EFR Advisor
Our commitments to you
We are passionate about creating an inclusive workplace that promotes and values diversity. We know through research and experience that different ideas, perspectives and backgrounds create a stronger and more creative work environment that delivers better outcomes.We welcome applications irrespective of people's age, disability, sex, gender identity and gender expression, race or ethnicity, religion or belief, sexual orientation, or other personal circumstances. We have policies and procedures in place to work towards ensuring that all applicants are treated fairly and consistently at every stage of the recruitment process, including the consideration of reasonable adjustments for people who have a disability.
Applications are warmly welcomed from applicants who wish to apply for a position on the basis of a smarter or flexible working arrangement. Where candidates are successful at interview, such requests will be taken under consideration and we will aim to accommodate these wherever the needs of the service allow.
BSW ICB seeks to be a supportive, caring employer and expects all colleagues to behave in a professional and respectful manner and to demonstrate our values. These values underpin our vision for the people of Bath & North East Somerset (Banes), Swindon & Wiltshire, that through an integrated care model local people will live well in a supportive community with joined up care which is underpinned by specialist expertise, and delivered in the best place, by the most appropriate people.
Please note that on 1^st July 2022, Banes, Swindon & Wiltshire CCG will cease to exist. At this time the Integrated Care Board (ICB) in BSW will be established, to be known formally as NHS BSW ICB. NHS BSW ICB assume all the commissioning functions from BSW NHS Commissioners.
Job overview
Bath and Northeast Somerset, Swindon and Wiltshire integrated care board (BSW ICB)s Exceptional and Prior Approval funding team is responsible for managing funding requests received from general practice or secondary care clinicians.
BSW ICB "what we do and don't fund" list of policies are split into the following categories:
- EFR - Exceptional Funding requests - These are procedures that are classed as low priority procedures and will only be funded if clinically demonstrated and agreed through the EFR process.
- PA - Prior Approval - These are procedures that are funded if the patient meets a set of threshold criteria laid out in the relevant policy.
- CBA - Criteria Based Access - These procedures are only funded if the patient meets pre-defined criteria. The clinician involved in the patients care will be satisfied that the patient meets the criteria and will be able to proceed to treatment without the need to apply for prior approval funding
The EFR Assessor will be responsible for managing the EFR & PA team.
Main duties of the job
The EFR Assessor will be responsible for:
- Managing the workload of the EFR & PA Team ensuring that requests are dealt with in a professional and timely manner and that personal information associated with cases are processed in accordance with Information Governance rules and regulations.
- Assessing all PA requests received against BSW ICB policy and ensuring that clinical threshold criteria are met before approval is granted to proceed
- Managing requests to ensure that the appropriate process is consistently followed and funding decisions are communicated within the agreed timescales.
- Providing the first point of contact for General Practitioners or secondary care clinicians and providers regarding funding applications or enquiries.
- Responding to PALs Complaints, SAR and FOI requests within agreed timescales.
Working for our organisation
The BSW ICB EFR Team are a small team that predominantly work from home primarily due to the sensitive nature of the requests for funding that are received.
We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part time or job share. Please talk to us at interview.
Detailed job description and main responsibilities
The post holder will be responsible for:
Taking responsibility for efficient running of the EFR & PA Team, Maintaining effective office/ departmental systems and processes relating to all pathways.
Assessing all PA requests received against BSW ICB policy and ensuring that clinical threshold criteria are met.
Managing the processes and performance of the team. maintaining effective office/ departmental systems and processes relating toall pathways.
Providing information, data and analysis relating to activity on a regular basis. maintaining effective office/ departmental systems and processes relating to all pathways.
Take responsibility for the even distribution of workload within the
department, initiating amendments or improvements where necessary. maintaining effective office/ departmental systems and processes relating to all pathways.
Support the senior manager
Attend meetings as necessary, report progress and resolve issues.
Manage the day-to-day work of the administrative team
Lead for the team in the quick and successful resolution of queries.
Escalating matters that require senior input.
Disseminate information to the team and act as a first point of contact.
Ensure that all communication with service users is delivered or processed in a timely fashion and inline with our self imposed timescales.
Represent the team at meetings as required.
Communicate relevant information to other departments and update the website when changes or new polices need to be added/amended
Manage, organise and support staff effectively through workplanning, 1:1 meetings and appraisals, including performance and productivity
Control and manage attendance and leave, including sickness absent management. maintaining effective office/ departmental systems and processes relating to all pathways.
Take responsibility for the training of new and existing staff in relation to systems and processes.
Person specification
Knowledge, Training and Experience
Essential criteria- The post would suit an HCP nurse or physiotherapist or an individual with a good understanding of healthcare within the NHS
- Educated to degree level in relevant subject or equivalent level of experience of working at a similar level in specialist area
- Further training or significant experience in project management, financial management or supporting change management processes
- ExcelComprehensive knowledge of project management and/or health information systems developmentlent communication skills
- Workforce development knowledge and experience
Communication skills
Essential criteria- Clear communicator with excellent writing, report writing and presentation skills; capable of constructing and delivering clear ideas and concepts concisely and accurately for diverse audiences
- Skills for communication on complex matters and difficult situations, requiring persuasion and influence.
- Skills for nurturing key relationships and maintaining networks.
Analytical
Essential criteria- Ability to analyse and interpret information, pre-empt and evaluate issues, and recommend and appropriate course of action to address the issues
- Problem solving skills and ability to respond to sudden unexpected demands
- Strategic thinking – ability to anticipate
- Attention to detail combined with the ability to extract key messages from complex analysis
- Independent thinker with demonstrated good judgement, problem-solving and analytical skills
- Takes decisions on difficult and contentious issues where they may be a number of courses of action
Planning & Management Skills
Essential criteria- Skills for project management
- Ability to engender trust and confidence and demonstrate integrity in the provision of advice and support
- Skills for managing projects ensuring they meet financial targets.
- Skills for manipulating information
- Ability to work on own initiative and organise own workload without supervision working to tight and often changing timescales
- Understanding of and commitment to equality of opportunity and good working relationships
Other
Essential criteria- Used to working in a busy environment
- Adaptability, flexibility and ability to cope with uncertainty and change
- Commitment to continuing professional development
- Professional calm and efficient manner
- Effective organiser
- Demonstrate a strong desire to improve performance and make a difference by focusing on goals.
Declarations of interest must be made in the supporting information section of any application. If an applicant does not have an interest to declare they should clearly state ‘No interests to declare’ within the supporting information section.
Please note that failure to provide information about an interest or a ‘No interests to declare’ statement at this stage of the application process will result in your application not being considered.