North West London Integrated Care Board

Individual Funding Request Operations Manager

Information:

This job is now closed

Job summary

We are seeking an enthusiastic and motivated and IFR Operations Manager for an exciting and challenging opportunity within the Individual Funding Request (IFR) and Clinical Policy Development Team. This role requires excellent prioritisation and management skills and preferably some knowledge of the IFR process.

The Individual Funding Request (IFR) process is a statutory function and decisions are made on treatment funding for individual patients covering all prescribed services. The post holder will lead the provision of an efficient, effective, high quality, professional, and well-coordinated IFR service capable of meeting all statutory, regulatory and NHS requirements ensuring alignment with the activity of the organisation, ensuring the process is consistent, fair and equitable for our NWL population.

Effective communication, stakeholder engagement and strong organisational skills will be essential for service delivery and achieving the vision of improved health outcomes and reduced health inequalities for our NWL population.

Main duties of the job

The role will provide leadership and operational management of the NWL IFR, Non- Contracted Activity (NCA), Planned Procedures with a Threshold (PPwT), and Healthcare Abroad Application processes. The postholder will operationally manage the IFR and NCA panels, ensure continual development and compliance with the required governance processes.

There will be a requirement to lead and co-ordinate service review and audits of panel decisions to inform the continuous development of the IFR Service and PPwT policy. The role will need to ensure operational and strategic risks are managed and mitigated against, escalating issues as appropriate.

Key Duties

Lead and operationally manage the NW London IFR, NCA, PPwT, and Healthcare Abroad Application processes

Manage the IFR and NCA panels in delivery, development and function ensuring the required governance process are always followed

Lead and co-ordinate service review and audits of panel decisions to inform the continuous development of the IFR Service and PPwT policy

Ensure operational and strategic risks are managed and mitigated against, escalating issues as appropriate.

Manage the IFR administrative team to ensure PPwT, NCA and IFR process are undertaken within the KPI turnaround times and comply with the Standard operating procedures and the governance framework.

About us

NHS North West London Integrated Care Board (NHS NWL ICB) is a statutory body responsible forplanning and allocating health and care resources to improve the lives of people in eight boroughsacross North West London: Brent, Ealing, Hammersmith and Fulham, Harrow, Hillingdon,Hounslow, Royal Borough of Kensington and Chelsea and Westminster.

The local population is large and diverse, with a wide range of health and care needs that areevolving all the time. Working with our partners including Councils, NHS provider Trusts, GPs andvoluntary and community organisations we plan and allocate NHS resource to deliver a wide rangeof services including urgent and emergency care, mental health, primary care, elective hospitalservices and community care.

All ICB roles work collectively to ensure our residents and patients have access to the right serviceswhen they need them as well as focusing on prevention and health promotion, supporting residentsto take greater care of their own health and live longer, healthier lives.

To do this we will:

improve outcomes in population health and healthcare

reduce inequalities in health outcomes, experience, and access

enhance productivity and better value for money

support broader social and economic development within our area

Details

Date posted

11 September 2024

Pay scheme

Agenda for change

Band

Band 8a

Salary

£58,698 to £65,095 a year includes high cost area supplements (HCAS), Inner London

Contract

Permanent

Working pattern

Full-time

Reference number

D9807-NWL-757

Job locations

NHS North West London

15 Marylebone Road

London

NW1 5JD


Job description

Job responsibilities

Lead and operationally manage the NW London IFR, NCA, PPwT, and Healthcare Abroad

Application processes

Manage the IFR and NCA panels in delivery, development and function ensuring the requiredgovernance process are always followed

Contribute to service review and audits of panel decisions to inform the continuousdevelopment of the IFR Service and PPwT policy

Ensure operational and strategic risks are managed and mitigated against, escalating issuesas appropriate.

Manage the IFR administrative team to ensure PPwT, NCA and IFR process areundertaken within the KPI turnaround times and comply with the Standard operatingprocedures and the governance framework.

Support the operational and clinical leads with communication and engagement with keystakeholders, particularly general practice, Boroughs and NHS trusts to maximise servicedelivery and impact.

