NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board
An exciting opportunity has arisen for a registered nurse with clinical leadership experience to join our Funded Care Team within BNSSG ICB. As part of a multi-professional team, in this busy and interesting role, you will work with partners across the health and care system to ensure the needs of individuals with complex needs are met.
You will be supported to further develop your critical thinking and decision-making skills, weighing up clinical need against resources, safety, and patient choice.
The chosen candidate will have a strong ability to review evidence and provide clear rationales for decisions, be able to problem solve and develop these skills in others. The job holder will be involved in directing care coordination as well as identifying risk, service improvement, and governance issues. As this role may involve working with clients within other areas of care, such as learning disabilities or mental health, a broad range of knowledge and experience is welcomed.
Our team is based in the heart of Bristol operating a hybrid working model. Staff are required to attend the office base frequently, occasionally at short notice, as well as travel to meet patients in their home environment.
The Funded Care Team are supportive, friendly, and motivated to succeed.
Main duties of the job
To provide full managerial leadership to the clinical team to ensure processes for Continuing Healthcare (CHC) and Funded Nursing Care (FNC) are completed in accordance with National and local policies. Responsibility for providing all aspects of HR services to the CHC team.
You will join an existing team of clinical leads, providing knowledge, experience, and support to a large team of nurses involved in assessing and reviewing clients with regards to their health needs, welfare, and provision of care under the National Framework for Continuing Healthcare.
The chosen candidate will have a strong ability to review evidence and provide clear rationales for decisions, be able to problem solve and develop these skills in others. They will lead a team of staff, maintaining good morale and act as a role model of professionalism, engaging in service development and change management with a positive outlook and determination to achieve agreed objectives.
The job holder will be involved in directing care coordination as well as identifying risk, service improvement, and governance issues. An ability to work collaboratively with other agencies is essential and experience of working in such a manner is desirable. As this role may involve working with clients within other areas of care, such as learning disabilities or mental health, a broad range of knowledge and experience is welcomed; however, training will be tailored to your experience and the needs of the service.
About us
We are committed to creating an inclusive organisation that promotes and values diversity. We know from experience that different ideas, perspectives, and backgrounds create a stronger, more creative workplace that helps us to deliver the best services. We welcome applications which represent the rich diversity of our community; from people of all ages, disabled people, all genders, people from ethnic minority groups, LGBTQ+ people, people with diverse gender identity and expression, people from all religions and beliefs, and other diverse characteristics, and we have processes in place to ensure that all applications are treated fairly and consistently at every stage of the recruitment process.
Job responsibilities
1. To take responsibility for and guide all nurse assessors to provide a skilled comprehensive assessment of an individual's healthcare needs in relation to the provision of Continuing Healthcare.
2. To provide clinical leadership on training, audit, and monitoring the quality of assessments and case management within the team.
3. To monitor and review caseloads plus provide advice, knowledge, and support for nurse assessors to coordinate their caseloads.
4. To provide specialist knowledge for CHC & FNC, coordinating, advising, and involving other health professionals i.e., acute sector, community services, social services, voluntary agencies, and independent providers in providing appropriate care plans for each individual client and that it is appropriately delivered in all settings.
5. Work in partnership with all allied professionals to ensure clients and carers can make informed choices about care and treatment to promote their health and wellbeing.
6. Act as client/patient advocate for complex and vulnerable client groups, participating in across-agency case conferences.
7. To manage and advise nurse assessors in ensuring appropriate case coordination of complex, sensitive, and contentious cases across all client groups within the service.
8. To work closely with colleagues within the acute setting to facilitate appropriate discharges which are both clinically & timely to the clients' needs.
9. To provide, in conjunction with the Lead for CHC Operations, a central point of expertise for CHC/FNC across BNSSG to all colleagues, allied professionals, and agencies.
10. To take full responsibility for the performance of staff within their report, providing assurance around quality of service delivery and performance against Key Performance Indicators (KPIs).
11. Develop and implement plans for ensuring policy and process on CHC are carried out by the nurse assessors at all times.
12. Responsibility as the line manager for both CHC & FNC service, including the comprehensive range of HR services for this service and its individual team members ranging from allocation/work planning, IPR appraisals, 1:1 sessions, training needs/requirements, recruitment, sickness, and discipline issues.
13. Participate in research projects, as required, ensuring that any beneficial results are implemented on an agreed basis.
14. Ensure and monitor robust systems of communication within the team and to be maintained in all forms.
15. Create and maintain an appropriate learning environment to meet the educational needs of all staff.
16. Monitor and ensure that all nurse assessors maintain and practice NMC and BNSSG standards in record keeping.
Person Specification
Knowledge, Training and Experience
* Educated to degree level in a relevant subject or equivalent level qualification or significant experience of working at a similar level in a specialist area.
* Significant experience of successful leadership.
* Evidence of continued professional development (CPD).
* Demonstrated experience of supporting clients in complex and challenging environments.
* Experience of managing risks, implementing mitigations, and reporting.
* Experience of drafting briefing papers and correspondence at SMT level.
* Experience of monitoring budgets and business planning processes.
* Understanding of the public sector.
* Demonstrated experience across a variety of healthcare environments.
Communication Skills
* Ability to communicate sensitive information on highly complex matters with empathy and clarity.
* 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 a varied group of internal and external stakeholders.
Analytical
* Ability to analyse very complex issues where material is conflicting and drawn from multiple sources.
* Demonstrated capability to act upon incomplete information, using experience to make inferences and decision-making.
* Numerate and able to understand financial issues combined with clinical analytical skills.
* Experience of setting up and implementing internal processes and procedures.
* Knowledge of Financial Responsibility e.g., resources management within commissioning, able to apply commissioning policy to form clear rationale in decision-making.
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.
NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board
Lead for Continuing Healthcare Operations
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