Duty Clinician

Job summaryAre you seeking a new challenge in 2024? If so, this may be the new and exciting role you've been looking for!The Individual Commissioning Team is responsible for assessing, commissioning, and case management for individuals with complex health needs.As a Duty Clinician, you will provide the initial point of contact for the individual commissioning team. You will meet their families and be required to produce a thorough and accurate review of their Fast-Track pathway (face to face), which may then require completion of a Decision Support Tool. You will need to be fully competent in the National Framework for CHC, including Fast-Track and FNC, and operate within local and national requirements.The role will support the Service Manager with ensuring that statutory responsibilities are met. This may include support with the Duty Triage process if required.Joining our inclusive and innovative team comes with a range of benefits, including flexible and agile working arrangements, a pension scheme, and generous annual leave. As a member of NHS staff, you will receive plenty of discounts too.Service operating hours are Monday to Friday, 09:00 - 17:00.Main duties of the jobYou must possess a current NMC (Adult, Mental Health or LD posts available) professional registration and have the ability to travel within the locality.You will be a competent professional with clinical experience within your field of practice and have a full understanding of the National Framework for NHS Continuing Healthcare and Funded Nursing Care, Who Pays guidance, and relevant sections of the Mental Health Act and commissioning and contracting principles.Ideally, you will be an experienced CHC assessor; however, if you are an experienced Nurse, England registered professional and do not have CHC experience, we would still like to hear from you.The Duty Clinician will co-ordinate all hospital discharge referrals, CHC fast track, and all urgent matters where the allocated case manager is unavailable. They will work as a daily point of contact for all matters requiring an urgent response.The postholder will have a flexible approach to care and will work across inter-agency boundaries, maintaining good communication and liaison skills with all professionals and members of the public.The postholder will lead the commissioning and management of packages of care for people in a variety of care and support settings.About usNHS Shropshire, Telford and Wrekin was created on 1 July 2022 and is responsible for planning and buying a wide range of health and care services for the whole of Shropshire, Telford, and Wrekin. These include GP and primary care services, hospital care, community healthcare, and mental health services. We also have a duty to monitor these services to ensure they provide a high level of care and are value for money. We are clinically led and work closely with the 51 GP practices across the county.We provide a supportive environment in which to learn and develop, with the opportunity to further your skills and career within an exciting and evolving environment. Joining our inclusive and innovative team comes with a range of benefits, including flexible and agile working arrangements, a pension scheme, and a generous annual leave allowance. With our training schemes and support networks, you will be empowered to play a leading role in the future of healthcare, whatever your specialism or interest.To support your application, you can familiarize yourself with the 2022 National Framework for CHC, and if you would like to undertake some online training for this post, you can register with E-Learning for Healthcare and complete the E-learning for NHS continuing Healthcare. The training is free!Job responsibilitiesCommunication & Relationships SkillsTo provide relevant and timely specialist advice and guidance on functional and information matters.To support the development of internal and external communications where required by regular contact with the teams, stakeholders, and Communications team.To be responsible for the preparation of correspondence and complex reports, assessments, and papers.To undertake complex clinical assessments and clinical report writing.To represent the team on panels and decision-making forums as required, participating in the decision-making process and clarification of funding responsibilities for clients who are registered with an NHS Shropshire, Telford and Wrekin GP.To represent NHS Shropshire, Telford and Wrekin on NHSE appeal panels.To work with team members and other health and social care professionals to promote joint working to achieve positive benefits and added value for individual service users and carers.To liaise and communicate with external agencies including NHS England, care providers, and solicitors.To maintain constructive relationships with a broad range of internal and external stakeholders.To participate in relevant internal and external working groups/projects, services, and initiatives which may be highly complex, sensitive, political, and contain contentious information with the aim of providing information and analytical advice to the teams.To communicate complex, clinical, personal, and emotive information about patients and circumstances including risks, issues and dependencies, diagnosis, prognosis, and eligibility for NHS funded services.To lead on the management of contentious cases which are highly complex and sensitive, acting as a representative in legal proceedings.To deal with regular telephone calls throughout the day, addressing highly sensitive and complex inquiries, issues of concern regarding patient wellbeing, complaints, and referrals that may require an immediate response.To participate in the monitoring, review, and complaints procedures of individuals with complex needs whose care is managed in their own homes or in residential care settings.Analytical & Judgement SkillsTo undertake complex and detailed analysis of specific projects and patients requiring high levels of concentration.To update, maintain, organise, gather and analyse information to predict/meet future individual patient, organisational, and team needs by identifying best professional practice.To contribute to the