Work with team clinicians to undertake service development and re-design on key PPwTpathways as prioritised and directed.

Ensure the Service Standard Operating Procedures and Information Governance protocolsare regularly reviewed

Develop and produce service activity, cost and commissioning reports, working withIFR/PDG team colleagues, finance and BI.

Support the Head of IFR/PDG in developing an evaluation framework for the IFR Service

Support the GP Clinical Lead, AD and team clinicians in the development of pathwayspecific workshops.

Deputise for the head of IFR/PDG as required

Chair the Triage Panel and present the cases to the NCA and IFR Panels with supportingevidence such as literature reviews.

Provide continuous development of the IFR and PPwT Service and systems / protocols as theservice evolves.

Review the financial status of the IFR cases as and when required.

Lead on service development, evaluation, and quality assurance governance processes.

Offer expert knowledge to ensure effective community involvement in organisational work,including commissioning and prioritising high-cost services

Provide expert advice for evidence-based commissioning, prioritising services for thepopulation, and offering highly specialised advice on preferred treatment options or protocolsbased on evidence for individual patients

Working with clinical leads, Public Health colleagues, collaborative chief medical officers foracute and non-acute care, health watch, engagement team & programme directors, ensurethe development and implementation of robust delivery plans that are underpinned by safeclinical pathways and service models

Work with the pan London IFR leads to facilitate good practice

Staff Management

Line management responsibility for:

o Line management of staff as and when directed, including substantive, temporary orinterim staff as appropriate

o Ensuring staff are appraised annually, have clear objectives which link todepartmental or corporate objectives and a personal development plan.

o Identify training and development needs of staff in line with NW London objectivesand ensure all new staff receive induction.

o Ensure performance issues are dealt with in an appropriate and timely manner andfollow NW London's Disciplinary or Capability Procedures where formal action isnecessary.

o Supporting recruitment and retention of staff including supporting the delivery ofEDI actions

Demonstrate leadership in supporting development of team members to achieve theirpotential

Provide a coaching approach to encourage others to develop and actively create opportunitiesto enable everyone to learn from each other

Develop and embed mechanisms to support the wellbeing of the team

Information Management

Provide training advice and support on own area of responsibility.

Develop and maintain databases as required by the role.

Carry our timely and accurate information analysis and reporting on agreed areas of portfolioand present findings in agreed manner when required.

Working collaboratively with ICB staff members, providing cover during absence of teammembers.

Reducing Inequalities

Ensure services are developed and provided in a way that provides equal access and carefor all our residents

Promote approaches where residents views actively shape service and care provision,including through use of co-production to drive measurable transformation for residents.

Use data and information to actively review and monitor the impact of services anddecisions on our diverse population, taking action where necessary to ensure greaterequality of impact.

Ensure Equality Health Impact Assessments (EHIA) are proactively undertaken for allservice developments.

Promote a culture that embraces equality and strives continuously to reduce inequality in forall NW London residents and staff.

Information Management

Responsible for the development of systems and frameworks to effectively monitor schemedelivery service provisions and to support future service and policy developments

Financial and Physical Resources

Identify appropriate financial and other resources to ensure delivery of projects and workplans,through preparation of a business case or other ICB approval mechanism, and reportregularly to key stakeholders on progress against plan

Responsible for matching the available budget for each workstream to the appropriate staffresources and projects and for ensuring that the budget breaks even. Co-ordinate thebudget, monitoring expenditure against target areas.

Develop business cases to support investment and support contracting and procurementrequirements for key services.

Ensure compliance with Standing Orders and Standing Financial Instructions in thedischarge of this responsibility with reference to IFR & PDG.

Creation of Purchase Orders where required, and authorised for receipting invoices forpayment.

Responsible for supporting the commissioning of projects and procurement of services tosupport project delivery.

Provide financial reports to Directors and the Board as required.

Provide advice and prepare strategic reports and briefings for directors and stakeholders.

