Job Summary The post holder will assist the CCG in delivering its responsibilities with regards to the National Framework for Continuing Healthcare and Funded Nursing Care. This includes: Undertaking NHS Continuing Healthcare/ Funded Nursing Care assessments, care planning and the evaluation of packages for patients with mental health needs and/or learning disability who are eligible for NHS Continuing Healthcare, NHS Funded Nursing Care and s117 aftercare. Ensuring packages of care funded by Continuing Healthcare and Funded nursing care are reviewed on a regular basis. Work with other professionals, individuals and their families and/or carers and providers to ensure that packages of care are able to meet the needs of the individual and provide safe, effective and efficient care and are in accordance with local eligibility criteria and contracts. Expected to work independently within codes of practice, standard operating procedures and professional guidelines. Main Duties and Responsibilities The Post holder will support complex case management and the assessment of individuals with mental health needs and/or adults with a learning disability and work in collaboration with other health professionals and social care staff. 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. 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 co-ordinate with Local Authority, family and providers. Ensuring there is a holistic care plan in place, including the production and co production when required with Social Services. Provide clinical oversight and assurance to the CCG regarding specific patient placements, both in the NHS and independent sector. To provide clinical support to the mental health/LD commissioners in relation to the defined population. Membership of respective LD and MH panels/ high-cost review group Will be required to attend CTRs/ MHA / MCA forums. Link to specialist mental health services Ensure personal health budgets are actively promoted with service users and their representatives and work closely with the CSU 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 the NHS Kirklees Health and Care Partnership standing financial instructions and agreed thresholds. Continually strive for delivering project/function outcomes, value for money and greater efficiency Agreeing eligibility and will make financial decisions within the NHS Kirklees Health and Care Partnership standing financial instructions. Delivering formal and non-formal education programmes to Community and hospital staff, including nursing/residential homes, GPs, community nursing 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. General The post holder will: Treat people with dignity and respect. Maintain a high standard of professional and personal conduct. Develop a culture that promotes equality and values diversity. The post holder must be aware of and committed to the equality and diversity policies of the organisation. Ensure the principles of openness, transparency and candour are observed and upheld in all working practices. Ensure compliance with all mandatory and statutory training relevant to the post. Be familiar with and adhere to the safeguarding policies, procedures, and guidelines for both children and adults at risk of abuse or neglect. This must be in conjunction with the Multi-agency Safeguarding Children and Safeguarding Adults at risk of abuse or neglect Multi- Agency Policy, Protocols and guidelines. Ensure that any infection prevention and control issues are reported appropriately. Be aware of and adhere to the provisions of the Health and Safety at Work Act and to ensure their own safety and the safety of others. Maintain confidentiality and adhere to the principles of data security and data protection. 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 in line with the responsibilities of the post. This job description is not intended to be exhaustive. It describes the main duties and responsibilities of the post. It may be subject to change in accordance with developing organisational and service needs and wherever necessary, will follow appropriate consultation with the post holder. The post holder may be directed to complete other duties according to organisational requirements. These duties will always be reasonable and commensurate with the skills of the post holder and level of the post .