Job summary
An exciting opportunity has arisen
for a new Care Coordinator to join the Medics PCN team. Medics Primary Care Network consists
of 5 friendly practices working together to provide excellent patient care to a
population of over 59,000 patients.
You will be part of a developing
multi-disciplinary team (MDT). You will work closely with the MDT team, co-ordinating an
efficient, professional, and flexible journey for our patients. You will take a
holistic approach to bringing together a patients care and support needs.
You will support the Medics
Integrated Team in coordinating all key activity including access to services,
advice and information, ensuring health and care planning is timely, efficient
and patient-centred.
The role includes co-ordinating and navigating the patients journey through
primary care. A key part of the role will be working for the Lead Care Co-ordinator to support various elements of the PCN DES deliverables, such as CVD Prevention & Diagnosis, Enhanced Health in Care Homes and other health focused projects.
The candidate will need to be an
excellent communicator and be able to establish efficient monitoring and
quality assurance systems to monitor progress and capture outcomes. You will have good IT skills in order to deliver the administration required for the role.
Training and support will be provided to successful
applicants.
Main duties of the job
To work with the Medics PCN Integrated team and other primary care professionals within the PCN to proactively identify and work with a cohort of patients to deliver personal care.
To work closely and in partnership with the Social Prescribers, Health & Wellbeing Coach and our other PCN Care Co-ordinators, to explore care options based on what matters to the person.
To support patients to utilise decision aids in preparation for a shared decisions-making conversation and to help create single personalised care and support plans, in line with best practice.
To help people manage their needs through answering queries, making and managing appointments, and ensuring that people have good quality written or verbal information to help them make choices about their care.
To support people to understand their level of knowledge, skills and confidence (their Activation level) when engaging with their health and wellbeing, including through the use of the Patient Activation Measure.
To support the PCN in the delivery of the DES specifications.
Job Summary
- Provides co-ordination and navigation through the health and care systems
- Facilitates joint working across organisations and MDTs
- Makes referrals to services and other health and care professionals
- Helps patients prepare for/follow-up
- Supports patients to book appointments
- Signposts patients to further information
- Works in partnership with MDT colleagues including social prescribers and health and wellbeing coach
About us
The Medics
Primary Care Network comprises of 5 surgeries in Luton; Woodland Avenue Practice, Medici Medical Centre, Bell House Medical Centre, Barton Hills Medical Group, Gardenia & Marsh Farm practice. Medics is a mature Primary Care Network with long standing relationships between our member practices. Our PCN has a population of approximately 59,000 patients.
Our PCN already has many different specialist roles including Clinical Pharmacists, First Contact Physiotherapists, Paramedics, Social Prescribers, Health & Wellbeing Coach and also Nursing Associates, therefore, you will be joining a vibrant MDT team!
An additional care co-ordinator will compliment our dynamic team and help to support the pro-active intervention programmes already instigated by the Medics PCN core team.
Job description
Job responsibilities
To support the PCN in the delivery of
the DES specifications, including -
Being a contact point for areas of the PCN DES deliverables including Enhanced Health in Care Homes, CVD Prevention and Diagnosis and other health promoting projects.
Support and feed into the
development of the MDT approach to working with our patients,
Supporting the PCN Operational Manager with any other cohort of patients identified by the
Medics Integrated Team.
COLLABORATIVE WORKING RELATIONSHIPS:
1. Works within the PCN integrated
team, contributing to leadership of service evaluation and research to promote
quality improvement activity.
2. Collaborates with other members of
the integrated team, patients and their carers when managing and coordinating
care.
3. Uses healthcare technologies to
optimise service delivery, patient access, and continuity of care.
MANAGEMENT:
1. Demonstrates understanding of the
implications of national priorities for the team and/or service.
2. Use resources effectively to
manage patient treatment in line with local guidance and makes recommendations
for change where improvements can be made.
3. Follows professional and
organisational policies.
EDUCATION, LEARNING AND DEVELOPMENT:
It is the responsibility of the
employee to comply with all organisational and statutory requirements (e.g.,
health and safety, infection control, equality and diversity, confidentiality,
safeguarding adults and children, information governance):
1. Engages in annual
appraisal, developing objectives to inform a Personal Development Plan, which
may include 360-degree appraisal and use of patient feedback.
2. Participate in mandatory
and additional training as required by the PCN and practices.
3. Supports the practice
staff and responds to requests for advice and assistance.
4. Takes responsibility for
personal development, learning and performance and maintain education through
attendance on any courses and/or study days necessary to ensure that
professional development requirements are met.
5. Undertakes additional
training where necessary to provide enhanced services and participate in
training programmes implemented by the PCN as part of this employment.
6. Understands and
demonstrates the characteristics of a role model to members in the team.
7. Demonstrates an
understanding of current educational policies relevant to working areas of
practice and keeps up to date with relevant clinical practice.
QUALITY
Under supervision and support of the
clinical leads in the PCN, the post-holder will strive to maintain quality
within the PCN clinics and its member practices, and will:
1. Participate in clinical
governance activity and contribute to the improvement in quality of health
outcomes through audit, risk management and Quality Improvement
2. Alerts other team
members to concerns about risk, quality, and safety
3. Participates in
investigation of incidents and events as required
4. Identifies, applies, and
disseminates research findings relating to own practice
5. Collects data for audit
purposes and uses clinical audit to monitor quality in the service
6. Contributes to the
effectiveness of the team by reflecting on own and team activities and making
suggestions on ways to improve and enhance the teams performance
7. Works effectively with
individuals in other agencies to meet patients needs
8. Effectively manages own
time, workload, and resources
9. Meets
timescales/deadlines for audits and written returns to ensure that the Practice
meets quality standards and receives the designated funding
Job description
Job responsibilities
To support the PCN in the delivery of
the DES specifications, including -
Being a contact point for areas of the PCN DES deliverables including Enhanced Health in Care Homes, CVD Prevention and Diagnosis and other health promoting projects.
