Interested in a simple Skills Scan and Learning Progress Tracker tool for the Associate continuing healthcare practitioner standard?
Knowledge
K1: Understands the structures and functions of the human body
K2: Understand how to support people going through the Continuing Healthcare process
K3: Understand commonly encountered mental, physical, behavioural and cognitive health conditions, medication usage and treatments and and how ill health impacts on the individual and their family
K4: The principles of infection control
K5: Understand the principles of Funded-nursing care and Joint packages of care and how the Associate Continuing Healthcare Practitioner can support the planning and assessment of these
K6: Knows how and when to plan and facilitate referal, discharge or transition of care between professionals, settings or services and what makes up an appropriate care package
K7: Understands the principles of a primary health need and the difference between health and social care needs
K8: Understand the importance and how to use a range of communication methods and media available to assist with communication
K9: The range of health and social care contract types used, including Personal Health Budgets and services commissioned to treat and support individuals with ill health, disabilities and social care needs
K10: Knows the principles of healthcare business and financial planning, commissioning and procurement and how this impacts on continuing healthcare services and the numeracy to undertake basic budgetary analysis.
K11: Understand the impact of co-morbidities and the demands of meeting people’s complex health and social care needs when commissioning services
K12: How to undertake risk assessment, using a range of commonly used tools, and know when to seek advice to avoid compromising quality and safety of others
K13: Understands the factors which affect vulnerable people and how this can impact on the health and social care needs and the role of safeguarding policy in oversight of their care
K14: Understand the differences between risk aversion and risk management and how to avoid compromising quality of care commissioned but work towards the choices of the individual where safe to do so
K15: Understand the role and function of the Care Quality Commission for care home, supportive living and home care providers
K16: Understand the importance of Contractual Management in maintaining the quality, sustainability and effectiveness of services and what contractual levers can be used if concerns are identified
K17: Knows how discriminatory behaviour is exhibited and the impact this can have on individuals and the commissioning function
K18: Techniques to manage differences of opinion, conflict and difficult conversations between professionals
K19: Understand the principles of accountability and how this applies to the role of Associate Continuing Healthcare Practitioner
K20: Understands the principles of courage, transparency and the professional duty of candour
K21: Knows how care navigation/social prescribing can be used to address the individual’s needs and support them to move from dependence to more independence
K22: Understand roles, responsibilities and models of care of all members of the health and social care multidisciplinary team in providing and commissioning care and how the MDT contribute to a lawful assessment for eligibility of Continuing Healthcare
K23: Understand the principles of effective leadership and supervisory opportunities and roles for a associate continuing healthcare practitioner
K24: Understand the demands of multidisciplinary practice and strategies to develop resilience in self and know how to seek support to help deal with uncertain situations
K25: Understand relevant legal, regulatory and governance requirements, policies, and frameworks, including any mandatory reporting duties, to all areas of practice
K26: Knows the financial implications that eligibility has and how this can influence demand on the service, behaviours and decisions made
K27: Knows how to critically appraise and reflect upon knowledge, research and practice and understand how this can be used in practice improve the quality of care and service delivered and commissioned
K28: The importance of accurate and timely data collection processes and how this has an impact on local and national assurance mechanisms
K29: Know how to review individual’s health and social care needs related to breathing, nutrition, bladder and bowel health, skin integrity, mobility, communication, psychological and emotional, cognition, behaviour, symptom control and consciousness
K30: Understand the challenges of providing safe care for people with complex co-morbidities and complex care needs
K31: Understands methods for dealing with potential conflict situations
K32: Recognises the impact of claims companies and solicitors on the appeals process
K33: Understands the roles, responsibilities and functions of the Health and Social care professionals that form a MDT
Skills
S1: To make appropriate referrals of an individual into the continuing healthcare service via a standard or fast-track referral pathway, using the mandated screening tools as per national policy, rejecting and redirecting any inappropriate referrals
S2: To formulate, monitor and reassess person-centred, evidence based health and social care plan, delegated by registered practitioner, ensuring commissioned services maintain optimal independence and health and social care outcomes where possible and continues to meet the needs of the individual
S3: Take appropriate action where change in health or social care need requires screening, referral or further MDT assessment to establish ongoing Continuing Healthcare eligibility
