Location of Post

Cavan Monaghan Integrated Health Area

A panel may be formed as a result of this campaign for Grade VIII integrated Care Programme Chronic Disease,

within Cavan Monaghan IHA, from which current and future, permanent and specified purpose vacancies of full or part-time duration may be filled.

Informal Enquiries:

Fiona Gilliland,

Operational Lead

Cavan Monaghan Chronic Disease Integrated Programme

Email: fiona.gilliland@hse.ie

Purpose of the Post

The Operational Team Lead Integrated Care ICPCD Specialist Community Team will play a key role in implementing the model of care for the prevention and management of chronic disease

within Cavan Monaghan IHA. The post holder is responsible for coordination of ICPCD Specialist team and Hub operations, ensuring the provision of a seamless integrated service and multidisciplinary

input for patients with chronic disease i.e. Diabetes, Respiratory or Cardiac. The post holder will support the development of the new clinical roles and functions within the Specialist Community Team.

Background to the Post:

As outlined above, the need to reform the healthcare services in Ireland in order to provide a more sustainable, integrated and patient-centred approach has come to the

fore in recent health policies and strategies. The post must be congruent with the requirement of Sláintecare, HSE National framework for the Prevention and Management of

Chronic Disease and the Enhanced Community Care Business Case.

Integrated care requires health and social care services to work together across different levels and sites in order to provide end-to-end care that meets patient need. As described in the Sláintecare report (2017),

integrated care involves:

1. Ensuring appropriate care pathways are developed with a focus on person-centred service planning to ensure services are built around patients;
2. Supporting timely access to all health and social care services according to medical need;
3. Patients accessing care at the most appropriate, cost effective service level with a strong emphasis on prevention and public health.

The Operational Team Lead Integrated Care ICPCD Specialist Community Team role is multifaceted:

1. The post holder is responsible for the operational management of the Chronic Disease Hub. The post holder will operationally manage all of the staff in the Hub.

Professional reporting for all disciplines will continue with the relevant HOD/DPHN or other as appropriate (Nursing staff in the hub are Operationally managed by the ADPHN)

2. The post holder will ensure that team structures are attended to so that the service is consistent with recognised best practice in team functioning.

3. The post holder will have oversight of activity within the Chronic Disease Community Specialist Teams and will have responsibility for developing and

    implementing care pathways in collaboration with Chronic Disease Specialist Teams in the acute and community settings.

4. The post holder will play a pivotal role in collaborating with the Community Healthcare Network Manager and the ICPOP Team

  Co-Ordinator to adopt a population based approach to services, completing a population stratification and identifying those clients most at risk, for management within the CHN and Specialist Teams.

5. Work across the services to develop integrated improvement plans for planning care and patient flow thereby ensuring an effective partnership of care between patients, families,

    carers and healthcare providers in achieving safe, easily accessible, timely and high quality care.

6. The post holder will co-ordinate a model of active referral management in conjunction with GP’s and Community Healthcare Networks and relevant Discipline managers

    within the Chronic Disease Specialist Teams to support patients to access the appropriate care pathway they need in a timely manner.

7. The post holder will work with the Consultant Leads/Project MDT and existing outreach/in reach services to develop integrated criteria for referral and on-going support ensuring a seamless continuum of care for the patient.

8. The post holder will ensure that all services are operating optimally within the specialist teams and in collaboration with relevant discipline managers provide oversight of waiting lists and access to services within the Chronic Disease Specialist Team.

9. The post holder will ensure patients with chronic disease are facilitated to understand their care needs and to work in partnership with the Multidisciplinary Team (MDT) in the Hub and wider community

    e.g. peer groups supports to ensure optimisation of their care in the ambulatory model.

10. The post holder will Line manage the Project Support Officer to support the operations of the Specialist Team (Administrative staff are line managed by the Project Officer).

Eligibility Criteria

Qualifications and/ or experience

1. Registration, Professional Qualifications, Experience, etc.

Candidates for appointment must at the latest date of application:

• Demonstrate evidence of a significant track record in leading and implementing service improvement within a health system.
And
• Demonstrate experience, in any of the speciality area (Chronic Disease, Respiratory, Cardiovascular Disease and Diabetes in particular).
And
• Demonstrate evidence of continuing professional development at the appropriate level.
And
• Demonstrate significant experience of interacting with multiple internal and external stakeholders as relevant to the role.
And
• Candidate must possess the requisite knowledge and ability (including a high standard of suitability and organising ability) for the proper discharge of the duties of the office.

2.Health
A candidate for and any person holding the office must be fully competent and capable of undertaking the duties attached to the office and be in a state of health such as would indicate a reasonable prospect of ability to render regular and efficient service

3. Character
Each candidate for and any person holding the office must be of good character.

Post Specific Requirements, additional qualifications and/or experience required

Candidates for appointment must at the latest date of application:

(i) Demonstrate depth and breadth of their understanding of the complexity and dynamics associated with change in the health and social care sector.

(ii) Demonstrate depth and breadth of sound knowledge of current issues and experience of working with people with Chronic Disease.

(iii) Demonstrate a track record of leading on service improvement and/ or possess a qualification of relevance to same.

(iv) Demonstrate they are self-managing and have the ability to identify and work with key partners in the implementation of the ICPCD.

(v) Demonstrate depth and breadth of their understanding of the challenges of leading a complex change programme

 with significant technology and process change, interdependencies, and HR challenges.