Senior Practitioner
1 week ago
To actively engage with a wide range of stakeholders including staff, service users, their carers and other statutory and voluntary sector agencies to ensure people are fully briefed, know and understand commissioning and care management processes in relation to Continuing Healthcare, Funded Nursing Care, health and social care funded packages of care and section 117 aftercare.
Impart complex and sensitive information to :
Service user and families/carers re assessment, care planning, treatment and review Multi-disciplinary teams to ensure the provision of consistent well-coordinated care Primary care teams regarding client care External agencies also involved in the provision of care e
g:
voluntary and private sector, police, social services, housing, employment etc. Safeguarding, DOLS teams, Clinical Commissioning Groups and Devon County Council regarding concerns arising from commissioned packages of care.
Liaise with a wide range of other professionals and agencies. To Liaise with Care Brokerage as appropriate. Contribute to the safe and effective day to day operations of the service including the handling of clinical enquires.
Provide and receive information some of which may be contentious, sensitive and complex to and from individuals and their families/carers, where there may be barriers to understanding.
Provide high standard of written and verbal communication that is clear and in line with professional documentation standards Participate in and chair clinical meetings, this will include multi-disciplinary meetings to agree DSTs and Section 117 reviews.
Demonstrate the ability to communicate in a way that is effective, empathic and reassuring whilst employing negotiating techniques to gain co-operation from highly complex individuals.
Communicate information in a way that makes it relevant and understandable for service users Analytical and Judgement skills Use clinical judgement to support the procurement and commissioning of packages of care for adults with a learning disability and complex health needs to ensure people are maintained within their local communities, avoid inappropriate admission to hospital and facilitate timely discharge from inpatient settings.
Use clinical judgement to consider complex facts or situations, requiring analysis, interpretation and comparison of a range of options when determining the type of care package required for someone with complex health needs.
Give written / oral evidence to support rationale to assist verification and funding panels in determining the eligibility for NHS Continuing healthcare Planning and Organisational Skills Organise and facilitate complex multi-disciplinary team meetings, these will include: DST review meetings and Section 117 aftercare meetings.
Lead on the process for contentious decision making when other parties do not agree with outcomes with regard to eligibility for CHC or FNC funding.
This may involve the wider MDT, service users, relatives, carers and advocates including legal representatives Plan and organise individuals packages of care and ensure that reviews are held within the required time frames, for example CHC, FNC and Section 117 annual reviews.
Ensure care/support package meets the individuals assessed needs and agreed outcomes and is appropriate to achieve the identified intended outcomes in the care plan Responsible for managing their own workload to ensure the needs to the individuals who use our services are met taking the wider needs of the team into consideration.
Ensure that interventions are planned in an integrated and co-ordinated manner particularly where dependent on other external agencies.Plan own workload and the workload of junior colleagues to ensure that care is provided in the most high quality and cost efficient manner, prioritise and make adjustments as appropriate.
Responsibility for Individuals eligible for health funded care To be responsible for comprehensive high quality assessments to determine eligibility for Continuing Healthcare Funding in accordance with national framework.
This will also include Funded Nursing Care and health and social care joint funding.
To support the tendering of all agreed packages of care that fully meets the needs of individuals with complex health needs.
To monitor procurement of cost effective services Responsible for reviewing a persons eligibility for Continuing Healthcare Funding and determining on going eligibility for CHC / FNC ensuring that the national framework is applied and adheres to all local policies and procedures.
To monitor and review quality of care and support arrangements to ensure person is being safely supported in an environment which continues to meet their needs.
To support discharge planning from Hospital and commissioning of future package of care and support.Responsible for Case Management of clients on Section 117 Aftercare, where required, as determined by
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