Main duties of the job The post holder will be responsible for the provision of seamless, integrated services and packages of care for individuals who meet Continuing NHS Healthcare criteria. To have a key role in the implementation of the National Framework for Continuing NHS Healthcare within the Mental Health & Learning Disabilities Division and will provide a case management function to a caseload of patients / service users eligible for Continuing NHS Healthcare or are subject to 117 that require commissioned services as have needs that cannot be met by core services. The post holder will support the development and implementation of governance arrangements to improve the quality of care/service delivered to the local population, regardless of setting, and apply financial due diligence when commissioning packages of care. Job responsibilities To provide a case management role to a caseload of patient/services users to include the contribution to the development and implementation of an appropriate package of care, clinical compliance monitoring, implementation of a robust review programme, including financial oversight of the package of care and provision of ongoing guidance and support to the nominated Care Coordinator. CAJE REF: 2026/0081APPROVED: 30/03/2026 To support the decision‑making process by acting as chair in multi‑disciplinary team meetings to ensure that process is robustly adhered to. To ensure that commissioning decisions are lawful and reflect National priorities and agreed national and local service strategies. To provide direct support to Care Coordinators in the development of new Continuing NHS Healthcare applications including the sourcing of appropriate providers and packages of care for patients/service users who meet Continuing NHS Healthcare criteria. To quality assure Continuing NHS Healthcare applications for patients / service users on colleagues caseloads. To attend the Corporate Quality Assurance Panel and present cases on behalf of the Division and be responsible for the follow up of any action as necessary. To report ongoing/developing concerns relating to provider performance, updates on Corrective and Development Action Plans etc as necessary. To undertake specialist assessments and reviews of patients/service users presenting with complex needs to ensure contractual arrangements are being adhered to in relation to the delivery of clinical care. As a minimum, reviews should be undertaken on a twice‑yearly basis and in conjunction with the Care/CPA Co‑ordinator through attendance at review meetings. Independent ad hoc monitoring should also be undertaken. Communicates sensitive, confidential information concerning patients/clients requiring empathy, persuasion and reassurance. Some patients/clients/relatives/carers may have additional learning needs/ learning difficulties where there may be barriers to understanding. To ensure all Continuing NHS Healthcare activity for patients/service on the caseload is appropriately documented in line with professional and organisation standards. To promote a culture of collaboration across professional and organisational boundaries, maintaining a patient/service user‑focussed whole systems approach across the primary, community and secondary care interface for NHS Complex Care. To ensure the communication of results of commissioning decisions about individual NHS Complex Care treatment decisions are conducted in a timely and clear manner. To ensure that patients/service users and carers are appropriately involved in the planning and commissioning process and that resulting service changes are consulted upon appropriately. To plan, develop, implement, evaluate and monitor effective user representation in planning mechanisms, specifically for NHS Complex Care. To advise clinical teams and managers within the Division on processes for Continuing NHS Healthcare. To attend the Divisional Peer Review and/or LD CHC Consultation Panels and provide updates as necessary for patients/services users on the caseload. To provide direct support to project work in relation to the development of packages of care/service provision for patients/service users on the caseload. To work within Child Protection and Adult Protection guidelines. To be actively involved in the identification and management of clinical risks for patients/service users on the caseload and notify the Service Manager of any issues that may put a patient/service user at risk. To advise the Service Manager of any performance issues identified during reviews and ongoing monitoring. To ensure that relevant statutory policies and procedures are adhered to in relation to Consent, Capacity, Mental Health Act etc. To lead on a range of specific NHS Complex Care service reviews, audits, monitoring and evaluation of patient services. Planning and Organisational To develop and maintain working relationships across a number of agencies including the 5 Health Board Localities, 5 Local Authorities, Primary Care Practitioners, Divisional clinical teams, central Complex Care team, private providers and other ABHB staff. To develop, maintain and provide an advanced knowledge and understanding of NHS Complex Care strategies and policies. To contribute to the Clinical Governance agenda through participation in clinical risk management, performance management, clinical audit, patient and public involvement