version - Way Forward Paper... · Web viewThe directorate is committed to strengthening the unplanned care offer to provide rapid community response and support admission avoidance

RESPONSE DOCUMENT TO THE FORMAL CONSULTATION RELATING TO THE MANAGEMENT STRUCTURE INCLUDING NEIGHBOURHOOD TEAMS, OUT OF HOURS AND

MDT CO-ORDINATORS

Older People’s and Adult Community Directorate

Consultation Start: 3rd October 2018

Consultation Finish: 2nd November 2018

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1. Introduction

A formal consultation on the proposed changes to the management structure across NTs, OOH and MDT co-ordinators was launched on the 3rd October 2018 and closed on the 2nd

November 2018.

The consultation document set out the proposal to create an integrated area management structure across the north and south localities. This structure proposed the incorporation of the OOH’s nursing service into the NT structure, replacing the existing MDT co-ordinator role with a new patient flow co-ordinator role and a new management structure of nursing, therapy and mental health area managers.

This consultation directly affects: All substantive Band 8a Managers within the current structure. All substantive Band 7 neighbourhood team managers. All Out of Hours Managers. All substantive Band 5 MDT Co-ordinators working within neighbourhood teams. All staff currently in seconded roles of NT Manager, Area Manager and OOH

Manager posts.

2. Consultation Engagement and Feedback

Following the two separate consultation launch meetings held with NT Managers and MDT Co-ordinators on 3rd October, there has been a series of opportunities for affected staff and others to respond to the proposals.

This has included: Q&As from the consultation launch were made available on the trust intranet. All consultation documentation including job descriptions has been made available

on the trust intranet. All staff were invited to meet with senior managers individually to discuss their

individual circumstances, with 25 members of staff holding 1:1s with a manager. All staff were invited to speak with their Staff Side representatives and HR staff. Several teams invited senior directorate management including John Martin, ADO

and Clinical Director Ben Underwood to visit the staff to discuss the proposed changes. Two staff questionnaires for NT staff and OOH staff were created in order for all staff to have the opportunity to comment on what work is like for them at the moment. Over 80 responses from NT staff and over 20 responses from OOH staff have been received to date.

A consultation email address was also set up to receive comments and representations from all staff members. Over 40 email responses have been received, from a cross section of NT and OOH teams and staff groups.

The following summary brings together the main areas of feedback raised from individual meetings with senior managers as well as the email responses received through the consultation period.

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3. Summary on Feedback and Changes as a Result of the Consultation

The following points were highlighted by many of the comments and responses received:

The size of the job role for the Nursing Area Managers. The size of the job role for the Patient Flow Co-ordinators. The lack of resilience for the Business Support Co-ordinators. The lack of clarity regarding the management structure for OOH. The impact of the new NT management structure on Band 7 and Band 6 posts

across NT teams.

The directorate’s Divisional Management Team (DMT) met on 6 th November 2018 to review the responses and consider options for the way forward.

Key areas considered by the DMT which were used to inform the final outcome of the consultation included:

The directorate’s commitment to embedding clinical quality and safety. Supporting the development of a new and evolving junior NT workforce. Strengthening clinical leadership and empowering NT staff at all levels. Continuing to drive integrated working within NTs. Horizontal (or operational) integration of NTs with other directorate services including

unplanned care and specialist services

The proposed management structure within the consultation included:

Role Band

Current Budgeted WTE

Proposed WTE within consultation

MH Lead 8a 2 0Area Manager 8a 4 0NT Manager 7 14 0OOH Manager 7 1.86 0ACNP 7 14 14MDT Co-ordinator 5 18 (16.72) 0Area Mental Health Manager 8a 0 2Area Nursing Manager 8a 0 6Area Therapy Manager 8a 0 2NT Duty Practitioner 7 0 1.72Business Support Co-ordinator 5 0 4Patient Flow Co-ordinator 4 0 7

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The following table summarises the final management structure at the conclusion of the consultation:

Role Band Current Budgeted WTE

Proposed WTE within

consultation

Final WTE following

consultation

MH Lead 8a 2 0 0Area Manager 8a 4 0 0NT Manager 7 14 0 0OOH Manager 7 1.86 0 1.86ACNP 7 14 14 10MDT Co-ordinator 5 18 (16.72) 0 0Area Mental Health Manager 8a 0 2 2Area Nursing Manager 8a 0 6 8Area Therapy Manager 8a 0 2 2NT Duty Practitioner 7 0 1.72 0Business Support Co-ordinator 5 0 4 4Patient Flow Co-ordinator 4 0 7 10

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4. Main Areas of Feedback and Key Reasons for Changes

4.1 OOH Management

Feedback from large numbers of OOH staff noted a range of concerns about the proposed changes. These included a lack of clarity about line management and day to day responsibility for OOH teams, the alignment of OOH services who deliver pre-dominantly unplanned care with NTs delivering predominately planned care services, and ways of enhancing support and resilience for OOH teams. Feedback was also noted regarding the responsbility for management of OOH rotas, and clarification of the NT Duty Practitioner’s clinical responsibilties including triage.

As a result of the outcome of this consultation, the proposal to remove OOH managers and replace them with a NT Duty Practitioner has been withdrawn.

Going forward, the OOH Manager posts will remain. However, in order to offer greater support and resilience to out of hours teams across the directorate, OOH services will move to sit within the county wide Unplanned Care management structure.

The directorate is committed to strengthening the unplanned care offer to provide rapid community response and support admission avoidance across the county, and in 2019/20 will be considering the next phase of service transformation across unplanned care services.

Therefore effective from 7th January 2019 the OOH Managers for Cambridge, Hunts and North will receive line management from the JET Clinical and Operational Manager as OOH services move across into Unplanned Care.

4.2 Clarification regarding Advanced Clinical Nurse Practitioner role (ACNP)

The directorate remains committed to the ACNP role strengthening advanced nursing leadership, driving clinical care and quality across NTs. The ACNP model was introduced to strengthen clinical leadership through clinical supervision, supervisory role modelling, educating nursing teams, competency assessing, coaching band 6’s , leading audits, leading on quality improvement projects and driving nursing research forward.

We recognise that NTs have large numbers of new and relatively junior nurses and nurse associates in post, who require ongoing clinical leadership development to drive forward embedding a quality culture, focusing on quality improvement and delivering efficiencies in clinical productivity.

We can therefore clarify that ACNPs will not be operationally responsible for the day to day line management of Band 6 DNs and the NT nursing teams. This will sit with the Area Nursing Managers, with support from the Business Support Co-ordinators. However ACNPs will be expected to complete regular clinical supervision with nursing staff, as well as actively participate in the annual appraisals of Band 6 DNs within their NTs.

The directorate recognises that the proposed line management structure of Band 6 nursing staff being line managed by Band 8a posts is different from the Band 7 Advanced Therapy and Mental Health Practitioners who are currently responsible for line management and clinical supervision of Band 6 staff.

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However, we feel that strong clinical leadership and focus on quality within therapy and mental health teams is better established across the directorate, and that going forward nursing within the NTs must maintain its current drive to strengthen quality and clinical leadership led by the ACNPs.

4.3 Number of ACNP roles

The directorate is currently carrying a number of ACNP vacancies across the 14 NTs.

In order to balance the requirement for day to day operational management of NT nursing teams whilst driving forward and embedding a culture of quality and safety, we have agreed to use 4 of the vacant Band 7 ACNP vacancies to fund 2 additional Band 8a Nursing Area Manager posts and 3 additional Patient Flow Co-ordinator posts.

The additional Patient Flow Co-ordiantor will support the clinically focused ACNPs to identify patients known to NTs to facilitate early discharge back to their homes and highlight complex cases requiring ACNP intervention.

In agreeing the revised allocation of 10 WTE ACNPs across 14 NTs, we have considered both the number of GP practices currently supported by each NT in addition to activity data related to numbers of unique patients receiving care by District Nursing each month. Use of this measure rather than current DN caseload size accounts for dormant patients who may remain inactive on NT caseloads.

The allocation of ACNPs across the directorate will therefore be:

Locality WTEPeterborough 3EC&F 2Cambridge 3Hunts 2TOTAL 10

4.4 Nursing Area Managers

Many of the responses to the consultation voiced concern regarding moving NT management and oversite away from sitting within each NT. One of the other key concerns was the number of direct reports for each Nursing Area Manager role.

Based on this feedback, further analysis of headcount of direct reports for Area Nursing Managers has been reviewed, as well as clarification regarding the line management of OOH services (see 4.1) and the role of ACNPs in line managing the Band 6 DN posts within each NT(see 4.2).

Some of the Area Nursing Manager posts will also be expected to line manage a locality Business Support Co-ordinator, and all Area Nursing Managers will manage at least one Patient Flow Co-ordinator. Given the Business Support and Patient Flow co-ordinator roles are both new to the directorate, it is felt that they will require significant development and support to ensure postholders work in a standardised, efficient and effective way which will be driven by the Area Nursing Managers.

