All-Age Complex and Continuing Care are a team of clinical, business, commissioning specialists who provide continuing healthcare (CHC) children and young people’s continuing care (CYPCC) and complex care commissioning to individuals across the Thames Valley footprint.
Our operating model has three main areas of activity,
Neighbourhood teams work alongside health and social care partners within the community assessing, reviewing and case managing care for adults and children within Oxford, Buckinghamshire or Berkshire, working directly with individuals and families.
Central services teams act as the front door and end to end service delivery, managing referrals into the service, business, administration and invoicing functions. Working closely with individuals and their families.
Commissioning Contracting and Brokerage team work closely with care providers and social care to commission individualised care for individuals.
As a AACC Practitioner, the role includes delivery of a variety of functions across the AACC service, as part of a neighborhood team or within the central service delivery team including: -
- Clinical Duty including NHS Continuing Healthcare Fast Track Pathway
- Assessments
- Reviews
- Care Planning/Clinical Commissioning
- Case management
- Appeals
- Retrospective Reviews (Previously Unassessed Periods of Care)
The Practitioner will work across other areas of AACC, including audit, appeals, retrospective assessments, complaints, assessment verification, and many more. You will be supported to develop the necessary skills and experience to work across the whole pathway, safely, confidently, and effectively.
The role will require travel on occasions, to carry out assessments and reviews across. Access to transport is therefore necessary, be it personal or public.
Please note it is proposed that this post will be in scope to transfer to Frimley Health NHS Foundation Trust (FHFT) on the 1 September 2026. If you are appointed prior to 1 September 2026, you will join Thames Valley ICB initially, but it is proposed that your employment will then transfer to FHFT in accordance with TUPE/ CoSOP regulations. If your start date is on or after the 1 September 2026 it is planned that you will be employed directly by FHFT from commencement.
Work as part of the AACC Team, ensuring a high-quality end-to-end service is delivered, supporting and mentoring staff to achieve continuous improvement.
Managing enquiries or referrals received from patients, members of the public and other professionals
Facilitating, contributing, and undertaking CHC assessments and reviews in line with standard operating procedures.
Monitor quality assurance of care delivery, ensuring that all care is personalised and assist with resolution of complaints, appeals and disputes.
Provide highly specialist expert clinical advice, information and support on Continuing Healthcare to Professionals, Patients and their families
Supporting individuals eligible CHC and contributing to performance improvement, taking a lead for identified areas where agreed.
To participate in audit process as required.
To provide support in developing inter-agency and local partnership working to ensure high standards of patient care. Maintaining up-to date knowledge of legislation
Providing relevant and timely specialist advice and guidance on functional and information matters relating to the service.
Fostering transparency and a person-centred approach with patients, families and representative
Ensure the principles and duties of safeguarding are holistically, consistently applied. Attend safeguarding meetings with the Local Authority as required. To have an awareness and understanding of the Mental Capacity Act and Deprivation of liberty safeguards.
Contribute to maintenance and monitoring of service standards around quality
Comply with NHS and Professional Codes of Conduct and Standard Business Conduct and/or NHS Trust Standards of Business Conduct policies.
To comply with ICB policies and procedures.
The post holder will be responsible for ensuring their mandatory training and registration is up to date.
Analytical
Undertake complex and detailed information analysis of specific projects/reports requiring high levels of concentration.
Update, maintain, organise, gather and analyse information to predict/meet future organisational and team needs by identifying best professional practice.
Monitor and tracking risks and issues tracking mechanism and its proactive resolution and escalation processes.
Contribute to the information management of performance, taking a lead for specific projects.
Provide coordination of and participate in relevant meetings, reporting attendance and providing information advice and support as requested.
Ensure that data collected is analysed, reported by the team as appropriate and monitor the processing of data and information.
Communication
Provide relevant and timely specialist advice and guidance on functional and information matters.
Work with members of the team and key stakeholders to investigate the causes of any variance from plan/delivery targets and contribute to the implementation of solutions.
Financial and Physical Resources
Deliver against organisational objectives, achieving quality outcomes, prioritising own workload and working to tight deadlines.
Support and inform teams on the targeting of resources, monitoring, implementing, evaluating and delivery of plans by providing sophisticated, high-quality information and analysis.
Continually strive for delivering project/function outcomes, value for money and greater efficiency.
Contribute to the financial delivery of the service ensuring it is cost effective and delivered on time.
Contribute to commissioning of goods and services.
Management
Provide specialist training, advice and support on own role/responsibilities where necessary
Supervises team as required.
Participate in the recruitment, induction and training of colleagues.
Information Management
Operate within and provide enhancements to current management information, reporting to enhance decision making processes.
Update, maintain, organise, gather and analyse information to predict/meet future organisational and team needs by identifying best professional practice.
Carry out timely and accurate information analysis and reporting on agreed areas of portfolio.
Lead on development, implementation, monitoring and evaluation of new information systems /databases as required
Be responsible for the development and maintenance of databases required for regular reports.
Research and Development
Actively support and contribute to the development of key performance indicators for the successful assessment of performance.
Test and review new concepts, models, methods, practices, products and equipment.
Contribute to ensuring there are processes in place for spreading and sharing learning and outcomes.
Planning and Organisation
Contribute to the strategic planning making adjustments as necessary.
Support implementation of strategic modernisation/service improvement, public health, workforce or commissioning strategies and any associated action plans, in accordance with the agreed priorities of the team.
Contribute to the development of performance and governance strategies and the development and implementation of improvement programmes.
Contribute to the formulation of plans of up to three-year and strategic direction within the team on issues, taking a lead for specific workstreams.
Deliver against objectives, achieving quality outcomes, prioritising own workload and working to tight deadlines.
Policy and Service Development
Propose changes to own project/function, informing policy and making recommendations for other projects delivery.
Contribute to the review and development of existing information management systems and contribute to the development of an integrated approach to project management.
The job description is an outline of the tasks, responsibilities and outcomes required of the role. The postholder will carry out any other duties as may reasonably be required by their line manager. The job description will be reviewed on a regular basis in accordance with the changing needs of the department and the organisation.
