Job Description

This post is based in the South West London ICB, Kingston and Richmond Continuing Care Team in which staff support each other in service delivery across all five ICBs where the service is commissioned. This will require staff to work across the ICBs sites to meet the needs of patients and the service. The post holder will be responsible for the assessment of individuals in any setting (i.e. home, acute, care home) to determine eligibility to receive Fully Funded NHS Continuing Healthcare [CHC] or Funded Nursing Care [FNC].



The post holder will act as nurse assessor/co-ordinator of a Multidisciplinary Team to establish eligibility and working with the individual and their family identify a suitable care package and to ensure the review process of all Funded Nursing Care is undertaken in accordance with the National Framework Guidance for Continuing Healthcare (revised 2012).



The post holder will manage referrals from a range of professionals, patients and their carers determining eligibility for FNC or NHS CHC.



NHS South West London Integrated Care Board (ICB), as part of South West London Integrated Care System (ICS), is a partnership of organisations that come together to plan and deliver joined up health and care services to improve the lives of people in our six boroughs: Croydon, Merton, Kingston, Richmond, Sutton and Wandsworth.

Each ICS consists of two statutory elements:

an Integrated Care Board, bringing the NHS together with its partners locally to improve health and care services

an Integrated Care Partnership (ICP):

the broad alliance of organisations and representatives concerned with improving the care, health and wellbeing of the population, jointly convened by the ICB and local authorities in the area.



ICBs are statutory NHS bodies responsible for planning and allocating resources to meet the four core purposes of integrated care systems (ICSs):



to improve outcomes in population health and healthcare;

tackle inequalities in outcomes, experience and access;

enhance productivity and value for money and;

help the NHS support broader social and economic development.



NHS South West London Integrated Care Board decides how the South West London NHS budget is spent and develops plans to improve people's health, deliver higher quality care, and better value for money.



Please refer to the for full details.



Using national assessment tools and adhering to the lead times, to co-ordinate, participate in and support the assessment process by the Multidisciplinary Team.



To determine the eligibility, as set out in the National Framework Guidance for Continuing Healthcare (revised 2012) and be responsible for explaining clearly to patients, families, health and social care colleagues and care providers so that the process is transparent and understood.



To undertake assessments, maintain appropriate written records and communicate information as required with all relevant parties whilst maintaining appropriate confidentiality of the patient's records.



To restore and maintain independence, promote individual choice and self-determination, enabling clients to live in the community and support their preferences whenever feasible.

To work across health and social care boundaries to obtain further specialist evidence and ensure a co-ordinated approach to care to educate, inform and involve clients, carers and professionals on the National Framework Guidance for Continuing Healthcare (revised 2022) and matters of local service provision.



To be actively involved in complaint investigations, contribute to responses to appeals and in monitoring the quality care standards in local nursing home. They will ensure the Head of Continuing Care and the Commissioning Team are kept fully aware of any cause for concern.



To provide reports and advice when required in relation to Protection of Vulnerable Adults Procedures.



To maintain registration, skills and knowledge including an awareness of policies, procedures and legislation laid out by all the relevant professional bodies.



* To undertake any other duties commensurate with the grade and responsibilities of the post