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Main  Duties and Responsibilities -

• Appreciate and learn from people’s stories and articulate this to inform service development and redesign
• Raise awareness and educate the wider system on how to change the conversation so the focus is much more positive for young people and their families when speaking to other professional
• Provide support and expertise to the family to ensure that personalisation approaches are embedded and that creative solutions are considered to meet individual needs supported by personal health budgets and integrated personal budgets
• Support the development of multi-agency risk management plans and ensure the procedures for managing risk of significant harm are followed, seeking appropriate advice and authorisation from managers where required
• Develop and strengthen effective strategic, multi-agency partnerships
• Assess procedures, systems and pathways of existing provision and teams and identify areas for improvement
• Facilitate and support the provision of interventions to prevent admission to inpatient settings where appropriate
• Identify, guide and refer to other services where needed i.e. short break provision
• Maintain/hold responsibility for ensuring continuity of care for the young person by working across systems and services to ensure they respond and react to needs as required
• Consider support to reduce health inequalities and ensure reasonable adjustments are made, if required
• Support families to encourage and cope with young people wanting to become more independent, which can be difficult for families
• Establish strong links with education, training and employment services to enable school/college/university/employment readiness and inclusion
• Work co-operatively, constructively and coproduce personalised plans within a complex changing and forward-looking environment
• Produce reports on completed work including recommendations for future service provision and gaps in services
• Hold services across the system to account where action plans are in place or actions have been agreed
• Provide services with specialist advice on appropriate reasonable adjustments for young people based on their profile and needs
• Provide families and colleagues with specialist advice on a number of areas including legal frameworks, specialist interventions and risk management planning
• Explore digital ways of providing support remotely, including through the use of mobile apps
• Effectively support discharge from specialist services and transition to the community

Key Working Relationships

• Work closely with the Project Manager and Team Manager, and other internal ICB teams, in particular: the Transforming Care Navigator Team, Mental Health Commissioning Team, Safeguarding Team and wider Children, Young People and Maternity teams
• Work closely with multi-disciplinary teams across the system, and in particular, those services supporting young people with mental health conditions
• Maintain constructive relationships with a broad range of internal and external stakeholders
• Participate in relevant internal and external working groups/projects, services and initiatives to provide information and analytical advice and expertise
• Support the development and implementation of data collection systems that will provide accurate and timely data
• Present information and issues, explaining highly complex issues to a wide range of internal and external stakeholders.

Key Stakeholders

• Norfolk & Suffolk NHS Foundation Trust
• Blue Light Services i.e. Ambulance, Police
• Integrated Care System (ICS)
• Voluntary Care Sector Organisations
• Social Workers
• Local Authorities
• Independent Healthcare Providers
• Criminal Justice – Police, Probation and Ministry of Justice
• NHS England/NHS Improvement
• General Practitioners (GPs)
• Parent/carers/families and forums
• Advocacy groups
• Acute Hospitals
• Tier 4 Providers

Functional Responsibilities

• Ability to coordinate care and achieve multi-agency buy-in based on strong experience of health and social care and/or education/employment/training systems and cross system knowledge
• Encourage and instigate joined up collaborative working
• Ability to challenge decisions in a professional way providing evidence and clear reasoning as to what action is required
• Ability to work within partner agencies i.e. recording, peer supervision, clinical supervision/guidance
• Facilitate the provision of interventions to prevent admission to in-patient settings where appropriate and support discharge from hospital
• Hold services across the system to account ensuring young people and families are offered the right support at the right time
• Support delivery of implementation plans for new ways of working that lead to more effective practice and more efficient use of resources
• Identify changes that would increase flexibility, integration, joined-up working, improve communication and above all lead to better outcomes for young people
• Support and promote the development of evidenced based practice as required and specific to areas of clinical expertise
• Contribute to the identification and understanding of the health needs of our local population.

Operational Responsibilities

• Ability to manage multiple, competing caseloads through effective time management
• Have sound understanding of the theory and principles of personalised care
• Ability and commitment to act in a way that acknowledges the young person’s expressed views and preferences
• Ability to coordinate an effective team around the young person and their families linking health, employment/training and social care to work more effectively
• Always act in such a way as to promote and safeguard the wellbeing and interests of young people and their families in accordance with relevant professional regulation
• Advise agencies on the most appropriate service for the young person, dependent on need
• Devise structured and detailed plans of intervention using evidence-based practice, specifying need, interventions and desired outcomes which could be implemented within a wide variety of settings e.g.: school/college/university, residential settings and employment
• Provide specialist advice to others regarding the safe management of distressed behaviour
• Work in partnership with others, to assess and identify the young person’s needs, considering parenting capacity and environment
• Ensure care plans have clear measurable goals which have considered the views of the young person and their family/carers
• Coordinate the delivery of care, feeding in relevant information to support wider service planning

Planning and Organisation

• Contribute to the strategic planning of team projects, identifying interdependencies across projects/functions, potential impacts on wider system, resource requirements and building in contingency and adjustments as necessary.

Policy and Service Development

• Contribute to the review and development of existing information management systems and contribute to the development of an integrated approach to, service or initiative management
• Support the implementation of policies and procedures in own work function with an impact on the wider system, as required.

Corporate Responsibilities

• To work with other members of the ICB’s Children, Young People & Maternity Team and Safeguarding Team to ensure delivery of satisfactory performance, governance and management of risk relative to role
• To promote constructive working relationships with external organisations to ensure that the ICB is discharging its obligations effectively and that any opportunities for more efficient working alongside other system partners are identified
• To work effectively in collaboration with clinicians and managers of other health and social care organisations within the health and care system or elsewhere, where there are common interests or care pathways
• To represent the System Planning and Transformation Team as required at system meetings and functions and to act as an ambassador for the team
• To ensure compliance with safe systems of work and that all necessary health and safety requirements are met
• The ICB aspires to be a flexible, productive organisation which changes positively the way care is commissioned and delivered. It will be management resource light, buying in some important management services and so all staff will be required to carry out a range of activities not explicitly defined in their job description (but within their competence). Activities will also be performed by teams coming together for specific projects and all staff will be supportive of other staff, irrespective of which part of the organisation they come from. The post holder may be required to cover for/support other activities within their level of competence and responsibility
• To participate in relevant staff training (including compliance with mandatory training requirements)
• To conduct yourself in a manner consistent with the system’s vision and values and approach to patient and public engagement within Norfolk and Waveney
• To ensure patient/staff confidentiality and information governance standards are maintained and respected at all times.

The post holder will be required to work with their line manager and other members of the wider system team that Norfolk and Waveney Health and Care Partnership succeeds with its strategic objectives, and delivers the shared vision of the aims, values and cultures of the system.