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.

In order to preserve integrity and avoid conflicts of interest, Nottinghamshire Healthcare Foundation Trust as the Lead Provider developed an arms-length commissioning and clinical oversight function (the IMPACT commissioning hub). IMPACT’s commissioning hub’s role involves understanding the local population and empowering local clinicians and Experts by Experience to design improved pathways of care. 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.

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.

Possession of a relevant professional qualification is essential, as well as knowledge of wider mental health services and ICS systems. Direct experience of working in specialised secure care mental health, learning disability & autism and forensic services is desirable. 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.

Full induction, training and opportunities for continuous professional development will be provided. We have access within our collaborative to nationally respected clinicians who are available to support with clinical supervision, professional development and mentorship expected for this role. While there will be hybrid working within this post, travel within the East Midlands and in particular to St Andrews Hospital in Northampton for 2 days a week will be expected.

#TeamNottsHC comprises over 11,000 dedicated colleagues who #MakeADifference every day. We deliver intellectual disability, mental health, community health, forensic, and offender healthcare services across Nottinghamshire, Leicestershire, Lincolnshire, and South Yorkshire. 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.

We offer a variety of employee-led staff networks, including Equality, Diversity, and Inclusion (EDI) groups, the Green Champions network, the Freedom to Speak Up network, the Health and Wellbeing Champions network, and the Menopause Champions network. 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

Case managers have significant experience of working within mental health and learning disability and Autism 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 within secure care. While working to the generic case manager job description, as outlined below, this post has a specific focus on supporting care pathways and discharges of patients with a learning disability and Autism in the East Midlands area.

Case managers 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

ensuring the voices of patients and their families are heard and acted upon

monitoring and reviewing the quality and safety of provision

observing providers in practice

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.

To find out more about the role we will be hosting a Case Manager Q&A Webinar on Monday 24 February from 12.00 – 13.00. Please join us to find out more about the case manager and wider IMPACT team. Please contact impact@nottshc.nhs.uk to book a place on the webinar.

If you would like to know more and to speak to a member of our team, please contact Vikki Spink vikki.spink@nottshc.nhs.uk

Closing Date: Midnight Thursday 27 February 2025

Shortlisting date: Friday 28 February 2025

Interview Date: Friday 14 March 2025