Job summary
The
North Yorkshire 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.
Are you a
qualified registered nurse?
Do you
have good assessment and communication skills?
Do you
have experience of managing a caseload of patients?
Due to
the changes in structure following the move from CCG to ICB we have vacancies for
CHC Nurse Assessor and Case Manager to join our team in North Yorkshire.
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 Louise Stevenson, Clinical Team Leader on 07971006285 or
louise.stevenson7@nhs.net
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.
You will ensure compliance with our clinical
governance framework, you will motivate colleagues, champion service user
safety and dignity and drive continuous improvement
Strong person centred attitude to service
delivery; you are friendly, personable and confident when liaising with others
For an informal discussion please contact Louise Stevenson, Clinical Team Leader on 07971006285 or
louise.stevenson7@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.
This is a brilliant
opportunity for individuals looking to develop their existing clinical
assessment skills within a friendly and supportive team, with opportunities to
work in a more integrated way with our Local Authority colleagues
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
- Registered Occupational Therapist
- Registered Social Worker
- Evidence of post qualification ongoing professional development.
- Diploma Level Specialist Knowledge required through training/ experience
Desirable
- Relevant ENB and other courses which represent ongoing professional development
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.
Desirable
- Working with Nursing Homes.
- Working with a wide range of agencies or care groups.
- Working with the Independent Sector health and social care providers.
Knowledge, skills and abilities
Essential
- Knowledge of continuous developments in the NHS and social care.
- Ability to understand the Continuing Care and Funded Nursing Care criteria and the ability to apply this to every day practice.
- Ability to update knowledge of various acts and statutory guidance such as the Mental Health Act, Mental Capacity Act, Valuing People, Safe Guarding etc
- Knowledge of risk management and clinical governance
- Ability to engage and work effectively with relevant agencies and multi-disciplinary professionals at all levels.
- Have a clinical knowledge of a wide range of chronic conditions, illness and disability or the ability to learn this.
- Ability to produce any written documentation to a high standard.
- Able to produce coherent and comprehensive assessments and be able to present them in public arenas.
- Skills in quality/audit systems.
- IT skills
Desirable
- Good-working knowledge of local policies that apply to nursing, health and social care.
- Knowledge of adult protection and other policies that affect vulnerable and chronically sick people
- Ability to network and have knowledge of services.
- 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
Personal attributes
Essential
- 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
- Flexible approach.
- To be calm, professional and reassuring at all times when dealing with other agencies and the public
Person Specification
Qualifications
Essential
- Registered Nurse first level RGN/RMN/RNLD
- Registered Occupational Therapist
- Registered Social Worker
- Evidence of post qualification ongoing professional development.
- Diploma Level Specialist Knowledge required through training/ experience
Desirable
- Relevant ENB and other courses which represent ongoing professional development
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.
Desirable
- Working with Nursing Homes.
- Working with a wide range of agencies or care groups.
- Working with the Independent Sector health and social care providers.
Knowledge, skills and abilities
Essential
- Knowledge of continuous developments in the NHS and social care.
- Ability to understand the Continuing Care and Funded Nursing Care criteria and the ability to apply this to every day practice.
- Ability to update knowledge of various acts and statutory guidance such as the Mental Health Act, Mental Capacity Act, Valuing People, Safe Guarding etc
- Knowledge of risk management and clinical governance
- Ability to engage and work effectively with relevant agencies and multi-disciplinary professionals at all levels.
- Have a clinical knowledge of a wide range of chronic conditions, illness and disability or the ability to learn this.
- Ability to produce any written documentation to a high standard.
- Able to produce coherent and comprehensive assessments and be able to present them in public arenas.
- Skills in quality/audit systems.
- IT skills
Desirable
- Good-working knowledge of local policies that apply to nursing, health and social care.
- Knowledge of adult protection and other policies that affect vulnerable and chronically sick people
- Ability to network and have knowledge of services.
- 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
Personal attributes
Essential
- 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
- Flexible approach.
- To be calm, professional and reassuring at all times when dealing with other agencies and the public
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).
