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NHS Continuing Healthcare (CHC) Nurse Coordinators – Registered General Nurse

Permanent

There are full time and part time posts available, we welcome all applications.

Based in Acton House, Worcester or St Owen's, Hereford.

Hybrid Working in place

NHS Herefordshire and Worcestershire ICB

NHS Herefordshire and Worcestershire Clinical Commissioning Group is the NHS organisation responsible for planning, buying and monitoring health services for our population of over 800,000 people who live within a mix of urban and rurally dispersed communities, spanning two of the largest counties in England.

We have a workforce of over 250 employees and hold a budget of £1.19 billion to commission hospital, community and mental health services. Our organisation is a dynamic, forward-looking and vibrant place to work, set within the backdrop of some of the country’s most beautiful countryside

We are expanding our team and are looking for enthusiastic, self-motivated registered nurses to join us.

This is a rewarding and interesting role which will enable you to work in partnership with multidisciplinary teams across Health and Social Care establishing healthcare needs and supporting high quality care for clients and their families in the community.

We are looking for highly motivated practitioners with excellent assessment and communication skills.

Key aspects of the role include:

• To complete a comprehensive assessment to determine eligibility for NHS Continuing Healthcare.
• To provide a case management service including reviews for eligible clients for an appropriate package of care or placement.

We are a friendly and welcoming team. You will be allocated a mentor and will be fully supported through your induction using a novice to expert programme. By the end of your first year you will achieve the following key skills;

• Chairing complex MDT meetings
• Clinical analysis and detailed report writing skills
• In-depth knowledge of the NHS Continuing Healthcare National Framework and key supporting legalisation such as Mental Capacity Act
• An understanding of integrated commissioning

Working in a CHC service equips professionals with knowledge and experience that will be invaluable to them in their future careers.

Successful applicants will need to be able to work independently to deadlines, have excellent communication skills to engage patients and/or their representatives and be able to produce large, detailed written reports. You will therefore, need to be proficient in the use of Microsoft Word. There is also a continued need to complete remote assessments via Microsoft Teams, confidence with IT systems and leading meetings both face to face and remote is essential.

What we offer

In return, we provide a supportive and collaborative environment where we work with our staff to provide opportunities for you to reach your full potential and to develop a rewarding career within an exciting and evolving environment. We aim to enable our employees to achieve a positive work-life balance through a blend of collaborative workplace attendance combined with regular home working. Joining our inclusive and innovative team comes with a range of attractive benefits including:

• Employee Assistance programmes and access to a wealth of on-line health and wellbeing support
• Competitive NHS Pension Scheme
• Comprehensive opportunities to learn new skills and to develop your career within a caring and inclusive environment
• Generous holiday entitlement, which increases in line with service. There is also the opportunity to purchase additional leave.
• Flexible working patterns to support individuals work-life balance (Hybrid Working)

This a Monday – Friday service, across Worcestershire and Herefordshire, based in one of our offices in either Worcester or Hereford.

There are full time, part time, job share opportunities and secondment could be considered.

Job Summary

NHS Herefordshire and Worcestershire Clinical Commissioning Group was established on 1 April 2020 following a merger of NHS Herefordshire HWICB, NHS Redditch and Bromsgrove HWICB, NHS South
Worcestershire HWICB and NHS Wyre Forest HWICB. We are formed of 83 member GP practices and we are responsible for buying health services for 800,888 people across Herefordshire and Worcestershire.

Specifically, this means we are responsible for:

• Planning health services, based on assessing local needs
• Paying for services that meet the needs of our patients (also known as ‘commissioning’)
• Monitoring the quality of the services and care provided to our patients.

Key Duties and Responsibilities

• The post holder will be responsible for assessing the health care needs of service users within acute and community settings and in the Care Home settings.
• The post holder will use the assessment tools of the National framework to assess eligibility of Continuing Health Care/Funded Nursing Care including clients eligible for Fast Track Funding
• To have a working knowledge of local/national policies and legislation which govern current eligibility for people aged 18 and above, including any other related legislation. Band 6 NHS Continuing Healthcare Nurse Co-ordinator
• Using clinical expertise and experience to assess clinical condition, analyse a range of complex data and compare a range of options to make decisions. The post holder will need to use their expertise to explain to individuals and their representatives the reasons underpinning the

recommendations relating to need and eligibility for CHC whilst being sensitive to the possibility of highly charged, contentious situations.

