Job summaryThe Clinical Lead for PUPoC and Appeals will work as part of the management team to embed a culture of quality improvement & drive clinical workforce development.The Clinical Lead will work closely alongside the Head of Clinical Operations to develop and ensure the service delivery of contracts for Retrospective Reviews and Appeals in line with the PUPoC guidance.Delivering value to the business: The Clinical Lead for Retrospective Reviews and Appeals will work with all functions of the business to support in the clinical delivery of contracts, ensuring adherence to clinical best practice to ensure the National Framework process has been robustly applied. Work to timescales in line with National NHS guidance.Developing/implementing quality improvement programmes.Demonstrate sound Clinical Leadership in the development, mentoring and teaching of the team within the speciality of PUPoC and Appeals.Support/Deputise for Head of Clinical Services- Retrospective Reviews/Appeals and LeDeR.As The Clinical Lead in PUPoC and Appeals you will operate as:A subject matter expert in retaining current customers and developing scope for potential new business opportunities.A Collaborative problem solver with a solution focused approach, whilst adhering to legislative requirementsA Strong Leader and team builder, bringing together the excellence of workforce, operational and clinical teams.Main duties of the jobHigh level overview of National Framework for NHS CHC, NHS FNC, PUPOC & relevant impacting legislation.Complete complex clinical triage across PUPoC-Appeals and highlight potential risks to customers and agree actions.Complete outcome letters where required on behalf of the customer giving decisions on eligibility supported by DST evidence including Four Key Characteristics.Attend Customer meetings as agreed at mobilisation and provide clinical support in risks, process and delivery in line with NHS CHC Framework/PUPOC guidance.Lead in mobilisation of new contracts for PUPoC and Appeals.Play an active part in ensuring business retention across all PUPoC/Appeal contracts.Support Head of Clinical Operations in the recruitment of Clinicians for Retro/Appeals including selection/interviews/supervision.Lead in the clinical support and development to Clinical Team and admin support.Support staff ensuring quality is established/preserved.Oversee quality improvement programmes and monitor the effectiveness of current process.Safeguarding Service Users through the development & use of systematic processes, reporting & monitoring.Effectively manage incidents and complaints using internal systems. To maintain an awareness of new and updated guidance in NHS Continuing Healthcare in particular that applicable to Retros and Appeals.About usAbout UB HealthcareUB Healthcare is a fast-growing healthcare start-up delivering outcome-based services for the NHS and social care sector. Our mission is to improve outcomes, reduce inequalities, and elevate experiences through collaborative partnerships and cost-effective, high-quality services.We are proud to be an equal opportunity, Living Wage, and Mindful Employer.Our environment includes:A safe and inclusive workplace
On-the-job training
Wellness programmes
Growth and promotion opportunities
Regular social eventsDetailsDate posted28 September 2026Pay schemeOtherSalary
53,000 a year
ContractPermanentWorking pattern
Full-time,
Home or remote working
Reference numberE Job locationsGround Floor, Remus 12 Cranbrook Way, Solihull Business ParkSolihullWest MidlandsB90 4GTUnited KingdomJob descriptionJob responsibilitiesEnsure the correct legislation is followed within service delivery. Understand the financial elements of contract delivery and work within constraints where needed whilst maintaining clinical safety and quality. Implement quality improvement programmes to ensure compliance and quality. Oversee quality, audit and sign off process to ensure it remains effective in maintaining expected standards of quality.High level overview of National Framework for NHS CHC, NHS FNC, PUPOC & relevant impacting legislation. Complete complex clinical triage across PUPoC-Appeals and highlight potential risks to customers and agree actions. Complete outcome letters where required on behalf of the customer giving decisions on eligibility supported by DST evidence including Four Key Characteristics. Attend Customer meetings as agreed at mobilisation and provide clinical support in risks, process and delivery in line with NHS CHC Framework/PUPOC guidance. Lead in mobilisation of new contracts for PUPoC and Appeals. Play an active part in ensuring business retention across all PUPoC-Appeal contracts.Support Head of Clinical Operations in the recruitment of Clinicians for Retro/Appeals including selection/interviews/supervision. Lead in the clinical support and development to Clinical Team and admin support. Support staff ensuring quality is established/preserved. Oversee quality improvement programmes and monitor the effectiveness of current process. Safeguarding Service Users through the development & use of systematic processes, reporting & monitoring. Effectively manage incidents and complaints using internal systems. To maintain an awareness of new and updated guidance in NHS Continuing Healthcare in particular that applicable to Retros and Appeals.
Job description
Job responsibilitiesEnsure the correct legislation is followed within service delivery. Understand the financial elements of contract delivery and work within constraints where needed whilst maintaining clinical safety and quality. Implement quality improvement programmes to ensure compliance and quality. Oversee quality, audit and sign off process to ensure it remains effective in maintaining expected standards of quality.High level overview of National Framework for NHS CHC, NHS FNC, PUPOC & relevant impacting legislation. Complete complex clinical triage across PUPoC-Appeals and highlight potential risks to customers and agree actions. Complete outcome letters where required on behalf of the customer giving decisions on eligibility supported by DST evidence including Four Key Characteristics. Attend Customer meetings as agreed at mobilisation and provide clinical support in risks, process and delivery in line with NHS CHC Framework/PUPOC guidance. Lead in mobilisation of new contracts for PUPoC and Appeals. Play an active part in ensuring business retention across all PUPoC-Appeal contracts.Support Head of Clinical Operations in the recruitment of Clinicians for Retro/Appeals including selection/interviews/supervision. Lead in the clinical support and development to Clinical Team and admin support. Support staff ensuring quality is established/preserved. Oversee quality improvement programmes and monitor the effectiveness of current process. Safeguarding Service Users through the development & use of systematic processes, reporting & monitoring. Effectively manage incidents and complaints using internal systems. To maintain an awareness of new and updated guidance in NHS Continuing Healthcare in particular that applicable to Retros and Appeals.Person Specification
Experience
EssentialMinimum of 5 years working in NHS Continuing Healthcare with significant demonstrable experience in leading on PUPoC and Appeals.
Qualifications
EssentialRegistered Health Professional
Person Specification
Experience
EssentialMinimum of 5 years working in NHS Continuing Healthcare with significant demonstrable experience in leading on PUPoC and Appeals.
Qualifications
EssentialRegistered Health ProfessionalDisclosure and Barring Service CheckThis 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.UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service CheckThis 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.UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).Employer detailsEmployer nameUB HealthcareAddressGround Floor, Remus 12 Cranbrook Way, Solihull Business ParkSolihullWest MidlandsB90 4GTUnited KingdomEmployer's websiteEmployer detailsEmployer nameUB HealthcareAddressGround Floor, Remus 12 Cranbrook Way, Solihull Business ParkSolihullWest MidlandsB90 4GTUnited KingdomEmployer's website
Clinical Lead PUPoC & Appeals in Birmingham employer: National Health Service
Betsi Cadwaladr University Health Board is an exceptional employer, offering a supportive and collaborative work environment for healthcare professionals in North Wales. With a commitment to employee development and a focus on compassionate care, staff have access to continuous professional development opportunities and the chance to make a meaningful impact in both acute and community paediatrics. The Health Board's integrated approach ensures that employees are part of a dynamic team dedicated to improving health outcomes for the local population.
