Clinical Lead for Appeals and Retros in London

Clinical Lead for Appeals and Retros in London

London Full-Time 40500 - 49500 £ / year (est.) On-site
South West London Integrated Care Board

At a Glance

  • Tasks: Lead a team managing NHS appeals and retrospective reviews, ensuring quality communication and compliance.
  • Company: NHS South West London ICB, dedicated to improving health services for the community.
  • Benefits: Competitive salary, professional development opportunities, and a chance to make a real difference.
  • Other info: Dynamic role with opportunities for growth in a supportive environment.
  • Why this job: Join a mission-driven team and impact healthcare quality while developing your leadership skills.
  • Qualifications: Registered healthcare professional with experience in appeals, team leadership, and knowledge of NHS frameworks.

The predicted salary is between 40500 - 49500 £ per year.

NHS South West London ICB is looking for an experienced, registered healthcare professional to lead our All Age Continuing Care (AACC) appeals and retrospective reviews team as Clinical Lead for Appeals and Retros.

You will be responsible for the central team that manages and delivers appeals and retrospective reviews of people's eligibility for NHS Continuing Healthcare (CHC) and NHS-funded Nursing Care.

You will make sure there are clear communication pathways with clients and their representatives, that the National Framework for CHC was followed at the outset, and that the appeals process is followed through each of its stages.

You will lead on representing the ICB at NHS England Independent Review Panels and make sure the learning from them is shared with AACC teams across the ICB.

Working closely with the AACC service, local authorities and other partners, you will help develop, analyse and improve the service, and you will line manage the Appeals and Retros Clinical Manager.,

  • o Manage the appeals and retrospective caseload where a CHC eligibility decision is being appealed or a retrospective assessment is requested for a period of unassessed care, making sure the service meets local, regional and national standards.
  • o Lead on representing SWL ICB AACC at Independent Review Panels hosted by NHS England, presenting cases with empathy and professionalism and offering assurance and apology where needed.
  • o Collate NHS England feedback from Independent Review Panels and share the learning with the wider AACC team to embed good practice and improve ways of working.
  • o Represent the service at multi-agency meetings and with NHS, local authority and other partner organisations.
  • o Lead on communication within the appeals and retrospective process, including decision letters, supporting documentation and correspondence, making sure it meets quality and assurance standards.
  • o Investigate complaints and provide outcomes, making sure the learning is shared with the AACC team
    and standard operating procedures are updated where needed.

You will be a registered nurse (adult), occupational therapist or physiotherapist with a postgraduate qualification, an excellent knowledge of the National Framework, and experience of managing appeal and retrospective cases and presenting at Independent Review Panels.

You will also have experience of leading a team, working in politically sensitive settings, and managing risk and budgets.

The core purpose of SWL ICB is to improve the health of our population and ensure access to consistently high-quality services.

Overseeing a budget of £4.3bn we hold accountability for ensuring the best use of the health budget for SW London's population in order to improve health and healthcare, both now and in the future.

Clinical Lead for Appeals and Retros in London employer: South West London Integrated Care Board

As an employer, we are dedicated to fostering a culture of innovation and collaboration within the NHS, where your analytical expertise will directly contribute to improving health outcomes and tackling health inequalities in South West London. Our team values professional growth, offering ample opportunities for skill development and career advancement while working with cutting-edge technologies in a supportive environment that prioritises social impact. Join us to be part of a mission-driven organisation that empowers you to make a meaningful difference in the community.

South West London Integrated Care Board

Contact Details:

South West London Integrated Care Board Recruitment Team

StudySmarter Expert Advice🤫

We think this is how you could land Clinical Lead for Appeals and Retros in London

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We think you need these skills to ace Clinical Lead for Appeals and Retros in London

Registered Nurse (Adult), Occupational Therapist or Physiotherapist
Postgraduate Qualification
Knowledge of National Framework for CHC
Experience in Managing Appeals and Retrospective Cases
Presentation Skills at Independent Review Panels
Team Leadership
Communication Skills

Some tips for your application 🫡

Highlight Your Relevant Experience:When applying for a role in health sciences administration, it's super important to spotlight any relevant experience you have in healthcare settings. Whether you've worked in a hospital, a clinic, or any related environment, make sure to detail those roles in your CV – focusing on your responsibilities and achievements that align with the job at South West London Integrated Care Board.

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Craft a Meaningful Cover Letter:Your cover letter should reflect your passion for the health sciences field and your eagerness to contribute to South West London Integrated Care Board. Share a bit about why you’re drawn to this sector, any impactful situations or challenges you’ve encountered, and how they’ve shaped your desire to work in health sciences administration. This personal touch can really set you apart!

Tailor Your Documents to the Job:Don't use a one-size-fits-all approach! Make sure your CV and cover letter are specifically tailored for this role. Highlight any certifications you have relevant to health administration, and ensure you clearly connect your previous roles to the skills needed for the full-time position at South West London Integrated Care Board. This way, you're showing them you’ve done your homework and are genuinely interested in being a part of their team.

How to prepare for a job interview at South West London Integrated Care Board

✨Showcase Your Administrative Skills

In health sciences administration, being organised is key. Make sure you can demonstrate your skills in managing schedules, paperwork, and data accurately. Be ready to discuss specific tools you've used, like electronic health record systems or scheduling software, and how they improved efficiency in your past experiences.

✨Know Your Regulations

Familiarity with healthcare regulations and compliance is crucial. Brush up on HIPAA, GDPR, or other relevant policies before your interview. We recommend preparing examples of how you've ensured compliance or handled sensitive information in past roles—this will show you're not just knowledgeable but also responsible.

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Interviews for administrative roles often involve scenario-based questions to assess your problem-solving skills. Practice responses to common situations you might face, such as dealing with a challenging patient or managing a sudden schedule change. This will not only demonstrate your ability to think on your feet but also highlight your interpersonal skills.

✨Align Your Goals with the Organisation

As a full-time candidate, employers will want to know how your long-term career goals align with their mission. Take some time to research South West London Integrated Care Board’s values and be ready to tie your passion for health sciences administration into their objectives. Demonstrating enthusiasm and career alignment can be a game-changer in this competitive field!