In depth analysis, interpretation and production of complex and multiple reports includingfinancial returns. Constantly strive for value for money and greater efficiency in the use ofbudgets and to ensure that they operate in recurrent financial balance year on year.

Constantly strive for value for money and greater efficiency in the use of these budgets andto ensure that they operate in recurrent financial balance year on year

Freedom to Act

Lead specialist for specific, time-bound, projects including interpretation of national and localpolicies appropriate to that project

Research and Development

Maintain awareness of good practice and development across the NHS, for example byparticipating in share and learn activities

Undertakes surveys, where appropriate within a programme of work

Policy and Service Development

Promote the adoption of best practice to support the delivery of the Service Transformationagenda in line with ICS thinking

Responsible for the interpretation and implementation of policies and guidelines

Physical, Mental & Emotional Effort

The role is largely a desk based role with frequent use of VDU for extended periods of time,however with some requirement for travel and engagement in face to face meetings withpartners

Combination of sitting, standing and walking. Light physical effort predominantly officeenvironment

Frequent concentration with potentially unpredictable working patterns including distractions

The role has occasional exposure to distressing or emotional circumstances associated withreviewing the IFR cases. There may be occasional indirect exposure to highly distressing orhighly emotional circumstances.

Job description

Job responsibilities

Lead and operationally manage the NW London IFR, NCA, PPwT, and Healthcare Abroad

Application processes

Manage the IFR and NCA panels in delivery, development and function ensuring the requiredgovernance process are always followed

Contribute to service review and audits of panel decisions to inform the continuousdevelopment of the IFR Service and PPwT policy

Ensure operational and strategic risks are managed and mitigated against, escalating issuesas appropriate.

Manage the IFR administrative team to ensure PPwT, NCA and IFR process areundertaken within the KPI turnaround times and comply with the Standard operatingprocedures and the governance framework.

Support the operational and clinical leads with communication and engagement with keystakeholders, particularly general practice, Boroughs and NHS trusts to maximise servicedelivery and impact.

Work with team clinicians to undertake service development and re-design on key PPwTpathways as prioritised and directed.

Ensure the Service Standard Operating Procedures and Information Governance protocolsare regularly reviewed

Develop and produce service activity, cost and commissioning reports, working withIFR/PDG team colleagues, finance and BI.

Support the Head of IFR/PDG in developing an evaluation framework for the IFR Service

Support the GP Clinical Lead, AD and team clinicians in the development of pathwayspecific workshops.

Deputise for the head of IFR/PDG as required

Chair the Triage Panel and present the cases to the NCA and IFR Panels with supportingevidence such as literature reviews.

Provide continuous development of the IFR and PPwT Service and systems / protocols as theservice evolves.

Review the financial status of the IFR cases as and when required.

Lead on service development, evaluation, and quality assurance governance processes.

Offer expert knowledge to ensure effective community involvement in organisational work,including commissioning and prioritising high-cost services

Provide expert advice for evidence-based commissioning, prioritising services for thepopulation, and offering highly specialised advice on preferred treatment options or protocolsbased on evidence for individual patients

Working with clinical leads, Public Health colleagues, collaborative chief medical officers foracute and non-acute care, health watch, engagement team & programme directors, ensurethe development and implementation of robust delivery plans that are underpinned by safeclinical pathways and service models

Work with the pan London IFR leads to facilitate good practice

Staff Management

Line management responsibility for:

o Line management of staff as and when directed, including substantive, temporary orinterim staff as appropriate

o Ensuring staff are appraised annually, have clear objectives which link todepartmental or corporate objectives and a personal development plan.

o Identify training and development needs of staff in line with NW London objectivesand ensure all new staff receive induction.

o Ensure performance issues are dealt with in an appropriate and timely manner andfollow NW London's Disciplinary or Capability Procedures where formal action isnecessary.

o Supporting recruitment and retention of staff including supporting the delivery ofEDI actions

Demonstrate leadership in supporting development of team members to achieve theirpotential

Provide a coaching approach to encourage others to develop and actively create opportunitiesto enable everyone to learn from each other

Develop and embed mechanisms to support the wellbeing of the team

Information Management

Provide training advice and support on own area of responsibility.

