Duty Clinician

at  NHS Shropshire Telford and Wrekin Integrated Care Board

Are 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 the 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 have to be able to make a holistic positive difference to the lives and experiences of those you assess. 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 Duty Triage process if required.
Joining our inclusive and innovative team comes with a range of benefits including flexible & agile working arrangements, a pension scheme, and a generous annual leave allowance. And as a member of NHS staff, you will receive plenty of discounts too.
Service operating hours are Monday to Friday 09:00 – 17:00
You must possess a current NMC (Adult, Mental Health or LD posts available), England 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.
• T he po s t ho l d e r w il l h a ve a f l e x i b l e a p proach t o care a n d w i l l w ork a c r oss i nte r - a g e n cy b o u n d a r i es, m a i nta i n i ng g o o d c omm u ni cati o n and l i a i son s k ill s w i t h a l l pr o f ess i o n a l s a nd m e m b e r s o f t he p u b l i c.
• T he p o s t h ol d e r w il l lead the commissioning and m a n a g eme n t o f p a c k a g es o f c a r e f or p e o pl e i n a variety of care and support settings.

Full details can be found in the job specifications and person specifications
NHS 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 & agile working arrangements, pension scheme and 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 familiarise yourself with the 2022 National Framework for CHC: https://www.gov.uk/government/publications/national-framework-for-nhs-continuing-healthcare-and-nhs-funded-nursing-care 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 available at https://www.e-lfh.org.uk/programmes/continuing-healthcare/ . The training is free!!

Communication & Relationships Skills

• T o p r o v i de r e l e v a n t a n d ti m e l y sp e c i a li st a d v i ce and g u i d a nce on f u n c t i o n al a n d i n f o r m a t i on m a t t e r s.
• T o s u p p o r t t he d e v e l o p m e n t o f i nt e r n a l a n d e x t e r n a l com m u ni c a t i o n s w h e r e r e q u i r ed by r e g u l ar c o nta c t wi t h t he t e a m s, s t a k e h o l d e r s a n d C o m m u ni cati o n s t e a m
• To be responsible for preparation of correspondence and complex report, assessments and papers
• To undertake complex clinical assessment and clinical report writing.
• T o r e p r e se n t t he team on panels and decision making forums as r e q u i r e d , p ar t i c i p a t i n g i n t he d e c i s i o n -m a k i ng pr o cess a n d c l ar i f i cati o n o f f u n di n g r es p ons i b ili t i es f or c li e n t s w ho are r e g i s t ered w i t h a NHS S hropsh i r e , T e l f o r d a n d W r e k i n G P .
• T o r e p r es e n t NHS Shropshire, Telford and Wrekin on NHSE appeal panels.
• T o w ork w i t h t e a m m e m b e r s a n d oth e r h e a l t h a n d soc i al care pro f ess i o n a l s t o pro m o t e j o i nt w o r k i ng t o ac hi e v e pos i t i v e ben e f i t s a n d add e d v a l ue f or i n di v i d u a l ser v i ce use r s a n d care r s .
• T o li a i se and c o mm u ni c a t e w i t h e x t ernal a g e n c i es i nc l u di n g ; NH S E n g l a n d, care pro v i d e r s, so li c i t ors
• T o m a i nta i n co n s t r u c t i v e r e l ati o ns hi ps w i t h a bro a d r a n g e o f i nte r n a l a n d ex t ernal s t a k e h o l d e r s.
• T o pa r t i c i p a t e i n r e l e v a n t i nte r n a l a n d e x t ernal w o r k i ng groups/ p r o j ect s , s er v i ces, a n d i n i t i a t i v es w h i ch m ay be h i g h l y comp l e x , se n s i t i v e, p oli t i ca l , a n d c o n t a i n con t e n t i o u s i n f o r m ati o n w i t h t he a i m o f p r o v i d i ng i n f o rm a t i on a n d a n a l y t i cal a d v i ce t o t he t e a m s .
• To c o mm u ni c a t e complex, clinical, personal and emotive information about patients and circumstances including r i s k s , i ssu e s a n d d e p e n d e n c i es, diagnosis, prognosis and eligibility to NHS funded services.
• T o le a d on t he m a n a g e m e n t o f co n t e n t i o u s ca s es w h i ch are h i g h l y c o m p l ex a n d se n s i t i v e, acti n g as

r e p r es e n t ative in l e g al p r oc e e di n g s.

