The successful candidates will lead the development of their assigned contracting portfolio across SWL, including host roles for hosted SWL NHS Trusts, associate NHS contracts, and Voluntary and Independent Sector Providers.

Key responsibilities:

• Develop and review approaches to contracting and commissioning healthcare services in SWL
• Establish effective methodologies that deliver the needs and requirements of the Strategic Commissioning strategy
• Provide expert contracting advice to support the ICB in effective commissioning of all services
• Support the development of contract management expertise in the ICB

Requirements:

• Educated to master's level or equivalent experience
• Significant experience as a senior NHS commissioner and/or contracts manager
• In-depth understanding of NHS policy, contract levers, and funding mechanisms
• Strong negotiation and communication skills

This is a permanent, full-time role with a salary range of £85,641 to £97,746 per annum.

The closing date for applications is 24 November 2026, with interviews scheduled between 9-11 December 2026.

Job Summary

The Head of Contracting X4 role is a strategic commissioning development opportunity within the SWL Commissioning Contracting Team. You will lead the development of your assigned contracting portfolio, including host roles for hosted SWL NHS Trusts, associate NHS contracts, and Voluntary and Independent Sector Providers.

Main Duties of the Job

• Develop the needs of the contracting portfolio across SWL
• Establish appropriate and effective approaches and methodologies
• Develop and review the approach to contracting and commissioning healthcare services in SWL

About Us

South West London Integrated Care Board was established on 1 July 2022 as part of the South West London Integrated Care System. We are a partnership of organisations working together to plan and deliver joined-up health and care services.

Job Responsibilities

• Lead the development of the SWL Commissioning and Contract team
• Establish effective approaches and methodologies
• Provide expert contracting advice to support the ICB

Person Specification

• Qualifications: Master's level or equivalent experience
• Experience: Senior NHS commissioner and/or contracts manager
• Skills: Negotiation, communication, and contract management

Benefits

• Competitive salary range: £85,641 to £97,746 per annum
• Permanent, full-time role

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You will assess adults with a known learning disability, in any setting, to determine their eligibility for NHS Continuing Healthcare (CHC) or NHS-funded Nursing Care (FNC), coordinating the multidisciplinary team and working with each person and their family to identify a suitable care package.

The main duties of the role include:

• Assess and case manage adults with a learning disability for CHC and FNC eligibility
• Make sure 3- and 12-month reviews take place on time and that care plans are up to date
• Triage Checklist referrals, verify Checklists, FNC referrals from nursing homes and 3- and 12-month reviews

You will bring advanced clinical assessment skills, excellent knowledge of AACC national and local policy, experience of operational service management and of managing a caseload, and the ability to communicate complex and sensitive decisions clearly to people, families and professionals.

As a Senior Nurse Assessor, you will also:

• Form part of the senior duty rota, managing fast track applications, complex case management and additional care requests
• Cover for a small team of Nurse Assessors in their line manager's absence
• Provide clinical supervision, leadership and senior support to Band 6 Nurse Assessors
• Communicate sensitive information, including diagnosis, prognosis and placement decisions, to people, families and professionals
• Work with quality and safeguarding leads to identify and act on concerns about patient safety and quality of care

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

The ICB provides system leadership for population health, setting the evidence base and long-term population health strategy.

Job Requirements:

• Registered health professional with a specialism in learning disabilities or mental health, with current professional registration
• Degree or equivalent level of experience
• Advanced clinical assessment skills
• Experience of operational service management, change management and service improvement, including leading successful projects
• Experience of managing a caseload
• Excellent knowledge of AACC national and local policy, and working knowledge of all aspects of AACC
• Ability to analyse very complex, conflicting information from multiple sources and to write comprehensive reports
• Experience of creating and presenting client information to a varied group of internal and external stakeholders
• Able to make informed decisions on incomplete information, and to plan and manage own workload over short, medium and long-term timeframes to tight and changing deadlines

Benefits:

• Competitive salary: £55,524 to £62,652 per annum
• Agenda for Change pay scheme
• Band 7 position
• Permanent, full-time contract

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The postholder will drive the integration of SEND functions to include planning, assurance, improvement and control through commissioning cycles, utilizing population health management (PHM) approaches and the Local Area offer and Reforma Plans to improve outcomes and reduce health inequalities for the people of South West and South East London.

The post-holder will work across Southwest and South East London and play a role in the development, interpretation, implementation, and monitoring of local and national strategies where it pertains to SEND and Complex Care.

Main duties of the job:

• The post holder will be expected to use their expert knowledge of quality, improvement, patient safety and clinical effectiveness, combined with an excellent knowledge of health and social care integration to work in collaboration with relevant system partners to deliver outcomes for SWL and SEL's population.
• The post-holder will provide strategic advice and support to SWL and SEL Boards on all matters relating to SEND and Complex Care, ensuring system wide join up of systems and processes, triangulation of strategic risks and issues of concern and appropriate levels of escalation from directorate to Board level.
• Lead the SEND agenda and work plan ensuring robust mechanisms, governance and risk management are in place, representing the ICB at the relevant regional meetings, in partnership with the Place Executive leads.
• The post holder will deputize for the Chief Nursing Officer & Quality Officer as required.

Benefits:

• Agenda for Change pay scheme
• Band 9 salary £118,919 to £135,920 a year
• Permanent, full-time contract

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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.

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.

