Job summary This post is critical to the development and delivery of effective and high standard Continuing Healthcare provision within Bristol, North Somerset and South Gloucestershire. The post holder will hold a caseload of highly complex individuals with learning disabilities and/or autism requiring bespoke case-management, and will be responsible for clinical case management, assessments and reviews of people known to the Continuing Healthcare team. Main duties of the job Provide a skilled and specialist comprehensive assessment of care needs for and to clients.Act as patient advocate for complex and vulnerable client group, with a main focus on individuals with Learning Disabilities and Autism. Adhere to national framework for continuing healthcare. Monitor and review care for own case load.Undertake to provide personalised care plans where appropriate with consultation from other professionals.Ensure care is appropriately delivered.Liaise with acute sector, community services, social services, care agencies, nursing homes and voluntary agencies as appropriate.Work in partnership with patients and carers to enable them to make informed choices about care and treatment to promote their health and wellbeing.To work in a collaborative manner with, Health & Social care colleagues in the co-ordination and best interest of the client.Carry out Mental Capacity Assessments relating to care and accommodation for the caseload.Carry out Best Interest Meetings when appropriate.Present cases to complex case panel for funding approval to ensure that care is safe, sustainable and equitable. Participate in the research projects, as required ensuring that any beneficial results are implemented on an agreed basis.Ensure that robust systems for communication within the team are followed.Maintain clear and concise and up to date records of care, in line with approved standards. 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. Date posted 21 October 2024 Pay scheme Agenda for change Band Band 6 Salary £37,338 to £44,962 a year Per Annum Contract Permanent Working pattern Full-time Reference number 461-ICB-6145MB-A Job locations NHS Bristol, North Somerset & South Gloucestershire ICB 100 Temple Street Bristol BS1 6AG Job description Job responsibilities Working autonomously, the post holder will have continuing responsibility for proactively monitoring and managing individuals on the caseload of the team, and will use clinical reasoning and critical thinking to effectively meet the needs of CHC funded individuals. The post holder will develop knowledge in relation to continuing healthcare, underpinned by theory and clinical expertise, and will work in partnership with other disciplines and agencies, including GPs, social services, community nursing and therapists, care agencies, care homes and mental health services in order to manage the care of people with highly complex needs, with a particular focus on Learning Disabilities and Autism. Job description Job responsibilities Working autonomously, the post holder will have continuing responsibility for proactively monitoring and managing individuals on the caseload of the team, and will use clinical reasoning and critical thinking to effectively meet the needs of CHC funded individuals. The post holder will develop knowledge in relation to continuing healthcare, underpinned by theory and clinical expertise, and will work in partnership with other disciplines and agencies, including GPs, social services, community nursing and therapists, care agencies, care homes and mental health services in order to manage the care of people with highly complex needs, with a particular focus on Learning Disabilities and Autism. Person Specification Knowledge, Training and Experience Essential Educated to degree level in relevant subject or equivalent level of experience of working at a similar level in specialist area Further training or significant experience in project management, financial management or supporting change management processes Experience and understanding of evaluating and measuring the performance of health services. Experience in communications and stakeholder management Desirable Learning Disability nurse or experience of working with individuals with Learning Disabilities and/or Autism Comprehensive knowledge of project management and/or health information systems development Workforce development knowledge and experience Working knowledge of Microsoft Project ECDL Previous experience in similar role in public sector A good understanding of the health and social care environment and roles and responsibilities within it Communication skills Essential Clear communicator with excellent writing, report writing and presentation skills; capable of constructing and delivering clear ideas and concepts concisely and accurately for diverse audiences Skills for communication on complex matters and difficult situations, requiring persuasion and influence. Skills for nurturing key relationships and maintaining networks. Desirable Evidence of success in efficient and effective project and programme management Analytical Essential Ability to analyse and interpret information, pre-empt and evaluate issues, and recommend and appropriate course of action to address the issues Problem solving skills and ability to respond to sudden unexpected demands Strategic thinking - ability to anticipate Attention to detail combined with the ability to extract key messages from complex analysis Independent thinker with demonstrated good judgement, problem-solving and analytical skills Takes decisions on difficult and contentious issues where they may be a number of courses of action. Planning Skills Essential Skills for project management Desirable Previous experience in project management and planning Management Skills Essential Ability to engender trust and confidence and demonstrate integrity in the provision of advice and support Skills for managing projects ensuring they meet financial targets. Physical Skills Essential Skills for manipulating information Intermediate keyboard skills Equality and Diversity Essential Understanding of and commitment to equality of opportunity and good working relationships Person Specification Knowledge, Training and Experience Essential Educated to degree level in relevant subject or equivalent level of experience of working at a similar level in specialist area Further training or significant experience in project management, financial management or supporting change management processes Experience and understanding of evaluating and measuring the performance of health services. Experience in communications and stakeholder management Desirable Learning Disability nurse or experience of working with individuals with Learning Disabilities and/or Autism Comprehensive knowledge of project management and/or health information systems development Workforce development knowledge and experience Working knowledge of Microsoft Project ECDL Previous experience in similar role in public sector A good understanding of the health and social care environment and roles and responsibilities within it Communication skills Essential Clear communicator with excellent writing, report writing and presentation skills; capable of constructing and delivering clear ideas and concepts concisely and accurately for diverse audiences Skills for communication on complex matters and difficult situations, requiring persuasion and influence. Skills for nurturing key relationships and maintaining networks. Desirable Evidence of success in efficient and effective project and programme management Analytical Essential Ability to analyse and interpret information, pre-empt and evaluate issues, and recommend and appropriate course of action to address the issues Problem solving skills and ability to respond to sudden unexpected demands Strategic thinking - ability to anticipate Attention to detail combined with the ability to extract key messages from complex analysis Independent thinker with demonstrated good judgement, problem-solving and analytical skills Takes decisions on difficult and contentious issues where they may be a number of courses of action. Planning Skills Essential Skills for project management Desirable Previous experience in project management and planning Management Skills Essential Ability to engender trust and confidence and demonstrate integrity in the provision of advice and support Skills for managing projects ensuring they meet financial targets. Physical Skills Essential Skills for manipulating information Intermediate keyboard skills Equality and Diversity Essential Understanding of and commitment to equality of opportunity and good working relationships 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board Address NHS Bristol, North Somerset & South Gloucestershire ICB 100 Temple Street Bristol BS1 6AG Employer's website https://bnssg.icb.nhs.uk/ (Opens in a new tab)