Therefore, as a result of the outcome of the consultation, we have increased the number of Area Nursing Manager posts from 6 to 8 WTE. The final distribution of Area Nursing Managers is:

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Locality NTs WTEPeterborough Peterborough 1 and Peterborough 2 1Peterborough Borderline and Borderline Central 1EC&F Ely 1EC&F Doddington and Wisbech 1Cambridge North Villages and North City 1Cambridge South City and East Villages 1Hunts St Ives 1Hunts St Neots and Huntington 1TOTAL 8

4.5 Line Management of NT Therapy and Mental Health Staff

In considering the number of direct reports for the Area Nursing Manager posts, the number of direct reports for the Area Therapy Managers and Area Mental Health Managers in the north and south localities were also compared to ensure equity across all the Band 8a roles.

To clarify queries received from the consultation, the line management, appraisals and clinical supervision of Band 7 Advanced Clinical OT and Physiotherapy Practitioners will be undertaken by Area Therapy Managers. Area Mental Health Managers will undertake the line management, appraisals and clinical supervision of Band 7 Advanced Clinical Mental Health Practitioners in addition to other non NT staff. The diagram in appendix one has been amended from the consultation paper to reflect this.

4.6 Development and Support for Band 7 and Band 6 Clinical Staff

A common theme from the feedback included the need for both Band 7 and Band 6 clinical staff including nurses, therapists and mental health staff to be supported in the development of their operational management and clinical leadership skills.

Some staff fed back that the current NT management structure had resulted in the Band 6 DNs being de-skilled in leading their nursing teams, and many comments reflected the need to provide robust training and development opportunities for both Band 7 and Band 6 staff in clinical leadership, caseload management and supervision and appraisals.

Part of implementing the new management structure from early 2019 will include the delivery of a series of workshops for these clinical staff delivering bespoke leadership training to support the development of these skills.

4.7 Integration of Discplines within NTs

A range of responses were received regarding the impact of the new discipline specific management structure on existing progress to integrate nursing, therapy and mental heath staff working together within NTs.

The directorate is absolutely committed to promoting virtual or horizontal integration through closer networking, sharing and joint working of different disciplines within NTs, as well with other directorate services in unplanned care and specialist services.

The new NT management structure in each locality will be made up of Band 8a senior managers representing nursing, mental health and therapies. It is the expectation that

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this integrated area management team will work closely together to deliver the performance of NTs, sharing resources, providing support and resilience, sharing learning and promoting integration through networking, enhanced communication and support.

NT meetings will continue to be held as a collective group of multi-disciplinary staff, with the Area Nursing, Therapy and Mental Health Managers driving the agenda.

4.8 Number of Patient Flow Co-ordinators and Role

There was an overwhelming response regarding the number of patient flow co-ordinator posts proposed in the consultation, as well as concerns regarding:

the number of GP practices that each patient flow co-ordinator would be responsible for working with and impact on workload.

the grouping of Ely and St Ives NTs across one patient flow co-ordinator post. lack of clarity regarding the wide range of tasks the role is expected to

undertake. the change in banding from Band 5 for MDT co-ordinator to Band 4 for Patient

Flow Co-ordinator. Resilience and cover for sickness and annual leave.

Having considered the feedback carefully, the following response can be made:

The Patient Flow Co-ordinator role is different from the MDT Co-ordinator role.The job description for the new role was job matched by the Trust to a national Agenda for Change job profile of MDT Co-ordinator. This is a Band 4 nationally.

The Patient Flow Co-ordinator role will be line managed by the Area Nursing Managers in order to ensure that core tasks undertaken by post holders are standard across all NTs.

To re-clarify, the key duties of the patient flow co-ordinator role will be:

To review the urgent care dashboard daily, identify if patients known to NTs have been admitted, provide patient-level information in to hospitals, and liaise with hospital ward staff and NT staff to pull patients from hospital back in to community based NT care.

To co-ordinate weekly NT based multi-disciplinary team meetings to review patients on active nursing, therapy and mental health caseload patients plus other patients referred

To facilitate and attend monthly meetings with each GP practice to review patients identified by NT staff and GPs as beneficial for discussion.

To case review the top 20 ‘at risk’ patients for each GP practice each month and agree next steps related to community NT care. This Gold Standard Framework meeting needs to be considered part of the monthly GP meetings, and Patient Flow Co-ordinators will be expected to work with their Area Nursing Manager to agree the processes to best manage meeting with GPs each month.

Further analysis by NT of number of GP practices, population size and current number of active patients on DN and rehabilitation caseload has been undertaken in order to review the number of patient flow co-ordinator posts and the distribution across the NTs.

Therefore, as a result of the outcome of the consultation, we have increased the number of Patient Flow Co-ordinator posts from 7 to 10 WTE. This also takes into consideration

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the reduction in the ACNP posts. The final distribution of Patient Flow Co-ordinator posts is:

Locality NTs WTEPeterborough Peterborough 1 and Peterborough 2 3Peterborough Borderline and Borderline CentralEC&F Ely 2EC&F WisbechEC&F DoddingtonCambridge North Villages and North City 3Cambridge South City and East VillagesHuntington St Ives 2Huntington Huntington CentralHuntington St NeotsTOTAL 10

Patient Flow Co-ordinators will be line managed by an Area Nursing Manager and they will be aligned to an ACNP to promote system wide working.

Given that there are number of posts supporting each locality, it is the expectation that cover and support in the event of sickness and annual leave will come from the pool of Patient Flow Co-ordinators within each area (Peterborough, EC&F, Cambridge and Huntington).

4.9 Resilience for Business Support Co-ordinator

Most of the responses to the consultation regarding this new post were largely positive.

However the large number of tasks this role is responsible for, the lack of resilience and support to cover sickness and annual leave, and the need for development and training were highlighted as concerns across staff feedback.

Some staff recognised that time would be released back to clinical staff by this role undertaking more of the administrative operational management tasks for NTs.

It has been agreed that professional supervision and cover for the Business Support Co-ordinators will come from the Deputy Administration Manager and the admin hubs. The line management and day to day management and work allocation of Business Support Co-ordinators will come from Area Nursing Managers.

Therefore the number of Business Support Co-ordinators remains as per the consultation as 4 Band 5 WTEs, with one in each of the 4 localities.

Given the breadth of the role, the directorate is committed to providing training for the Business Support Co-ordinators to ensure they are able to provide support to clinical teams. This will include for HealthRoster, Trac, finance systems, MI reporting, Datix risk management, HR processes, e-Expenses management, AL management, procurement systems and other individual requirements for development.

Part of implementing the new management structure from early 2019 will include the delivery of a series of workshops for these clinical staff delivering bespoke training to support the development of these skills.

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4.10 Other areas where clarification was requested

4.10.1 Role of Deputy Locality ManagersThe Deputy Locality Managers will operationally manage the integrated area management teams in the north and south localities. These roles will be pivotal in developing and delivering the organisational development needs of NT staff, driving clinical and operational leadership and embedding a culture of quality improvement, empowerment and closer working within NTs.

4.10.2 Budgetary ManagementEach Area Nursing, Therapy and Mental Health Manager will be responsible for the NT budget as a whole and will need to work together across displines to decide how best to use the budget. Collective cost improvement savings will need to be considered as an integrated management team.

Budgets will therefore not be separated out for the Area Nursing and Therapy Manager posts. However the Area Mental Health Manager will also have budget responsibilities for the teams that sit outside of the NT structure.

Budget codes will be re-aligned by finance to support the new area management structure.

4.10.3 Job Title of Band 7 TherapistsThere is no change to the Band 7 therapists’ job title, which was incorrectly stated within the consultation paper as Clinical Lead. The correct job titles are Occupational Therapist and Physiotherapist Advanced Practitioner.

4.10.4 Serious InvestigationsIt is the expectation that all clinical staff at Band 7 and above will participate in the directorate’s serious investigation process.

4.10.5 Service Line ReportingEach integrated area management team of Area Nursing, Therapy and Mental Health Manager is expected to attend Service Line Reporting for their localities as a group, and may invite Band 7 staff within their respective NTs as a development opportunity as agreed.

4.10.6 GP EngagementThere is an expectation that GP engagement will continue at various levels within the new NT management structure.

Patient Flow Co-ordinators will communicate regularly with GP practices to support the patient flow of complex community patients across the system. Band 6 clinical staff will continue to work closely with their GP practices to deliver joined up patient care.

The Area Nursing, Therapy and Mental Health managers will facilitate strategic partnership working with pimary care in their respective localities working to the ambition of both NTs and the trust.

4.10.8 Cost SavingsIt was outlined within the consultation that one of the key drivers was to increase efficiency and reduce expenditure as part of the directorate’s contribution to achieve a £3m CIP savings this year.

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5. Implementation

Current arrangements regarding reporting and managerial arrangements will remain in place until the implementation date of mid February 2019. However a transitional period may be applicable to ensure continuity of service delivery.

6. Recruitment

Preference forms/slotting in/normal recruitment.

