CHC Nurse Practitioner

Detailed job description and main responsibilities

Key working relationships

• Work closely with patients, residents, carers, colleagues in Local Authorities, Acute Trust, Independent Sectors, and neighbouring localities and any other relevant groups.

Partnership working/collaboration

• Develop and maintain effective working relationships in order to sure continuity of care and address identified patient needs.
• Liaison with a variety of providers arranging assessment of patients in order that the most appropriate placement/ care provision is identified.
• Work with neighbouring localities, social services and service providers to ensure that joint commissioning arrangements achieve the best quality services for the local population. 
• Work collaboratively with independent sector providers to ensure that any commissioned services are quality assured, monitored and supported. 

 Strategy, policy, service development and implementation

• Ensure monitoring tools are implemented according to CHC procedures.
• Assist in the development of policies and procedures, as requested, which will support the overall delivery of CHC/ FNC.
• To support and contribute to the ongoing development of the service identifying areas of practice that require improvement.  

 Responsibilities for physical and financial resources

• Negotiating care costs for specialist placements outside of agreed framework for Nursing and Homecare providers ensuring quality and value for money.
• Monitoring of packages of patients in receipt of CHC and FNC. 
• Contribute to the effective monitoring and use of the CHC budget.
• Ensure that all commissioned care is effective, person centred and value for money.
• Demonstrate both quality of care and value for money in all placements/ commissioned care.

 Communication

• To communicate with patients and their carers regarding their health needs and appropriate care provision.
• Develop effective communication networks with Nursing Home Managers and partner agencies.
• To communicate effectively with all team members and Senior Management colleagues.
• To develop effective relationships with colleagues from partner agencies.
• To communicate clearly and succinctly using written, verbal and electronic methods.
• Receive sensitive or contentious information relating to patients, families or carers regarding their physical and mental health needs.
• Communicate sensitive information to families and carers in relation to a patient needs and eligibility.
• To have overall responsibility for the maintenance of accurate records, relating to each case.
• Maintain Broadcare database recording specific data in line with patient confidentiality and data protection.

Planning and organising

• Work with neighbouring localities, Social Services and service providers to ensure that joint commissioning arrangement achieve the best quality services for the local population.
• Facilitate meetings, including case conferences, best interest meetings and discharge planning meetings to ensure continuity of care across agencies.
• Organise own workload to deliver timely, comprehensive assessments, care planning, care package implementation, ongoing reviews and case management.

Patient care / responsibilities  

• To be responsible for assessing patient needs as defined in the National Framework for NHS Continuing Healthcare and Funded Nursing Care.
• To lead and exercise professional judgement in the achievement of an accurate determination or assessment of patients’ needs.
• To provide clinical support and advice to Care Homes and Home Care Providers following identification of skill gaps in relation to the care of the patient
• To support patients who are eligible for CHC and wish to access a Personal Health Budget.
• Work within the Mental Capacity Act and the Care Act.
• Meet professional responsibilities under current Safeguarding Vulnerable Adult policy and procedures.
• Ensure compliance with and updating all patient records on the Broadcare database, keeping accurate individual electronic records.
• Manage individual cases ensuring that healthcare is provided to meet assessed needs.
• Ensure that any change in patient’s assessed need is communicated appropriately to other professionals and carers.
• To undertake retrospective reviews, reviewing evidence and completing comprehensive Care Need Portrayals.
• Maintain up to date records as per NMC requirements ensuring data governance requirements are met.
• Be responsible for the Case Management of a designated caseload. 

 Information/data analysis, management and reporting and information resources

• Development of high standards of IT skills and competencies.
• Maintain a formal record of all cases on the CHC Broadcare database. 

Leadership/management and human resource management

• Ensure adequate clinical care is provided with a requirement that all incidents, which may compromise the care needs of a patient are reported immediately to a senior manager.
• To make decisions and work within a framework commensurate with their level of knowledge and competence and to act accordingly with their sphere of responsibility.
• Responsible for the contribution to staff inductions and clinical supervision to professional colleagues as appropriate.
• Understand personal responsibility for respecting and promoting issues of equality, diversity and rights in accordance with good practice and legislation.
• Responsible for participation in the agreed appraisal process, identifying own/ others mandatory professional, personal development and training needs.

 Freedom to act/level of discretion and autonomy

• Responsible for ensuring confidentiality is maintained at all times.
• Perform role in line with the NMC Code: Professional standards of practice. 
• Autonomously manage a caseload of individuals with highly complex health needs. 
• Exercise personal responsibility and control over discrete areas of project work.

Corporate Responsibilities:  

• Promote the vision and values of NHS Greater Manchester Integrated Care Partnership in all day to day activities and commissioning of services through proactively work in an integrated way to commission health and social care services.
• Support a culture that promotes equality and values diversity and that the service you commission meets the needs of all people and communities avoiding unlawful discriminatory behaviour and actions when dealing with colleagues, service users, members of the public and all other stakeholders.
• Adhere to all organisational policies and guidelines.
• Comply with relevant organisational and own professional codes of conduct and accountability.
• Maintain the security and confidentiality of information you come across in your role in line with organisational policies and protocols
• Demonstrate personal commitment to continuous self-development and service improvement.