Job Description

To work as a skilled and autonomous practitioner within the All Age Continuing Care (CHC) service. The post holder will be responsible for the assessment, commissioning, and review of care packages for individuals with complex, ongoing healthcare needs, ensuring the effective application of the National Framework for Continuing Healthcare and adherence to all relevant clinical guidelines and legislation. 2. Main Duties and Responsibilities Clinical Practice & Assessment: To undertake comprehensive, face-to-face assessments for individuals who may have a primary health need, utilising the Decision Support Tool (DST) as part of a multi-disciplinary team.



To apply a robust understanding of the National Framework for Continuing Healthcare and Funded Nursing Care (FNC) to ensure consistent, legally compliant eligibility decisions. To conduct risk assessments and contribute to the management of complex cases, including those involving mental health, learning disabilities, and physical health needs. To demonstrate high-level clinical reasoning and decision-making skills to determine appropriate care pathways. Care Planning & Coordination: To develop, implement, and evaluate highly personalised, evidence-based care plans in partnership with the individual, their family, and carers.



To commission and procure care services from a range of providers, ensuring value for money and that care packages meet the identified health needs. To act as the key liaison between the ICB, care providers, social services, and other health professionals to ensure seamless, integrated care. To chair and actively contribute to multi-disciplinary meetings regarding patient care. Review & Monitoring: To conduct regular reviews of care packages, both in person and remotely, to ensure they remain appropriate, effective, and of a high standard.



To monitor the quality of care provided, responding proactively to any concerns or changes in the individuals condition. To maintain accurate, contemporaneous, and confidential patient records in line with professional and ICB standards. Professional Responsibilities: To maintain registration with the Nursing and Midwifery Council (NMC) and adhere to the NMC Code of Professional Conduct. To take responsibility for your own continuous professional development (CPD) and participate in clinical supervision and appraisal.



To contribute to the development of the CHC service and participate in clinical audit and service improvement initiatives. To uphold the principles of clinical governance and promote best practice within the team.