The process for recruitment will remain as proposed in section 10 of the consultation document.

Wherever possible we will slot staff in to their first preference however we are aware that there may be some incidences where no suitable preference is available.

In the event where there are more staff stating a preference than there is posts, we may have to conduct interviews under restricted competition in order to make decisions regarding who goes where. In this case interviews will be conducted by senior managers within the directorate.

The preference form can be found attached to the Way Forward letter sent to all affected staff.

7. Timetable

Date and Time Venue ActionWay Forward paper issued

- 14th November 2018Letter and response toFormal Consultation with Preference Forms emailed to staff.For those staff not at work will be issued via post and email

Internal Advertisements - 14th to 21st November- Posts to be advertised:

Area Nursing Manager Area Therapy Manager

Staff may wish to apply

Deadline for Preference Forms- 21st November 2018

Preference Forms to be sent to [email protected]

All Interviews- 26th to 30th November 2018 Various venues

Review of Preference Forms and Slotting In- 26th to 30th November

Area Nursing Managers- Interviews 26 & 27th November 2018 - Review of preference forms and slotting

in

City Care Centre, Peterborough

Area Therapy Managers- Interviews 27th November 2018 - Review of preference forms and slotting

City Care Centre,

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mailto:[email protected]

in Peterborough

ACNPs- Interviews 28th November- Review of preference forms and slotting

in

Hinchingbrooke

Business Support Co-ordinators- Interviews 29th November

Hinchingbrooke

Patient Flow Co-ordinators- Interviews 29th and 30th November- Review of preference forms and slotting

Hinchingbrooke

From Monday 7th January 2019- OOH Services move to Unplanned Care

Line management of OOH Managers moves from Area Managers to JET Clinical and Operational Manager

From 14th February 2019 Implementation of the new structure

I would like to take this opportunity to thank all staff involved. All involved have remained open and adaptive throughout.

If you wish to discuss these details more or feel your own responses have not been answered, please do not hesitate to contact one of us on the details below:

Sonya GardinerLocality Manager – NorthMobile No: 07812 077895Email: [email protected]

Ingrid RandallDeputy Locality Manager – SouthMobile No: 07769683197Email: [email protected]

Becky SistigHR Business Partner Telephone: 07980 785911Email: [email protected]

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Appendix One – Structure

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Appendix Two – Job DescriptionsJob Description

Job Title: Area Nursing Manager

Band: Band 8a

Responsible to: Deputy Locality Manager

Department: Neighbourhood Teams

Directorate: Older People’s and Adults Community Directorate

Our ValuesBehaviour How we will demonstrate this

behaviour Professionalism We will maintain the highest

standards and develop ourselves and others

By demonstrating compassion and showing care, honesty and flexibility

Respect We will create positive relationships

By being kind, open and collaborative

Innovation We are forward thinking, research focused and effective

By using evidence to shape the way we work

Dignity We will treat you as an individual By taking the time to hear, listen and understand

Empowerment We will support you By enabling you to make effective, informed decisions and to build your resilience and independence

Job PurposeThis post is a key management role within the integrated area management team within a defined north or south locality.

* The Area Nursing Manager will work collectively with the Area Therapy Manager and the Area Mental Health Manager/ OPMH Clinical Manager to ensure the neighbourhood teams or relevant clinical teams within their locality deliver high quality community services for clients.

* The post holder will be expected to provide clear leadership and take management responsibility for the effective delivery of the relevant nursing staff within the neighbourhood teams.

* The post holder will be also responsible for the day-to-day operational functioning of the nursing staff in their neighbourhood teams and be accountable for their performance. With respect to this, the manager will receive regular constructive supervision from his/her direct line manager.

* The post holder will work closely with their nursing leadership team to deliver a quality led integrated service.

* The post holder will also work to develop and maintain excellent working relationships with their locality’s’ GPs and primary care teams ensuring regular meetings are held and attending engagement events.

Role of the DepartmentNeighbourhood teams aim to provide multi-disciplinary, seamless care closer to patients’ homes, reducing avoidable admission to hospital and facilitating hospital discharges.

Staffed by community nursing, therapy and mental health clinicians, neighbourhood teams provide integrated care for populations of 30,000- 50,000, based around GP registered lists.

The teams proactively care for those with long-term conditions, the dying, care home residents, and mental health service users’ conditions where care can be provided at home.

Main Tasks, Duties and Responsibilities1. Have overall management responsibility for their respective service including being

accountable for all aspects of performance for their services within the directorate’s Service Line Reporting (SLR) framework

2. Undertake the day-to-day team management for nursing teams providing support and lead on service development in collaboration with team members. This will involve a coordinated service delivery where policy and practice are regularly reviewed and evaluated, in-order to ensure evidence based effective practice

3. Ensure that the arrangements defined within the team’s Operational Policy for accepting, prioritising, dealing with referrals, and planning clients’ discharge are met

4. Ensure that teams are able to provide a responsive and effective service in line with the current service specification for Neighbourhood Teams

5. Represent the activities of the integrated area management team to external bodies, including senior management and commissioning authorities. This will involve attendance at meetings and the submission of reports as and when required

6. Deputise for the Deputy Locality Manager as required7. Undertake planned management supervision aiming to ensure an equitable workload

across their services8. Contribute to the business planning cycle for their locality and services9. Lead on Clinical Governance planning and development for their service and

participate in the wider directorate Clinical Governance structure 10.Ensure that there is an established system for all staff working within the team to

receive formal clinical and managerial supervision. Close liaison with the Head of Nursing on these issues will be necessary;

11.Be responsible for staff recruitment and selection with a view to complementing the service’s skill mix

12.Ensure that training needs for all team members are identified in line with the service provided

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13.Monitor and manage all staff sickness, absences and annual leave entitlement14.Ensure that all new staff receive an induction programme appropriate to the post in

accordance with agreed policy15.Implement risk assessment procedures related to the working environment, tasks

and client management16.ensure that staff are aware of their rights and responsibilities under the Health &

Safety at Work Act17.Monitor and respond to all reported accidents or incidents following agreed local

procedures18.Manage staff performance and initiate disciplinary procedures as required19.ensure that all local risk assessment and management procedures are implemented20.Be responsible for ensuring CQC compliance for their locality and services

Equipment & Systems1. Ensure that their service develops appropriate advance technological skills and

knowledge base2. Ensure the accurate and timely collection and utilisation of team-generated

information3. Analyse and provide key performance management data to aid service development

and meet team and service targets4. Ensure that staff have access to appropriate mobile technology’s, and relevant

clinical systems (System 1 (S1) / Rio) to enable the completion of data, care plans and other key record information

5. Ensure that staff are capturing relevant and appropriate information for their services onto the relevant clinical system (System One / Rio)

6. Ensure that data is used to inform staff performance and that data capture is used to drive quality initiatives to further develop services

Decisions & Judgements1. Actively promote strong and effective leadership within a care quality structure that is

built on the principles of integration, open engagement and learning2. Ensure delivery of nursing services is in line with the trust’s Nursing Strategy3. Provide a management style that acknowledges staff contribution and enhances

motivation, opportunity and development at all levels4. Create a culture in which creativity and innovative ideas can flourish and provide a

shared vision and inspiration to enable staff to deliver support effectively5. Ensure their own leadership style facilitates effective communication, collaboration

and motivation of staff and partnership working to achieve the effective function of the Neighbourhood Team model

6. Develop partnerships within the health and social care system to promote integrated care based on the principles of population health

7. Develop and maintain strong working relationships with primary care to develop seamless care to the patient group across organisations

8. Ensure that effective performance management structures are in place and that all staff have structured supervision and an annual appraisal with personal development plan

9. Ensure staff are compliant with their statutory and mandatory training and are provided with learning and development opportunities appropriate to their needs, within financial constraints

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10.Ensure staffing levels and skill mix fully and effectively meet the needs of the services and are within best practice guidelines ensure staff are treated fairly, equally and consistently and within the operational policies and procedures applied in the organisation

11.Ensure services are cost effective and delivered within budget

12.Ensure services meet care quality and performance management standards and are compliant with all regulatory requirements and standards

Research & Audit1. Ensure that services are continually monitored, reviewed and adapted to meet

changing service user need and identified commissioning requirements2. Promote new ways of working embracing technology where possible to improve

care, and ensure productivity3. Ensure the delivery of clinical and care quality standards and objectives4. Be responsible for implementing service changes when required, ensuring effective

implementation with measurable outcomes and agreed timescales5. Ensure that systems are in place to monitor stakeholders views of services and

ensure that service users, carers, relevant community organisations and other key stakeholders are involved in and influence key decisions on service development and continuous improvement

6. Participate in the evaluation of the services provided within services and actively promote service development including undertaking relevant audit and research.

7. Facilitate the development of clinical guidelines, protocols and patient related policies in partnership with clinicians and other managers within the organisation to promote safe and effective patient care.

