Job summary
The North Lincolnshire South PCN has a fantastic opportunity for a Care Coordinator to join our multi-disciplinary team. The position can be part-time.
Successful applicants will be based at one of the practices within the PCN, Cedar Medical Practice.
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.
Care coordinators are one of several new roles that support the NHS's commitment to improving health through personalised care. They provide a more joined-up and coordinated care journey for patients, instead of each encounter with services being seen as a single, unconnected episode of care; acting as a single point of contact for patients to navigate the health and care system.
Main duties of the job
Care Coordinators review patients' needs and help them access the services and support they require to understand and manage their own health and well-being.
You will work within the team to bring together all the information about a person's identified care and support needs and explore options to meet these within a single personalised care and support plan.
For a brief outline of responsibilities, skills and competencies please see below:
- Proactively identify and work with a cohort of people to support their personalised care requirements.
- Bring together all of a persons identified care and support needs and what matters to them; explore the options to address these in a single personalised care and support plan.
- Help people 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 high-quality health information to help them make choices about their care.
- Provide coordination and navigation for individuals and their carers across health and care services, working closely with social prescribing link workers, health and wellbeing coaches and other primary care roles.
- Referring to Social Prescribers, health and wellbeing coaches, and other professionals where appropriate.
- Support the coordination and delivery of multidisciplinary teams within PCNs.
About us
North Lincolnshire South PCN is a large, forward-thinking Primary Care Network compromising 6 practices across Scunthorpe and the surrounding area and providing services for over 70,000 patients. Our aim is to provide exemplary patient care; finding innovative solutions in general practice to deliver the best care we can to our patients.
The six practices comprise: Ancora Medical Practice, Ashby Turn Primary Care Centre, Cambridge Avenue Medical Centre, Cedar Medical Practice, Kirton Lindsey and Scotter Surgeries, West Common Lane Lane Teaching Practice
Job description
Job responsibilities
The
individual will provide collaborative administrative support to practices and
the PCN across specific areas of identified work and patients in line with the
requirements of the DES/LES specification which will include the new Enhanced
Health in Care Homes Framework. You will be working alongside a team of Care
Coordinators based within our PCN with close links to practices in the PCN.
To
enhance our team, we are looking for highly motivated individuals to work with
practices in the PCN and with the wider PCN team.
Main
duties may include the following:
-
Collation of information from systems e.g. Ardens
Manager/SystmOne to identify and implement actions for a specific cohort of
patients across Practices and PCN (training can be given).
-
Collate information at Practice & PCN level in areas such as Learning Disabilities & Early Cancer Specification.
- Identify areas requiring improvement, arrange reviews/screening and work on
actions with Practices.
- Support delivery through data entry and coding of
patient information pertaining to practice requirements.
-
Case Management as appropriate, potentially acting as a key
person in managing frequent or non-attenders.
-
Participating in the administrative and professional
responsibilities of the practice team. Answering queries, and booking
appointments with practice and wider PCN teams, including Clinical Pharmacists,
Social Prescribers, Home Visiting, and First Contact
Physios.
-
To support in the delivery of enhanced services and other
service requirements on behalf of the PCN and work collaboratively with other
teams and services to maintain an effective and efficient service.
-
Be aware and promote services and look for best practices in
areas under their remit from websites/NHS platforms etc. both for patients and
practices.
-
Provide and receive sensitive information about difficult or
complex matters respecting confidentiality at all times.
-
Where required, be able to offer appropriate support and
guidance to patients and families / carers.
-
Receive, record and collate information and maintain accurate
electronic records of patient care and planned service provision, across the
agreed cohort of patients including hospital admission and discharge
information for Care Homes, chasing up outstanding areas here required.
-
Signpost service users and carers to relevant services ensuring
that patients have good quality information.
-
Undertake any tasks consistent with the level of the post and
the scope of the role, ensuring that work is delivered in a timely and
effective manner. Duties may vary from time to time without changing the
general character of the post or the level of responsibility.