Develop and maintain databases as required by the role.

Carry our timely and accurate information analysis and reporting on agreed areas of portfolioand present findings in agreed manner when required.

Working collaboratively with ICB staff members, providing cover during absence of teammembers.

Reducing Inequalities

Ensure services are developed and provided in a way that provides equal access and carefor all our residents

Promote approaches where residents views actively shape service and care provision,including through use of co-production to drive measurable transformation for residents.

Use data and information to actively review and monitor the impact of services anddecisions on our diverse population, taking action where necessary to ensure greaterequality of impact.

Ensure Equality Health Impact Assessments (EHIA) are proactively undertaken for allservice developments.

Promote a culture that embraces equality and strives continuously to reduce inequality in forall NW London residents and staff.

Information Management

Responsible for the development of systems and frameworks to effectively monitor schemedelivery service provisions and to support future service and policy developments

Financial and Physical Resources

Identify appropriate financial and other resources to ensure delivery of projects and workplans,through preparation of a business case or other ICB approval mechanism, and reportregularly to key stakeholders on progress against plan

Responsible for matching the available budget for each workstream to the appropriate staffresources and projects and for ensuring that the budget breaks even. Co-ordinate thebudget, monitoring expenditure against target areas.

Develop business cases to support investment and support contracting and procurementrequirements for key services.

Ensure compliance with Standing Orders and Standing Financial Instructions in thedischarge of this responsibility with reference to IFR & PDG.

Creation of Purchase Orders where required, and authorised for receipting invoices forpayment.

Responsible for supporting the commissioning of projects and procurement of services tosupport project delivery.

Provide financial reports to Directors and the Board as required.

Provide advice and prepare strategic reports and briefings for directors and stakeholders.

In depth analysis, interpretation and production of complex and multiple reports includingfinancial returns. Constantly strive for value for money and greater efficiency in the use ofbudgets and to ensure that they operate in recurrent financial balance year on year.

Constantly strive for value for money and greater efficiency in the use of these budgets andto ensure that they operate in recurrent financial balance year on year

Freedom to Act

Lead specialist for specific, time-bound, projects including interpretation of national and localpolicies appropriate to that project

Research and Development

Maintain awareness of good practice and development across the NHS, for example byparticipating in share and learn activities

Undertakes surveys, where appropriate within a programme of work

Policy and Service Development

Promote the adoption of best practice to support the delivery of the Service Transformationagenda in line with ICS thinking

Responsible for the interpretation and implementation of policies and guidelines

Physical, Mental & Emotional Effort

The role is largely a desk based role with frequent use of VDU for extended periods of time,however with some requirement for travel and engagement in face to face meetings withpartners

Combination of sitting, standing and walking. Light physical effort predominantly officeenvironment

Frequent concentration with potentially unpredictable working patterns including distractions

The role has occasional exposure to distressing or emotional circumstances associated withreviewing the IFR cases. There may be occasional indirect exposure to highly distressing orhighly emotional circumstances.

Person Specification

Planning & Organisational Skills

Essential

  • Able to plan and organise broad range of complex activities, requiring
  • stakeholder input and adaptation, and recognition of competing demands and realities of operational delivery
  • Able to demonstrate flexibility where necessary in adjusting plans or strategies as circumstances require

Responsibility for Information Management, Analysis and Control

Essential

  • Able to assess and manage the information governance and management of Personal Data Requirements
  • Able to analyse regular clinical activity reports, to specify the information required and to assist with establishing necessary systems to collect new data if required

Analytical & Judgemental Skills

Essential

  • Able to assess and present highly complex facts or situations requiring analysis and/or interpretation, including the comparison of a range of options
  • Able to demonstrate skills of judgement in analysing and preparing a business case or other project plan, from the point of view of service-user and carer experience, clinical delivery, organisational, financial, logistical (including workforce) and other issues

