At Surrey Heartlands ICB, our All Age Continuing Care (AACC) team is looking for professionals with a nursing, social work or allied health professional qualification who are ready for a new challenge. Working with an experienced and committed team, this important role is central to the delivery of person-centred services across Surrey. We are looking for enthusiastic, organised and compassionate practitioners who can work with us to take our vision forward, driving excellent, inclusive services. The D2A (Discharge to assess) Clinical Case Manager role sits under the Surrey Heartlands All Age Continuing Care (AACC) Team and works closely and collaboratively within the immediate team and external agencies, building working relationships with all including the patient and their families and carers. Primarily the role involves the assessing of individuals for CHC eligibility, writing of a robust and comprehensive assessment, liaison with multi disciplinary agencies and the gaining of all relevant information and evidence in support of the final recommendation. The D2A Case Manager will have access to support and training in all aspects of Continuing Healthcare (CHC) National Framework in order to improve their knowledge and skills. This post is suitable for an experienced Band 5 looking to progress their skills on a development pathway or an established Band 6 who wishes to specialise or gain experience in the Continuing Healthcare setting. Once a patient is assessed as being eligible for NHS Continuing Healthcare (CHC) D2A pathway, (working with the Clinical Liaison Practitioner), or for CHC Fast Track pathway (and working with the Fast Track Clinician). Your role is to liaison with the patient, family and hospital staff and start gathering information with regards to the patient’s care needs, and feed back to the relevant AACC clinician. You will be checking that the care in place is appropriate and safe, and you will be responsible for arranging attending the assessment for eligibility to NHS Continuing Healthcare funding. You will use your existing and new knowledge and clinical skills to ensure that outcomes are determined in a consistent manner to ensure effective application and interpretation of the National Framework for NHS Continuing Health Care and NHS Funded Nursing Care. You will work closely with the AACC teams, hospitals, community services and care homes to maintain and improve systems and processes to facilitate a smooth referral, assessment and review process to support patients. You will escalate complex issues to senior managers for timely query resolution. Visits to the hospital are also required sometimes, to see the patients and gather clinical information before they are discharged. Ideally you will live within the Surrey Heartlands geographical area, as you will be expected to travel across Surrey for assessments and travel to your induction and meetings as required by the service. Surrey Heartlands is a partnership of organisations working together - with staff, patients, their carers, families, and the public - to support people to live healthier lives. Surrey Heartlands developed into an Integrated Care Board (ICB) since July 2022, working through 4 Integrated, dynamic, and sustainable place-based partnerships (our Places), each working together to deliver a shared vision across Surrey. The 4 Place Partnerships Are Known As North West Surrey Alliance Guildford and Waverley Alliance Surrey Downs Health and Care East Surrey Place We have an ambitious vision for transformation and continuous improvement of health and care across our footprint and to deliver our objectives we need a team of capable, collaborative professionals who share the same vision. We are passionate about creating an inclusive workplace that promotes and values diversity. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more creative work environment that delivers better patient outcomes. We welcome all applications, especially those from underrepresented communities, including people with a disability, and those from Black, Asian and Minority Ethnic (BAME) backgrounds. For further details / informal visits contact: Name: Felicia Dunne Job title: CHC Clinical manager Email address: felicia.dunnenhs.net Telephone number: 07917 596920 We encourage you to find out more about the role by contacting Felicia Dunne felicia.dunnenhs.net Tel: 07917 596920 for an informal discussion in advance of your application.