Job summary
Are you self-motivated and proactive with a passion for delivering truly
integrated care and great patient outcomes?
If so, we would love to hear from you. This exciting new opportunity has
arisen out of joint work across Imperial College Healthcare Trust and the
H&F PCN Collaborative, which comprises 3 primary care networks: Hammersmith
& Fulham Partnership, South Fulham, and GP at Hand. The programmes initial focus is testing
change across three care pathways, with an aspiration to share learning across
other specialties. Quality improvement
and addressing health inequalities are the two major drivers.
This new role requires the ability to develop excellent working
relationships with many key stakeholders, including hospital consultants, GPs, nurses,
pharmacists, local authority colleagues and personalised care roles such as
link workers and care navigators. This
will be a busy and demanding role requiring enhanced communication and
organisational skills. Knowledge of MS Office is essential, as is the ability
to undertake data searches and analysis, and ideally experience of clinical
systems (acute and/or primary care) and quality improvement. You will also be a
fast learner who can make an early impact in-role.
This is a critical
role within the integration programme as the post-holder will be pivotal to the
co-ordination of the three workstreams (respiratory, children & families,
and frailty).
Main duties of the job
You will be responsible for coordinating and organising activities of the three workstreams, including Multidisciplinary Teams (MDT) and team meetings. This will include liaising with departments/individuals that are involved in providing care that spans various health and care settings.
Below are some of the key duties of the role, noting that this is a new role flexibility will be required to be responsive and agile as role evolves:
- Leading co-ordination and administrative activities across the respiratory, children & families and frailty pathways
- Acting as the central point of contact for the workstream leads and team members
- Liaising with practitioners and patients to ensure clinics and meetings are set up in a timely and efficient manner
- Organising, attending and capturing notes, actions and learning from MDTs and wider workstream meetings
- Identifying opportunities from both within workstreams and more widely to share best practice and improve practice
- Acting as the link person for clinic templates and data sets - this includes creating or amending templates and searches
- Working with other members of the wider team to ensure quality standards are adhered to
- Adhering to all relevant policies and procedures and ensuring training related to the role is identified and undertaken, in agreement with line manager
- Ensuring the workstream activities are delivering the agreed outcomes to the relevant patient cohorts
About us
H&F PCN Collaborative: we are three forward-thinking Primary Care
Networks who serve patients in the south and centre of Hammersmith and Fulham.
We are working together to integrate patient pathways and improve the patient
journey, focussing on quality improvement and identifying and tackling
inequalities.
Imperial College Healthcare Trust: made
up of five hospitals, and integrating with Imperial College London, Imperial is
one of the largest acute trusts in the UK - employing almost 10,000 staff.
Offering more than 50 clinical specialities, they have one million patient
contacts a year. The Trust has established the UKs first Academic Health
Science Centre (AHSC), for the purpose of improving the health of its patients,
advancing clinical teaching and scientific invention and innovation.
Hammersmith & Fulham Partnership (host
employer): We are a single GP partnership of 30 partners with 160 staff,
running 5 large GP surgeries which serve 71,000 patients. We will be the
hosting employer for this role.
Job description
Job responsibilities
Main Duties
You will be responsible for coordinating and organising the activities of the three workstreams, including Multidisciplinary Teams (MDT) and team meetings. This will include liaising with the departments/individuals that are involved in providing care that spans various health and care settings.
The unifying ethos across the workstreams is to embed the use of whole system activity analytics, to: obtain a shared understanding of patient and population needs; design and test interventions; and pro-actively manage complex patients.
Below are some of the key duties of the role, noting that as this is a new role flexibility will be required to be responsive and agile as the role evolves:
- Leading co-ordination and administrative activities across the respiratory, children & families and frailty pathways
- Acting as the central point of contact for the workstream leads and team members
- Liaising with practitioners and patients to ensure that clinics and meetings are set up in a timely and efficient manner
- Organising, attending and capturing notes, actions and learning from MDTs and wider workstream meetings
- Identifying opportunities from both within the workstreams and more widely to share best practice and improve practice
- Acting as the link person for clinic templates and data sets - this includes creating or amending templates and searches
- Working with other members of the wider team to ensure quality standards are adhered to
- Adhering to all relevant policies and procedures and ensuring that training related to the role is identified and undertaken, in agreement with line manager
- Ensuring that the workstream activities are delivering the agreed outcomes to the relevant patient cohorts
Providing patient cohorts with signposting to identified services in order to maintain their independence and improve their health and wellbeing
You may visit patients in acute, community, home or GP settings alongside clinical colleagues
Communicating action or care plans to the GP and any other professionals involved in the persons care and uploading them to the relevant records
Ensuring that identified patients receive the right level of help at the right time and supporting them in experiencing a joined-up service by liaising with relevant organisations
The post holder will support members of the three PCNs, member GP practices and hospital/community teams in co-ordinating all key workstream activities - including access to services, advice, and information, and ensuring health and care planning is timely, efficient, and patient-centred.
