Care Coordinator

Eskdaill Medical

Information:

This job is now closed

Job summary

This is a varied role covering various elements of clinical administration within a busy GP Practice. It will require a confident and polite person who will be comfortable working in a dynamic environment responding to multiple demands and priorities.

Care coordinators provide extra time, capacity, and expertise to support patients in preparing for or in following-up clinical conversations they have with primary care professionals. They will work closely with the GPs and other primary care professionals within the PCN to identify and manage a caseload of identified patients, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed.

Main duties of the job

Work with CCT Nurse to identify suitable patients, design personalised care and capture it in care plans.

Organise video ward rounds, consultations and MDT meetings.

Maintain a list of all Care Plans, ensuring they are regularly reviewed/updated.

Support patients to manage their needs by providing sufficient information, assistance and choice about their care.

Promote shared decision-making.

Refer patients to any interventions that support their health and wellbeing.

Coordinate and navigate people across health and care services.

Ensure contractual targets are achieved for housebound/care home patients.

Collate patient/carer feedback on their experiences.

Act as the first port of call for patients/carers.

To stay up to date with required training.

Other roles as required. 

About us

Our Mission

We aim to provide a high standard of medical care in a friendly and professional manner.

A caring practice that looks after our patients whilst balancing the needs of our patients and staff.

A successful organisation, that learns, evolves, reflects and embraces change and where staff are happy at work.

Date posted

31 December 2021

Pay scheme

Other

Salary

£9.50 an hour Will rise to £10 after successful probation of 3 months.

Contract

Permanent

Working pattern

Part-time

Reference number

A2507-21-1111

Job locations

Prospect House

121 Lower Street

Kettering

Northamptonshire

NN16 8DN


Job description

Job responsibilities

Duties and Responsibilities

This is a varied role covering various elements of clinical administration within a busy GP Practice. It will require a confident and polite person who will be comfortable working in a dynamic environment responding to multiple demands and priorities.

Care co-ordinators provide extra time, capacity, and expertise to support patients in preparing for or in following-up clinical conversations they have with primary care professionals. They will work closely with the GPs and other primary care professionals within the practice to identify and manage a caseload of identified patients, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed.

The main duties:

· Organise Video Group Consultations by contacting patients/identifying cohorts of patients if necessary

· Organise and hold MDT meetings

· Working with CCT Nurse and proactively identify and work with a cohort of people to support their personalised care requirements, using the available decision support aids

· Working with CCT Nurse bring together all of a person’s identified care and support needs, and explore their options to meet these into a single personalised care and support plan (PCSP), in line with PCSP best practice.

· Maintain a list of all Care Plans, ensuring Care Plans are regularly reviewed/updated

· Help patients to manage their needs, answering their queries and supporting them to make appointments

· Raise awareness of shared decision-making and decision support tools, and assist people to be more prepared to have a shared decision-making conversation

· Ensure that people have good quality information to help them make choices about their care

· Assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing

· Explore and assist people to access personal health budgets where appropriate

· Provide coordination and navigation for people and their carers across health and care services, alongside working closely with social prescribing link workers and other primary care roles

· Support Quality and Outcome Frameworks and other DES/LES specifications

· Refer to PCN social prescribing link workers and Health and Wellbeing Coaches were a patient is identified as potentially benefiting from this service

· To support patient/carer contact roles, and collate patient and carer feedback on their experiences

· Maintain and develop engagement with all practice staff and encourage ‘best practice’

· Act as the first port of call for patients, in their caseload in relation to their care.

· Undertake work in line with the practice directed priorities.

· Work closely with the CCT nurse to ensure housebound care/QOF/other contracts achievement

· To stay up to date with training as required and to attend PLT meetings

· Other roles as required to maintain accurate patient information

Collaborative Working Relationships:

The post-holder will be required to work with a wide range of stakeholders. It is important that the post-holder:

  • Recognises the roles of other colleagues within the organisation and their role to patient care:
  • Demonstrates use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations e.g. CCGs
  • Demonstrates ability to work as a member of a team
  • Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary
  • Actively work toward developing and maintaining effective working relationships both within and outside the practice and locality
  • Foster and maintain strong links with all services across locality
  • Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships
  • Liaises with other PCN Health and Wellbeing Coaches and Social Prescribers to ensure consistency of patient care and benefit from peer support
  • Management/ Optimisation to benefit from peer support
  • Liaise with other stakeholders as needed for the collective benefit of patients including but not limited to:

o Patients

o GPs, nurses and other practice staff

o Other healthcare professionals including CCG pharmacists, pharmacy technicians,

o Optometrists, dentists, health and social care teams and dieticians etc.

o Locality managers

o Community nurses and other allied health professionals

Job description

Job responsibilities

Duties and Responsibilities

This is a varied role covering various elements of clinical administration within a busy GP Practice. It will require a confident and polite person who will be comfortable working in a dynamic environment responding to multiple demands and priorities.

Care co-ordinators provide extra time, capacity, and expertise to support patients in preparing for or in following-up clinical conversations they have with primary care professionals. They will work closely with the GPs and other primary care professionals within the practice to identify and manage a caseload of identified patients, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed.