8. Facilitate evidence based practice, assist in disseminating research findings to support changes in care

9. Take part in research projects as appropriate and support and facilitate other staff who are undertaking research/audit projects

10. In conjunction with team leads, lead in the development of annual audit plans for the locality team

11.Be responsible for the management of all risks across their locality and services, ensuring that lessons are learnt and agreed actions are embedded into daily operational practices of nursing teams

Communication & Relationships1. Ensure effective communication across all neighbourhood team services and with

internal and external partners and other stakeholders2. Be responsible for ensuring a full and timely response to all complaints and ensure

that lessons from these complaints are disseminated within the service.3. Undertake investigations, write investigation reports and feed back to service, service

users and carers as appropriate4. Develop and sustain relationship management with key stakeholders and partner

agencies, such as GPs, commissioners, local authorities, Acute Trusts, service user and carer groups, voluntary sector organisations

5. Promote the Trust’s services and positively enhance the Trust’s corporate image internally and with external agencies

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Managerial & Financial Requirements1. Provide line management to services and delegate line management of others within

their team structure

2. Ensure all staff are aware of their role and responsibilities

3. Ensure all staff (including students, temporary, part time staff and junior members of the multidisciplinary clinical teams) acquire appropriate skills, experience and knowledge and are supported and supervised to deliver competent and timely patient care

4. Initiate and participate in education and development programmes and clinical supervision for all staff

5. Actively manage staff appraisal/performance, PDP and recruitment processes and all other key HR policies and procedures in line with the Trust guidance

6. Develop and monitor orientation and induction programmes specific and relevant to their clinical area for all new staff

7. Support workforce planning and talent management within their service area.

8. Be responsible for all staff undertaking annual mandatory and CPD training

9. Maintain their own professional development and meet their requirement to take part in their own appraisal and KSF process with a relevant line manager or clinical supervisor

10.Work with team leaders to ensure that policies are adhered to in respect of the recruitment and selection and retention of staff ensuring the equal opportunities policy and practice is adhered to

11.Clearly communicate team and service objectives and providing feedback to staff

12. Implement agreed processes to enable meaningful carer and service user involvement in the planning and delivering of services

13.Robustly manage delegated staffing, equipment and all other budgets within authorisation limits

14.Ensure efficiencies are realised in accordance with organisational objectives15.Monitor expenditure against agreed budgets and ensure information on the service’s

activities is recorded, for contracting and quality monitoring purposes16.Act as an authorised signatory/budget holder and monitor spend within their

delegated services17.Manage the effective use of allocated resources as delegated by the Deputy Locality

Manager18.Manage the budget monitoring and setting process for their services19.Develop and ensure the delivery of the Cost Improvement Plans (CIP) for the

financial year in line with the directorate annual Cost Improvement Plan.

Clinical1. Ensure all staff appropriately manage and support clients with complex health needs,

utilising their own knowledge and advanced skills to assess, plan, implement and initiate changes where required within eligibility criterion

2. have occasional direct contact with clients during the support, development and assessment of staff within their services

3. Act as a resource for Neighbourhood Teams and others involved in provision of

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clinical services through the provision of expert clinical advice 4. Promote holistic assessment and care in all areas to make one contact count5. Ensure clinical practice is delivered in line with evidence base and accordance with

National Standards

Training & Development To participate in regular supervision (clinical or management) in accordance with

good practice guidelines and Trust policy. To participate in the Trust’s annual Appraisal process. To attend all relevant mandatory training as and when required to do so.

Quality & Patient Safety Protection of Children & Vulnerable Adults – To promote and safeguard the welfare

of children, young people and vulnerable adults. Implementation of NICE guidance and other statutory / best practice guidelines. (if

appropriate) Infection Control - To be responsible for the prevention and control of infection. Incident reporting - To report any incidents of harm or near miss in line with the

Trust’s incident reporting policy ensuring appropriate actions are taken to reduce the risk of reoccurrence.

To contribute to the identification, management and reduction of risk in the area of responsibility.

To ensure day to day practice reflects the highest standards of governance, clinical effectiveness, safety and patient experience.

To ensure monitoring of quality and compliance with standards is demonstrable within the service on an ongoing basis.

To be aware of the responsibility of all employees to maintain a safe and healthy environment for patients/ clients, visitors and staff.

General To maintain up to date knowledge of legislation, national and local policies and

issues in relation to both the specific client group and mental health. To comply with the Professional Codes of Conduct and to be aware of changes in

these. To maintain up to date knowledge of all relevant legislation and local policies and procedures implementing this.

To ensure that all duties are carried out to the highest standard and in accordance with currently quality initiatives within the work area.

To comply with all relevant Trust policies, procedures and guidelines, including those relating to Equal Opportunities, Health and Safety and Confidentiality of Information and to be aware of any changes in these.

To comply at all times with the Trust’s Information Governance related policies. Staffs are required to respect the confidentiality of information about staff, patients and Trust business and in particular the confidentiality and security of personal identifiable information in line with the Data Protection Act. All staff are responsible for ensuring that any data created by them is timely, comprehensive, accurate, and fit for the purposes for which it is intended.

Equality & DiversityThe Trust is committed to equality and diversity and works hard to make sure all staff and service users have access to an environment that is open and a free from discrimination.

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As a Trust we value the diversity of our staff and service users, and therefore recognise and appreciate that everyone associated with the Trust is different and so should be treated in ways that are consistent with their needs and preferences.

Therefore all staff are required to be aware of the Trust’s Equality and Diversity Policy and the commitments and responsibilities the Trust has to: Eliminate unlawful discrimination, harassment and victimisation and other conduct

prohibited by the Act. Advance equality of opportunity between people who share a protected characteristic

and those who do not. Foster good relations between people who share a protected characteristic and

those who do not.We firmly believe that it makes good business sense to have a workforce representative of the communities we serve and so encourage applications from all sections of the community.

To be noted: This is not an exhaustive list of duties and responsibilities, and the post holder may be

required to undertake other duties, which fall within the grade of the job, in discussion with the manager.

This job description will be reviewed regularly in the light of changing service requirements and any such changes will be discussed with the post holder.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exemption Order 1975) and as such it will be necessary for a submission for disclosure to be made to the Criminal Records Bureau to check for previous criminal convictions. The Trust is committed to the fair treatment of its staff, potential staff or users in line with its Equal Opportunities Policy and policy statement on the recruitment of ex-offenders.

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Person SpecificationJob Title: Area Nursing Manager

Band: Band 8a




Criteria Essential Desirable

Education / Qualifications

Registered Nurse Extensive experience within

community/integrated services

Educated to degree level or equivalent professional experience within NHS or social care or private sector

Post graduate qualification or equivalent experience

Leadership Qualification or commitment to complete

Leadership Management qualification

Experience in organisational development and change management

Prince or Agile Project management

Lean methodologies

Experience Demonstrate experience in a care setting

Successful management and delivery of a service

Project management experience

Knowledge & Skills

Service improvement skills Excellent communication

skills both verbal and written Well-developed interpersonal

skills and the ability to foster good working relationships with all levels of people

Ability to work autonomously Ability to motive others and

use influencing and negotiating skills

Ability to use management information and demonstrate understanding of

PRINCE 2 qualified

performance information Analytical and judgmental

skills Ability to deal with

implications of not meeting deadlines and imparting unwelcome news to staff, senior management and other stakeholders

Ability to identify and facilitate areas for collaborative working

Excellent IT skills Ability to prioritise and

respond flexibly to frequent changing demands

Demonstrate experience of how to effect cultural and

Behavioural change Demonstrates understanding

of safeguarding issues Appreciates the significance

of safeguarding for all individual children and young people/ vulnerable adults whatever their life circumstances

Can demonstrate an ability to contribute towards a safe environment

Is up-to date with legislation and current events

Can demonstrate how s/he has promoted “best practice”

Has a balanced understanding of self and others

Has a realistic knowledge of personal strengths and areas for development

Can demonstrate flexibility of approach

Aware of the range of emotions in self and others

Demonstrates empathy for the concerns of others

Listens to and understands directly and indirectly expressed feelings

Encourages others to express themselves openly

Manages strong emotions

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and responds constructively to the source of problems

Shows respect for others’ feelings,, views and circumstances

In highly stressful situations keeps own feelings in check, takes constructive action and calms others down

Has a range of mechanisms for dealing with stress, can recognise when to use them and does so

Listens to personal comments without becoming defensive

Accepts responsibility and accountability for own work and can define the responsibilities of others

Recognises the limits ow own authority within the role

Seeks and uses professional support appropriately

Understands the principle

Personal Qualities Positive approach to older people

Recognise people’s right to privacy and dignity, treating every person with respect

Willingness to embrace integrated model and new ways of working.

Willingness to be flexible in approach and attitude

Other Ability to travel across the County sometimes at short notice

Participate in the on call managers rota

The Trust is committed to safeguarding and promoting the welfare of children, young people and vulnerable adults and expects all staff and volunteers to share this commitment. The Trust believes in treating everyone with dignity and respect and encourages applications from all sectors of the community. We guarantee an interview to candidates with disabilities who meet the minimum essential criteria.

