Job summary
South Peterborough PCN's Personalised
Care team consists of Social Prescribing Link Workers, Health and Wellbeing
Coaches and Care Coordinators. They are a forward thinking and innovative team
who deliver personalised care to a high standard. The post holder will be responsible for
supporting the team in their day to day work, undertaking case load reviews,
identifying training and development needs and being a general first point of
contact for any questions, queries and ideas. In addition to line managing the
team, the post holder will also hold a caseload of patients in their area of
expertise as Social Prescribing Link Worker; Health & Wellbeing Coach or
Care Coordinator.
Ability to travel across sites within the PCN is essential.
Main duties of the job
- Supervision and daily line management of
Personalised Care Team members; being a first point of contact.
- Developing induction plans for new members of the
team; identifying training requirements and opportunities for the existing team.
- Provide support and guidance through facilitating
regular peer review sessions.
- Working with
practices to establish and maintain appropriate referral processes.
- Supporting patients through the personalised care
model, focusing on strengths and needs of individuals.
About us
Lakeside Healthcare is a large GP partnership that provides NHS care for around 170,000 patients across Cambridgeshire, Peterborough, Northamptonshire and Lincolnshire. We are made of eight GP practices across 14 sites that are part of their local communities.
We work together as practices to provide resilience, sharing learning and professional back-office support services.
Our most important asset is our people, who provide care for our patients and help run our surgeries smoothly. We employ over 500 clinical and non-clinical staff, and we invest in training and developing to ensure that we retain and attract good quality staff who want to stay with us and be part of our team.
We are proud of what we do and strive to demonstrate our values of Caring, Respect, Quality and Teamwork in everything we do.
About the Team
South Peterborough PCN consists of 4 practices covering the Wansford, Yaxley, Whittlesey and Fletton regions. Lead and supported by a dynamic PCN Clinical Director and an impassioned Health Inequalities Lead, the PCN has undertaken several initiatives locally in the past 2 years to support patients with managing complex pain conditions, weight management and addiction services to great effect.
Job description
Job responsibilities
Job Summary
Primary Care Networks (PCN) are a group of local General Practice surgeries working in collaboration with one another to provide services to its local communities and patient groups. Lakeside Healthcare Group is responsible for 4 PCNs across 3 Localities and providing services to approximately 200,000 patients across these networks.
The Personalised Care roles (Social Prescribing Link Workers, Health & Wellbeing Coaches and Care Coordinators) play an important part in providing extra time, capacity, and expertise to support patients to be actively involved in managing their health and to make choices that are right for them. Working to the "What Matters To Me" model, personalised care delivered is focused on the strengths and needs of the individual.
The successful candidate will be responsible for the day-to-day supervision and support of the personalised care roles within the PCN; evolving and developing business as usual processes and working with the Personalised Care Manager to develop new initiatives to optimise the care options available for the PCN patients and communities. A first line of contact and guidance for site leads on the introduction and induction of new personalised care roles into the PCN.
DUTIES & AREAS OF RESPONSIBILITY
Key Responsibilities
- Supervision and daily line management of PCN Personalised Care Team members; being a first point of contact or escalation for the team.
- Develop appropriate induction plans for new members of the team; identify training requirements of existing team members.
- Undertake regular supervision meetings with team members, undertaking case reviews and discussions around best practice.
- Encourage development of team through overseeing regular peer support sessions.
- Through feedback, support practices with developing processes to utilise personalised care team members roles to reduce capacity demands.
- Working with practice sites to establish and maintain appropriate referral processes.
- Working with local management teams coordinate and support the deployment of the team within the PCN member practices.
- Monitor personalised care team outputs using appropriate health and wellbeing scoring matrices.
- To manage and support patients through the personalised care model in the role of either a Social Prescribing Link Worker, or Health and Wellbeing Coach or Care Coordinator.
Communications and Key Working Relationships
- Create and maintain constructive relationships with a range of stakeholders, internally and externally including health, voluntary, social, financial and education sectors.
- Work collectively with local partners and agencies; maintain database and oversight of available services to ensure a sustainable offering for patients.
- Attend local and national personalised care meetings to provide feedback on local roles and have understanding of national initiatives.
- Participate and engage with stakeholders across the PCN, providing input and guidance to neighbourhood initiatives where applicable.
- Liaise, communicate effectively, and collaborate with member practices within the PCNs to ensure smooth running of Personalised Care Teams and their outputs.
- Communicate effectively with outside agencies sharing appropriate, relevant information to support best practice for ongoing patient care.
Knowledge and Skills
- Post holder must have a strong understanding of the Personalised Care roles, Social Prescribing Link Workers, Health and Wellbeing Coaches and Care Coordinators.
- Knowledgeable in Safeguarding interventions and awareness of the Mental Health Capacity Act.
- Excellent understanding and knowledge of person-centred approaches in health and social care in general practice.
- Good understanding of handling patient information and the importance of maintaining confidentiality.
- Experience in providing supervision.
- Strong administrative skills and competencies to fulfil tasks requirements such as reporting and interpreting data for quality and service improvements.
- IT literate with confidence in using GP systems and Microsoft office packages such as word, excel and Outlook.
Other
- Be willing to undertake frequent travel to various locations to carry out duties of the post as required.
- To safeguard the health, well-being, and safety of the patients we work with, some of whom maybe classed as vulnerable people or adults at risk. In the event of a risk to a Patient becoming apparent or if concerns arise about a vulnerable person's welfare, to immediately report these concerns in line with the appropriate policy and procedure.
NB. in addition to these responsibilities, employees are required to carry out such other duties as may be reasonably required. Lakeside Healthcare reserves the right to vary this job description from time to time in line with business needs.
