- Provide clinical expertise for CHC Appeals, and retrospective reviews.
- Ensure the National Framework and local processes have been robustly applied within the dispute and retrospective review process, with evidence to support CHC eligibility recommendations and decision making.
- Co-ordinate and Chair both local resolution and retrospective claim meetings and provide the expert clinical CHC advice at the meetings where patients/families have disputed decisions or requested back dated reviews of eligibility.
- Attend regular clinical supervision with Line manager.
- Line manage and support clinicians and administrators working in the appeal/retrospective team.
- Support Line manager in representing Lancashire and South Cumbria Integrated Care Board (ICB) at local and regional meetings about CHC appeals or retrospective claims.
- Attend (to present and defend) CHC cases at NHS England's 'Independent Review Panels' on behalf of the ICB.
- Support Line Manager to review CHC appeals and retrospective review processes to identify any opportunities to improve pathways as appropriate to enhance quality and effectiveness.
- Adhere to and uphold the ICB's vision and values.
- Observe the provisions of and adhere to all ICB policies and procedures.
- Complete ICB Statutory and Mandatory training as required and any other training courses relevant to the post.
- Abide by the ICB's commitment that all staff will be treated with respect by management, colleagues, patients and visitors and equally staff will treat management, colleagues, patients and visitors with the same level of respect. Staff will be supported to challenge any discriminatory behaviour that may be based on differences in race, disability, language, culture, religion, sexuality, age, and gender or employment status.
- Adhere to relevant Code of Practice of Professional body (if appropriate).
- The post holder must be flexible in the duties performed and it is expected that similar duties, not specifically listed above, will be carried out as required and may be cross site. Job description
- Provide clinical expertise for CHC Appeals, and retrospective reviews;
- Ensure the National Framework process has been robustly applied within the dispute and retrospective review process, with evidence to support CHC eligibility recommendations and decision making;
- Co-ordinate and Chair both local resolution and retrospective claim meetings and provide the expert clinical CHC advice at the meetings where patients/families have disputed decisions or requested back dated reviews of eligibility;
- Attend regular clinical supervision with Line manager.
- Bring to the attention of Line manager any issues in regard to the activity and volume of assessment requests in order to safely manage workload;
- Work to timescales in line with National Framework guidance in respect of CHC disputes;
- Support Line manager in representing Lancashire and South Cumbria Integrated Care Board (ICB) at local and regional meetings about CHC appeals or retrospective claims;
- Attend with Line manager to present and defend CHC cases at NHS England's 'Independent Review Panels' on behalf of the ICB
- Support Line Manager to review CHC appeals and retrospective review processes to identify any opportunities to improve pathways as appropriate to enhance quality and effectiveness;
- Meet with patients/representatives in potentially highly contentious situations and provide responses to complex CHC disputes.
- Be expected to engage with patients and public in a meaningful way in relation to CHC appeals and retrospective reviews.
- Ensure patient/families/representatives are supported and aware of the appeal process followed by the ICB in relation to CHC
- Provide timely relevant correspondence to patients/families/representatives ensuring they are kept informed of developments.
- Work in partnership with the Finance Department to ensure any payment is calculated, interest is applied (if appropriate) and processed in line with ICB policies.
- Support Line Manager in ensuring the relevant documentation. including Health and Social care records are provided in a timely manner to NHS England as part of the independent review panel appeal process.
- Attend Personal Development Review as requested by Line manage. Person Specification
- Educated to degree level in relevant subject or equivalent level of experience of working at a similar level in a specialist area
- A good understanding of the health and social care environment and roles and responsibilities within it
- Ability to analyse and interpret information, pre-empt and evaluate issues and recommend appropriate course of action to address the issue
- Ability to engender trust and confidence and demonstrate integrity in the provision of advice and support
-
NHS Lancashire and South Cumbria Integrated Care Board Preston, United KingdomThe post holder will have a lead role with respect to NHS Continuing Healthcare (CHC) appeals and retrospective reviews. The role will involve the review of relevant health and social care records, coordination of meetings with families/solicitors and the completion of eligibilit ...
-
NHS Lancashire and South Cumbria Integrated Care Board Preston, United KingdomPrevious applicants within the last 9 months need not apply. · The post holder will have a lead and managerial role with respect to NHS Continuing Healthcare (CHC) appeals and retrospective reviews. The role will involve scrutinising and analysing the appropriate health and socia ...
-
NHS Lancashire and South Cumbria Integrated Care Board Preston, United KingdomThe post holder will have a lead and managerial role with respect to NHS Continuing Healthcare (CHC) appeals and retrospective reviews. The role will involve scrutinising and analysing the appropriate health and social care information, meeting with representatives to attempt to ...
-
Town Planner
6 days ago
Wignalls Chartered Surveyors Preston, United KingdomPlanning appraisals · - Appointing and managing consultant teams · - Advising on and submitting appeals (all types) · **Experience** · **Our Team** · **Salary**: £27,000.00-£50,000.00 per year · **Benefits**: · - Company car · - Company events · - Company pension · - Discounted o ...
-
Principal Chartered Surveyor
2 days ago
HS Consultancy Group Preston, United KingdomHS Consultancy Group is a RICS Registered and regulated firm with over 20 years' Experience in the Commercial Valuation Industry. We are the only ratings agent in the country that issue full RICS Valuation reports to their clients, At HS Consultancy Group our team strive to help ...
-
Accounts Assistant
1 week ago
Simpson Judge Preston, United KingdomMy existing client has come to Simpson Judge to replace a team member in accounts. Systems they can be different to theirs, they will mentor you, but applicants do need experience doing the work that's more important to them They are a growing team and have five plus heads in the ...