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Job Description

Job Title: Area Therapy Manager

Band: Band 8a














Job Purpose This post is a key management role within the integrated area management team

within a defined north or south locality.

The Area Therapy Manager will work collectively with the Area Nursing Manager and the Area Mental Health Manager/OPMH Clinical Manager to ensure the neighbourhood teams or relevant clinical teams within their locality deliver high quality community services for clients.

The post holder will be expected to provide clear leadership and take management responsibility for the effective delivery of the relevant therapy staff within the neighbourhood teams.

The post holder will be also responsible for the day-to-day operational functioning of the therapy staff in their neighbourhood teams and be accountable for their performance. With respect to this, the manager will receive regular constructive supervision from his/her direct line manager.

The post holder will be professionally accountable to the Allied Health Professional

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Lead and work closely with them and the other Area managers to deliver a quality led integrated service.

The post holder will also work to develop and maintain excellent working relationships with their locality’s’ GPs and primary care teams ensuring regular meetings are held and attending engagement events.




Main Tasks, Duties and Responsibilities1. Have overall management responsibility for their respective service including being

accountable for all aspects of performance for their services within the directorate’s Service Line Reporting (SLR) framework

2. Undertake the day-to-day team management for therapy teams providing support and lead on service development in collaboration with team members. This will involve a coordinated service delivery where policy and practice are regularly reviewed and evaluated, in-order to ensure evidence based effective practice

3. Ensure that the arrangements defined within the team’s Operational Policy for accepting, prioritising, dealing with referrals, and planning clients’ discharge are met

4. Ensure that teams are able to provide a responsive and effective service in line with the current service specification for Neighbourhood Teams

5. Represent the activities of the integrated area management team to external bodies, including senior management and commissioning authorities. This will involve attendance at meetings and the submission of reports as and when required

6. Deputise for the Deputy Locality Manager as required7. Undertake planned management supervision aiming to ensure an equitable workload

across their services8. Contribute to the business planning cycle for their locality and services9. Lead on Clinical Governance planning and development for their service and

participate in the wider directorate Clinical Governance structure 10.Ensure that there is an established system for all staff working within the team to

receive formal clinical and managerial supervision. Close liaison with the AHP Lead for the directorate on these issues will be necessary

11.Be responsible for staff recruitment and selection with a view to complementing the service’s skill mix

12.Ensure that training needs for all team members are identified in line with the service provided

13.Monitor and manage all staff sickness, absences and annual leave entitlement;14.Ensure that all new staff receive an induction programme appropriate to the post in

accordance with agreed policy15. Implement risk assessment procedures related to the working environment, tasks

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and client management16.Ensure that staff are aware of their rights and responsibilities under the Health &

Safety at Work Act17.Monitor and respond to all reported accidents or incidents following agreed local

procedures18.Manage staff performance and initiate disciplinary procedures as required

19.Ensure that all local risk assessment and management procedures are implemented


knowledge base2. Ensure the accurate and timely collection and utilisation of team-generated

information3. analyse and provide key performance management data to aid service development

and meet team and service targets4. Ensure that staff have access to appropriate mobile technology’s, and relevant

clinical systems (System One) / Rio) to enable the completion of data, care plans and other key record information



Decisions & Judgements1. Actively promote strong and effective leadership within a care quality structure

that is built on the principles of integration, open engagement and learning2. To play an active part in the Trust AHP Leadership group and ensure the delivery

of therapy services is in line with the trust’s AHP Strategy3. To support AHP Lead in delivery of the Section 75 requirements for Occupational

Therapy and maintain good partnership working with Cambridgeshire County Council. Attend the OT performance meetings with CCC

4. Provide a management style that acknowledges staff contribution and enhances motivation, opportunity and development at all levels

5. Create a culture in which creativity and innovative ideas can flourish and provide a shared vision and inspiration to enable staff to deliver support effectively

6. Ensure their own leadership style facilitates effective communication, collaboration and motivation of staff and partnership working to achieve the effective function of the Neighbourhood Team model

7. Develop partnerships within the health and social care system to promote integrated care based on the principles of population health

8. Develop and maintain strong working relationships with primary care to develop seamless care to the patient group across organisations

9. Ensure that effective performance management structures are in place and that all staff have structured supervision and an annual appraisal with personal development plan

10.Ensure staff are compliant with their statutory and mandatory training and are provided with learning and development opportunities appropriate to their needs, within financial constraints

11.Ensure staffing levels and skill mix fully and effectively meet the needs of the

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services and are within best practice guidelines ensure staff are treated fairly, equally and consistently and within the operational policies and procedures applied in the organisation

12.Ensure services are cost effective and delivered within budget

13.Ensure services meet care quality and performance management standards and are compliant with all regulatory requirements and standards

14.Research & Audit1. Ensure that services are continually monitored, reviewed and adapted to meet

changing service user need and identified commissioning requirements2. Promote new ways of working embracing technology where possible to improve

care, and ensure productivity3. Ensure the delivery of clinical and care quality standards and objectives4. Be responsible for implementing service changes when required, ensuring

effective implementation with measurable outcomes and agreed timescales5. Ensure that systems are in place to monitor stakeholders views of services and

ensure that service users, carers, relevant community organisations and other key stakeholders are involved in and influence key decisions on service development and continuous improvement

6. Participate in the evaluation of the services provided within services and actively promote service development including undertaking relevant audit and research

7. Facilitate the development of clinical guidelines, protocols and patient related policies in partnership with clinicians and other managers within the organisation to promote safe and effective patient care

8. Facilitate evidence based practice, assist in disseminating research findings to support changes in care

9. Take part in research projects as appropriate and support and facilitate other staff who are undertaking research/audit projects

10. In conjunction with team leads, lead in the development of annual audit plans for the locality team

11.To work with Learning and Development team to ensure appropriate provision of, and governance, of student education and return to practice

Communication & Relationships1. Ensure effective communication across all neighbourhood team services and with

internal and external partners and other stakeholders2. Be responsible for ensuring a full and timely response to all complaints and ensure

that lessons from these complaints are disseminated within the service.3. Undertake investigations, write investigation reports and feed back to service, service

users and carers as appropriate4. Develop and sustain relationship management with key stakeholders and partner

agencies, such as GPs, commissioners, local authorities, Acute Trusts, service user and carer groups, voluntary sector organisations

5. Promote the Trust’s services and positively enhance the Trust’s corporate image internally and with external agencies

Managerial & Financial Requirements

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1. Provide line management to services and delegate line management of others within their team structure

2. Ensure all staff are aware of their role and responsibilities3. Ensure all staff (including students, temporary, part time staff and junior members of

the multidisciplinary clinical teams) acquire appropriate skills, experience and knowledge and are supported and supervised to deliver competent and timely patient care

4. Initiate and participate in education and development programmes and clinical supervision for all staff

5. Actively manage staff appraisal/performance, PDP and recruitment processes and all other key HR policies and procedures in line with the Trust guidance

6. Develop and monitor orientation and induction programmes specific and relevant to their clinical area for all new staff

7. Support workforce planning and talent management within their service area.8. Be responsible for all staff undertaking annual mandatory and CPD training9. Maintain their own professional development and meet their requirement to take part

in their own appraisal and KSF process with a relevant line manager or clinical supervisor

10.Work with team leaders to ensure that policies are adhered to in respect of the recruitment and selection and retention of staff ensuring the equal opportunities policy and practice is adhered to

11.clearly communicate team and service objectives and providing feedback to staff12. Implement agreed processes to enable meaningful carer and service user

involvement in the planning and delivering of services13.Robustly manage delegated staffing, equipment and all other budgets within

authorisation limits14.Ensure efficiencies are realised in accordance with organisational objectives15.Monitor expenditure against agreed budgets and ensure information on the service’s

activities is recorded, for contracting and quality monitoring purposes16.Act as an authorised signatory/budget holder and monitor spend within their

delegated services17.Manage the effective use of allocated resources as delegated by the Deputy Locality

Manager18.Manage the budget monitoring and setting process for their services19.Develop and ensure the delivery of the Cost Improvement Plans (CIP) for the

financial year in line with the directorate annual Cost Improvement Plan.

Clinical1. Ensure all staff appropriately manage and support clients with complex health needs,

utilising their own knowledge and advanced skills to assess, plan, implement and initiate changes where required within eligibility criterion

2. The post holder will demonstrate highly specialist knowledge and skills in therapies (OT or PT) and have undertaken appropriate post registration training.

3. have occasional direct contact with clients during the support, development and assessment of staff within their services

4. As a professional lead, to be highly proficient in managing complex referral patterns and processes, matching referrals and resources effectively and managing waiting lists as required

5. Act as a resource for Neighbourhood Teams and others involved in provision of clinical services through the provision of expert clinical advice

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6. Promote holistic assessment and care in all areas to make one contact count7. Ensure clinical practice is delivered in line with evidence base and accordance with

relevant National Standards

Training & Development1. To participate in regular supervision (clinical or management) in accordance with

good practice guidelines and Trust policy.2. To participate in the Trust’s annual Appraisal process. 3. To attend all relevant mandatory training as and when required to do so.