Job description
Job responsibilities
The
individual will provide collaborative administrative support to practices and
the PCN across specific areas of identified work and patients in line with the
requirements of the DES/LES specification which will include the new Enhanced
Health in Care Homes Framework. You will be working alongside a team of Care
Coordinators based within our PCN with close links to practices in the PCN.
To
enhance our team, we are looking for highly motivated individuals to work with
practices in the PCN and with the wider PCN team.
Main
duties may include the following:
-
Collation of information from systems e.g. Ardens
Manager/SystmOne to identify and implement actions for a specific cohort of
patients across Practices and PCN (training can be given).
-
Collate information at Practice & PCN level in areas such as Learning Disabilities & Early Cancer Specification.
- Identify areas requiring improvement, arrange reviews/screening and work on
actions with Practices.
- Support delivery through data entry and coding of
patient information pertaining to practice requirements.
-
Case Management as appropriate, potentially acting as a key
person in managing frequent or non-attenders.
-
Participating in the administrative and professional
responsibilities of the practice team. Answering queries, and booking
appointments with practice and wider PCN teams, including Clinical Pharmacists,
Social Prescribers, Home Visiting, and First Contact
Physios.
-
To support in the delivery of enhanced services and other
service requirements on behalf of the PCN and work collaboratively with other
teams and services to maintain an effective and efficient service.
-
Be aware and promote services and look for best practices in
areas under their remit from websites/NHS platforms etc. both for patients and
practices.
-
Provide and receive sensitive information about difficult or
complex matters respecting confidentiality at all times.
-
Where required, be able to offer appropriate support and
guidance to patients and families / carers.
-
Receive, record and collate information and maintain accurate
electronic records of patient care and planned service provision, across the
agreed cohort of patients including hospital admission and discharge
information for Care Homes, chasing up outstanding areas here required.
-
Signpost service users and carers to relevant services ensuring
that patients have good quality information.
-
Undertake any tasks consistent with the level of the post and
the scope of the role, ensuring that work is delivered in a timely and
effective manner. Duties may vary from time to time without changing the
general character of the post or the level of responsibility.
Person Specification
Qualifications
Essential
- Educated to GCSE level or equivalent
- Passed training requirements as outlined by the Personalised Care Institute live from April 2020, or willing to undertake such training
Transport
Essential
- Is able to work between multiple sites with own transport
Experience
Essential
- Experience of working in a healthcare setting
- Experience of using clinical systems such as SystmOne
- Excellent communication skills
- Good IT skills
- Clear, polite telephone manner
- Good knowledge of MS Office and Outlook
- Effective time management
- Ability to work as a team member and autonomously
- Ability to follow policy and procedure
- Access to own transport and ability to travel across the locality as required, including to visit people in their own home
- Self-motivated, committed, adaptable and enthusiastic
- Flexible, responsive to feedback and training, and willing to implement change
- Ability to work well under pressure
- DBS check
Desirable
- Experience in primary care
- Experience of supporting people, their families and carers in a related role (including unpaid work)
- Experience of community and care home settings
- Experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field (including unpaid work)
- Experience of partnership/collaborative working and of building relationships across a variety of organisations
- Experience of working with or in general practice
Person Specification
Qualifications
Essential
- Educated to GCSE level or equivalent
- Passed training requirements as outlined by the Personalised Care Institute live from April 2020, or willing to undertake such training
Transport
Essential
- Is able to work between multiple sites with own transport
Experience
Essential
- Experience of working in a healthcare setting
- Experience of using clinical systems such as SystmOne
- Excellent communication skills
- Good IT skills
- Clear, polite telephone manner
- Good knowledge of MS Office and Outlook
- Effective time management
- Ability to work as a team member and autonomously
- Ability to follow policy and procedure
- Access to own transport and ability to travel across the locality as required, including to visit people in their own home
- Self-motivated, committed, adaptable and enthusiastic
- Flexible, responsive to feedback and training, and willing to implement change
- Ability to work well under pressure
- DBS check
Desirable
- Experience in primary care
- Experience of supporting people, their families and carers in a related role (including unpaid work)
- Experience of community and care home settings
- Experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field (including unpaid work)
- Experience of partnership/collaborative working and of building relationships across a variety of organisations
- Experience of working with or in general practice
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.