-
Commercial Gas Engineer
1 week ago
Huntech Ltd Preston, United Kingdom**Location**: Lancashire · **Brief Overview** · **About the Client**: · A leading heating and plumbing company is recruiting several Commercial Gas Engineers to work on existing London-based contracts. · **About the Role** · - Service and repair various boilers and associated con ...
-
Domestic Gas Engineer
1 week ago
Huntech Ltd Preston, United Kingdom**Location**: Lancashire · **Brief Overview** · We are on the lookout for a well-experienced Domestic Gas Engineer. · **About our client** · Our client is a well-established player within the commercial & domestic gas sector. They provide their customers with a 1 stop solution fo ...
-
Engineer - Air Conditioning
1 week ago
Huntech Ltd Preston, United Kingdom**Air Conditioning Engineer** · **Location**: Lancashire · **Brief Overview** · We are urgently seeking an Air Conditioning Engineer for a permanent position. · **About our client** · Over 20 years of experience in the installation and maintenance of air condition engineering sol ...
-
Engineer - Refrigeration
1 week ago
Huntech Ltd Preston, United Kingdom**Location**: Lancashire · **Brief Overview** · Looking for an experienced refrigeration engineer with good knowledge of fault finding, installation, and maintenance. · **About the Client**: · Our client is one of the leading independent service providers of Installation, Servici ...
-
Lifts Engineer
1 week ago
Huntech Ltd Preston, United Kingdom**Location**: Lancashire · **Brief Overview** · This is a fantastic opportunity for a skilled and experienced Lift Engineer to work on both commercial and domestic properties throughout the nation. · **About our client** · Market leader in the Lift industry providing all manner o ...
-
Business Support Officer(Housing)
1 week ago
Lancashire County Council Preston, United KingdomSalary £25,979 - £29,777 Per annum | Full time | Fixed Term 31/05/2025 | 37 hours per week | Preston | · **Asset Management Service** · **12-month Temporary Position/Secondment Opportunity · **We are currently recruiting: ancashire County Council** · Here at Lancashire County Cou ...
-
Tik Tok Platform Live Shopping Host
1 week ago
Wardrobe Boutique Preston, United KingdomWe're looking for a talented TikTok Content Creator to join our team. As a TikTok expert, you'll create engaging videos showcasing our colourful and unique clothing collections, styling tips, and lifestyle inspiration. · Working Wednesdays, Thursdays & Fridays 6.30pm pm and Sunda ...
-
Air Conditioning Engineer
1 week ago
Huntech Ltd Preston, United Kingdom**Location**: Lancashire · **Brief Overview** · We are urgently seeking an Air Conditioning Engineer for a permanent position. · **About our client** · Over 20 years of experience in the installation and maintenance of air condition engineering solutions. Dealing with Domestic an ...
-
Senior Town Planner
1 day ago
Penguin Recruitment Ltd Preston, United Kingdom**Town Planner | Senior Town Planner** · Penguin Recruitment is delighted to present a fantastic opportunity for an ambitious and proactive planner to join a vibrant consultancy in Preston · **_Duties of the role will include _** · - Working across the team's diverse project base ...
-
Clinical Applications Trainer
3 days ago
Lancashire Teaching Hospitals NHS Foundation Trust Preston, United KingdomSome people are just born with a natural ability to educate and provide essential training support, and we are trying to find you. With your caring and compassionate style and approach, you'll ensure that staff feel respected and valued. Indeed, that is at the heart of what our t ...
-
Welder (Skid Team)
3 hours ago
Anord Mardix Preston, United KingdomAnord Mardix are a global group that manufactures switchgear and associated products for installation in mission-critical and live commercial buildings ranging from data centres to the international headquarters of some of the world's largest companies. · Due to continued expansi ...
-
Welder (Skid Team)
3 hours ago
Anord Mardix Preston, United KingdomAnord Mardix are a global group that manufactures switchgear and associated products for installation in mission-critical and live commercial buildings ranging from data centres to the international headquarters of some of the world's largest companies. · Due to continued expansi ...
-
Catering Equipment Engineer
1 week ago
Huntech Ltd Preston, United Kingdom**Location: Lancashire** · **Brief Overview** · This is a fantastic opportunity for a skilled and experienced catering Equipment Engineer to work both commercial and domestic properties throughout the UK. · **About our client** · Our client is a well-established and national play ...
-
Senior Sales Assistant
3 hours ago
Heron Foods Preston, United Kingdom Part time**Exciting Senior Sales Assistant (Part Time) Role at Heron Foods** · - Ribbleton, Preston, PR2 6HN · - Up to £10.42/hr (enhanced to £11 when on management duties) · - 16 hours weekly · - And a plethora of enticing benefits · **Why Be a Part of Heron Foods?** · - Over 325 stores ...
Clinical Case Reviewer/Assessor, NHS CHC Appeals Team - Preston, United Kingdom - NHS Lancashire and South Cumbria Integrated Care Board (125)
&v=024){kind=logo}
Description
Job summary
The post holder will have a lead role with respect to NHS Continuing Healthcare (CHC) appeals and retrospective reviews. The role will involve the review of relevant health and social care records, coordination of meetings with families/solicitors and the completion of eligibility reviews that includes outcome letters/reports.
Previously unsuccessful applicants should not apply.
Main duties of the job
About us
Job responsibilities
Experience
Essential
Knowledge
Essential
Analytical skills
Essential
Management skills
Essential