Job description
Job responsibilities
Job Summary
Primary Care Networks (PCN) are a group of local General Practice surgeries working in collaboration with one another to provide services to its local communities and patient groups. Lakeside Healthcare Group is responsible for 4 PCNs across 3 Localities and providing services to approximately 200,000 patients across these networks.
The Personalised Care roles (Social Prescribing Link Workers, Health & Wellbeing Coaches and Care Coordinators) play an important part in providing extra time, capacity, and expertise to support patients to be actively involved in managing their health and to make choices that are right for them. Working to the "What Matters To Me" model, personalised care delivered is focused on the strengths and needs of the individual.
The successful candidate will be responsible for the day-to-day supervision and support of the personalised care roles within the PCN; evolving and developing business as usual processes and working with the Personalised Care Manager to develop new initiatives to optimise the care options available for the PCN patients and communities. A first line of contact and guidance for site leads on the introduction and induction of new personalised care roles into the PCN.
DUTIES & AREAS OF RESPONSIBILITY
Key Responsibilities
- Supervision and daily line management of PCN Personalised Care Team members; being a first point of contact or escalation for the team.
- Develop appropriate induction plans for new members of the team; identify training requirements of existing team members.
- Undertake regular supervision meetings with team members, undertaking case reviews and discussions around best practice.
- Encourage development of team through overseeing regular peer support sessions.
- Through feedback, support practices with developing processes to utilise personalised care team members roles to reduce capacity demands.
- Working with practice sites to establish and maintain appropriate referral processes.
- Working with local management teams coordinate and support the deployment of the team within the PCN member practices.
- Monitor personalised care team outputs using appropriate health and wellbeing scoring matrices.
- To manage and support patients through the personalised care model in the role of either a Social Prescribing Link Worker, or Health and Wellbeing Coach or Care Coordinator.
Communications and Key Working Relationships
- Create and maintain constructive relationships with a range of stakeholders, internally and externally including health, voluntary, social, financial and education sectors.
- Work collectively with local partners and agencies; maintain database and oversight of available services to ensure a sustainable offering for patients.
- Attend local and national personalised care meetings to provide feedback on local roles and have understanding of national initiatives.
- Participate and engage with stakeholders across the PCN, providing input and guidance to neighbourhood initiatives where applicable.
- Liaise, communicate effectively, and collaborate with member practices within the PCNs to ensure smooth running of Personalised Care Teams and their outputs.
- Communicate effectively with outside agencies sharing appropriate, relevant information to support best practice for ongoing patient care.
Knowledge and Skills
- Post holder must have a strong understanding of the Personalised Care roles, Social Prescribing Link Workers, Health and Wellbeing Coaches and Care Coordinators.
- Knowledgeable in Safeguarding interventions and awareness of the Mental Health Capacity Act.
- Excellent understanding and knowledge of person-centred approaches in health and social care in general practice.
- Good understanding of handling patient information and the importance of maintaining confidentiality.
- Experience in providing supervision.
- Strong administrative skills and competencies to fulfil tasks requirements such as reporting and interpreting data for quality and service improvements.
- IT literate with confidence in using GP systems and Microsoft office packages such as word, excel and Outlook.
Other
- Be willing to undertake frequent travel to various locations to carry out duties of the post as required.
- To safeguard the health, well-being, and safety of the patients we work with, some of whom maybe classed as vulnerable people or adults at risk. In the event of a risk to a Patient becoming apparent or if concerns arise about a vulnerable person's welfare, to immediately report these concerns in line with the appropriate policy and procedure.
NB. in addition to these responsibilities, employees are required to carry out such other duties as may be reasonably required. Lakeside Healthcare reserves the right to vary this job description from time to time in line with business needs.
Person Specification
Experience
Essential
- Experience of working with a personalised care role in the NHS.
- Experience of working with healthcare professionals and/or previous experience in the NHS or Social Care.
- Experience and knowledge of providing support to vulnerable people through lifestyle interventions.
- Experience of providing supervision.
- Designing and implementation of training programmes to support team growth and development for patient care.
- Experience in using SystmOne and its reporting functionalities.
Desirable
- Experience of working within a Personalised Care role in primary care.
- Good understanding of voluntary sector, community and well-being services.
- Awareness and knowledge of quality improvement activities.
- Awareness and experience of software to support Personalised Care.
Qualifications
Essential
- NVQ Level 3, Advanced Level or Equivalent experience in health and social care.
- Demonstrates commitment to continuous professional development.
- Training in motivational coaching and interviewing or equivalent experience.
Desirable
- Leadership, or supervision qualification or equivalent experience.
- Training in caseload management.
Person Specification
Experience
Essential
- Experience of working with a personalised care role in the NHS.
- Experience of working with healthcare professionals and/or previous experience in the NHS or Social Care.
- Experience and knowledge of providing support to vulnerable people through lifestyle interventions.
- Experience of providing supervision.
- Designing and implementation of training programmes to support team growth and development for patient care.
- Experience in using SystmOne and its reporting functionalities.
Desirable
- Experience of working within a Personalised Care role in primary care.
- Good understanding of voluntary sector, community and well-being services.
- Awareness and knowledge of quality improvement activities.
- Awareness and experience of software to support Personalised Care.
Qualifications
Essential
- NVQ Level 3, Advanced Level or Equivalent experience in health and social care.
- Demonstrates commitment to continuous professional development.
- Training in motivational coaching and interviewing or equivalent experience.
Desirable
- Leadership, or supervision qualification or equivalent experience.
- Training in caseload management.
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.
