Job summary
(This could refer to the Job purpose section from the Job description. It is important not to utilise the full information from your Job description as this will appear later in the text of the advert).
The York place Continuing Healthcare Team provides case management, support and training around NHS Continuing Healthcare (NHS CHC). This is in line with the National Framework for NHS Continuing Healthcare (November 2012, revised 2022).
CHC works as part of a community team carrying out NHS Continuing care assessments and reviews care packages; within a defined caseload of adults with complex heath needs within their homes and in the community. CHC also monitors on-going care needs of patients ensuring referral to other agencies as appropriate.
Our overall aims are to ensure innovative, responsive and effective clinical commissioning and that our population has access to the highest quality healthcare providing the best patient care within available resources. We achieve this by working in partnership with our member practices and localities, with patients and the public, with local councils and other healthcare providers.
Are you a qualified registered nurse, Physio or OT?
Do you have good assessment and communication skills?
Do you have experience of managing a caseload of patients?
Would you like to gain experience in new areas?
How do you feel about working office hours, without spending all day in an office?
Main duties of the job
The
successful candidates will have excellent communication and assessment skills;
be resilient, able to work proactively and autonomously but also work as part
of a team.
Work with
our legal team and safeguarding teams to ensure that the care and support
provided is safe, robust and within the legal framework for Deprivation of
Liberty and eventually Liberty Protection Safeguards.
You will
ensure a robust, fair and equitable process is followed in your assessments.
This is an exciting opportunity for a candidate who has ambition to work in a unique environment, using their assessments skills to support some of the most vulnerable individuals in the community. You will work in close partnership with Local Authorities, NHS colleagues and care providers, producing excellent reports and ensuring the provision of high quality care to individuals who are eligible for NHS funded care.
The successful candidates will have excellent communication and assessment skills; be resilient, able to work autonomously but also work as part of a team. Previous experience with CHC framework would be desirable but not essential as we can provide a tailored induction and training programme for you. You will be fully supported through 1:1 supervision, a robust induction plan and a friendly supportive team.
For an informal discussion please contact Rebecca Shaw, Clinical Team Leader on 07720172250 or Rebecca.Shaw65@nhs.net
About us
NHS Humber and North Yorkshire Integrated Care Board (ICB) is responsible for planning and arranging the provision of NHS services to meet the diverse health needs of a population of 1.7 million people. Our area reaches over 1,500 square miles and includes the cities of Hull and York and the large rural areas across East Yorkshire, North Yorkshire and Northern Lincolnshire.
The ICB is part of the Humber and North Yorkshire Health and Care Partnership, one of 42 Integrated Care Systems (ICS) across England to meet health and care needs, coordinate services and plan in a way that improves population health and reduces inequality between groups. The Health and Care Partnership comprises of NHS organisations, local councils, health and care providers and voluntary, community and social enterprise (VCSE) organisations.
Job description
Job responsibilities
- To clinically assess patients for NHS Continuing Healthcare eligibility in patients homes, care homes and acute/community hospitals in the locality served by the North Yorkshire NHS Continuing Healthcare Team, Humber and North Yorkshire ICB
- To follow the process laid out in the National Framework for NHS Continuing Healthcare; to include organisation, co-ordination and participation in MDT eligibility recommendations to be verified by CCG decision makers.
- Ensure assessments conducted are robust, transparent and multi-agency (where required) for NHS Continuing Healthcare/NHS-funded Nursing Care
- Analysis of supporting documentation to establish critical history of the patients relevant needs to produce a specialist nursing assessment.
- Complete new referrals for NHS Continuing Healthcare within 28 days as per the National Framework for NHS Continuing Healthcare.
- To undertake NHS-funded Nursing Care (FNC) determinations for service users who require ongoing nursing care in a care home with nursing, ensuring that patients are assessed within current guidelines and then reviewed after three months/ annually in line with DoH framework.
- Carry out joint assessments with Social Service colleagues whenever requested to ensure appropriate placement of service users
- Ability to manage challenge and conflict in regard to NHS Continuing Healthcare processes and recommendation/decision making.
- Be influential within a complex and challenging environment.
- To restore and maintain independence, promote individual choice and self-determination, enabling clients to live in the community and support their preferences whenever feasible.
- To be actively involved in complaint investigations, contribute to responses to appeals and in monitoring the quality care standards in local nursing home. They will ensure the Head of Continuing Care and the Commissioning Team are kept fully aware of any cause for concern.
- Liaising and sharing information with other teams on a need to know basis where appropriate and with permission to do so.
- Can be required to impart distressing information to families regarding placement and future care including discussion of poor prognosis.
- Advise and influence resolution with any parties involved in conflict regarding the assessed outcome of care.
- Dealing and working with people with complex needs and challenging behaviour, and people approaching end stage of life.
- Dealing with difficult family situations and dynamics which require a high level of competent effort, and the ability to remain objective and use reflective practice and team support.
- To work across the hospital and care home interface.
- To participate in research, audit, clinical and peer supervision on a regular basis to develop appropriate personal objectives and a lifelong learning plan.
- To undertake and comply with all mandatory training. To undertake any other duties commensurate with the grade and responsibilities of the post.
