Local Resolution lead (Band 7) - Nursing - NHS Hertfordshire and West Essex Integrated Care Board

NHS Hertfordshire and West Essex Integrated Care Board; Hemel Hempstead; On-site; GBP 46,000 - 53,000

Job description

Employer: NHS Hertfordshire and West Essex Integrated Care Board

Employer type: NHS

Site: The Forum

Town: Hemel Hempstead

Salary: £46,148 - £52,809 per annum plus 5% high cost allowance

Salary period: Yearly

Closing: 06/04/2025 23:59

Local Resolution Lead

Band 7

Job Overview

Herts & West Essex Integrated Care Board is a leading NHS organisation with an award-winning governing body. Working closely with partner organisations, the ICB's staff design, plan and commission health services for more than half a million people and monitor the quality and effectiveness of those services. The ICB currently has a vacancy for a Local Resolution Lead within the All Age Continuing Care (AACC) team.

The ICB is looking for an experienced nurse who will work as part of the AACC Team and will lead on the review of Continuing Healthcare (CHC) disputes, CHC Local Resolutions and CHC Retrospective review requests to ensure that the NHS Continuing Healthcare processes have been adhered to.

Main Duties of the Job

The post holder will work as part of the CHC Team embedded within the ICB and will be responsible for providing clinical expertise on reviewing both previously unassessed and assessed periods of care.

The post holder will lead on the review of CHC disputes, CHC Local Resolutions and CHC retrospective review requests to ensure that the NHS Continuing Healthcare processes have been adhered to and identify the responsible commissioner prior to commencing any dispute or retrospective review process.

The post holder will be expected to produce and oversee comprehensive reports identifying a patient journey throughout the period of review.

The post holder will be expected to have an excellent understanding of Continuing Health Care and high-level communication skills to chair local resolution meetings with claimants and their representatives.

The post holder will be required to provide support to families/representatives to improve their experiences.

Working for Our Organisation

Here at Hertfordshire and West Essex Integrated Care Board, we're responsible for planning and overseeing how NHS money is spent to support the people who live in Hertfordshire and West Essex. We have around 750 employees and our role is to make sure health services work well and are of high quality as well as value for money.

It’s an exciting time for us and we’re looking for people who enjoy working in a fast-paced, vibrant environment that can help us achieve our aim. So if you share our passion for people and want to make a positive change to their health and health services, then we want to hear from you.

Detailed Job Description and Main Responsibilities

The role will involve supporting the ICB to manage the clinical elements of the dispute process. This involves extensive scrutiny and analysis of the appropriate health and social care information, meeting with representatives to attempt to resolve the dispute locally, considering and examining representative comments and providing thorough responses to any concerns raised.

Supporting Patient Experience teams in investigating any complaints which may occur in relation to the dispute process. Rationalizing and evaluating eligibility decisions by presenting cases to senior managers as required. Ensure that all assessments have been completed in line with the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care, NHS Continuing Healthcare (responsibilities) Directions and any other relevant national and local guidance.

Providing continuous support to colleagues across the CHC team and providing up-to-date information regarding any changes within both national and local policies and procedures.

Person Specification

Knowledge

• Evidence of degree level nursing study or equivalent
• Evidence of post-qualifying and continuing professional development
• Valid NMC registration

Experience

• Experience of working at band 6 or above in Continuing Healthcare and Appeals of at least 2 years
• Significant experience of successfully operating in a politically sensitive environment
• Evidence of continued professional development
• Demonstrated experience of coordinating projects in complex and challenging environments
• Experience of managing risks and reporting
• Experience of drafting briefing papers and correspondence at SMT level

Communication

• Ability to prepare and produce concise yet insightful communications for dissemination to senior stakeholders and a broad range of stakeholders as required
• Experience of creating and giving presentations to varied groups of internal and external stakeholders

Analytical

• Ability to analyse very complex issues where material is conflicting and drawn from multiple sources
• 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

We understand that finding and starting a new job is an important life decision. If you need reasonable adjustments for a disability, health issue or a life event, please let us know so that we can consider your application fairly and get the best out of you during the selection process.

We are committed to a positive work-life balance for our employees. Employees are entitled to seek to work flexible working patterns and we are committed to listen and consider all requests. Such requests, of course, have to be made and considered formally, and will need to be balanced against service needs, but our starting point will always be to find ways to support making them happen.

Unfortunately, we are unable to offer certificates of sponsorship, so you'll need to be able to demonstrate your right to work in the UK during the recruitment process.

Employer Certification / Accreditation Badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.