Lead Nurse

NHS West Yorkshire Integrated Care Board

Undertaking NHS Continuing Healthcare/Funded Nursing Care assessments, care planning and the evaluation of packages for patients eligible for NHS Continuing Healthcare.

Support the investigation of complaints and review of NHS CHC retrospective cases, appeals and independent panel review process.

Support the delivery of personalised commissioning to include transforming care work (Care Programme Approach, Care and Treatment Reviews, s117 aftercare arrangements), Personal Health Budgets, the coordination of complex cases (incorporating Deprivation of Liberty Safeguards (DOLS) and clinical input into Court of Protection where appropriate.

Working independently within codes of practice, standard operating procedures and professional guidelines, providing strong clinical leadership ensuring the highest standard of clinical assessment.

Ensuring a patient-focused, collaborative approach to identifying health needs and facilitating the most appropriate and cost-effective care pathway.

Main duties of the job

The post holder will support complex case management and work in collaboration with other health professionals and social care staff. The post holder will deputise for the band 7 nurses.

Undertaking Continuing Healthcare (CHC)/Funded Nursing Care (FNC) assessments and reviews for patients across all aspects of care. This necessitates a high level of assessment skills requiring tact, diplomacy and the ability to liaise effectively with colleagues, health care professionals, service users' carers and family members.

Complete MCA assessments and Best Interest decisions where appropriate. Work within the DoLS framework, identifying and responding to the need for DoLS authorisation which may include working with legal professionals and The Court of Protection.

Offering continuing support and advice to family and carers in complex and sensitive situations, necessitating a high level of interpersonal and reassurance skills; supporting the local resolution process in the case of complaints/appeals/retrospective cases and providing information on a timely basis.

Developing and maintaining effective and appropriate communication networks with health and social care professionals and act as a resource to them.

Working with relevant health professionals, CHC colleagues, Business Support Staff, Senior Leads and other Support Staff within the CHC team to ensure a seamless and efficient service is delivered.

About us

NHS West Yorkshire ICB works to improve population health and reduce inequalities, addressing diverse community needs. As part of the West Yorkshire Health and Care Partnership, we collaborate with local councils, health providers and community organisations.

We value diversity as a strength that enhances creativity and patient outcomes. Committed to fostering an inclusive and supportive workplace, we prioritise wellbeing and encourage applications from all areas of the community, who meet the criteria for the role, regardless of their protected characteristics.

We support Carers with a Carer friendly environment and a working Carer passport. As a Mindful Employer, we support employees and applicants with mental health conditions. As a Disability Confident Employer, we guarantee interviews for suitable applicants meeting the essential criteria. Please let us know of any required adjustments.

Lease cars are a benefit offered by the organisation subject to eligibility. Fleet Solutions provides these cars, and any Fleet cars will transfer (novate) through them. The organisation cannot transfer cars from other lease providers that Fleet Solutions will not novate with.

Note: This advert may close early due to high application volume, or be paused or withdrawn in line with our policies if an applicant at risk or on pay protection applies.

Job responsibilities

The post holder will be responsible for:

Undertaking NHS Continuing Healthcare/Funded Nursing Care assessments, care planning and the evaluation of packages for patients eligible for NHS Continuing Healthcare.

Support the investigation of complaints and review of NHS CHC retrospective cases, appeals and independent panel review process.

Support the delivery of personalised commissioning to include transforming care work (Care Programme Approach, Care and Treatment Reviews, s117 aftercare arrangements), Personal Health Budgets, the coordination of complex cases (incorporating Deprivation of Liberty Safeguards (DOLS) and clinical input into Court of Protection where appropriate.

Working independently within codes of practice, standard operating procedures and professional guidelines, providing strong clinical leadership ensuring the highest standard of clinical assessment.

Ensuring a patient-focused, collaborative approach to identifying health needs and facilitating the most appropriate and cost-effective care pathway for individuals.

Main Duties and Responsibilities

The post holder will support complex case management and work in collaboration with other health professionals and social care staff. The post holder will deputise for the band 7 nurses.

Undertaking Continuing Healthcare (CHC)/Funded Nursing Care (FNC) assessments and reviews for patients across all aspects of care. This necessitates a high level of assessment skills requiring tact, diplomacy and the ability to liaise effectively with colleagues, health care professionals, service users' carers and family members.