Job description
Job responsibilities
- To clinically assess patients for NHS Continuing Healthcare eligibility in patients homes, care homes and acute/community hospitals in the locality served by the North Yorkshire NHS Continuing Healthcare Team, Humber and North Yorkshire ICB
- To follow the process laid out in the National Framework for NHS Continuing Healthcare; to include organisation, co-ordination and participation in MDT eligibility recommendations to be verified by CCG decision makers.
- Ensure assessments conducted are robust, transparent and multi-agency (where required) for NHS Continuing Healthcare/NHS-funded Nursing Care
- Analysis of supporting documentation to establish critical history of the patients relevant needs to produce a specialist nursing assessment.
- Complete new referrals for NHS Continuing Healthcare within 28 days as per the National Framework for NHS Continuing Healthcare.
- To undertake NHS-funded Nursing Care (FNC) determinations for service users who require ongoing nursing care in a care home with nursing, ensuring that patients are assessed within current guidelines and then reviewed after three months/ annually in line with DoH framework.
- Carry out joint assessments with Social Service colleagues whenever requested to ensure appropriate placement of service users
- Ability to manage challenge and conflict in regard to NHS Continuing Healthcare processes and recommendation/decision making.
- Be influential within a complex and challenging environment.
- To restore and maintain independence, promote individual choice and self-determination, enabling clients to live in the community and support their preferences whenever feasible.
- To be actively involved in complaint investigations, contribute to responses to appeals and in monitoring the quality care standards in local nursing home. They will ensure the Head of Continuing Care and the Commissioning Team are kept fully aware of any cause for concern.
- Liaising and sharing information with other teams on a need to know basis where appropriate and with permission to do so.
- Can be required to impart distressing information to families regarding placement and future care including discussion of poor prognosis.
- Advise and influence resolution with any parties involved in conflict regarding the assessed outcome of care.
- Dealing and working with people with complex needs and challenging behaviour, and people approaching end stage of life.
- Dealing with difficult family situations and dynamics which require a high level of competent effort, and the ability to remain objective and use reflective practice and team support.
- To work across the hospital and care home interface.
- To participate in research, audit, clinical and peer supervision on a regular basis to develop appropriate personal objectives and a lifelong learning plan.
- To undertake and comply with all mandatory training. To undertake any other duties commensurate with the grade and responsibilities of the post.
Person Specification
Qualifications
Essential
- Registered Nurse first level RGN/RMN/RNLD Or equivalent professional health qualification
- Evidence of post qualification ongoing professional development.
- Completion of Continuing Health Care Modules validated by NHS England.
- Relevant ENB and other courses which represent ongoing professional development.
Desirable
- Diploma Level Specialist Knowledge required through training/ experience
Experience
Essential
- In order to undertake the duties of this post it is expected the post holder will have demonstrable broad post-registration experience
- Experienced in team working and working on ones own initiative.
- Multi-disciplinary/multi agency working.
- Previous experience in undertaking comprehensive, evidence based assessments.
- Working with Nursing Homes.
- Working with a wide range of agencies or care groups.
- Working with the Independent Sector health and social care providers.
Skills / Competencies
Essential
- Ability to produce any written documentation to a high standard, within set timescales.
- Able to write coherent and comprehensive assessments and be able to present them in public arenas.
- IT skills.
- Ability to sign post and provide advice on access to generic health and social services.
- Able to demonstrate an ability to work with families and other agencies to procure care packages and has ongoing responsibility for this.
Desirable
- Skills in quality/audit systems.
- Ability to network and have a knowledge of services.
- Excellent interpersonal and communication skills/negotiation skills and ability to convey sensitive issues.
- Ability to deal with distressed and often upset individuals in a professional manner at all times.
- Able to assist in managing oneself and work schedule in the most effective way.
- Demonstrate skill in working with users and carers from a variety of backgrounds
- The duties of this post require travelling throughout the county on a daily basis, therefore the post holder must be independently mobile/car driver
Person Specification
Qualifications
Essential
- Registered Nurse first level RGN/RMN/RNLD Or equivalent professional health qualification
- Evidence of post qualification ongoing professional development.
- Completion of Continuing Health Care Modules validated by NHS England.
- Relevant ENB and other courses which represent ongoing professional development.
Desirable
- Diploma Level Specialist Knowledge required through training/ experience
Experience
Essential
- In order to undertake the duties of this post it is expected the post holder will have demonstrable broad post-registration experience
- Experienced in team working and working on ones own initiative.
- Multi-disciplinary/multi agency working.
- Previous experience in undertaking comprehensive, evidence based assessments.
- Working with Nursing Homes.
- Working with a wide range of agencies or care groups.
- Working with the Independent Sector health and social care providers.
Skills / Competencies
Essential
- Ability to produce any written documentation to a high standard, within set timescales.
- Able to write coherent and comprehensive assessments and be able to present them in public arenas.
- IT skills.
- Ability to sign post and provide advice on access to generic health and social services.
- Able to demonstrate an ability to work with families and other agencies to procure care packages and has ongoing responsibility for this.
Desirable
- Skills in quality/audit systems.
- Ability to network and have a knowledge of services.
- Excellent interpersonal and communication skills/negotiation skills and ability to convey sensitive issues.
- Ability to deal with distressed and often upset individuals in a professional manner at all times.
- Able to assist in managing oneself and work schedule in the most effective way.
- Demonstrate skill in working with users and carers from a variety of backgrounds
- The duties of this post require travelling throughout the county on a daily basis, therefore the post holder must be independently mobile/car driver
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).