Quality & Patient Safety1. Protection of Children & Vulnerable Adults – To promote and safeguard the welfare

of children, young people and vulnerable adults.2. Implementation of NICE guidance and other statutory / best practice guidelines. (if

appropriate)3. Infection Control - To be responsible for the prevention and control of infection.4. Incident reporting - To report any incidents of harm or near miss in line with the


5. To contribute to the identification, management and reduction of risk in the area of responsibility.

6. To ensure day to day practice reflects the highest standards of governance, clinical effectiveness, safety and patient experience.

7. To ensure monitoring of quality and compliance with standards is demonstrable within the service on an ongoing basis.

8. To be aware of the responsibility of all employees to maintain a safe and healthy environment for patients/ clients, visitors and staff.

General1. To maintain up to date knowledge of legislation, national and local policies and

issues in relation to both the specific client group and mental health. 2. To comply with the Professional Codes of Conduct and to be aware of changes in


3. To ensure that all duties are carried out to the highest standard and in accordance with currently quality initiatives within the work area.

4. To comply with all relevant Trust policies, procedures and guidelines, including those relating to Equal Opportunities, Health and Safety and Confidentiality of Information and to be aware of any changes in these.

5. To comply at all times with the Trust’s Information Governance related policies. Staffs are required to respect the confidentiality of information about staff, patients and Trust business and in particular the confidentiality and security of personal identifiable information in line with the Data Protection Act. All staff are responsible for ensuring that any data created by them is timely, comprehensive, accurate, and fit for the purposes for which it is intended.


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Person SpecificationJob Title: Area Therapy Manager

Band: Band 8a






Registered Allied Health Professional (Occupational Therapist or Physiotherapist)

Extensive experience within community/integrated services

Educated to degree level or equivalent professional experience within NHS or social care or private sector

Post graduate qualification or equivalent experience

Leadership Qualification or commitment to complete

Leadership Management qualification

Experience in organisational development and change management

Prince or Agile Project management

Lean methodologies

Experience Demonstrate experience in a care setting

Successful management and delivery of a service


Knowledge & Skills

Service improvement skills Excellent communication

skills both verbal and written Well-developed interpersonal

skills and the ability to foster good working relationships with all levels of people

Ability to work autonomously Ability to motive others and

use influencing and negotiating skills

Ability to use management information and demonstrate

PRINCE 2 qualified

understanding of performance information

Analytical and judgmental skills

Ability to deal with implications of not meeting deadlines and imparting unwelcome news to staff, senior management and other stakeholders

Ability to identify and facilitate areas for collaborative working

Excellent IT skills Ability to prioritise and

respond flexibly to frequent changing demands

Demonstrate experience of how to effect cultural and

Behavioural change Demonstrates understanding

of safeguarding issues Appreciates the significance

of safeguarding for all individual children and young people/ vulnerable adults whatever their life circumstances

Can demonstrate an ability to contribute towards a safe environment

Is up-to date with legislation and current events

Can demonstrate how s/he has promoted “best practice”




Aware of the range of emotions in self and others

Demonstrates empathy for the concerns of others

Listens to and understands directly and indirectly expressed feelings

Encourages others to

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express themselves openly Manages strong emotions

and responds constructively to the source of problems

Shows respect for others’ feelings, views and circumstances

In highly stressful situations keeps own feelings in check, takes constructive action and calms others down

Has a range of mechanisms for dealing with stress, can recognise when to use them and does so

Listens to personal comments without becoming defensive


Recognises the limits ow own authority within the role


Understands the principle of confidentiality





Other Ability to travel across the County sometimes at short notice

Participate in the on call managers rota


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Job Description

Job Title: Locality Business Support Co-ordinator

Band: 5

Responsible to: Nursing Area Manager


Directorate: Older People’s and Adult Community Directorate











Job PurposeThe post is a fundamental role within the neighbourhood team structure. The role has the main responsibilities of providing full business support to neighbourhood teams within a locality.

The post holder will work closely with Nursing, Therapy and OPMH Mental Health Area Managers to support with business delivery for the Neighbourhood teams.

The post holder will also have delegated authority and responsibility to act independently and to handle and deliver local decisions and actions with regards to the business functions of neighbourhood teams within a defined locality.



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Main Tasks, Duties and Responsibilities1. Support with health roster management for NTs2. Support with recruitment for teams in NTs3. Support with sickness management processes for NT staff4. The co-ordination and management of regular local governance, operational and

performance meetings 5. Support with the co-ordination and completion of clinical audits6. Project support to deliver clinical and service improvement projects such as

winter flu programmes, ambulant care clinics7. Support with preparation of reports on NT performance and the analysis of

performance information8. The monitoring and management of mandatory training compliance for NT staff9. Co-ordination of inductions and new starters in to NTs10.Support with business continuity plans11.Responsibility for dealing with telephone complaints/ enquiries and other

communications with a high degree of tact, diplomacy and confidentiality in line with CPFT procedures and policies.

12.Participate in the contribution to the production of service development proposals for the defined service areas and contribute towards the Directorate and Trust planning processes, including service re-design.

13.Participate in the production of policies and procedures which facilitate the operational and quality effectiveness of service areas

14.Ensure effective communication systems for all NT staff are in place enabling local and corporate information to be shared with all staff within the defined locality and for views to be fed upwards.

15.Orders stock and stationery; authorised signatory for travel arrangements, meeting expenses


knowledge base 2. Ensure the accurate and timely collection and utilisation of team-generated

information 3. Analyse and provide key performance management data to aid service

development and meet team and service targets 4. Ensure that staff have access to appropriate mobile technology’s, and relevant

clinical systems (System 1 (S1) / Rio) to enable the completion of data, care plans and other key record information




good practice guidelines and Trust policy.

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2. To participate in the Trust’s annual Appraisal process. 3. To attend all relevant mandatory training as and when required to do so.

Quality & Patient Safety1. Protection of Children & Vulnerable Adults – To promote and safeguard the

welfare of children, young people and vulnerable adults.2. Implementation of NICE guidance and other statutory / best practice guidelines.

(if appropriate)3. Infection Control - To be responsible for the prevention and control of infection.4. Incident reporting - To report any incidents of harm or near miss in line with the












Equality & DiversityThe Trust is committed to equality and diversity and works hard to make sure all staff and service users have access to an environment that is open and a free from discrimination. As a Trust we value the diversity of our staff and service users, and therefore recognise and appreciate that everyone associated with the Trust is different and so should be treated in ways that are consistent with their needs and preferences.



and those who do not.

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Foster good relations between people who share a protected characteristic and those who do not.

We firmly believe that it makes good business sense to have a workforce representative of the communities we serve and so encourage applications from all sections of the community.





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Person SpecificationJob Title: Locality Business Support Co-ordinator

Band: 5





English and Maths to GCSE level or equivalent

Educated to degree level or ability to demonstrate ability at this level

Relevant clinical qualification

Experience Experience in a similar role working for Senior Management/Team Leader level.

Experience supporting an operational service with business functions

Knowledge of administrative procedures, range of computerised software, own directorate specialised terminology and managerial knowledge

Experience of initiating and seeing through to completion tasks or work streams within health care

Experience of working effectively with colleagues across partner organisations

Experience of S1 and databases

Experience of working with patients with varying and/or complex needs and their families

Experience of working with GP practices or health teams

Experience of either working within or the commissioning of services

Customer care course/ experience

Experience of working in services for older people and people with complex needs

Experience of health systems including SystmOne and EMIS


Knowledge & Ability to work with a high Understanding of NHS

Skills degree of autonomy and flexibility

Self-motivated and able to work on own initiative with the ability and confidence to make decisions.

Confident nature with a proactive and constructive approach to problem solving

Well-developed organisational and planning skills

Ability to prioritise and respond flexibly to frequent changing demands

Exceptional communication skills, with the ability to convey sensitive information

Ability to assimilate and manage appropriately complex information

Proven team working skills Experience liaising with a

range of staff from different professions and organisations

Ability to resolve conflict and remain calm under pressure.

Ability to foster good working relationships, to facilitate collaborative working

Well-developed inter-personal skills

Negotiation skills (persuading people to do things)

Proven ability to create reports and maintain project information systems

Demonstrable numerical skills

Excellent IT skills (including Word, Excel, PowerPoint, knowledge of databases)

Advanced knowledge of Word Processing, Spreadsheets and Presentation packages

Data preparation and manipulation skills (Excel)

Experience of taking minutes and drawing up action points and project managing the

Information Systems Knowledge of health

commissioning

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completion of these. Demonstrates understanding

of safeguarding issues Accepts responsibility and

accountability for own work and can define the responsibilities of others

Recognises the limits of own authority within the role


Understands the principles of confidentiality




Personal Qualities Positive approach to people with complex health needs

Positive approach to working within teams

Positive approach to working with multi-agency partners




Other Ability to travel independently in the community


Job Description

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Job Title: Patient Flow Co-ordinator

Band: 4





behaviour

Professionalism We will maintain the highest standards and develop ourselves and others








Job PurposeThe Patient Flow Co-ordinator is a fundamental role within the neighbourhood team structure. It is responsible for the co-ordination and tracking of complex patients on neighbourhood team caseloads across health and social care teams such as acute hospitals, GP surgeries, social services, voluntary organisations and other CPFT services.

