IMPACT Case Manager

Job overview

Since October 2020 the responsibility for the commissioning of Adult Secure Care mental health, learning disability and autism services has transferred from NHS England (NHSE) Specialised Commissioning to Provider Collaboratives (PCs). Fifteen Provider Collaboratives nationally coordinate and deliver care for adult patients requiring low and medium secure care.

The East Midlands area Provider Collaborative is called IMPACT. East Midlands Provider Collaborative for Adult Secure Care (nottinghamshirehealthcare.nhs.uk)

IMPACT is a partnership of 9 NHS and independent sector providers and is led by Nottinghamshire Healthcare NHS Foundation Trust as the Lead Provider.

Through the Lead Provider arrangements IMPACT also sub-contracts other providers e.g. to support discharges from secure care, assure the quality of services and lead the necessary reporting regionally and nationally to NHS England.

Every Provider Collaborative commissioning hub nationally operates with a team of case managers.

Main duties of the job

Case management is a recognised national role within the NHS and a national network of peers is well established who work cooperatively to manage complex patient cases. Case managers come from all professional backgrounds and disciplines, which adds to the strength of these teams, and as such we would like to hear from candidates from any professional discipline who consider they fit the criteria for this post.

In addition, an understanding and experience of dealing with quality and clinical governance systems is required, as well as a proven track record of having excellent interpersonal and organisational skills.

While there will be home working, travel within the East Midlands and beyond will be expected for this post.

Working for our organisation

Our care is provided from over 200 sites, spanning community locations, acute settings, and secure environments, including prisons.

We are one of the largest mental health and community Trusts in the East Midlands and one of Nottinghamshire's biggest employers. We also host national and regional services, such as the National High Secure Deaf Service and the Nottingham Centre for Transgender Health.

These networks play a vital role in supporting our diverse workforce and promoting a culture of inclusivity.

The health and wellbeing of our colleagues is a top priority. We invest significantly in this through our in-house occupational health and staff counselling services, supported by a dedicated Health and Wellbeing team.

The Trust is committed to reducing its carbon emissions, with a specialised Energy and Environmental team working to ensure compliance with environmental legislation, enhance our environmental performance, and achieve our net-zero commitment

Detailed job description and main responsibilities

Case managers have significant experience of working within mental health settings, often holding clinical and/or operational leadership roles within a provider. Through application of this knowledge and experience they provide credible oversight and facilitation of care for mental health patients with secure care. They have influence over commissioning plans and decisions and more specifically they support IMPACT’s commissioning hub and the wider provider collaborative by:

• providing oversight of patient pathways who are within mental health secure care, identifying potential/actual gaps in provision and providing early identification of barriers to progress that may hinder patient flow.
• being a first point of contact for providers and wider stakeholders to discuss individual patient cases.
• proactively being involved prior to admission to mental health secure care with coordination of referral and assessment information. This includes supporting Integrated Care Systems (ICS) community teams with robust identification of patients that do not require secure care.
• proactively working with wider stakeholders to facilitate smooth transitions when required and discharges from mental health secure care (supporting providers to meet agreed estimated dates of discharge)
• liaising with all stakeholders on cases which become complex and require escalation
• listening to and talking with patients, their families and carers

• monitoring and reviewing the quality and safety of provision

• monitoring and reviewing quality information and local intelligence e.g. on patient flow/future trends to identify future bed provision/gaps in services
• ensuring effective service development and delivery of adult secure services within and across boundaries/ other PCs. The case management team has specific responsibility for the East Midlands population and as such this requires managing people in placements outside of the region. The team also connect with counterpart case managers, in their roles within other Provider Collaboratives, when their patients’ are placed within the East Midlands area.
• Conduct their role in accordance with IMPACT’s set values and consistently support and champion IMPACT’s quality and outcome ambitions.
• Provide clinical pathway advice across the Provider Collaborative to support improved quality of care and experience for service users in secure and non-secure services (guided by national and local case management SOPs).
• Maintain delivery of clinical actions for their own caseload of patients.
• Help to problem solve cases that require escalation. These may be complex clinical cases, cases where there is difficulty in accessing services, cases requiring same day urgent attention (e.g. a patient recall), or for longer term planning e.g. patients returning from in placements out of area.
• Work closely with mental health/learning disability and autism professionals across five ICS’s and other statutory bodies who are instrumental to forensic care pathways (e.g. Ministry of Justice, Prisons, Courts) to support pathway interfaces, service developments and improvements.
• Work closely with colleagues in the commissioning hub leading on quality/performance and contracting.
• Support the commissioning hub in driving transformation, as well as value for money, in the planning and commissioning of services.
• Refine current processes, facilitate discussions and advise colleagues as to how best practice might be adopted in the definition of future processes, document those processes as they are agreed and oversee their delivery.
• Provide cover within the team for other case managers when they are on leave and to deputise as necessary for the Senior Case Manager.

