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Band 8a Continuing Healthcare (CHC) Operational Manager

Posting date:	06 August 2024
Salary:	£50,952.00 to £57,349.00 per year
Additional salary information:	£50952.00 - £57349.00 a year
Hours:	Full time
Closing date:	08 September 2024
Location:	Yeovil, BA22 8HR
Company:	NHS Jobs
Job type:	Permanent
Job reference:	D9462-SOMICB20-24

Summary

Purpose of the role This post is designed to take direct managerial lead for delivering the service of Childrens Continuing Care, Continuing Healthcare, Funded Nursing Care and Personal Health Budgets across all assessment functions. They will work with all stakeholders to ensure that service planning and developments reflect identified local needs, particularly in the transition towards outcome based commissioning. Key responsibilities of the role To be responsible for the commissioning of individual packages of care. This includes Childrens Continuing Care, Continuing Healthcare NHS Funded Nursing Care and Special Placements for people with a Mental Health, Learning Disability, Children or other specialist rehabilitation need shared amongst the Operational Managers within CHC. To lead and manage a diverse team of staff including, assessment teams leaders and fast track. To oversee the quality assurance of CCC & CHC assessment and decision making in line with the relevant national frameworks and ICB operational policy, including complaints, appeals and disputes. To actively work to support the attainment of QIPP targets to support efficiencies throughout the CHC/ CCC process. To deputise for the Service Lead and Deputy Service Lead as required Direct management of the countywide CHC assessment team for adults and CCC assessments for Children & Young People To work closely with financial services to model, monitor and manage spend and ensure delivery of savings as agreed To have delegated authority to negotiate with partners in terms of joint commissioning of services To ensure development of strong governance and clinical governance processes, including appropriate input to Protection of Vulnerable Adults and children. To support the development and review of local policies, systems and processes around CHC, CCC, FT, FNC and PHB linked to the relevant key national and local priorities To deputise for the service lead where needed in the provision of advice on national guidance and local implications to the ICB Governing Body. To deputise for the service lead where needed in the provision of specialist advice to ICB staff on matters relating to Childrens Continuing Care, CHC and FNC To undertake the day to day management of team leaders and fast track To undertake audit relating to CCC, CHC and FNC To support CHC services to comply with all statutory requirements arising from Safeguarding Children and Adults Policy, the Mental Capacity Act (MCA) and the Deprivation of Liberty Standards (DOLS) for those in receipt of ICB commissioned services. Communication and Relationships To have responsibility for ensuring effective communication and liaison with key stakeholders, including partner agencies, GPs, solicitors, patients and their families, and private and statutory care providers. To have responsibility for working with NHSE South as necessary and cascading information as appropriate To have responsibility for managing unresolved disputes between partner agencies or with patients / families / legal bodies, for example following unwelcome financial decisions and in complex circumstances where this is often hostility and barriers to communication To have responsibility for managing formal complaints and support any Parliamentary and Health Service Ombudsman requests To have responsibility for ensuring patient / carer involvement at all stages of the CCC, CHC and FNC processes To ensure that the local authority is involved appropriately in the CCC or CHC decision making process, the FNC process, and informed of the outcome where applicable. To promote awareness of NHS funded care To promote excellent customer care throughout the CCC/CHC process ensuring local resolution of any concerns where possible. This will include providing and receiving highly complex, sensitive and contentious information requiring agreement or cooperation where there are barriers to understanding. This relates to external organisations and the public as well as to staff of the ICB and local authority. Knowledge, Training and Experience To provide specialist knowledge across a wide range of work procedures and practices related to CCC, CHC, FNC and DOLS/MCA. To have delegated responsibility for overseeing the successful and ongoing implementation of training packages for multi-agency staff on CHC and FNC issues, and promoting good practice across organisational boundaries To provide specialist clinical and non-clinical advice as necessary. Non-clinical advice includes information on national and local policies and strategies, commissioning and financial issues. . To have a robust knowledge of sources of information, for example in relation to childrens services. To support the development of training packages for multi-agency staff on CCC/CHC issues, and promoting good practice. Analytical and Judgemental To work within performance monitoring frameworks to ensure effective monitoring of activity, analysis and commissioning relating to CHC, FNC and contract compliance To chair CHC panels for adults including appeals and disputes To chair Childrens Complex Panel and any appeal or dispute meetings Planning and Organisational To be responsible for ensuring that robust systems are in place to meet patients assessed needs To be responsible for ensuring consistency in the application of national and local policy on eligibility for CCC, CHC and FNC. To identify priorities within own workload. Devise and implement programmes to manage workload demands. To monitor the systems in place to meet patients assessed needs appropriately To be responsible for working with the data analyst and CHC Team managers to ensure that CHC and CCC reviews happen in a timely manner, setting trajectories and ensuring compliance Physical To have the ability to travel independently across a wide range of settings Frequent use of PC and wide knowledge of IT systems Responsibility for Patient Care To ensure equity of service provision and value for money with regard to CCC/CHC across the county To assess highly complex cases which may involve visiting the patient in his/her home or care home or in hospital in difficult circumstances where there may be antagonism To maintain full awareness of child protection and vulnerable adult issues and taking appropriate action To have delegated responsibility for the process for the authorising of Joint Equipment Services (JES) requests for CHC and CCC patients To commission specialist assessments to support care provision when this is appropriate and not available within existing commissioned services. Responsibilities for Policy and Service Development To oversee the arrangements for packages of care both on an individual basis and a strategic basis on behalf of the ICB To support the development of local policies and processes, and long term strategic plans which may impact across the whole organisation and external organisations such as the local authority, including capacity and developmental planning To assimilate national policy and guidance, interpreting the local implications, cascading and ensuring implementation Responsibilities for Financial and Physical Resources To be responsible for ensuring value for money and that spend is evidenced through professional assessed need. To act as the authorised signatory for invoices up to £50,000 and expenses / overtime payments as appropriate To identify circumstances when legal advice is necessary and taking the relevant action Responsibilities for Human Resources To be responsible for line management of operational CHC team leader and fast track function and CCC Team Leader. Line management includes undertaking personal development plans, appraisals, ensuring mandatory training is up to date, authorising expenses and overtime payments, supervision, etc. Responsibilities for Information Resources To prepare and present reports to the ICB Governing Body and its supporting forums To ensure documentation is fit for purpose