This role will co-ordinate clinical meetings, and liaise with teams, services, wards and GP practices to facilitate the provision of safe, timely, joined up care and services delivered by neighbourhood teams. Patient flow co-ordinators are key in supporting neighbourhood teams to prevent hospital admissions and ensure safe hospital discharges.

The role requires significant understanding of complex community patient pathways, and analytical and judgement skills regarding patients’ clinical information and their treatment plans to ensure that neighbourhood team services are delivered in a timely and efficient

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manner.

Day to day operational management support will be provided to the patient flow co-ordinator by the Locality Business Support Co-ordinator, with the Area Nurse Manager in the relevant locality providing leadership and support regarding daily, weekly and monthly tasks and priorities.


Staffed by community nursing, therapy and mental health clinicians, neighbourhood teams provide integrated care for populations of 30,000- 50,000 based around GP registered lists. Neighbourhood teams proactively care for those with long-term conditions, the dying, care home residents, and mental health service users’ conditions where care can be provided at home. 

Main Tasks, Duties and Responsibilities

1. Coordinate and manage the patient flow co-ordination of functions for Neighbourhood Teams and associated Therapy and Mental Health Teams. This will include management of patient flow through SystmOne (S1).

2. Liaise with patient to gain consent and then ongoing liaison and all professionals involved in the patient’s care as listed above

3. Take responsibility for tracking patients who are on their Neighbourhood Team caseload and ensure NT staff are aware of any hospital admissions and their progress through the pathway.

4. Close and regular liaison with patient’s GP practices to ensure that practices are up to date with each patient’s current health status, acting as a conduit for two way communication and updates regarding specific patients known to GP practices and community health services including neighbourhood teams, specialist services, urgent care services and community hospitals

5. Liaise with Community Intermediate Care Services and other community based services to support timely hospital discharges including ensuring any follow up appointments have been booked and transportation is arranged

6. To build and maintain relationships with GP practices, Community Therapy, Mental Health Teams and Community Specialist Services, Adult Social Care and third sector providers to ensure timely transfer of information between the teams.

7. To develop and sustain effective communication with wards at Addenbrookes, Hinchingbrooke, Peterborough and Queen Elizabeth Hospitals to feedback the outcomes of individual patient referrals including interventions carried out and details of any ongoing support that may be required including when active MDT patients are admitted into the hospital and ensuring that vital information regarding current

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community service provision is shared.

8. To deal in a professional, helpful and sensitive manner with service users, staff and other agencies by telephone or face to face, taking messages, advising patients about visits, referring other issues as appropriate and answering routine enquiries

9. To complete administrative tasks related to facilitating patient flow across neighbourhood team pathways as instructed. This may including taking minutes at MDT meetings, and other patient focused meetings, photocopying, faxing, dealing with other forms as required to support the timely delivery of clinical services to patients.

10.To extract caseload information from various clinical systems, and undertake analysis of information for audit, performance management and capacity purposes, including data entry, retrievals, manipulation and reporting formatting & to feed back to team members.

11.To be responsible for maintaining a service directory and updating on a regular basis; sourcing referral criteria, understanding how services are accessed, ensuring information is available to all members of the wider teams

12.Allocation of urgent same day response to appropriate available Service. Allocation of visits to clinician’s rota’s based on triage and wait times. Rearrange appointments when required e.g. if urgent appointment is booked reschedule of other appointments to another day or clinician

13.Completion of the Delayed Transfers of Care (DToC) spreadsheet each week and monthly statistical provision for informatics as requested

14.Supporting lead nursing, therapy and mental health clinicians in weekly monitoring of patient flow from assessment beds, producing data figures as requested in relation to key performance indicators (KPI’s), as well as directly inputting and providing assistance to clinicians to input into patient’s case management summaries, using agreed templates

15.Managing a system of daily reviewing of the ‘urgent care dashboard’ and discharge planning screen and initiating actions/tasks and referrals to the relevant teams/professionals as appropriate, inputting the data and actions onto the information management system to update patient records.

16.Working closely with Advanced Clinical Nurse Practitioners (ACNPs), the post will support all clinical staff including therapy and mental health staff in neighbourhood teams to ensure that care and support for each patient is driven by clear goals and is time limited based on the level of intervention.

17.Ensure the agreed care plan records are developed, reviewed, discussed at clinical meetings when appropriate and updated at agreed intervals, and ensuring that all management plans are carried out and are co-ordinated to ensure that outputs are not delayed

18.Arranging MDT meetings and agreeing with neighbourhood team nursing, therapy and mental health staff, Social, Primary and Voluntary Care Sector partners a

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timetable of regular MDT meetings and attendees

19.Agreeing with neighbourhood team staff, social, primary and voluntary care sector partners which patients who will be discussed using local knowledge, information on recent crisis or events, including A&E attendances and admissions identified through the Urgent Care dashboard and when available a risk stratification tool. Some patients discussed will be those currently or recently admitted to hospital, and those for whom there has been urgent and admission avoidance MDT work.

20.Attending all NT MDT meetings, ensuring the meetings are focussed on the agreed patients, maintaining a record of all agreed actions and decisions & ensuring the patient’s management plan and case management summary is updated after each meeting

21.To support the Annual Flu Vaccination Plan

22.To support the information governance procedures for each neighbourhood team - undertaking work of a confidential nature which must be carried out with maximum discretion and diplomacy.

23.Observe and maintain strict confidentiality with regards to any patient/family/staff/records and information in line with the requirements of the Data Protection Act and CPFT policy

24.The post holder must adhere to the Trust risk assessment and risk management processes

25.The post holder must adhere to infection control policies and procedures

26.Undertake mandatory training and any other training relevant to the role as required by CPFT.

27.The post holder will participate in clinical and other audits as required

28.Provide patients and their families /carers with information on standards they should expect from the team

29.The post holder is required to participate in relevant emergency preparedness process for their team.

Equipment & Systems

1. Ensure that their service develops appropriate advance technological skills and knowledge base

2. Ensure the accurate and timely collection and utilisation of team-generated information

3. Analyse and provide key performance management data to aid service development and meet team and service targets

4. Ensure that staff have access to appropriate mobile technology’s, and relevant clinical systems (System 1 (S1) / Rio) to enable the completion of data, care plans and other key record information

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Research & Audit

1. To contribute to reviews and audit of case management system.

2. To collate agreed data reports

Communication & Relationships

1. Maintaining own professional development and requirement to take part in appraisal and supervision process


good practice guidelines and Trust policy.

2. To participate in the Trust’s annual Appraisal process.

3. To attend all relevant mandatory training as and when required to do so.


of children, young people and vulnerable adults.

2. Implementation of NICE guidance and other statutory / best practice guidelines. (if appropriate)

3. Infection Control - To be responsible for the prevention and control of infection.

4. Incident reporting - To report any incidents of harm or near miss in line with the Trust’s incident reporting policy ensuring appropriate actions are taken to reduce the risk of reoccurrence.




8. To be aware of the responsibility of all employees to maintain a safe and healthy

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environment for patients/ clients, visitors and staff.


issues in relation to both the specific client group and mental health.

2. To comply with the Professional Codes of Conduct and to be aware of changes in these. To maintain up to date knowledge of all relevant legislation and local policies and procedures implementing this.






Therefore all staff are required to be aware of the Trust’s Equality and Diversity Policy and the commitments and responsibilities the Trust has to:

Eliminate unlawful discrimination, harassment and victimisation and other conduct prohibited by the Act.

Advance equality of opportunity between people who share a protected characteristic and those who do not.

Foster good relations between people who share a protected characteristic and those who do not.

We firmly believe that it makes good business sense to have a workforce representative of the communities we serve and so encourage applications from all sections of the

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community.





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Person Specification

Job Title: Patient Flow Co-ordinator

Band: 4






English and Maths to NVQ Level 3, Diploma or equivalent

Relevant clinical qualification

Educated to degree level or ability to demonstrate ability at this level

Experience Experience of working with GP practices or health teams

Extensive experience at a senior administrative level

Experience of initiating and seeing through to completion tasks or work streams within health care

Experience of working effectively with colleagues across partner organisations

Experience of S1 and databases

Experience of working with patients with varying and/or complex needs and their families

Experience of either working within or the commissioning of services

Customer care course/ experience

Experience of working in services for older people and people with complex needs

Experience of health systems including SystmOne and EMIS


Knowledge & Skills

Able to demonstrate commitment to high quality care and service provision

Understanding of NHS Information Systems

Ability to work with a high degree of autonomy and flexibility

Self-motivated and able to work on own initiative with the ability and confidence to make decisions.

