Clinical Manager for Children's Complex Care and Continuing Care

We are seeking an innovative and experienced nurse to lead and manage our children's continuing care and commissioning team. As a key member of our team, you will be responsible for developing and implementing strategies to improve the health and wellbeing of children and young people with complex needs.

• Manage and lead on complex individual cases and high-cost commissioning within the NHS Integrated Care Board (ICB)
• Provide effective management and leadership to issues relating to the decision-making and administration of all bespoke and individual commissioning of packages of care and intervention for Cornwall and the Isles of Scilly (CIOS) for children and young people with ongoing complex health needs
• Ensure a robust assessment of individual patient eligibility and negotiation of safe and appropriate packages of care are commissioned
• Review, develop, and manage the process for Children's Continuing Care, Children's Personal Health Budgets, and Specialist Equipment Requests
• Provide clinical advice on Individual Funding Requests for children with complex healthcare needs or learning disabilities
• Ensure relevant information is provided to address complaints, investigations, and appeals
• Work alongside Children's Safeguarding Leads to ensure safeguarding and child protection concerns are fully investigated and reported
• Make recommendations and decisions in respect to joint funding packages of care and placements with the local authority
• Work with providers to agree packages of care to prevent or re-patriate children placed out of area with complex LD or autism and challenging behavior or mental health need

NHS Cornwall and Isles of Scilly Integrated Care Board (ICB) is a statutory NHS organisation responsible for developing a plan for meeting the health needs of our communities, managing the NHS budget, and arranging for the provision of joined-up health services that improve the lives of people who live and work in Cornwall and the Isles of Scilly.

We are always keen to hear from people who would like to work with us, and we positively encourage applications from all sections of the community regardless of sex, sexual orientation, racial origin, or disability.

• Professionally lead and manage children's continuing care, Section 117, care education and treatment reviews, and bespoke commissioning processes, including managing and motivating the staff team
• Utilise comprehensive knowledge of the current version of the National Framework for Children's Continuing Care to ensure policies, procedures, and processes are fit for purpose to enable the Integrated Care Board to discharge their duty for children's continuing care
• Create an interface with the processes for Mental Health Act 1983 (as amended 2007); Section 117 aftercare arrangements are established and maintained, ensuring aftercare is in place where necessary for children and young people in mental health units, addressing delayed transfers of care
• Establish monitoring arrangements and reviews for children with a learning disability or autism and challenging behavior, placed out of area
• Ensure children and their parents can access a personal health budget where required
• Liaise with managers and clinicians within the health provider market to ensure children who may be eligible for children and young people's continuing care or additional funding are referred appropriately
• Ensure capacity within the team and market providers to respond appropriately to market pressures and crisis to ensure continuity of care for children with complex needs
• Chair escalation and crisis management planning across social care, CFT, RCHT, and market providers in the event of failures in package delivery or market deficit, including management of conflict and conflict resolution
• Create innovative solutions to care in the light of challenges in workforce recruitment and retention (system-wide)
• Create a prior approval process for neuro-rehab for children and young people and manage individual requests as this area of work changes to community-based provision from hospital-based care
• Ensure multi-disciplinary care coordination is in place for complex children and young people
• Analyse, interpret, and understand information and data taken from assessments inform recommendations to the children's continuing care panel
• Be responsible for ensuring that continuing healthcare packages or a PHB safely and effectively meet the needs of service users, including implementing processes reviewing and signing off support plans to ensure they meet governance and clinical standards
• Promote and maintain collaborative relationships with children and young people, parents, education, health, social care professionals, and managers to support the multi-disciplinary team make the best use of health resources alongside other support available to meet the needs of the child, especially in very complex cases
• Lead on the development joint funding policy and processes with social care and education for children with complex care packages or placements
• Lead on and implement joint funding decisions
• With reference to the National Framework for Children and Young People's Continuing Care, be responsible for ensuring that the organisation does not accept responsibility for funding the care of people whose care needs do not meet the criteria and could be met by universal and specialist services
• Uphold professional responsibilities in line with The NMC Code: Standards of Conduct, Performance, and Ethics for Nurses and Midwives, ensuring that accurate records are maintained by the nurse assessor and post holder
• Monitor to assure quality of the Children and Young People's Continuing Care assessment process so as to ensure that all assessments and reviews are undertaken in a timely manner and in accordance with the requirements of the National Framework
• Take part in child protection, safeguarding, service improvement, and best interest meetings, as required
• Maintain safeguarding competencies under the intercollegiate document for safeguarding and adhere to the South West Child Protection Procedures and any local policies
• Represent the organisation at local, regional, and national meetings and events in respect of CCC, as required
• As part of the children's team, play a key role in the development and implementation of service developments, which will involve service change and redesign in order to achieve and sustain national and local performance targets
• Convey specialist knowledge to staff and patients/families and the general public in ways that they will understand
• Participate in matters regarding the wider CCC agenda such as enabling care, education, and treatment (CETR) panels and independent reviews countywide
• Work alongside the adult CHC team to lead on seamless aligned processes and support the transition of children to adult services
• Maintain professional links with acute and community settings, short break provision, care homes, care agencies, hospices, clinical staff, out-of-area providers (with regard to out-of-area placements), health, and social professionals as appropriate
• Chair the panel processes for decision-making on Children and Young People's Continuing Care, Section 117 aftercare, and MHLDA admission avoidance support
• Ensure a process for managing appeals, ensuring relevant governance and sign-off
• Address complaints and work alongside legal teams to respond to judicial reviews, ensuring manager has oversight of processes and decision-making
• Ensure local processes benefit from national research and benchmarking