Additionally, the specialist will support the Continuing Healthcare team by maintaining effective communication networks, prioritizing workload, and managing complex cases. The post holder will also engage in continuous development efforts, including training and recruitment, while ensuring compliance with established guidelines and protocols. Responsibilities further include handling enquiries related to CHC and FNC, participating in review meetings, and ensuring that all activities align with professional standards and data protection regulations.
The post holder will be responsible for the assessment of clients with Learning Disabilities in any setting (i.e. home, acute settings, residential settings) to determine eligibility to receive Fully Funded NHS Continuing Healthcare [CHC] or Funded Nursing Care [FNC]. The post holder will act as senior nurse assessor/co-ordinator of a Multidisciplinary Team to establish eligibility and working with the client and their family, identify a suitable care package. They will ensure the review process of all Funded Nursing Care/Continuing Healthcare is undertaken in accordance with the National Framework Guidance for Continuing Healthcare (revised 2.
The post holder will ensure that assessments and reviews are carried out in a timely manner according to the local KPIs in order to meet the national performance targets. The post holder will form part of the senior nurse assessor team for the CHC team, ensuring that clients receive high quality care and provide specialist advice regarding Learning Disabilities to the CHC team. The post holder will also lead on ensuring all clients with a Learning Disability who have care delivered through a Personal Health Budget, have appropriate care and support plans in place, and will support in the management of the PHB, resolving issues as they arise.
About us
Please refer to Job Description for full details
Duties and Responsibilities
The post holder will support the Continuing Healthcare team to ensure that the CHC and FNC work-stream is planned and managed effectively, taking a lead in assisting in their successful delivery.
Establish and maintain communication networks with care home staffs, social services, community staffs and hospital MDT in delivering CHC assessments and complex case management
Maintain effective communication on issues in complex situations arising from the CHC criteria, CHC processes and outcomes
Prioritise workload and team activity responding to service demands/policy changes. Ensure effective balance between clinical and administrative activities
Undertake, critique and facilitate robust clinical assessment/reviews to enable transparent and appropriate funding decisions to be made using expert knowledge of the National Framework
Manage the LD caseload and ensure correct processes are followed in delivery of the National Framework for NHS Continuing Healthcare & NHS Funded Nursing Care.
Participate in the continued development of the management system to ensure information is properly managed and best practice is shared across the team, directorate and the wider NHS organisation
Assist in the coordination of training & development and recruitment activity across the Team
To participate in peer reviews, implementing change as appropriate and as defined within the FNC/Continuing Healthcare Guidance
Organise and prioritise work related to CHC Learning Disabilities caseload
Manage a caseload of clients with Learning Disabilities who are eligible for Continuing Healthcare funding.
Carry out Continuing Healthcare, Funded Nursing care and Joint Funding Reviews in a timely manner for patients age 17 years and above with learning disabilities
Be responsible for explaining the CHC Assessment Guidance (revised 2021) clearly to clients, families, health and social care colleagues and care providers so that the process is transparent and understood
Make recommendations regarding eligibility to the Continuing Healthcare management for ratification at the CHC panel, or out of panel, as appropriate.
To ensure all queries from panel regarding the CHC assessment and process are dealt with efficiently
To help identify appropriate care provision and support discharge planning for individuals where appropriate.
Manage enquiries by various stakeholders in relation to NHS Continuing Healthcare and Funded Nursing Care; and provide detailed, informed verbal and written responses
Participate in local review conciliation meetings, giving clear and concise evidence to support decision making and rationaleThe post holder will attend Safeguarding Strategy meetings where required representing SWL ICB place based teams
To deliver and prepare cases/information in regard to managing further review/appeals at internal and external panels
Ability to undertake assessments of capacity and coordinate/complete Best Interest meetings as required
Provide relevant and timely specialist advice and guidance on own role and that of the wider CHC team.
Ensure confidential information is handled in accordance with Data Protection Act and Information Governance Protocols
The postholder is responsible for ensuring the local KPIs for assessments are meet, good record keeping on the team database is maintained and professional standards according to NMC and the Trust policies are maintained
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