Senior CHC Nurse Assessor

4 days ago


Birmingham, Birmingham, United Kingdom NHS Birmingham and Solihull Clinical Commissioning Group Full time
Job Summary

The post holder will work as part of a dynamic team, including commissioners and providers, in delivering an effective service supporting individuals with complex health needs in their Continuing Healthcare journey.

Main Responsibilities
  • Conduct comprehensive professional Continuing Healthcare assessments for adults with complex health needs, including the assessment, review, and monitoring of care for those whose health needs are funded via NHS Continuing Healthcare.
  • Work jointly with health, social care, and independent sector colleagues to ensure care management processes are appropriate and may be asked to present assessments to the Continuing Care panels for ratification.
  • Follow the process laid out in the National Framework for NHS Continuing Healthcare, including organisation, co-ordination, and participation in MDT eligibility recommendations to be verified by ICB decision makers.
  • Be responsible for complex clinical caseloads, including assessments, reviews, and implementation of Personal Health Budgets and ongoing Case Management of Patients funded by Continuing Healthcare.
  • Ensure assessments conducted are robust, transparent, and multi-agency (where required) for NHS Continuing Healthcare/NHS-funded Nursing Care.
  • Support the seamless implementation of the National Framework for Continuing Healthcare, including contribution to the development of training programmes and delivery plans as required to facilitate others' learning.
  • Provide advice, screen, and coordinate assessments against the National Framework for Continuing Healthcare and Funded Nursing Care within Nursing Homes.
  • Work with Senior Nurses to process Funded Nursing Care and Continuing NHS Health Care Applications, influencing best practice by providing professional nursing advice on a range of physical and mental health nursing issues.
  • Work closely with the Funded Nursing Care Lead Nurse by assisting in observing the quality of care in homes visited, identifying unmet need, and being proactive in the encouragement of improvement in care standards.
  • Have a strong business focus as well as clinical expertise to ensure delivery of best possible care within available funding, representing 'value for money'.
  • Assist in the implementation of policies involving National Framework for Continuing Healthcare and Funded Nursing Care in Care Homes with Nursing.
  • Assess new applications for clients' eligibility against the National Framework for Continuing Healthcare and Funded Nursing Care.
  • Coordinate new applications for consideration of eligibility for Continuing NHS Care.
  • Undertake Nursing Assessments for patients with identified health needs.
  • Complete the Decision Support Tool and recommendation as indicated.
  • Complete Continuing Healthcare Review assessments and complete appeal assessments.
  • Provide Clinical Cover, including processing Fast Track applications, preparation of cases for panel, and providing advice and guidance to external agencies.
  • Make recommendations following Nursing Assessment relating to all identified needs of a client.
  • Identify clients who are at risk and act upon/manage any issues related to the findings.
  • Report any concerns related to client care following assessment to the Senior Nurse within the Continuing Care Team, Care Quality Commission, Adult Protection, and Social Services.
  • Participate in Safeguarding of Vulnerable Adults process related to individuals in Care Homes with Nursing.
  • Undertake robust quality Nursing Assessments and Reviews.
  • Identify specialist nursing equipment needs and advise about provision of that which is over and above the minimum standard.
  • Ensure suitability of equipment for patients with identified health problems.
  • Ensure every assessment (new or review) represents value for money within available funding.
  • Work within agreed systems and processes to secure best value for money packages that meet clinical needs.
  • Promote physical and mental well-being and maximise client and carer empowerment in the management of their care. Where necessary, ensure individuals have access to an advocate.
  • Undertake Joint Assessments in conjunction with family/carers and with other professionals from health and social care, to ensure the health needs of patients are identified and appropriately met.
  • Prepare Continuing Health Care Assessments for the Continuing Care eligibility Panel.
  • Act as an information resource for Birmingham and Solihull ICB in relation to Funded Nursing and Continuing NHS Healthcare, providing appropriate advice to the public, professionals, and others as appropriate.
  • Participate in the appeals process and Continuing Care Review Panels.
  • Have a working knowledge of the National Framework for Continuing Healthcare and Funded Nursing Care and maintain relevant and up-to-date knowledge and skills.
  • Act in accordance with the legal requirements and statutory rules related to practice and registration, NMC Code of Conduct, and CSU Policies and Procedures, including Financial Procedures, Health & Safety Policies, and Safe Systems of Work.
  • Attend all mandatory updates.
  • Be responsible for the supervision and teaching of staff/students as necessary.
  • Deputise when necessary for the Senior Nurse.
  • Promote clinical governance within all settings, encouraging the development and participation in clinical audit, research, evidenced-based practice, and reflective practice and lifelong learning.


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