:1package to the point of discharge. Conduct in person 1:1 reviews of patients receiving 1:1 care withincommissioned P2 (Discharge to Assess) beds; and ensuring all decisionsfollowing a review of 1:1 packages of care are made jointly via an MDTformat with the relevant health and social care professionals including theD2A independent setting providers. The rationale for any decision madeshould be transparent and clearly documented using the relevant proformasand ensuring all stakeholders are informed of the outcome. Assess the ongoing appropriateness and clinical need for 1:1 support, usingclinical frameworks, behavioural assessments (e.g. incidents, any triggers,evidence review of behaviour) and multidisciplinary team input.
Full details of the duties and responsibilities can be found within the attached job description.
Males are underrepresented at this pay band, therefore please ensure there is male representation on the shortlisting and interview panel and include the following positive action statements in the advert.The ICB is committed to having a workforce which is representative of the population of Birmingham and Solihull. Our current staffing profile demonstrates that we are not as representative as we would like to be at this level within the organisation. We would actively welcome applications from males for this role.The ICB is registered as a Disability Confident Employer. We actively welcome applications from applicants with a disability and commit to shortlisting all such suitable applicants who meet the essential criteria for an interview. Please let us know of any reasonable adjustments you require in order to participate in the recruitment process.
Person Specification
Registered Nurse (NMC)
Essential
- Significant post registration experience (min 5 years)
Desirable
- Management qualification and Best Interest Assessors Qualification
Person Specification
Registered Nurse (NMC)
Essential
- Significant post registration experience (min 5 years)
Desirable
- Management qualification and Best Interest Assessors Qualification
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.
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).
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.
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).