• Case management of NHS Continuing Healthcare Funded placements utilising their own specialist skills/knowledge to analyse information relating to assessments of need, gathered through monitoring and review, to ensure the procurement and delivery of high quality complex care

packages

• Provide and/or receive highly complex clinical/social information relating to patients and be able to disseminate this information at a range of different levels for example individuals/family, professional colleagues, MDT/HWICB meetings etc. In delivering the complex information to patients/families/representatives this requires empathy and reassurance skills as there may be barriers to understanding
• To communicate decisions to clients and families regarding funding decisions which include distressing information whereby health funding may not be approved or has been reduced or withdrawn, or a decision has been deferred for further review.
• Provide the clinical and NHS Continuing Healthcare perspective to care planning in respect of cases jointly funded with social care.
• Assist and provide a clinical perspective to complaints management.
• The post holder will support the quality teams with the monitoring of the quality of care provision in conjunction with agreed policies and in conjunction with the lead for safeguarding, including supporting any other identified safeguarding issues
• Support the Quality and Patient Safety Team in ensuring patient experience is captured and commitment to improving of patient experience.
• Identifying and contributing to others training needs and act as a resource to the application of the National Framework.
• Ensuring the promotion of issues of equality diversity and rights in accordance with good practice and legislation
• Ensuring effective communication pathways exist.
• Work closely with colleagues in other disciplines of nursing and social care services prompting integrated working in the assessment and delivery of client focused care packages, for those eligible for Continuing Healthcare.

Key Working Relationships

Internal: HWICB Quality and Patient Safety Teams and Safeguarding Vulnerable Adults Lead.

External: Service Users and Carers, Multi-Disciplinary Team, General Practitioners, Universities, Social Care Services, Domiciliary and Residential Home providers, Voluntary Sector and Acute Hospital staff.

• Listen to and understand complex information, both implicit and explicit.
• Listen to and appreciate the complexity of a range of views, adopt effective questioning techniques.
• Respond appropriately to queries and complaints
• Negotiate assertively and present highly developed theoretical and practical knowledge across a range of professional issues.
• Adopt a sensitive manner and use appropriate language for each situation, lead, persuade and influence others effectively.

On behalf of:
NHS Herefordshire & Worcestershire HWICB

• Write effectively for a range of complex situations and contexts.
• Assess, review and plan an appropriate care pathway, in liaison with other healthcare professionals involved with the client.
• Provision of expert case management to both health and social care staff, working within the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care.
• Ensure a review of placement, care package is also undertaken to ensure that all care needs are being met and to ensure best value for the funding authority in line with HWICB Commissioning Policies. When appropriate, proceed to the NHS-funded nursing care process.
• Ensure patient and family are informed throughout the process and aware of set timeframes.
• Ensure effective and timely communication regarding the review process and the outcome of the review, with all professionals involved and with the client and their representatives.
• Assessment skills required, nursing needs, holistic approach to the totality of the client’ needs.
• Make complex operational judgements and attempt to resolve conflicting views / reconcile inter /intra professional differences of opinion including crisis intervention
• Follow safeguarding policies and guidelines, and know how to seek specialist advice. • Work in an integrated approach with partner agencies, to support the provision of assurance that HWICB commissioned services, are safeguarding adults at risk.
• To be able to recognise the indicators of abuse and how to act on them.
• To be alert to the possibility of harm to children, young people and adults at risk through abuse and neglect. This includes being aware of adults who may find parenting difficult
• To liaise in partnership with key stakeholders in the independent sector and social care to enhance patient assessment outcomes.
• The post holder will ensure the necessary precautions are adhered to when information is transferred only disclosing patient identifiable information in line with Caldicott and Data Protection Act
• Communicate effectively with other professionals and with voluntary organisations
• In the absence of the Clinical Lead, ensure the teams run smoothly and any problems are escalated to the appropriate manager
• Provide administrative support on specific pieces of work and projects as required by the organisation.
• Prioritise and manage weekly workload.

You will need to be a car driver as assessments can take place in client’s homes, community hospitals and care homes across Herefordshire or Worcestershire and out of area where required. There is an opportunity to work flexibly to meet the needs of the service and this includes some working from home.