Job summary
To support the delivery of high-quality NHS Continuing Healthcare (CHC) and Funded Nursing Care (FNC) by undertaking and contributing to all review of care packages for individuals with complex health needs under the National Framework for NHS Continuing Healthcare.

The role involves conducting review including FNC reviews, CHC reviews, including Personal Health Budget reviews and identifying eligibility changes, ensuring that individuals receive appropriate, safe, and high-quality care.

The post holder will undertake these reviews, and liaise with providers, and ensure compliance with national policy, safeguarding standards, and person-centred care.

To prepare/complete appropriate documentation/tools to enable the level of NHS funding to be determined within the parameters of the National Framework for Continuing Health Care and Funded Nursing Care and Joint Funding arrangements locally.

Main duties of the job

• Co-ordinating reviews for NHS Funded Nursing Care and Continuing Health Care
• Review on-going of individuals eligible for CHC, NHS funded care in accordance with National Framework for NHS Funded Care, and Joint funded care packages of care.
• Providing coordination of, and participating in, meetings and providing information, advice and support as required
• To actively promote communication and partnership working between the statutory, independent and voluntary sectors.
• To communicate relevant information and to provide advice and support on funded nursing/continuing health care to service users and carers.
• To liaise with other health professionals on clinical matters as part of the assessment process.
• Complete Continuing Healthcare reviews in line with National Guidance for Funded NHS Nursing Care and the National Framework for Continuing Healthcare
• Recognise changes in a patient's care needs and refer to senior assessors for further assessment
• Ensure care plans, risk assessments, and documentation are accurate, up-to-date, and meet quality standards; provide feedback to care providers when improvements are needed
• Liaise with the wider multidisciplinary team (MDT) to gather relevant assessments and updates before conducting reviews

About us
Working for our Integrated Care Boards will require you contributing to a shared purpose of improving outcomes for the communities we serve as part of a wider health and social care system. The organisation's ethos is rooted in integrity, collaboration and accountability, with a strong focus on putting its patient population at the centre of everything it does and delivering services to improve patient outcomes, patient experience and added years of optimised health. As part of the newly formed cluster bringing together NHS Northamptonshire ICB and NHS Leicester, Leicestershire and Rutland ICB, staff are expected to work flexibly and collaboratively across organisational boundaries to support a joined-up approach to strategic commissioning and service improvement. There is an expectation of 40% on patch working, with office bases at County Hall, Glenfield, Leicester and Haylock House, Kettering. Staff can choose which office is their primary base for contractual purposes and travel claims.

This role will require a minimum of 2 days 'on patch' working in Leicestershire, Northamptonshire and Rutland in our 2 main offices or partner sites

Job responsibilities

• Escalate cases to Band 6/7 staff
• Follow up on requested improvements by care providers and escalate any unresolved concerns to the Continuing Healthcare Team, Safeguarding Lead, or Quality Assurance Manager
• Serve as a patient advocate, delivering sensitive information and supporting clients and their representatives regarding FNC/CHC processes
• Managing a caseload of patients
• Supporting investigations into an individuals eligibility for NHS Continuing Healthcare following an individual challenge or dispute

Person Specification
Knowledge, Training and Experience
Essential

• Educated to master's level in relevant subject or equivalent level of experience of working at a similar level in specialist area
• Extensive knowledge of and expertise in specialisms relevant to function and role
• Proven and significant leadership experience
• Evidence of post qualifying continuing professional development
• Must have an understanding of the background to and aims of current healthcare policy and appreciate the implications of this on engagement
• Should have an appreciation of the relationship between the Department of Health, NHS England and individual provider and commissioning organisations
• Member of a relevant professional body - NMC - Nurse or Allied Health Professional AHP

Communication Skills
Essential

• Developed communication skills for delivering key messages to a range of stakeholders both internal and external (including outside the NHS) to the organisation, some at very senior level
• Good presentational skills for conveying complex concepts
• Ability to use informed persuasion to influence others

Analytical
Essential

• Ability to identify risks, anticipate issues, create solutions and resolve problems in relation to project or service delivery.
• Ability to understand a broad range of complex information quickly and make decisions where opinions differ/no obvious solution

Planning Skills
Essential

• Evidence of planning and delivering programmes and projects and services on time

Autonomy
Essential

• Ability to work without supervision, providing specialist advice to the organisation, working to tight and often changing timescales
• Interpreting national policy for implementation

Management Skills
Essential

• Skills for direct line management and job management
• Skills for delivering results through managing others and using a range of levers in the absence of direct line management responsibility
• Skills for managing relationships with a range of different stakeholders

Physical Skills
Essential

• Working knowledge of Microsoft Office with intermediate keyboard skills

Equality and Diversity
Essential

• Demonstrates knowledge and understanding of equality of opportunity and diversity taking into account and being aware of how individual actions contribute to and make a difference to the equality agenda

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.
Applicants must have current UK professional registration. For further information please see NHS Careers website.