The main duties:

· Organise Video Group Consultations by contacting patients/identifying cohorts of patients if necessary

· Organise and hold MDT meetings

· Working with CCT Nurse and proactively identify and work with a cohort of people to support their personalised care requirements, using the available decision support aids

· Working with CCT Nurse bring together all of a person’s identified care and support needs, and explore their options to meet these into a single personalised care and support plan (PCSP), in line with PCSP best practice.

· Maintain a list of all Care Plans, ensuring Care Plans are regularly reviewed/updated

· Help patients to manage their needs, answering their queries and supporting them to make appointments

· Raise awareness of shared decision-making and decision support tools, and assist people to be more prepared to have a shared decision-making conversation

· Ensure that people have good quality information to help them make choices about their care

· Assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing

· Explore and assist people to access personal health budgets where appropriate

· Provide coordination and navigation for people and their carers across health and care services, alongside working closely with social prescribing link workers and other primary care roles

· Support Quality and Outcome Frameworks and other DES/LES specifications

· Refer to PCN social prescribing link workers and Health and Wellbeing Coaches were a patient is identified as potentially benefiting from this service

· To support patient/carer contact roles, and collate patient and carer feedback on their experiences

· Maintain and develop engagement with all practice staff and encourage ‘best practice’

· Act as the first port of call for patients, in their caseload in relation to their care.

· Undertake work in line with the practice directed priorities.

· Work closely with the CCT nurse to ensure housebound care/QOF/other contracts achievement

· To stay up to date with training as required and to attend PLT meetings

· Other roles as required to maintain accurate patient information

Collaborative Working Relationships:

The post-holder will be required to work with a wide range of stakeholders. It is important that the post-holder:

  • Recognises the roles of other colleagues within the organisation and their role to patient care:
  • Demonstrates use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations e.g. CCGs
  • Demonstrates ability to work as a member of a team
  • Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary
  • Actively work toward developing and maintaining effective working relationships both within and outside the practice and locality
  • Foster and maintain strong links with all services across locality
  • Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships
  • Liaises with other PCN Health and Wellbeing Coaches and Social Prescribers to ensure consistency of patient care and benefit from peer support
  • Management/ Optimisation to benefit from peer support
  • Liaise with other stakeholders as needed for the collective benefit of patients including but not limited to:

o Patients

o GPs, nurses and other practice staff

o Other healthcare professionals including CCG pharmacists, pharmacy technicians,

o Optometrists, dentists, health and social care teams and dieticians etc.

o Locality managers

o Community nurses and other allied health professionals

Person Specification

Qualifications

Essential

  • ECDL or equivalent
  • Diploma/ HNC level (or relevant experience)
  • NVQ Level 3 Business Administration (or relevant experience)
  • Ongoing internal and external training to keep up to date with changes/ developments

Experience

Essential

  • Experience in use of databases
  • Experience of administrative duties
  • Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality
  • Working in a multi-disciplinary setting where influence and negotiation is required
  • Knowledge/familiarity with medical terminology
  • Working in a busy and demanding environment whilst delivering in a timely manner
  • Proven record of excellent written and verbal communication skills and interpersonal skills
  • Evidence of excellent knowledge of Microsoft Office
  • Able to deal with service users sensitively
  • Able to work as part of a team
  • Able to prioritise and manage own workload
  • Excellent motivational and influencing skills
  • Car user (to travel between the GP practice and care homes/patients)
  • Excellent interpersonal skills
  • Excellent organisational and administration skills
  • Experience providing advice/signposting to users

Desirable

  • Vulnerable adults awareness (desirable)
  • Experience of care of the elderly (desirable)
  • Minimum of 2 years experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field (desirable)
Person Specification

Qualifications

Essential

  • ECDL or equivalent
  • Diploma/ HNC level (or relevant experience)
  • NVQ Level 3 Business Administration (or relevant experience)
  • Ongoing internal and external training to keep up to date with changes/ developments

Experience

Essential

  • Experience in use of databases
  • Experience of administrative duties
  • Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality
  • Working in a multi-disciplinary setting where influence and negotiation is required
  • Knowledge/familiarity with medical terminology
  • Working in a busy and demanding environment whilst delivering in a timely manner
  • Proven record of excellent written and verbal communication skills and interpersonal skills
  • Evidence of excellent knowledge of Microsoft Office
  • Able to deal with service users sensitively
  • Able to work as part of a team
  • Able to prioritise and manage own workload
  • Excellent motivational and influencing skills
  • Car user (to travel between the GP practice and care homes/patients)
  • Excellent interpersonal skills
  • Excellent organisational and administration skills
  • Experience providing advice/signposting to users

Desirable

  • Vulnerable adults awareness (desirable)
  • Experience of care of the elderly (desirable)
  • Minimum of 2 years experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field (desirable)

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

Eskdaill Medical

Address

Prospect House

121 Lower Street

Kettering

Northamptonshire

NN16 8DN


Employer's website

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

Employer details

Employer name

Eskdaill Medical

Address

Prospect House

121 Lower Street

Kettering

Northamptonshire

NN16 8DN


Employer's website

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

For questions about the job, contact:

Deputy Practice Manager

Natalia Dudonis

natalia.dudonis@nhs.net

01536526525

Date posted

31 December 2021

Pay scheme

Other

Salary

£9.50 an hour Will rise to £10 after successful probation of 3 months.

Contract

Permanent

Working pattern

Part-time

Reference number

A2507-21-1111

Job locations

Prospect House

121 Lower Street

Kettering

Northamptonshire

NN16 8DN


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