Job summary
This post supports the CYPCC service assessing children and young people in the community/ home and hospitals to determine eligibility to receive NHS Continuing care in line with the National Framework for Children and Young People's Continuing Care (2016).

Together, we have an ambitious vision for improving health and care services across Surrey and Sussex. We are working to: - Improve health and care outcomes for everyone, with a focus on preventing ill health and proactive care. - Tackle inequalities to reduce unfair gaps in access, experience, and outcomes. - Get better value from our services by enhancing productivity and value for money. - Support local communities to grow and thrive through social and economic development.

We also work with NHS trusts and organisations which deliver healthcare services through developing Provider Collaboratives to improve healthcare pathways, so local people experience better care and outcomes.

To achieve this, we need a team of people who can think beyond organisational boundaries, strong collaborators, can navigate complexity, challenge constructively, and keep communities at the centre of decisions.

Main duties of the job
Utilising the national assessment tools and adhere to the required timescales. Co-ordinate, participate and support the assessment process with the multidisciplinary team (MDT).

The role will be part of the MDT and determine the individual's eligibility in line with the National Framework for Children and Young People's Continuing Care (2016). This will encompass explaining the process to patients and families, health and social care colleagues and care providers. Ensuring that the process is transparent and clearly understood by all parties.

The role will require travel on occasions, to carry out assessments and reviews across Surrey and Sussex. Access to transport is therefore necessary, be it personal or public. All AACC staff are expected to work flexibly, when required, to meet the needs of the service.

About us
The Integrated Care Board (ICB) has the responsibility to decide what health services are needed in Surrey and Sussex and set out how they'll be provided, making sure hospitals, primary care, and other services work together, rather than in silos, for the benefit of everyone in the community. NHS Surrey Heartlands and Sussex ICB achieve this by working in partnership with local health and care organisations, staff, patients, carers, families and the public, to support three million people across Surrey and Sussex to live healthier lives.

We want everyone to feel welcome at work and are passionate about creating an inclusive, compassionate workplace culture where every colleague feels seen, heard, and valued.

We know through experience that different ideas, perspectives, and backgrounds create a stronger and more creative working environment that delivers better experience and outcomes for our population.

We want our organisation to be a place where diversity is actively celebrated, where safe spaces exist for all identities, and where all voices help shape our direction. We place a high importance on the NHS values - they guide what we do every day, set out how we work, and how we treat each other.

Details
Date posted: 14 July 2026
Pay scheme: Agenda for change
Band: Band 6
Salary: £39,959 to £48,117 a year per annum
Contract: Permanent
Working pattern: Full-time
Reference number: 256-SH-7946963-4
Job locations: Duke Street, Woking, GU21 5BH, United Kingdom

Job responsibilities
The key responsibilities of the postholder are to: To support the transitions caseload of young people and adults, who have previously been assessed as eligible for CYPCC, undertake the CHC assessment and fully support their transition from CYPCC to CHC if eligible.

Case manages transition cases to support the needs of the young person, working with family and carers to ensure the package of care remains stable and meets health needs; working alongside the LA and Education, escalating to the Clinical Manager when required.

The role will be part of the MDT and determine the individuals eligibility in line with the National Framework for Continuing care. This will encompass explaining the process to patients and families; as part of the transition from child to adult services, ensuring that the process is transparent and clearly understood by all parties.

Monitoring and providing assurance on the quality-of-service providers for children and young adults, this includes residential placements and short breaks environments.

Support the commissioning of health care packages at home for eligible young people and other community settings to prevent hospital admissions; in addition, they will help support early discharge from hospital wherever possible, working with the Well Child nurse.

In the absence of Manager, act in a deputising role, which would include undertaking duty management and responding to package breakdowns, enquiries for new referrals, checklists and prioritising workload.

To help support the daily duty system for CYPCC, working with the duty nurses; responding in a timely manner to support the Surrey and Sussex caseload.

Assist when required with the monitoring and providing assurance on the quality of service providers for Children and Young Peoples Continuing Care, this includes residential placements and short breaks environments.

Advising AACC Procurement on clinical needs and best practice in relation to services for children with complex health needs and providing clinical input to all parts of the commissioning process.

To assist with the personal health budget (PHB) process for childrens families / carers who would like to be in receipt of a personal health budget and ensure that the NHS Surrey & NHS Sussexs procedures are monitored.

