Care Coordinator for Frailty, Housebound and Dementia

Job description

Job responsibilities

Main Duties and Responsibilities of the Post

· Contact Housebound patients (excluding care homes) and arrange home visits for annual reviews.

· Code newly housebound patients and arrange Domicilary Visit phlebotomy when required.

· Coordinate the covid and flu vaccinations for housebound patients, following direction from the Quality Lead, in conjunction with the Nurse Managers.

· Be responsible for coordinating the care of patients on the Dementia register across sites, including organising their annual reviews according to the protocol.

· Be the point of contact for Dementia support in terms of linking patients with Social Prescribing.

· Liaise with Dementia care services and agencies when required. Ensuring they have up to date Dementia registers.

· Using the EMIS electronic frailty index (eFi) identify patients 65 and over with moderate and severe frailty, ensuring that they have been assessed annually are correctly coded.

· Using EMIS/IT identify patients with severe frailty who are due an annual medication review and flag up with relevant clinicians.

· Ensure details of patient’s informal carer are recorded.

· Identify ghost patients and deduct from register.

· Monitor ‘All Records’ notes and letters and extracting and coding information such as BP, Smoking, Alcohol, Ethnicity and Physical Exercise information and code accordingly.

· Provide information as and when required to Quality and Performance leads to develop a service report.

· Ensure achievement of agreed key performance indicators.

· Provide supervision / direction / training to other team members regarding use of the service as and when required and manage tasks from clinicians and clinical lead.

· Ensure appropriate template is used to code correctly, supporting clinicians to ensure data is accurately recorded through use of audits and education.

· Facilitate any adhoc vaccinations as and when required ie Covid/B12/Shingles/Pneumonia/Flu etc for these patient cohorts.

· Any other duty required to support the effective running of the Practices.

Communication and relationships

· Liaise with members of the Practice, including leads as well as other NHS organisations and outside agencies as appropriate to the role.

· Work in conjunction with the other Care Coordinators to provide well rounded, intregrated support to our patients.

· Communicate sensitively and effectively with others, using active listening and adapting communication style and method as necessary to meet their needs.

· Participate in meetings as appropriate, including regular MDTs with internal and external clinicians, Quality and Performance Leads.

Team working

· Understand own role and scope in the practice.

· Work as an effective and responsible team member, supporting colleagues in a flexible and approachable manner.

Organisation/Quality

· Ensure that any data entered into the computer is done accurately.

· Understand and follow the requirements of confidentiality (including the Data Protection Act) and the Freedom of Information Act and refer on any queries as appropriate.

· Participate in quality improvement initiatives, including Significant Event Analysis and Learning Events.

· Support the aims and objectives of the Practice and contribute to the on-going development of the Practice as required.

· Follow Practice policies, including Health and Safety, Security and Confidentiality.

Practice development and clinical governance

· To participate in primary healthcare team meetings when required.

· To provide data, as requested, for practice development plans and report.

· To be aware of practice policies on risk management / incident reporting and health and safety and operate appropriate procedures for minimising risk.

· To be aware of issues related to own development and be committed to participate in training and education.

Training, learning and development

· Undergo regular appraisal, supervision and training to update skills and knowledge

· Provide training to other staff in work relevant to this post.

· Participate in the induction of new staff, students and other attached professionals

Equality and diversity

· Respect the privacy, dignity and beliefs of patients, carers, visitors and co-workers. They must be treated equally, irrespective of gender, ethnic origin, age, disability, sexual orientation, religion, etc.

· Be aware of procedures regarding protection of children and vulnerable adults, including Practice and NHS policies. Follow the guidance and policies and take action in an appropriate manner.

Management of risk / health, safety and security

· Follow Health & Safety Policies and guidelines, including fire procedures and those pertaining to clinical areas of risk. Use safe working procedures and report incidents using the incident reporting system.

· Use the personal security systems within the workplace according to Practice guidelines.

· Follow infection control procedures.

· Employees must take reasonable care for the Health and Safety of him/herself and / or others who may be affected by his/her acts or omissions at work.

· No person shall intentionally or recklessly interfere with or misuse anything provided in the interests of Health, Safety or Welfare.

Confidentiality

· All information relating to patients and staff gained through your employment and after leaving employment with Brownlow Health is confidential Disclosure to any unauthorized person is a serious disciplinary offence or may result in litigation.

Other

· Give good and regular attendance.

· Maintain a tidy and organised work area.

This job description is not intended to be exhaustive but to indicate the main areas of responsibility. It may be changed after consultation with the post holder.

Person Specification

Personal skills and abilities

Essential

• A friendly and approachable manner, with good people skills, showing understanding, care and assertiveness when appropriate.
• The ability to work independently and use initiative.
• The ability to produce accurate and thorough work in a prompt and efficient manner, working to set timescales.
• The ability to communicate clearly and effectively with a wide range of individuals, both verbally and in writing.
• The ability to manage conflict calmly and positively, and adhere to procedures under pressure.
• A conscientious approach and commitment to working in an adaptable and flexible manner.
• The ability to work effectively when busy and multi-task when required.
• The ability to deal with personal information sensitively and respect people's right to confidentiality.
• The ability to cope with occasional exposure to challenging behaviour, distressing circumstances or emotional events.
• The ability to work positively as a member of a busy team.
• The ability to give good and regular attendance.

Knowledge, training and experience

Essential

• Good general computer skills, including the ability to use Microsoft Office, email and the internet
• A sound general education to GCSE level or equivalent, or equivalent working experience, or relevant qualifications.
• Evidence of excellent administration and organisational skills with the ability to manage time effectively to meet deadlines.
• Previous experience that demonstrates good attention to detail.
• An excellent standard of grammar and spelling in the English language.

Desirable

• Experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field (including unpaid work)
• Experience of supporting people, their families and carers in a related role (including unpaid work
• Experince of working with a partnership and working collabrallatively across the wider team

General

Essential

• A commitment to support the delivery of the best possible service to a diverse inner city population.

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.

Employer details

Employer name

Brownlow Group Practice

Address

Brownlow Health @ Pembroke Place

70 Pembroke Place

Liverpool

Merseyside

L69 3GF

Employer's website

https://www.brownlowhealth.co.uk/ (Opens in a new tab)