CHC Senior Practitioner

Job description

Job responsibilities

COMMUNICATION

Co-ordinate and lead multi-disciplinary meetings, including patients and family/representatives, requiring excellent verbal communication skills to ensure all appropriate information is obtained in order that appropriate decisions are made regarding eligibility for NHS Continuing Healthcare.

Understand and communicate complex information, both patient and non-patient related.

Manage complex, sensitive and often contentious situations on a frequent basis.

Act and deal appropriately with potentially aggressive/antagonistic situations

Complete concise and accurate reports including reports to be presented for Court of Protection cases.

Communicate complex and often sensitive and distressing information on a regular basis.

Nurture key relationships and maintain internally and externally.

Attend and contribute effectively to various meetings including safeguarding and quality of care meetings.

Establish partnerships and networks with adult social care teams, voluntary sector and other agencies to ensure patients with complex continuing healthcare need have access to all resources available.

Act in an educational and advisory role to staff in provider and other partner organisations in order to promote and share knowledge concerning, continuing Healthcare, Funded Nursing Care and Personal Health budgets.

Participate in pre and post registration training for staff from multi-professional backgrounds.

INFORMATION RESOURCES ANALYSIS AND DECISION MAKING

Responsible for producing assessments and reports using appropriate information technology

Maintain up-to-date, accurate records, inputting case management into the electronic patient system.

Analyse information from providers in order to make informed decisions where there is a range of options.

Collect, collate, evaluate and report clinical information to inform commissioning decisions.

Provide information to assist in the production of statistical returns.

Complete the ratification process for decisions for NHS Continuing Healthcare and approve recommendations for NHS Funded Nursing care and NHS Fast Track funding when acting in the role of duty nurse.

Reporting all incidents, near misses and hazards in line with NHS GM reporting arrangements/system.

PLANNING & ORGANISATION

Work autonomously, prioritising and managing own workload including triage of duty cases, ensuring both National and local timescales are met.

Undertake duties in a timely matter whilst managing frequently competing demands on a daily basis.

Ensure systems are in place for on-going review and assessment of care provision and delivery.

Identify gaps in provision and act accordingly.

Have the ability to work under pressure within an agreed time frame.

Provide system expert knowledge to colleagues in relation to complex care providers in and out of area.

PATIENT/CLIENT CARE

Work as a Senior Practitioner within individualised Commissioning, providing expert advice in relation to NHS funding, support and care to a defined group of patients and liaise as appropriate with lead health and social care professionals.

Undertake Continuing Healthcare assessments in accordance with the National Framework Use clinical knowledge and expertise to assess patients health care needs and determine care requirements.

Have the ability to positively challenge and influence health and social care professionals to ensure that plans for patient care are appropriate and that the patient will be cared for on the most appropriate pathway where possible utilising the least restrictive options.

Identify appropriate care providers and request provider assessments.

Have the ability to analyse information from care providers and commission appropriately to meet clients outcomes whilst providing cost effective care.

Ensure that patients are offered personal health budgets and undertake personal health budget activity in accordance with NHS GM Policy. Empower patients and their families through appropriate support and education. Facilitate the integration of patient goals for health, social care and future health needs into individualised support plans.

Undertake reviews in accordance with the national framework for CHC ensuring that this includes a review of patient care, care records and care provision to ensure commissioned care is appropriate, of acceptable quality and meets the patients identified care needs. Whilst also considering the continued eligibility of NHS funded Care.

Act appropriately when there are requirements to re-consider care provision and the provision of interim solutions if required.

Provide support to patients to resolve issues related to health care provision.

POLICY & SERVICE DEVELOPMENT

Work within Professional Codes of Practice and defined GMIC and National protocols/policies including those appertaining to NHS Continuing Healthcare and NHS Funded Nursing Care.

Propose changes to local policy & procedure development and implement amendments to practice.

Represents the clinical, quality and safeguarding directorate in giving clinical input to the wider locality.

Engage in clinical supervision and self-reflection to develop own professional standards and working in practices.

FINANCIAL & PHYSICAL RESOURCES

Has delegated authority, within identified NHS GM scheme of delegation limits, to agree care packages and placements for patients eligible for NHS Individualised Commissioning.

Evaluate applications/costs for packages of care, evaluating the options available and ensuring cost effective quality services with an understanding of current market provision.

Consider and monitor budgetary and resource issues when commissioning/procuring packages of care, working within available resources and in a fair and equitable manner.

Accountable for the appropriate use NHS Resources

Negotiate with care providers when commissioning individual care placements.

PEOPLE MANAGEMENT

Maintain up to date knowledge and competence in line with professional and service requirements and demonstrate critical thinking, decision making and reflective skills to ensure own professional development.

Provide expert advice and support on matters relating to Individualised Commissioning

Contribute towards the effective running of the service and establish effective liaison with commissioning staff, supporting and deputising for colleagues as required.

Undertaking a statutory duty of care for your own personal safety and that of others

Line management responsibility for practitioners in the team.

Provide assessor or supervisor support to student nurses on placement.

RESEARCH, DEVELOPMENT & AUDIT

Participate in the audit and evaluation of processes regarding the implantation of the national framework for Continuing Healthcare and Funded Nursing Care.

Critically appraise available/current research and apply this knowledge to current practice.

Maintain registration under NMC.

Work across health and social care boundaries to obtain specialist evidence and ensure a co-ordinated, multi-disciplinary, multi-agency approach is adopted to assessments.

Liaise with a wide range of stakeholders providing specialist advice and guidance on all matters relating to the National Framework for NHS Continuing Healthcare and Funded Nursing Care.

Contribute to service development within the NHS GM and partner organisations.

Person Specification

Registration

Essential

• Nursing qualification or equivalent Allied health professionals, Occupational Health,Therapy Physiotherapy etc

Experience

Essential

• Significant experience at a senior nurse level Experience of working as a Registered Nurse with patients with multiple/complex needs Experience of clinical supervision and reflective practice discussions making requires consideration of a range of options Experience of resource management The ability to lead multi professional MDT's

Desirable

• Line management experience Experience of investigating and acting in a role of safeguarding Adult manager Experience of working with Older People with Mental Health difficulties and with the Independent Care Sector

Knowledge

Essential

• Knowledge and understanding of current national policy/framework guidance relating to NHS Continuing Healthcare, NHS Funded care and Personal Health Budgets Awareness of current legislation relating to health and social care Understanding of the current issues impacting on the NHS

Competency

Essential

• Confidence to manage complex and often distressing situations with patients, carers and staff The ability to lead multi professional MDT's Ability to assess and re-prioritise own work and work of junior members of staff Ability to change plans and respond effectively to meet service demands Ability to manage own resilience and support others to maintain Ability to build effective partnerships with a wide number of partners and stakeholders

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).

Employer details

Employer name

NHS Greater Manchester Integrated Care

Address

Hattersley Hub

Hyde

SK14 6NT

Employer's website

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