Complete MCA assessments and Best Interest decisions where appropriate. Work within the DoLS framework, identifying and responding to the need for DoLS authorisation which may include working with legal professionals and The Court of Protection.

Offering continuing support and advice to family and carers in complex and sensitive situations, necessitating a high level of interpersonal and reassurance skills; supporting the local resolution process in the case of complaints/appeals/retrospective cases and providing information on a timely basis.

Developing and maintaining effective and appropriate communication networks with health and social care professionals and act as a resource to them.

Working with relevant health professionals, CHC colleagues, Business Support Staff, Senior Leads and other Support Staff within the CHC team to ensure a seamless and efficient service is delivered.

Exercising professional judgement as necessary when analysing and communicating complex and sensitive information on behalf of the CHC service and application of the associated criteria.

Interpreting national and regional guidance relating to the implementation of the CHC National Framework and subsequent developments within the CHC service.

Decision making with regards to multi-disciplinary team CHC assessments to determine eligibility.

Supporting Community Matrons/District Nurses in their case management roles for complex cases that are eligible for continuing healthcare.

Deputise for the CHC Team Leader when required.

Deliver against organisational objectives, achieving quality outcomes, prioritising own workload and working to tight deadlines.

Plan, organise and implement reviews and assessments, to coordinate with Local Authority, family and providers.

Ensuring there is a holistic care plan in place, including the production and coproduction when required with Health and Care partners.

Ensure personal health budgets are actively promoted with service users and their representatives and work closely to encourage a seamless delivery.

Identify risk of abuse and need for protection from harm to self or others and report in line with local safeguarding routes and governance arrangements.

Ensuring timely "End of life" provision and reviews, following the national guidance for clients Fast Tracked through the CHC system.

Providing specialist nursing advice to secondary care, primary care, nursing homes etc. to facilitate the continuing healthcare process.

Ensure policies are implemented and adhered to whilst identifying and proposing changes for improvement to practices and procedures in own area. Required to implement changes to policies and procedures.

Approving a package of care in line with Place-based Partnership standing financial instructions and agreed thresholds.

Continually strive for delivering project/function outcomes, value for money and agreeing eligibility and will make financial decisions within the Place-based Partnership standing financial instructions.

Delivering formal and non-formal education programmes to Community and therapy staff relating to the assessment and management of CHC patient groups in line with the latest research, evidence and Department of Health/NICE guidance.

Maintaining and updating clinical records in a timely manner and in line with local and national policies.

Maintain confidentiality and adhere to the principles of data security and follow a professional Code of Conduct, where relevant to the post.

Participate in the organisational appraisal process.

Be expected to undertake ongoing professional and personal development inline with the responsibilities of the post.

Person Specification

Additional Requirements

• Must be a car driver with access to own vehicle.

Skills & behaviours

• Computer literate with an ability to use the required systems/Microsoft IT office packages.
• Has attention to detail, able to work accurately, identifying errors quickly and easily.
• Has a planned and organised approach with an ability to prioritise their own workload to meet deadlines.
• Able to exercise independent judgement where appropriate and problem solve.
• Able to work flexibly to meet the needs of the service and ensure a customer focused response.
• Able to regulate behaviour even when challenged.
• Has a responsive, solution focused approach to addressing issues and barriers.
• Able to build and sustain relationships at all levels, actively involving stakeholders where appropriate.
• Able to work both independently where required and as a team and corporate player.

Qualifications

• Registered Nurse (RGN/RMN/RNLD).
• Educated to degree level or equivalent in experience.
• Post Graduate qualification or specialist training i.e. Community Nursing.

Experience

• Minimum 2 years post qualification experience as a Registered Nurse.
• Evidence of ongoing professional development.
• Possess a sound understanding of the NHS CHC national guidance.
• Experience of working in a hospital and community setting.
• Demonstrable evidence of the use of key performance indicators.
• Working knowledge of the function within a large and complex organisation.
• Experience of managing change and supporting change management processes.
• Experience of working to and achieving tight deadlines.
• Evidence of cross sector partnership working.
• Extensive knowledge of the Mental Capacity Act and Deprivation of Liberty Safeguards.
• Up to date knowledge of the national nursing agenda.

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.

Employer name

NHS West Yorkshire Integrated Care Board