To be responsible for planning, managing, co-ordinating and undertaking annual reviews of the young people eligible for Continuing Health care, within the caseload. Responding to any health needs reported and reviewing the DST and care package accordingly.

Communicate, with support from the nurse specialists, complex information, with empathy and consideration to the children, young people, parents and carers. This may relate to a diagnosis, prognosis and funding issues, which therefore could be highly sensitive or distressing and associated with high degrees of emotion or conflict. This may include end of life discussions.

Work alongside other agencies, e.g., Local hospices, as well as social services and specialist educational schools, to provide joint care packages where appropriate, ensuring that families receive the most appropriate and equitable service for their child.

Participate in on going professional development and clinical supervision, including safeguarding supervision.

Assisting CYPCC team in the delivery of informal educational sessions to varying groups of staff on subjects related to Childrens Continuing care.

Organise own workload, with oversight from a Clinical Manager.

Be aware of and follow local Safeguarding policy and follow child protection procedures, providing any reports and attending child protection conferences as necessary.

Undertake any other duties that may reasonably be required.

Person Specification
Knowledge, Training and Experience

• Educated to degree level in relevant subject or equivalent level of experience of working at a similar level in specialist area with up-to-date registration with the relevant regulatory body e.g. Nursing & Midwifery Council (NMC)Registered Nurse or Children's Nurse or Other allied professional with experience of working with children with complex health needs e.g. Registered physiotherapist, occupational therapist or speech and language therapist
• Previous experience of working in a health or care environment (including acute, community, mental health, local authority etc. and evidence of continuing professional development
• Experience and understanding of health and social care environment and roles and responsibilities within it.
• Experience of working in multi disciplinary teams
• Comprehensive knowledge and understanding of current national and local policy/Framework Guidance relating to NHS National Framework for Children and Young People's Continuing Care and its application in practice
• Knowledge and experience of working with Safeguarding issues and Policy guidance
• Ability to address complex or sensitive issues in an organised and appropriate manner both verbally and in writing at all levels; written documents, spread sheets
• Demonstrates ability to manage own workload effectively and make informed decisions in the absence of required information, working to tight and often changing timescales

Analytical

• Ability to analyse very complex clinical information as part of the assessment process- interpreting both physical and mental health needs, skills required to formulate, develop and ensure implementation of specialist CHC care plans to meet identified needs.
• Demonstrated capability to act upon incomplete information, using experience to make inferences and decision making
• Numerate and able to understand complex financial issues combined with deep analytical skills
• Experience of setting up and implementing internal processes and procedures
• Knowledge of Financial Systems e.g. monitoring budget management, processing invoices and procurement

Communication & Relationship Skills

• Clear communicator with excellent writing, report writing and presentation skills; capable of constructing and delivering clear ideas and concepts concisely and accurately for diverse audiences.
• Skills for communication on complex matters and difficult situations, requiring persuasion and influence.
• Involvement in operational processes and evidence of using a problem solving and forward thinking approach
• Skills for nurturing key relationships and maintaining networks.

Planning Skills

• Skills for project management including time keeping
• Previous experience in supporting clinical projects or clinical transformation

Physical Skills

• Working knowledge of Microsoft Office with intermediate keyboard skills.

Management Skills

• Ability to engender trust and confidence and demonstrate integrity in the provision of advice and support.
• Skills for managing clinical caseloads.

Equality and Diversity

• Understanding of and commitment to equality of opportunity and good working relationships

Autonomy

• Ability to work on own initiative and organise own workload without supervision working to tight and often changing timescales

Other

• An ability to maintain confidentiality and trust.
• Used to working in a busy environment
• Adaptability, flexibility and ability to cope with uncertainty and change
• Commitment to continuing professional development
• Professional calm and efficient manner
• Effective organiser
• Demonstrate a strong desire to improve performance and make a difference by focusing on goals
• Ability to demonstrate the NHS and ICS values and behaviours in all aspects of work and interactions with colleagues, stakeholders, patients and service users

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 (opens in a new window).

Employer details
Employer name: Surrey and Sussex ICB
Address: Duke Street, Woking, GU21 5BH, United Kingdom
Employer's website: Apply through our website

Employer contact details
For questions about the job, contact:
CYPCC Clinical Manager
Holly Cunningham and Liz Foster
syheartlandsicb.recruitment.hr@nhs.net