S4: Co-ordinate routine planning and management of referral, discharge or transition of care between professionals, settings or services
S5: Protect health through applying the principles of infection prevention and control
S6: Communicate and provide information in an accessible way that is sensitive and appropriate, using a range of skills and strategies with colleagues and people at all stages of life and with a range of mental, physical, cognitive and behavioural challenges recognising common barriers to communication
S7: Utilise report writing skills to formulate clear and evidence based multidisciplinary team recommendations
S8: Develop, manage and maintain appropriate relationships and rapport with people, their families, carers, colleagues and providers
S9: Facilitate discussions with individuals and their families to set an indicative Personal Health Budget
S10: Identify responsible commissioner for individuals referred into the continuing healthcare service
S11: Commission a package of care for an individual eligible for continuing healthcare
S12: Manage and prioritise competing demands, prioritising workload based on level of risk
S13: Process referrals in a timely manner
S14: In a range of settings, recognise where people could be at risk, including from neglect, and take appropriate action to report potential risk for assessment
S15: Commission safe, effective and person-centred health and social care packages for people who have co-morbidities and complex care needs
S16: Participate in data collection to support service delivery evaluation, audit or assurance activity to identify appropriate quality improvement activities or any gaps within the provider market
S17: Works within limits of own competence, experience and training, delegating tasks and escalating issues and duties appropriately
S18: Act as an advocate for the individual
S19: Use facilitation and co-ordination skills to make best use of the contributions of others across the multidisciplinary team for the purposes of a lawful assessment or review
S20: Apply the principles of effective leadership
S21: Act as a role model to colleagues, supervising and providing feedback about behaviour and actions of others, motivating them to reflect on and develop their practice
S22: Ensure the wellbeing and resilience needs of the team are met and recognise signs of vulnerability in themselves or their colleagues
S23: Act in accordance with legislation, national guidance and local policy at all times
S24: Can proactively engage with the individual or representative to support an amicable and lawful resolution of conflict or disagreement
S25: Identify and collate documents and evidence demonstrating current health and social care need from all professionals involved in the care of the individual, for lawful assessment or review of health and social care need to be undertaken
S26: Use a range of digital technologies to access, input, share and apply information and data within teams and between agencies
S27: Complete, store and retain accurate and contemporaneous records and data
S28: The ability to read, interpret and understand clinical records and notes
Behaviours
B1: Act in a non-discriminatory fashion, treating people with dignity and respecting individual's diversity, beliefs, culture, needs, values, privacy and preferences
B2: Be caring, sensitive and compassionate, nurturing the potential in others
B3: Have the courage to speak up and challenge areas of concern or any discriminatory behaviour, providing honest, accurate and constructive feedback
B4: Be competent, reliable and committed, using reflection to constantly improve and work to evidence based best practice always working within limits of own competence, experience and training
B5: Be adaptable, reliable and consistent, show discretion, resilience and self-awareness and demonstrate leadership
B6: Communicate in ways that are sensitive and appropriate, considering emotional, psychological, cognitive, language, social and other circumstances
B7: Constantly works to build the development of a positive associate CHC practitioner-patient relationship as a core element of the role
B8: Act as an ambassador and promote trust, upholding the reputation and promoting public confidence in the continuing healthcare service
B9: Demonstrates accountability in practice, engaging proactively in continuing development and training
Duty 1
DUTY: Undertake management and review of individual’s care packages, ensuring it continues to meet their agreed health and social care needs
CRITERIA FOR MEASURING PERFORMANCE: Delivered in line with current National Framework and additional relevant legal frameworks
K1
K2
K3
K4
K5
K6
K7
K8
K9
K12
K13
K17
K19
K21
K22
K25
K27
K29
S2
S3
S5
S6
S8
S14
S17
S23
S25
S27
S28
B1
B2
B3
B4
B5
B6
B7
B8
Duty 2
DUTY: Contribute to planning an individual’s care plan ensuring it meets their agreed health and social care needs
CRITERIA FOR MEASURING PERFORMANCE: The plan developed meets the health and social care needs of the individual and is in line with current legislation and local procedures
K1
K2
K3
K5
K6
K7
K8
K12
K14
K17
K21
K22
K23
K25
K27
K30
S2
S3
S4
S6
S9
S12
S14
S15
S17
S18
S19
S23
S25
S27
S28
B1
B2
B3
B4
B5
B6
B7
B8
Duty 3
DUTY: Contribute to continuing healthcare assessment of individuals health and social care needs using the mandated tools as outlined in the "National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care"
CRITERIA FOR MEASURING PERFORMANCE: Complete the nationally mandated "Checklist" and "Decision Support Tool" in line with the National Framework identifying all health and social care needs
K1
K2
K3
K4
K7
K8
K12
K17
K19
K20
K22
K25
K27
K29
K31
S1
S2
S3
S5
S6
S7
S8
S14
S17
S19
S23
S25
S27
S28
B1
B2
B3
B4
B5
B6
B7
B8
Duty 4
DUTY: Supervise staff assigned according to organisational policies and procedures.