Main duties of the job

• 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.
• 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.
• 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.
• Represent the service at multi-agency meetings and with NHS, local authority and other partner organisations.
• Lead on communication within the appeals and retrospective process, including decision letters, supporting documentation and correspondence, making sure it meets quality and assurance standards.
• Investigate complaints and provide outcomes, making sure the learning is shared with the AACC team and standard operating procedures are updated where needed.

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Working alongside the Clinical Lead for Appeals and Retros, you will case manage appeals and retrospective assessments for the AACC service across south west London. You will liaise with clients, their families and representatives, and other key people, to make sure the National Framework for NHS Continuing Healthcare (CHC) and NHS-funded Nursing Care was applied correctly at the outset and that the appeals process is followed through each of its stages.

Where appropriate, you will represent the ICB at NHS England Independent Review Panels and make sure the learning from them is shared with AACC teams across the ICB. You will also deputise for the Clinical Lead, support the development of staff in the team, and help shape how the service develops.

You will bring strong CHC clinical assessment experience, an excellent working knowledge of the National Framework, and the ability to analyse complex and conflicting evidence and turn it into clear, well-reasoned recommendations. Experience of managing appeal and retrospective cases and presenting at Independent Review Panels would be an advantage.

Main duties of the job

• Triage all appeal and retrospective review referrals, liaising with applicants to make sure each referral holds enough information to trigger a full appeal or retrospective review.
• Manage a delegated caseload of CHC appeal and retrospective review cases, scrutinising clinical records, care plans, Decision Support Tools and MDT evidence against the National Framework, and prioritising work so that statutory and internal timescales are met.
• Write clear, evidence-based rationales, appeal summaries, case reviews and eligibility recommendations for Local Resolution Meetings, Independent Review Panels and internal governance panels.
• Represent SWL ICB AACC at Independent Review Panels hosted by NHS England, presenting cases with empathy and professionalism and offering assurance and apology where needed.
• Communicate sensitive and complex information, including diagnosis, prognosis and life-changing decisions, to clients, families, staff, NHS England and partner organisations.

Job responsibilities

• Quality assure Decision Support Tools, checklists and appeal documentation, and develop and monitor clinical standards, audit and peer review for the service.
• Act as an advocate for vulnerable people, challenging poor practice and discriminatory behaviour and escalating safeguarding and clinical concerns promptly.
• Track the financial risk linked to appeal and retrospective cases, and make sure any financial restitution is carried out promptly and in line with Standing Financial Instructions.
• Deputise for the Clinical Lead, support the allocation of the team's workload against KPIs, and contribute to staff recruitment, induction, appraisal, training and development.
• Support complaint investigations, policy and procedure development, training for health and care providers, and the sharing of best practice across the service.

Person Specification

• Registered health professional with current professional registration (e.g. NMC, HCPC)
• Degree or equivalent level of experience in health or social care
• Advanced clinical assessment skills
• Experience of operational service management, change management and service improvement, including leading successful projects
• Excellent knowledge of AACC national and local policy, including the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care, and working knowledge of all aspects of AACC (Clinical, Brokerage, Contracting, Finance, Business Intelligence and Quality)
• Ability to analyse very complex, conflicting information drawn from multiple sources, and to write comprehensive reports that can be understood by health and social care professionals and lay people
• Ability to communicate sensitive and complex decisions to clients, families, professionals and other stakeholders, and to manage conflict and challenging behaviour with tact, diplomacy and empathy

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You will assess adults in any setting, whether at home, in hospital or in a nursing home, to determine their eligibility for NHS Continuing Healthcare (CHC) or NHS-funded Nursing Care (FNC). Acting as nurse assessor and coordinator of the multidisciplinary team, you will establish eligibility and work with each person and their family to identify a suitable care package.

You will also review CHC and FNC funded clients in line with the National Framework (revised 2022), explaining the process and decisions clearly to people, families and professionals so that it is transparent and understood.

You will bring relevant nursing experience gained in a complex, multidisciplinary environment, ideally in mental health, learning disabilities or community nursing, an understanding of the National Framework, and excellent written and verbal communication skills.

Main duties of the job

• Manage referrals from professionals, patients and carers, prioritising them and managing your own caseload.
• Coordinate and take part in MDT assessments using national tools and within required timescales, determining eligibility for CHC and FNC in line with the National Framework.
• Review CHC and FNC funded clients, and monitor the quality of commissioned care packages during care planning and reviews.
• Keep accurate written records in line with the NMC Code, and share information appropriately while maintaining confidentiality.
• Work across health and social care boundaries to gather specialist evidence and to inform and involve people, carers and professionals about the National Framework.
• Call, attend or lead CHC and multidisciplinary meetings, including case conferences and discharge meetings, to make sure care is joined up across agencies.
• Take part in complaint investigations and appeal responses, monitor care standards in local nursing homes, and raise any concerns about care delivery.
• Provide reports and advice under safeguarding procedures for adults at risk.
• Raise awareness of CHC among referrers such as GPs, consultants, care managers, discharge coordinators and the voluntary sector.
• Take part in research, audit and clinical and peer supervision, and deputise for colleagues and Senior Nurse Assessors when needed.

About us The core purpose of SWL ICB is to improve the health of our population and ensure access to consistently high-quality services. The ICB provides system leadership for population health, setting the evidence base and long-term population health strategy.

Benefits

• Competitive salary: £45,953 to £54,254 a year
• Agenda for Change pay scheme
• Band 6
• Permanent, full-time contract

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