• T o d e al w i t h r e g u l ar t e l e p h o ne ca ll s t h r o u g h o ut t he d a y , a d dress i n g h i g h l y se n s i t i v e a n d co m p l ex e n q u i r i e s , i ssu e s o f co n cern r e g a r d i ng p a t i e n t w e ll b ei n g , comp l a i nts a n d r e f e rr a l s t h a t m ay r e q u i r e an i mm e di ate r es p o n se
• T o p a r t i c i p a t e in t he m o n i t ori n g, r e v i ew a n d comp l a i nts proced u r es o f i n di v i d u a l s w i t h comp l ex n e e ds w h o se ca r e is m a n a g ed i n t h ei r o w n ho m es o r i n r es i d e nti a l care se t t i n g s .

Analytical & Judgement Skills

• T o un d e r t a k e comp l ex a n d d e t a il ed a n a l y s i s of sp e c i f i c pr o j ec t s and patients r e q u i r i ng h i g h l e v e l s o f co n ce n tr a t i on.
• T o up d at e , m a i nta i n , o r g a n i se, g a t h e r a n d a n a l y se i n f o r m a t i on t o pred i c t / m e e t f u t ure individual patient, o r g a ni sati o n al a n d t e a m n e e d s by i d e nt i f y i ng b e st pr o f ess i o n al p r act i ce.
• T o c o nt r i b u t e t o t he i n f o r m ati o n m a n a g e m e n t o f p e r f o rm a n c e , t a k i n g a l e a d f o r sp e c i f i c p r o j e c t s
• T o p r o v i de co- o r d i n a t i on o f a n d p a r t i c i p a t e i n r e l e v a n t m e e t i n g s , r e p o rt i ng a tt e n d a nce a n d p r o v i d i ng i n f o rm a t i on a d v i ce and s u p p o r t w h e r e r e q u e s t ed

Planning & Organisational Skills

• To plan own workload and diary to ensure local, national and statutory targets and deadlines are met.
• To undertake complex clinical assessment and care planning to ensure patient need is met and that where appropriate, step-down/discharge is planned and co-ordinated to ensure patient need is met in the least restrictive way.
• T o w ork w i t h m emb e r s o f t he t e a m a n d key s t a k e h ol d e rs t o i n v esti g ate t he ca u ses o f a n y v ari a nce fr o m p l a n / d eli v e r y t a r g e t s a n d co nt r i b u t e t o t he i m p l e m e n t ati o n o f so l uti o ns.

Patient/Client Care

• To 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.
• T o ass i st or lead (depending on who is the responsible commissioner) i n t he c o - ord i n ati o n o f comp l ex decisions i n v o l v i ng m e m b e r s o f t he m u l t i - d i sc i p li n a r y / m u l t i - pr o f ess i o n al t e a m as r e q u i r e d .
• 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.
• T o co - o r d i n a t e a n d c o m m i ss i on co m p l ex care p ac k a g e s i n v o l v i ng m e m b e r s o f t he m u l t i - d i sc i p li n a r y /

m u l t i - pr o f ess i o n al t e a m

Policy/Service Development

• T o c o nt r i b u t e t o t he s t r a t e g i c p l a n n i n g recommending a d j ust m e n t s , as n e cess a r y .
• T o s u p p o r t i m p l eme n t at i on of s tr a t e g i c m o d ern i s ati o n/se r v i ce i m pro v em e nt, p u b li c h e a l t h, w ork f o r ce or com m i ss i o ni n g s tr a t e g i e s a n d a n y ass o c i ated a c t i on p l a n s, i n acc o r d a nce w i t h t he a g r e e d pri o r i t i es of t he t e a m
• T o c o nt r i b u t e t o t he d e v e l o p m e n t o f p e r f o r m a n c e a n d g o v ernance s tr a t e g i es a n d t he d e v e l o p m e n t a n d i m p l emen t a t i on o f i m p r o v ement pr o gr a mm es
• T o de li v er a g a i nst o b j e c t i v es, ac hi e v i ng q u ali t y o u t com e s, p r i oritis i n g o w n w or k l o a d a n d w or k i n g t o t i g h t d e a dli n e s.
• T o p r o p ose ch a n g es t o o w n f u n c t i o n , i n f or m i n g p oli cy a n d m a k i ng r ec o m m e n d a t i o n s f o r oth e r pro j e c t s d eli v er y .