Confident nature with a proactive and constructive approach to problem solving

Well-developed organisational and planning skills

Ability to prioritise and respond flexibly to frequent changing demands

Exceptional communication skills, with the ability to convey sensitive information

Ability to assimilate and manage appropriately complex information

Proven team working skills

Experience liaising with a range of staff from different professions and organisations

Ability to resolve conflict and remain calm under pressure.

Ability to foster good working relationships, to facilitate collaborative working

Well-developed inter-personal skills

Negotiation skills (persuading people to do things)

Proven ability to create reports and maintain project information systems

Demonstrable numerical

Knowledge of health commissioning

skills

Excellent IT skills (including Word, Excel, PowerPoint, knowledge of databases)

Advanced knowledge of Word Processing, Spreadsheets and Presentation packages

Data preparation and manipulation skills (Excel)

Experience of taking minutes and drawing up action points and project managing the completion of these.

Demonstrates understanding of safeguarding issues


Recognises the limits of own authority within the role


Understands the principles of confidentiality








Other Ability to travel independently in the community


Job Description

Job Title: Advanced Community Nurse Practitioner

Band: 7

Responsible to: Area Nursing Manager


Directorate: Older People and Adult Community











Job PurposeTo work autonomously taking overall responsibility for nursing care, quality and clinical activity within the Neighbourhood Teams by providing advanced professional nursing leadership and guidance, clinical advice and management in relation to the key dimensions of health care quality: To educate, develop and clinically lead nursing staff within the NT to deliver

community nursing interventions and to support the care of patients with complex needs.

Patient safety The effectiveness of all health care interventions Patient experience The environment in which care is delivered To ensure the delivery of a clinically effective service which meets the needs of

individuals, families and communities in line with local and national development plans, Trust policies and procedures.

To provide the highest standard of clinical nursing care by using advanced assessment and diagnostic reasoning skills along with expert knowledge and critical understanding. Holistically assess patient’s needs and instigate and provide clinical treatments based on evidence based practice.

Be responsible for teaching and developing staff to enhance their practice and skills to manage capacity, caseloads and patient complexity.

Be advisory and supervisory role models; oversee community nursing caseloads and safer staffing.

To work with our local GP’s and Partner Agencies to provide care approach to a defined high risk patient group with complex long term conditions with the aim of preventing hospital admissions/ readmissions and facilitating timely discharge.

To take the lead in collaboration with other disciplines and agencies to facilitate inter-professional/ agency working with the aim of supporting people to maximise their health and well-being in the community.

Clinically lead and support the team to recognise, prioritise and respond appropriately to urgent and emergency situations including the assessment and management of risk.

Key Responsibilities

Clinical / Service Specific1. As an autonomous practitioner, working as an integral member of the community

nursing service the post holder will be expected to take a lead role in the advanced clinical assessment, diagnosis, management and treatment of patients who require case management in a community setting

2. To use advanced nursing, clinical, diagnostic and prescribing skills, to carry out a thorough holistic assessment, including a systematic physical examination, to develop a patient centred comprehensive care plan.

3. To initiate and provide advanced clinical/therapeutic care treatments, in partnership with other providers, based on best possible evidence that will improve health outcomes

4. To use advanced clinical skills and expert knowledge to proactively identify subtle changes in the patient’s condition as early as possible and to manage these in a manner that optimize well-being.

5. To be responsible for teaching and developing staff to enhance their clinical practice to manage capacity and patient complexity.

6. To investigate serious incidences and ensure learning from these incidences is embedded within the team.

7. To work closely with other members of the team, provider services, health and social care partners and GP to ensure that individuals are enabled to live at home with dignity and independence and empower them to reach and maintain their optimum function

8. To actively promote self-management which enables the patient to proactively manage their long term condition and know how to confidently manage or respond to any expected exacerbation or deterioration in their condition.

9. To work collaboratively with the patient and or family/career in the use of technology including tele-technology in the management of their condition.

10.Actively participate in regular clinical supervision as supervisor and supervisee11.Provide training to support the development of less experienced staff.12.Maintain clinical and professional competence by portfolio evidence that shows

an up to date knowledge of nursing, therapy, health, social and integrated working care trends and policy.

13.Provide advice and support to patients with regard to healthy lifestyles, health promotion, and well-being and disease prevention.

14.Recognise and report environmental health problems affecting patients and provide health protection interventions that promote health and safe environments for patients and staff.

15.To identify learning and development needs within the Neighbourhood Teams and to participate in the creation and delivery of educational programmers to manage patients within the community setting. Development of workforce – utilising clinical expertise and knowledge.

16.To critically evaluate nursing practice and identify areas of improvement and Lessons Learnt, taking responsibility for supporting staff to identify innovative

quality improvement ideas and developing these to effectively improve practice.17.Management to create an environment for successful change and practice

development To apply the theoretical perspectives of change18.Understand the complexity of multi-agency environments, the need for

interdependency decision making and support staff to feel confident and competent in moving across agency and professional boundaries.

19.Be able to lead on aspects of quality assurance, audit and develop nurse indicators, utilise data to improve patient outcomes and safety, demonstrate an outcomes based approach to practice.

20.Be leads for the consistent and equitable approach of sharing of clinical updates, supporting staff with any change in processes to ensure these are transferred into practice and enabling continuous professional development of self and others through the development of Professional Development Groups

21.Work in partnership and collaboratively with primary care, all disciplines within the neighbourhood teams and professional leads.

22.Be responsible for clinical supervision for band 6 nurses, embedding a reflective, continuous learning culture driving highly quality, safe, effective practice.

23.Ensuring the learning environment is conducive for students; provide mentoring and coaching to staff, Post Graduate Students and pre-registration nursing students.

Research & Service Evaluation1. To participate in and lead on clinical and organisational audit activities related to the

service.2. To critically evaluate and interpret evidence based research findings from diverse

sources making informed judgements about their implications for developing or re-designing services and clinical practice.

3. To continually evaluate the quality and effectiveness of the practice of self and others.

4. To evaluate outcomes for patients in collaboration with other health and social care colleagues.

5. To contribute to the wider development of practice through networking locally and nationally; presenting and publishing.

6. To participate in appropriate research projects and service evaluations.7. Include informal and formal clinical or non-clinical research and development (R & D)

activities

Information Technology1. Maintain confidentiality in accordance with the data protection act.2. Ensure that accurate and timely patient records are kept which comply with trust

policy and NMC guidance, reporting on any issues as appropriate3. Ensure all patient care is documented in the primary care patient record e.g. System

One

Financial Responsibility1. Responsible and accountable for the effective and efficient use of clinical, physical

and financial resources.

Human Resources1. Clinical supervision / co-ordination of all nursing staff2. To adhere to all trust policies and procedures. Participate in development and

reviewing of clinical polices as required.

Training & Development1. To participate in regular supervision in accordance with good practice guidelines and

Trust policy.2. To participate in the Trust’s annual Appraisal process. 3. To attend all relevant mandatory training as and when required to do so.


of children, young people and vulnerable adults.2. Implementation of NICE guidance and other statutory / best practice guidelines. (if

appropriate)3. Infection Control - To be responsible for the prevention and control of infection.4. Incident reporting - To report any incidents of harm or near miss in line with the






















Person Specification

Job Title: Advanced Community Nurse Practitioner

Band: 7

Responsible to: Area Nursing Manager




RGN Level1 Educated to degree level or

equivalent experience Post registration

qualification relevant to community practice

Evidence of professional development

Advanced clinical assessment qualification or willingness to undertake within 12 months of commencement in post

Non-medical prescriber or willingness to undertake within 12 months of commencement in post

Leadership qualification

Mentorship qualification

Willingness to undertake MSc level study

Teaching qualification

Experience Significant Post Qualification Experience in Community Nursing

Experience of mentoring/teaching both pre and post registration nurses

Experience of managing both complex patients and those with long term conditions

Working autonomously Advanced clinical

assessment diagnosis and treatment of patients

Experience of promoting self-management,

independent living and use of assistive technology.

Skills & Abilities Commitment to deliver high quality care and service provision

Ability to work flexibly as part of a team

Demonstrate effective communication and inter-personal skills at all levels

Demonstrate initiative and ability to work independently, is able to problem solve and prioritise own and others work

Has the ability to plan and organise the team effectively

Ability to motivate self and others

Ability to adapt leadership style to ensure effective engagement of staff to deliver quality outcomes for the patient.

Knowledge & Understanding

Ensure the use of evidence based practice and translate this for use within the clinical team environment

Understand current developments within the NHS and how this impacts on leadership style ensuring quality care delivery for service users

Physical Requirements

A valid driving license Satisfactory DBS Good attendance record Ability to move and

manoeuvre people and equipment

Kneel, bend and stoop in cramped environments

Other Positive approach to older

people Recognise people’s right to

privacy and dignity, treating every person with respect


version - Way Forward Paper... · Web viewThe directorate is committed to strengthening the unplanned care offer to provide rapid community response and support admission avoidance

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