and research. To work proactively with others to facilitate improvement in NHS Complex Care service delivery in line with national and local policies. To contribute to and monitor the Escalating Concerns Protocol, specifically in relation to the development and monitoring of Corrective and Development Action Plans. To support the operational development of an effective and efficient procurement process. To lead market development arrangements to ensure a range of high quality providers are available and support the development and ongoing maintenance of a provider compendium. To promote a culture of collaboration across professional and organisational boundaries to deliver NHS Complex Care national and local objectives. To provide advice, support and training on planning and commissioning issues to Divisional clinical teams and managers as necessary. To ensure services are delivered in a manner consistent with the achievement of Health Board objectives and policies for NHS Complex Care. In conjunction with the Service Manager, lead the development of joint commissioning strategies and plans for NHS Complex Care. To contribute to the development of Health Board strategies, policies and plans, specifically for NHS Complex Care. To develop and implement processes for the effective engagement of professionals, users, carers and the public in NHS Complex Care service planning and development. To contribute to Organisational objectives and plan and organise own workload to deliver personal and corporate objectives. To support the development of systems and processes on a local, regional and national basis to improve the planning and commissioning cycle for NHS Complex Care. To support the Complex Care Team to ensure that NHS Complex Care commissioning decisions reflect local and national service strategy. To ensure that requests for individual patient treatments are dealt with effectively and efficiently. To plan, develop, implement, evaluate and monitor a range of NHS Complex Care service developments. Information Management To contribute to the provision and communication of complex, sensitive or contentious information in a professional manner within the sphere of authority. To communicate information as relevant to the Divisional Complex Care Contracts & Performance Officer to ensure that accurate local information is maintained. To communicate with Divisional managers, Executive Directors and the central Complex Care team on the proposed packages of care based on quality and value for money. To provide reports on areas of responsibility, communicating effectively with carious audiences at all levels including multi‑agency groups and Welsh Assembly Government. To act on behalf of the Division in managing specific contracts as they relate to Divisional services. To negotiate and agree NHS Complex Care patient services agreements with these providers and monitor and report on performance. To participate in the development of business cases where appropriate. To support the development of a Providers list for the Division and liaise closely with the Contract Monitoring & Performance Manager to ensure governance checks are undertaken prior to the agreement of placements/community packages of care. Human Resources To support the induction of Divisional staff and partners to ensure understanding of the Complex Care Team arrangements. To actively participate in managerial supervision. To actively participate in the Organisational Personal Development Process and Knowledge and Skills Framework. To actively participate in clinical supervision. To provide cover for Divisional Complex Care team colleagues during periods of absence. Financial To support the Service Manager in the monitoring of patient/service user agreements to limit unplanned expenditure. To support the Divisional Complex Care team to ensure NHS Complex Care commissioning decisions are commensurate with Health Board Financial Strategy. To secure and manage financial resources and external providers to achieve impact on outcomes for patients/service users ensuring a balance between money, efficiency and quality is maintained. To provide commissioning information to the Health Board Funding Panel to seek funding approval. To present to the 117 Responsibilitys panel in conjunction with the care co‑ordinator. In conjunction with the Service Manager and Contract Monitoring & Performance Manager, identify anomalies relating to charges made by providers and the provision of actual clinical care and inform the Contracts and Performance Manager. Benefits We offer a fantastic benefits package and extensive training and development opportunities with paid mandatory training, excellent in‑house programmes, opportunities to complete recognised qualifications and professional career pathways including a range of management development programmes. We offer flexible working and promote a healthy work life balance, provide occupational health support and an ambitious plan for a Wellbeing Centre of Excellence to support you at work. Person Specification

Masters level or equivalent demonstrable level of knowledge and experience RMN/RNLD Working knowledge of the complexities involved with Complex Care Packages Experience of planning and commissioning within Continuing NHS Healthcare/Complex Care settings

Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. #J-18808-Ljbffr