Financial & Physical Resources

• T o s u p p o r t a n d i n f o r m t e a m s on t he t a r g e t i n g o f r es o u r ce s , m o ni t o r i n g , i m p l emen t i n g , e v a l u a t i ng a n d d el i v ery of p l a n s by pro v i d i ng so p h i s t i cate d , h i g h q u ali t y i n f o r m ati o n a n d a n al y s i s.
• T o c on t i n u a ll y s tr i v e f or d e l i v eri n g p r o j e c t / f u n c t i on/patient o u t com e s, v a l ue f or m o n ey a n d g r e a t e r e ff i c i e n cy.
• T o c o nt r i b u t e t o t he f i n a n c i al d el i v ery of t he ser v i ce ensuri n g i t i s cost e ff e c t i v e and de li v ered on t i m e.
• To commission care to meet individual patient need and ensure best value, least restrictive care is achieved.
• T o w ork i n co ll a b ora t i on w i t h a l l pro v i d e r s of care t o n e g o t i ate p a c k a g e s e n suri n g o p t i m al v a l ue f o r m o n ey a n d ad v i se on n e e d s f o r m a r ket d e v e l o p m e n t p u r p o ses

Human Resources/Staff Management

• T o p r o v i de sp e c i a li st t r a i n i n g , a d v i ce and supp o r t on o w n r o l e / r es p o n s i b ili t i es across NHS Shropshire, Telford and Wrekin and the wider system.
• T o pa r t i c i p a t e in t he r e c r u i tm e n t pr o cess o f su p p ort s t a ff .
• T o be acc o u n t a bl e f or ow n p r o f e ss i o n al d e v e l o p m e n t a n d t o p a rt i c i p a t e i n pe r f o r m a n ce r e v i e w .
• T o a t t e n d r e l e v a n t t r a i n i ng a n d s t a f f m e e t i n g s as r e q u i r e d including p a r t i c i p a t ion in n u r s i n g a n d cl i n i cal d e v e l o p m e n t acro s s NHS Shropshire, Telford and Wrekin.
• To commit to undertake clinical supervision.

Information Resources

• T o c o nt r i b u t e t o t he r e v i e w a n d d e v e l o p m e n t o f e x i s t i ng i n f o r m a t i on m a n a g e m e n t s y s t e m s a n d co n tr i b u t e t o t he d e v e l o p m e n t o f an i n t e g r a t ed a p proach .
• To maintain accurate and comprehensive clinical records.
• T o p a r t i c i p a t e in a n d u n d er t a k e a u d i t s a n d supp o r t t he i m p l e m e n t a t i on o f r ec o mm e n d e d a c t i o n s.
• T o u p d a t e , m a i nta i n , o r g a n i se, g a t h e r a n d a n a l y se i n f o r m a t i on t o pred i c t / m e e t f u t ure o r g a ni sati o n al a n d t e a m n e e d s by i d e nt i f y i ng b e st pr o f ess i o n al p r act i c e .
• T o c a r r y o u t t i m e l y a n d a c cura t e i n f o rm a t i on a n a l y s i s a n d r e p o r t i ng on a g r e e d a r e a s o f p o r t f o li o
• T o a c t i v e l y su p p o r t a n d co n tr i b u t e t o t he d e v e l o p m e n t o f k ey p e r f o rm a n c e i n di cato r s f o r t he s u c c es s f ul ass e ss m e n t o f p e r f o r m a nc e .

Research & Development

• T o be acc o u n t a bl e f or ow n p r o f e ss i o n al d e v e l o p m e n t a n d t o p a rt i c i p a t e i n pe r f o r m a n ce r e v i e w .

Freedom to Act

• To 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 process and policy.

• 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.
• T he po s t ho l d e r w il l h a ve a f l e x i b l e a p proach t o care a n d w i l l w ork a c r oss i nte r - a g e n cy b o u n d a r i es, m a i nta i n i ng g o o d c omm u ni cati o n and l i a i son s k ill s w i t h a l l pr o f ess i o n a l s a nd m e m b e r s o f t he p u b l i c.
• T he p o s t h ol d e r w il l lead the commissioning and m a n a g eme n t o f p a c k a g es o f c a r e f or p e o pl e i n a variety of care and support settings