Children's Complex Care and Continuing Care Clinical Manager

Job summary

We are looking for an innovative nurse to lead and manage the children's continuing care, mental health and learning disability and autism bespoke commissioning team.

You will be joining a small, dynamic and experienced team to help meet the statutory responsibilities under the National frameworks, working collaboratively with partners in Education and Social care to meet the holistic needs of children and young people.

We are looking for someone who can effectively encourage and contribute to creating a high quality service that is responsive to national drivers and quality improvement.

Main duties of the job

To manage and lead on complex individual cases and high cost commissioning within the NHS Integrated care board (ICB)

To 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 on-going complex health needs. With core responsibility to:

Ensure a robust assessment of individual patient eligibility and negotiation of safe and appropriate packages of care are commissioned.

Reviewing, developing and managing the process for Children's continuing care, children's personal health budgets and specialist equipment requests

Providing clinical advice on the Individual Funding Requests for children with complex health care needs, or learning disabilities

To ensure relevant information is provided to address complaints, investigations and appeals.

To work alongside Children's safeguarding leads to ensure safeguarding and child protection concerns are fully investigated and reported.

To make recommendations and decisions in respect to joint funding packages of care and placements with the local authority.

To work with providers to agree packages of care to prevent (or re-patriating) children placed out of area with complex LD or autism and challenging behaviour or mental health need.

About us

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 which improve the lives of people who live and work in Cornwall and the Isles of Scilly.

By collaborating as an integrated care system (ICS) our health and care organisations can tackle complex challenges, including:

improving the health of children and young people supporting people to stay well and independent acting sooner to help those with preventable conditions supporting those with long-term conditions or mental health issues caring for those with multiple needs as populations age getting the best from collective resources so people get care as quickly as possible.

Working with us

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.

You can look forward to excellent benefits including discounts in store and online, optional pension and life assurance, flexible working options, salary sacrifice vehicles and cycles and much more.

Job description

Job responsibilities

To professionally lead and manage childrens continuing care, section 117, care education and treatment reviews, and bespoke commissioning processes, including managing and motivating the staff team

To utilise comprehensive knowledge of the current version of the national framework for childrens continuing care to ensure policies, procedures and processes are fit for purpose to enable the integrated care board to discharge their duty for childrens continuing care

To 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

To establish monitoring arrangements and reviews for children with a learning disability or autism and challenging behaviour, placed out of area.

To ensure children and their parents can access a personal health budget where required.

To liaise with managers and clinicians within the health provider market to ensure children who may be eligible for children and young peoples continuing care or additional funding are referred appropriately.

To ensure capacity within the team and market providers to respond appropriate to market pressures and crisis to ensure continuity of care for children with complex needs.

To 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.

To create innovative solutions to care in the light of challenges in workforce recruitment and retention (system-wide)

To 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.

To ensure multi-disciplinary care co-ordination is in place for complex children and young people.

To analyse, interpret and understand information and data taken from assessments inform recommendations to the childrens continuing care panel

To 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.

To 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.

To lead on the development joint funding policy and processes with social care and education for children with complex care packages or placements.

To lead on and implement joint funding decisions

With reference to the national framework for children and young peoples continuing care to 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.

To uphold professional responsibilities in line with the 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. Monitoring to assure quality of the Children and young peoples 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

To take part in child protection, safeguarding, service improvement and best interest meetings, as required.

To maintain safeguarding competencies under the intercollegiate document for safeguarding and to adhere to the South West child protection procedures and any local policies.

To represent the organisation at local, regional and national meetings and events in respect of CCC, as required

As part of the childrens team, to 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.

To work alongside the adult CHC team to lead on seamless aligned processes and support the transition of children to adult services.

To 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.

To chair the panel processes for decision making on Children and young peoples continuing care, Section 117 aftercare and MHLDA admission avoidance support.

To ensure a process for managing appeals, ensuring relevant governance and sign off

To address complaints and work alongside legal teams to respond to judicial reviews, ensuring manager has oversight of processes and decision making.

To ensure local processes benefit from national research and benchmarking.

Person Specification

Qualifications

Essential

First level registered children's nurse oNHS management experience at a senior level oEducated to masters degree level or working at that level oConflict resolution experience oExperience of involving patients, public and carers oExperience of leading meetings and chairing multi-disciplinary forums and boards oExperienced in the use of IT applications, specifically Microsoft Office Word and Excel and email Extensive clinical background and proven knowledge of general/mental health nursing Significant clinical leadership/ organisational management experience Understanding of safeguarding processes and participating effectively when required Significant clinical leadership/ organisational management experience Ability to work as an autonomous practitioner Evidence of ongoing professional training development management training or qualifications

Desirable

An ability to work across organisational boundaries and engage with the wider multidisciplinary team Previous experience of working with the general public An ability to work across organisational boundaries and engage with the wider multidisciplinary team An ability to convey specialist knowledge to staff and patients/families and the general public in ways that they will understand Specialist knowledge of Children's NHS and Social Services policies, processes and systems and how they fit into Children's Continuing care, CHC and Funded Nursing Care processes experience of managing budgets An ability to convey specialist knowledge to staff, patients, families and the general public

---