Qualifications

Essential

  • Educated to masters level or equivalent level of experience
  • of working at a senior level in specialist area.
  • Evidence of post qualifying and continuing professional development

Desirable

  • Governing body Membership (NMC) as appropriate

Experience

Essential

  • Knowledge of methods of developing clinical quality assurance, quality
  • improvement and evidence based clinical and/or public health practice
  • Understanding of contracting and commissioning approaches within primary care, NHS Trusts, Better Care Fund, voluntary sector and local authorities, as well as ICB and Borough-Based Partnerships at Place
  • Knowledge of contractual frameworks and funding mechanisms within the NHS
  • Understanding of Standing Financial Instructions, audit and other governance
  • Confidentiality of patient information, data security issues and other data protection governance

Desirable

  • Experience of clinical settings

Communication & Relationship Skills

Essential

  • Able to provide and receive highly complex, sensitive or contentious information, including presentations to groups; manage barriers to
  • understanding; negotiate stakeholder agreement or cooperation
  • when required
  • Able to communicate service related information to senior managers, clinical staff, external (including funding) agencies, and to demonstrate
  • negotiating, persuasive, motivational, reassurance skills
Person Specification

Planning & Organisational Skills

Essential

  • Able to plan and organise broad range of complex activities, requiring
  • stakeholder input and adaptation, and recognition of competing demands and realities of operational delivery
  • Able to demonstrate flexibility where necessary in adjusting plans or strategies as circumstances require

Responsibility for Information Management, Analysis and Control

Essential

  • Able to assess and manage the information governance and management of Personal Data Requirements
  • Able to analyse regular clinical activity reports, to specify the information required and to assist with establishing necessary systems to collect new data if required

Analytical & Judgemental Skills

Essential

  • Able to assess and present highly complex facts or situations requiring analysis and/or interpretation, including the comparison of a range of options
  • Able to demonstrate skills of judgement in analysing and preparing a business case or other project plan, from the point of view of service-user and carer experience, clinical delivery, organisational, financial, logistical (including workforce) and other issues

Qualifications

Essential

  • Educated to masters level or equivalent level of experience
  • of working at a senior level in specialist area.
  • Evidence of post qualifying and continuing professional development

Desirable

  • Governing body Membership (NMC) as appropriate

Experience

Essential

  • Knowledge of methods of developing clinical quality assurance, quality
  • improvement and evidence based clinical and/or public health practice
  • Understanding of contracting and commissioning approaches within primary care, NHS Trusts, Better Care Fund, voluntary sector and local authorities, as well as ICB and Borough-Based Partnerships at Place
  • Knowledge of contractual frameworks and funding mechanisms within the NHS
  • Understanding of Standing Financial Instructions, audit and other governance
  • Confidentiality of patient information, data security issues and other data protection governance

Desirable

  • Experience of clinical settings

Communication & Relationship Skills

Essential

  • Able to provide and receive highly complex, sensitive or contentious information, including presentations to groups; manage barriers to
  • understanding; negotiate stakeholder agreement or cooperation
  • when required
  • Able to communicate service related information to senior managers, clinical staff, external (including funding) agencies, and to demonstrate
  • negotiating, persuasive, motivational, reassurance skills

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).

Additional information

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).

Employer details

Employer name

North West London Integrated Care Board

Address

NHS North West London

15 Marylebone Road

London

NW1 5JD


Employer's website

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

Employer details

Employer name

North West London Integrated Care Board

Address

NHS North West London

15 Marylebone Road

London

NW1 5JD


Employer's website

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

Employer contact details

For questions about the job, contact:

Janet Cree

janet.cree@nhs.net

Details

Date posted

11 September 2024

Pay scheme

Agenda for change

Band

Band 8a

Salary

£58,698 to £65,095 a year includes high cost area supplements (HCAS), Inner London

Contract

Permanent

Working pattern

Full-time

Reference number

D9807-NWL-757

Job locations

NHS North West London

15 Marylebone Road

London

NW1 5JD


Supporting documents

Privacy notice

North West London Integrated Care Board's privacy notice (opens in a new tab)