Job description
Job responsibilities
Main Duties
You will be responsible for coordinating and organising the activities of the three workstreams, including Multidisciplinary Teams (MDT) and team meetings. This will include liaising with the departments/individuals that are involved in providing care that spans various health and care settings.
The unifying ethos across the workstreams is to embed the use of whole system activity analytics, to: obtain a shared understanding of patient and population needs; design and test interventions; and pro-actively manage complex patients.
Below are some of the key duties of the role, noting that as this is a new role flexibility will be required to be responsive and agile as the role evolves:
- Leading co-ordination and administrative activities across the respiratory, children & families and frailty pathways
- Acting as the central point of contact for the workstream leads and team members
- Liaising with practitioners and patients to ensure that clinics and meetings are set up in a timely and efficient manner
- Organising, attending and capturing notes, actions and learning from MDTs and wider workstream meetings
- Identifying opportunities from both within the workstreams and more widely to share best practice and improve practice
- Acting as the link person for clinic templates and data sets - this includes creating or amending templates and searches
- Working with other members of the wider team to ensure quality standards are adhered to
- Adhering to all relevant policies and procedures and ensuring that training related to the role is identified and undertaken, in agreement with line manager
- Ensuring that the workstream activities are delivering the agreed outcomes to the relevant patient cohorts
Providing patient cohorts with signposting to identified services in order to maintain their independence and improve their health and wellbeing
You may visit patients in acute, community, home or GP settings alongside clinical colleagues
Communicating action or care plans to the GP and any other professionals involved in the persons care and uploading them to the relevant records
Ensuring that identified patients receive the right level of help at the right time and supporting them in experiencing a joined-up service by liaising with relevant organisations
The post holder will support members of the three PCNs, member GP practices and hospital/community teams in co-ordinating all key workstream activities - including access to services, advice, and information, and ensuring health and care planning is timely, efficient, and patient-centred.
Person Specification
Experience
Essential
- You will need to be flexible, enthusiastic, detailed, innovative and dynamic in your approach to work.
- Knowledge of:
- General practice and/or acute clinical systems
- Continuous improvement and or service improvement methodologies
- Setting up relevant data searches and undertake analysis alongside BI and clinical colleagues
- Experience
- data collection and providing monitoring information to assess the impact of services partnership/collaborative working and of building relationships across a variety of organisations effective and timely planning and co-ordination of meetings working with healthcare professionals and or previous experience in the NHS or care or relevant field supporting people, their families and carers in a related role
- working in a multi-disciplinary setting where influence and negotiation is required working with or in general practice or another health care setting, in a people-centred environment
- knowledge/familiarity with medical terminology
Qualifications
Essential
- Qualifications
- Health and Social Care Diploma/ HNC level (or relevant experience)
- Demonstrable commitment to professional and personal development
Skills and Abilities
Essential
- Skills and Abilities
- Advanced experience of using word, excel and PowerPoint, including ability to use word processing skills, emails
- Creating searches, databases, and action plans and developing effective reporting processes and documentation
- Excellent interpersonal skills
- Time management skills and the ability to prioritise a busy workload
- Excellent communication (written and verbal) skills
- Problem solving skills - an analytical thinker
Person Specification
Experience
Essential
- You will need to be flexible, enthusiastic, detailed, innovative and dynamic in your approach to work.
- Knowledge of:
- General practice and/or acute clinical systems
- Continuous improvement and or service improvement methodologies
- Setting up relevant data searches and undertake analysis alongside BI and clinical colleagues
- Experience
- data collection and providing monitoring information to assess the impact of services partnership/collaborative working and of building relationships across a variety of organisations effective and timely planning and co-ordination of meetings working with healthcare professionals and or previous experience in the NHS or care or relevant field supporting people, their families and carers in a related role
- working in a multi-disciplinary setting where influence and negotiation is required working with or in general practice or another health care setting, in a people-centred environment
- knowledge/familiarity with medical terminology
Qualifications
Essential
- Qualifications
- Health and Social Care Diploma/ HNC level (or relevant experience)
- Demonstrable commitment to professional and personal development
Skills and Abilities
Essential
- Skills and Abilities
- Advanced experience of using word, excel and PowerPoint, including ability to use word processing skills, emails
- Creating searches, databases, and action plans and developing effective reporting processes and documentation
- Excellent interpersonal skills
- Time management skills and the ability to prioritise a busy workload
- Excellent communication (written and verbal) skills
- Problem solving skills - an analytical thinker
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).