information management of performance, taking a lead for specific projects.To provide co-ordination of and participate in relevant meetings, reporting attendance and providing information advice and support where requested.Planning & Organisational SkillsTo plan own workload and diary to ensure local, national, and statutory targets and deadlines are met.To undertake complex clinical assessments and care planning to ensure patient needs are met and that where appropriate, step-down/discharge is planned and coordinated to ensure patient needs are met in the least restrictive way.To work with members of the team and key stakeholders to investigate the causes of any variance from plan/delivery targets and contribute to the implementation of solutions.Patient / Client CareTo manage a defined caseload undertaking responsibilities as delegated by the Team Leader/Manager - this will include the routine management of complex cases and the planning, organising, and commissioning of specialised care packages ensuring the maintenance of accurate records.To participate in the assessment, monitoring, review and complaints procedures of individuals with varying levels of complex needs whose care is managed in their own homes or in care settings.To assist or lead (depending on who is the responsible commissioner) in the co-ordination of complex decisions involving members of the multi-disciplinary/multi-professional team as required.To assist in the collaboration and the co-ordination of the review and assessment process and to undertake reviews and assessments, including formal eligibility assessments as indicated.To undertake needs portrayal and retrospective assessments for PUPOC and appeals.To practice at all times in a manner that is within the NMC Code of Conduct and Guidelines or equivalent for specialist health profession.To practice at all times within a clinical governance framework that promotes quality.To co-ordinate and commission complex care packages involving members of the multi-disciplinary/multi-professional team.Policy / Service DevelopmentTo contribute to the strategic planning recommending adjustments, as necessary.To support implementation of strategic modernisation/service improvement, public health, workforce or commissioning strategies and any associated action plans, in accordance with the agreed priorities of the team.To contribute to the development of performance and governance strategies and the development and implementation of improvement programmes.To deliver against objectives, achieving quality outcomes, prioritising own workload and working to tight deadlines.To propose changes to own function, informing policy and making recommendations for other projects delivery.Financial & Physical ResourcesTo support and inform teams on the targeting of resources, monitoring, implementing, evaluating and delivery of plans by providing sophisticated, high quality information and analysis.To continually strive for delivering project/function/patient outcomes, value for money and greater efficiency.To contribute to the financial delivery of the service ensuring it is cost effective and delivered on time.To commission care to meet individual patient needs and ensure best value, least restrictive care is achieved.To work in collaboration with all providers of care to negotiate packages ensuring optimal value for money and advise on needs for market development purposes.Human Resources / Staff ManagementTo provide specialist training, advice and support on own role/responsibilities across NHS Shropshire, Telford and Wrekin and the wider system.To participate in the recruitment process of support staff.To be accountable for own professional development and to participate in performance review.To attend relevant training and staff meetings as required including participation in nursing and clinical development across NHS Shropshire, Telford and Wrekin.To commit to undertake clinical supervision.Information ResourcesTo contribute to the review and development of existing information management systems and contribute to the development of an integrated approach.To maintain accurate and comprehensive clinical records.To participate in and undertake audits and support the implementation of recommended actions.To update, maintain, organise, gather and analyse information to predict/meet future organisational and team needs by identifying best professional practice.To carry out timely and accurate information analysis and reporting on agreed areas of portfolio.To actively support and contribute to the development of key performance indicators for the successful assessment of performance.Research & DevelopmentTo be accountable for own professional development and to participate in performance review.Freedom to ActTo independently make eligibility recommendations using professional judgement which is fully supported by clinical evidence and rationale.To manage their own caseload independently whilst complying with all relevant clinical and commissioning processes and policy.Person SpecificationEssentialSignificant experience of working in a clinical field.Clear communicator with excellent writing, report writing, and presentation skills; capable of constructing and delivering clear ideas and concepts concisely and accurately for diverse audiences.Ability to analyse and interpret information, pre-empt and evaluate issues, and recommend an appropriate course of action to address the issues.Takes decisions on difficult and contentious issues where there may be a number of courses of action.Ability to work on own initiative and organise own workload without supervision working to tight and often changing timescales.Demonstrate a strong desire to improve performance and make a difference by focusing on goals.Experience of assessment and commissioning (writing care plans etc).DesirableA good understanding of the health and social care environment and roles and responsibilities within this.Previous experience in a similar role in the public sector.Experience & KnowledgeEssentialCHC Experience / Knowledge.QualificationsEssentialRegistered with the NMC (or equivalent specialist health profession) according to competency.
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