If you would like to know more and to speak to a member of our team, please contact Vikki Spink [email protected]

Interview Date: Friday 14 March 2025

Person specification

Knowledge & Experience

• Experience of working at a senior level within mental health, learning disability & autism services and systems
• Detailed operational knowledge and experience of mental health, learning disability & autism policy, legal issues and national transformation programmes, plus risk assessment/management
• Knowledge of current health & social care policy including the NHS Long Term Plan and Provider Collaboratives
• Understanding of the relationship between the Department of Health, NHS England and individual provider and commissioning organisations
• Experience of working with ICSs (NHS and local authorities plus third sector)
• Leadership, staff and people management experience including setting and monitoring objectives against performance, disciplinary hearings and staff development
• Experience of creating and implementing processes to support the development of strategy and implementation of vision
• Knowledge and experience of dealing with quality & clinical governance
• Evidence of post qualifying and continuing professional development
• Member of relevant professional body
• Proven ability to plan and organise

• Experience of working within adult secure services
• Detailed operational knowledge and experience of specialised secure care mental health, learning disability & autism and forensic services
• Knowledge of other mental health specialties e.g. CAMHS, Deaf, Acquired Brain Injury, Eating Disorder and Perinatal services
• Experience of case management in specialised services
• Detailed knowledge of issues pertaining to the specialist mental health services, including MHA 1983, after care under supervision, sex offender legislation, probation orders and life license, Ministry of Justice procedures and child protection legislation and Safeguarding procedures

Skills

• High-level management skills, able to perform to high level in clinical setting, holding services to account and ensuring effective use of specialised commissioning resources
• Case management skills, focussing on the needs of the individual and the context of their pathway in relation to all clinical and legal processes
• High-level communication especially skills across a range of agency and professional boundaries at a national level
• Ability to be able to challenge inappropriate clinical decisions whilst maintaining professional working relationships
• Must be able to prioritise own work effectively and work under pressure
• Self-motivated; able to work under own initiative
• Team working skills
• Ability to focus on the needs of the individual and the context of their pathway in relation to all clinical and legal processes
• Must be able to provide and receive highly complex, sensitive and/or contentious information
• Ability to make decisions autonomously, when required, on difficult and contentious issues where there may be a number of courses of action, working to tight and often changing timescales
• Demonstrates a strong desire to improve performance and make a difference by focusing on goals

Values & Behaviours

• Demonstrates honesty and integrity and promotes IMPACT’s organisational values and behaviours Embraces change, viewing it as an opportunity to learn and develop
• Commitment to and focused on quality, promotes high standards in all they do
• Able to make a connection between their work and the benefit to patients and the public
• Ability to operate in a value-driven style consistent with the values of the public services and specifically with the new organisational values
• Works across boundaries, looks for collective success, listens, involves, respects and learns from the contribution of others
• Values diversity and difference; operates with integrity and openness
• Works well with others, is positive and helpful. Consistently looks to improve what they do, look for successful tried and tested ways of working, and also seeks out innovation
• Actively develop themselves and support others to do the same.
• All colleagues are expected to demonstrate at interview that they act in line with Nottinghamshire Healthcare NHS Foundation Trust Values: Trust Honesty Respect Compassion Teamwork

Additional Requirements

• A full UK driving licence and vehicle for business use is required for this post; however reasonable adjustments will be made for disabled individuals in line with the Equality Act 2010.
• Will need to travel across the East Midlands region and beyond

Qualifications

• Registered Mental Health/Learning Disability Nurse or other registered health or social care professional
• Educated to master’s level or equivalent level of experience of working at a senior level in specialist area
• Member of relevant professional body

• The closing date given is a guide. We reserve the right to close the post early once we have received a sufficient number of applicants, so we advise you to submit your application early to prevent disappointment.
• We will be requesting references by email. Please ensure you include email addresses and contact numbers for your referees to avoid delay in the recruitment process.
• 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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• For eligible posts, DBS disclosures are mandatory before commencement of employment. If you are in a position that is deemed a regulated adult and/or child care role, you will not be able to start your employment until we have received a satisfactory DBS Disclosure. 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. Convictions which would otherwise be considered as 'spent' will also be checked as part of an Enhanced DBS Disclosure.