Support and feed into the
development of the MDT approach to working with our patients,
Supporting the PCN Operational Manager with any other cohort of patients identified by the
Medics Integrated Team.
COLLABORATIVE WORKING RELATIONSHIPS:
1. Works within the PCN integrated
team, contributing to leadership of service evaluation and research to promote
quality improvement activity.
2. Collaborates with other members of
the integrated team, patients and their carers when managing and coordinating
care.
3. Uses healthcare technologies to
optimise service delivery, patient access, and continuity of care.
MANAGEMENT:
1. Demonstrates understanding of the
implications of national priorities for the team and/or service.
2. Use resources effectively to
manage patient treatment in line with local guidance and makes recommendations
for change where improvements can be made.
3. Follows professional and
organisational policies.
EDUCATION, LEARNING AND DEVELOPMENT:
It is the responsibility of the
employee to comply with all organisational and statutory requirements (e.g.,
health and safety, infection control, equality and diversity, confidentiality,
safeguarding adults and children, information governance):
1. Engages in annual
appraisal, developing objectives to inform a Personal Development Plan, which
may include 360-degree appraisal and use of patient feedback.
2. Participate in mandatory
and additional training as required by the PCN and practices.
3. Supports the practice
staff and responds to requests for advice and assistance.
4. Takes responsibility for
personal development, learning and performance and maintain education through
attendance on any courses and/or study days necessary to ensure that
professional development requirements are met.
5. Undertakes additional
training where necessary to provide enhanced services and participate in
training programmes implemented by the PCN as part of this employment.
6. Understands and
demonstrates the characteristics of a role model to members in the team.
7. Demonstrates an
understanding of current educational policies relevant to working areas of
practice and keeps up to date with relevant clinical practice.
QUALITY
Under supervision and support of the
clinical leads in the PCN, the post-holder will strive to maintain quality
within the PCN clinics and its member practices, and will:
1. Participate in clinical
governance activity and contribute to the improvement in quality of health
outcomes through audit, risk management and Quality Improvement
2. Alerts other team
members to concerns about risk, quality, and safety
3. Participates in
investigation of incidents and events as required
4. Identifies, applies, and
disseminates research findings relating to own practice
5. Collects data for audit
purposes and uses clinical audit to monitor quality in the service
6. Contributes to the
effectiveness of the team by reflecting on own and team activities and making
suggestions on ways to improve and enhance the teams performance
7. Works effectively with
individuals in other agencies to meet patients needs
8. Effectively manages own
time, workload, and resources
9. Meets
timescales/deadlines for audits and written returns to ensure that the Practice
meets quality standards and receives the designated funding
Person Specification
Qualifications
Essential
- NVQ Level 3, Advanced level or equivalent Level 3 qualifications.
- Demonstrable commitment to professional and personal development.
Desirable
Experience
Essential
- Excellent experience of Microsoft Office applications
- Experience of data collection and providing monitoring information
- Experience of Electronic Patient Records
- Knowledge of the purpose of departmental policies, procedures and care pathways
Desirable
- IT systems including SystmOne
- Experience of working directly in a community development context, adult health and social care, learning support or public health/health improvement (including unpaid work)
- Experience of supporting people, their families and carers in a related role
- Experience of collaborative working and building relationships across varied organisations
- Experience of working within a patient facing role
Additional Skills
Essential
- Ability to organise and prioritise workload effectively
- Ability to exercise sound judgement when faced with conflicting pressures
- Excellent record keeping skills
- IT literate
- Good verbal and listening skills
- Works well as an autonomous / independent practitioner and within a team
- Excellent communication skills including able to communicate effectively, both verbally and in writing, with a wide range of people and stakeholders
- Excellent administration skills including able to prioritise and to finish work tasks
Desirable
- Proficient in the use of web-based applications or programmes
- Awareness of local referral pathways
Person Specification
Qualifications
Essential
- NVQ Level 3, Advanced level or equivalent Level 3 qualifications.
- Demonstrable commitment to professional and personal development.
Desirable
Experience
Essential
- Excellent experience of Microsoft Office applications
- Experience of data collection and providing monitoring information
- Experience of Electronic Patient Records
- Knowledge of the purpose of departmental policies, procedures and care pathways
Desirable
- IT systems including SystmOne
- Experience of working directly in a community development context, adult health and social care, learning support or public health/health improvement (including unpaid work)
- Experience of supporting people, their families and carers in a related role
- Experience of collaborative working and building relationships across varied organisations
- Experience of working within a patient facing role
Additional Skills
Essential
- Ability to organise and prioritise workload effectively
- Ability to exercise sound judgement when faced with conflicting pressures
- Excellent record keeping skills
- IT literate
- Good verbal and listening skills
- Works well as an autonomous / independent practitioner and within a team
- Excellent communication skills including able to communicate effectively, both verbally and in writing, with a wide range of people and stakeholders
- Excellent administration skills including able to prioritise and to finish work tasks
Desirable
- Proficient in the use of web-based applications or programmes
- Awareness of local referral pathways
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
