Since October 2020, the responsibility for the commissioning of Adult Secure Care mental health, learning disability, and autism services has transferred from NHS England (NHSE) Specialised Commissioning to Provider Collaboratives (PCs). Fifteen Provider Collaboratives nationally coordinate and deliver care for adult patients requiring low and medium secure care.
The East Midlands area Provider Collaborative is called IMPACT. East Midlands Provider Collaborative for Adult Secure Care (nottinghamshirehealthcare.nhs.uk).
IMPACT is a partnership of 9 NHS and independent sector providers and is led by Nottinghamshire Healthcare NHS Foundation Trust as the Lead Provider.
In order to preserve integrity and avoid conflicts of interest, Nottinghamshire Healthcare Foundation Trust, as the Lead Provider, developed an arms-length commissioning and clinical oversight function (the IMPACT commissioning hub). IMPACT’s commissioning hub’s role involves understanding the local population and empowering local clinicians and Experts by Experience to design improved pathways of care. Through the Lead Provider arrangements, IMPACT also sub-contracts other providers to support discharges from secure care, assure the quality of services, and lead the necessary reporting regionally and nationally to NHS England.
Every Provider Collaborative commissioning hub nationally operates with a team of case managers. Case management is a recognised national role within the NHS, and a national network of peers is well established who work cooperatively to manage complex patient cases. Case managers come from all professional backgrounds and disciplines, which adds to the strength of these teams, and as such we would like to hear from candidates from any professional discipline who consider they fit the criteria for this post.
Possession of a relevant professional qualification is essential, as well as knowledge of wider mental health services and ICS systems. Direct experience of working in specialised secure care mental health, learning disability & autism and forensic services is desirable. In addition, an understanding and experience of dealing with quality and clinical governance systems is required, as well as a proven track record of having excellent interpersonal and organisational skills.
Full induction, training, and opportunities for continuous professional development will be provided. We have access within our collaborative to nationally respected clinicians who are available to support with clinical supervision, professional development, and mentorship expected for this role. While there will be home working, travel within the East Midlands and beyond will be expected for this post.
Case managers have significant experience of working within mental health settings, often holding clinical and/or operational leadership roles within a provider. Through application of this knowledge and experience, they provide credible oversight and facilitation of care for mental health patients with secure care. They have influence over commissioning plans and decisions and more specifically they support IMPACT’s commissioning hub and the wider provider collaborative by:
1. Providing oversight of patient pathways who are within mental health secure care, identifying potential/actual gaps in provision and providing early identification of barriers to progress that may hinder patient flow.
2. Being a first point of contact for providers and wider stakeholders to discuss individual patient cases.
3. Proactively being involved prior to admission to mental health secure care with coordination of referral and assessment information. This includes supporting Integrated Care Systems (ICS) community teams with robust identification of patients that do not require secure care.
4. Proactively working with wider stakeholders to facilitate smooth transitions when required and discharges from mental health secure care (supporting providers to meet agreed estimated dates of discharge).
5. Liaising with all stakeholders on cases which become complex and require escalation.
6. Listening to and talking with patients, their families, and carers.
7. Ensuring the voices of patients and their families are heard and acted upon.
8. Monitoring and reviewing the quality and safety of provision.
9. Observing providers in practice.
10. Monitoring and reviewing quality information and local intelligence e.g. on patient flow/future trends to identify future bed provision/gaps in services.
11. Ensuring effective service development and delivery of adult secure services within and across boundaries/other PCs. The case management team has specific responsibility for the East Midlands population and as such this requires managing people in placements outside of the region. The team also connects with counterpart case managers in their roles within other Provider Collaboratives when their patients are placed within the East Midlands area.
Conduct their role in accordance with IMPACT’s set values and consistently support and champion IMPACT’s quality and outcome ambitions.
Provide clinical pathway advice across the Provider Collaborative to support improved quality of care and experience for service users in secure and non-secure services (guided by national and local case management SOPs).
Maintain delivery of clinical actions for their own caseload of patients.
Help to problem solve cases that require escalation. These may be complex clinical cases, cases where there is difficulty in accessing services, cases requiring same day urgent attention (e.g., a patient recall), or for longer-term planning e.g., patients returning from placements out of area.
Work closely with mental health/learning disability and autism professionals across five ICSs and other statutory bodies who are instrumental to forensic care pathways (e.g., Ministry of Justice, Prisons, Courts) to support pathway interfaces, service developments, and improvements.
Work closely with colleagues in the commissioning hub leading on quality/performance and contracting.
Support the commissioning hub in driving transformation, as well as value for money, in the planning and commissioning of services.
Refine current processes, facilitate discussions, and advise colleagues as to how best practice might be adopted in the definition of future processes, document those processes as they are agreed and oversee their delivery.
Provide cover within the team for other case managers when they are on leave and to deputise as necessary for the Senior Case Manager.
If you would like to know more and to speak to a member of our team, please contact Vikki Spink at vikki.spink@nottshc.nhs.uk.
Closing Date: Midnight Thursday 27 February 2025
Shortlisting date: Friday 28 February 2025
Interview Date: Friday 14 March 2025
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