CRITERIA FOR MEASURING PERFORMANCE: Acting as a role model, demonstrates robust performance management and appropriate professional development of the team in line with relevant legislation, governance and policy requirements
K8
K12
K17
K18
K23
K24
K25
K26
K27
K31
S8
S12
S14
S17
S20
S21
S22
S23
S26
S27
B1
B2
B3
B4
B5
B6
B8
Duty 5
DUTY: Manage the continuing healthcare referral process ensuring referrals into the service are in line with the "National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care"
CRITERIA FOR MEASURING PERFORMANCE: In compliance with the current National Framework, relevant legal regulations and local policy and processes
K8
K9
K18
K20
K25
K28
K29
K31
S1
S4
S6
S10
S13
S17
S23
S24
S26
S27
S28
B1
B2
B3
B4
B5
B6
B7
B8
Duty 6
DUTY: Collate and analyse evidence and assessment documentation from health and social care teams involved in caring for the needs of the individuals to enable a lawful eligibility decision to be made
CRITERIA FOR MEASURING PERFORMANCE: Completed evidence pack to support full multidisciplinary team assessment of eligibility as required by the National Framework
K2
K3
K8
K9
K12
K22
K23
K24
K25
K27
K29
K30
S6
S8
S14
S19
S23
S25
S26
S27
S28
B1
B3
B4
B5
B6
B7
B8
Duty 7
DUTY: Co-ordinate and guide the multidisciplinary, multiagency team undertaking assessments using specialist policy knowledge to advise on appropriate process to deliver a policy-compliant recommendation regarding continuing healthcare eligibility
CRITERIA FOR MEASURING PERFORMANCE: The multidisciplinary assessment process is completed fairly, consistently and lawfully in line with relevant legal regulations and policy
K2
K8
K17
K18
K19
K20
K22
K23
K25
K26
K28
K29
K31
S6
S7
S8
S14
S16
S17
S18
S19
S20
S21
S23
S24
S25
S26
S27
S28
B1
B2
B3
B4
B5
B6
B7
B8
Duty 8
DUTY: Contribute to resolution of disputed eligibility funding decisions fairly, consistently and lawfully
CRITERIA FOR MEASURING PERFORMANCE: Correctly follows legal frameworks and local processes
K2
K8
K12
K17
K18
K19
K20
K22
K24
K25
K26
K27
K28
S6
S8
S14
S16
S17
S19
S23
S24
S25
S26
S27
B1
B2
B3
B4
B5
B6
B7
B8
Duty 9
DUTY: Contribute to commissioning services required to meet individual's health and social care needs as prescribed by the multidisciplinary team in partnership with the individual
CRITERIA FOR MEASURING PERFORMANCE: Commission the full range of services required to meet individuals’ health and social care needs
K9
K10
K11
K12
K14
K15
K21
K22
K25
K27
K30
S4
S6
S8
S11
S14
S15
S16
S23
S25
S27
B1
B3
B5
B6
B7
B8
Duty 10
DUTY: Monitor continuing healthcare provider service and personal health budget (PHB) contracts in accordance with procurement law, national policy and local agreements
CRITERIA FOR MEASURING PERFORMANCE: Contracts are managed in accordance with procurement law and local policy and agreements