Apprenticeship training course

Associate continuing healthcare practitioner (level 5)

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Information about Associate continuing healthcare practitioner (level 5)

Planning and commissioning care for people with complex health and social care needs.

• Knowledge, skills and behaviours:
  View knowledge, skills and behaviours

  Knowledge

  • Understands the structures and functions of the human body.
  • Understand how to support people going through the continuing healthcare process.
  • 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.
  • The principles of infection control.
  • 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.
  • 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.
  • Understands the principles of a primary health need and the difference between health and social care needs.
  • Understand the importance and how to use a range of communication methods and media available to assist with communication.
  • 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.
  • 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.
  • Understand the impact of co-morbidities and the demands of meeting people’s complex health and social care needs when commissioning services.
  • 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.
  • 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.
  • 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.
  • Understand the role and function of the care quality commission for care home, supportive living and home care providers.
  • 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.
  • Knows how discriminatory behaviour is exhibited and the impact this can have on individuals and the commissioning function.
  • Techniques to manage differences of opinion, conflict and difficult conversations between professionals.
  • Understand the principles of accountability and how this applies to the role of associate continuing healthcare practitioner.
  • Understands the principles of courage, transparency and the professional duty of candour.
  • 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.
  • 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 multi-disciplinary teams contribute to a lawful assessment for eligibility of Continuing healthcare.
  • Understand the principles of effective leadership and supervisory opportunities and roles for a associate continuing healthcare practitioner.
  • Understand the demands of multi-disciplinary practice and strategies to develop resilience in self and know how to seek support to help deal with uncertain situations.
  • Understand relevant legal, regulatory and governance requirements, policies, and frameworks, including any mandatory reporting duties, to all areas of practice.
  • Knows the financial implications that eligibility has and how this can influence demand on the service, behaviours and decisions made.
  • 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.
  • The importance of accurate and timely data collection processes and how this has an impact on local and national assurance mechanisms.
  • 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.
  • Understand the challenges of providing safe care for people with complex co-morbidities and complex care needs.
  • Understands methods for dealing with potential conflict situations.
  • Recognises the impact of claims companies and solicitors on the appeals process.
  • Understands the roles, responsibilities and functions of the health and social care professionals that form a multi-disciplinary team.

  Skills

  • 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.
  • 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.
  • Take appropriate action where change in health or social care need requires screening, referral or further multi-disciplinary teams assessment to establish ongoing continuing healthcare eligibility.
  • Co-ordinate routine planning and management of referral, discharge or transition of care between professionals, settings or services.
  • Protect health through applying the principles of infection prevention and control.
  • 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.
  • Utilise report writing skills to formulate clear and evidence based multidisciplinary team recommendations.
  • Develop, manage and maintain appropriate relationships and rapport with people, their families, carers, colleagues and providers.
  • Facilitate discussions with individuals and their families to set an indicative Personal health budget.
  • Identify responsible commissioner for individuals referred into the continuing healthcare service.
  • Commission a package of care for an individual eligible for continuing healthcare, under the supervision of a clinical professional.
  • Manage and prioritise competing demands, prioritising workload based on level of risk.
  • Process referrals in a timely manner.
  • 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.
  • Commission safe, effective and person-centred health and social care packages for people who have co-morbidities and complex care needs, under the supervision of a clinical professional.
  • 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.
  • Works within limits of own competence, experience and training, delegating tasks and escalating issues and duties appropriately.
  • Act as an advocate for the individual.
  • 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.
  • Apply the principles of effective leadership.
  • 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.
  • Ensure the wellbeing and resilience needs of the team are met and recognise signs of vulnerability in themselves or their colleagues.
  • Act in accordance with legislation, national guidance and local policy at all times.
  • Can proactively engage with the individual or representative to support an amicable and lawful resolution of conflict or disagreement.
  • 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.
  • Use a range of digital technologies to access, input, share and apply information and data within teams and between agencies.
  • Complete, store and retain accurate and contemporaneous records and data.
  • The ability to read, interpret and understand clinical records and notes.

  Behaviours

  • Act in a non-discriminatory fashion, treating people with dignity and respecting individual's diversity, beliefs, culture, needs, values, privacy and preferences.
  • Be caring, sensitive and compassionate, nurturing the potential in others.
  • Have the courage to speak up and challenge areas of concern or any discriminatory behaviour, providing honest, accurate and constructive feedback.
  • 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.
  • Be adaptable, reliable and consistent, show discretion, resilience and self-awareness and demonstrate leadership.
  • Communicate in ways that are sensitive and appropriate, considering emotional, psychological, cognitive, language, social and other circumstances.
  • Constantly works to build the development of a positive associate CHC practitioner-patient relationship as a core element of the role.
  • Act as an ambassador and promote trust, upholding the reputation and promoting public confidence in the continuing healthcare service.
  • Demonstrates accountability in practice, engaging proactively in continuing development and training.
• Apprenticeship category (sector): Health and science
• Qualification level: 5; Equal to higher national diploma (HND)
• Course duration: 24 months
• Maximum funding: £10,000 ; Maximum government funding for ; apprenticeship training and assessment costs.

View more information about Associate continuing healthcare practitioner (level 5) from the Institute for Apprenticeships and Technical Education.