PCN Care Coordinator Lifestyle & Health Improvement

Riverside Health Partnership

Information:

This job is now closed

Job summary

Retford & Villages PCN is supporting the recruitment of additional Care Coordinator roles across the member practices. We already have excellent members of the team and we believe the addition of Care Coordinators with special interests will be a huge benefit for the team, our practices and our patients.

An exciting opportunity has arisen for an experienced, enthusiastic and committed Care Coordinator with an interest in lifestyle changes, phyical activities and Health Education to be based with the practice team at Riverside Health Partnership. Experience is essential, and our ambition is to find the right candidate with the necessary skills and expertise.

This position can be full time or part time (hours negotiable with applicant) with the possibility of flexibility, working across Monday to Friday.

The salary is £22549 - £24882 (FTE) depending on experience.

We also offer 27 day weeks paid annual leave and the opportunity to join NHS pension scheme.

Main duties of the job

The successful candidate will be passionate and enthusiastic, well organised, highly motivated and skilled in their role.

This role will be adding to a well-established team comprising of clinical and non-clinical practice staff and allied health professionals from the PCN. The ethos of the practice and PCN is ensure excellent support for staff and patients and on-going development as part of the wider team.

Working with the PCN, the practice and other colleagues, we aim to enhance service delivery for the patients of Bassetlaw, alongside ongoing opportunities and for Riverside Health Partnership within the Retford and Villages Primary Care Network.

A background of working with patients on exercise, lifestyle, nutrition and health education is essential for this role.

A strong commitment to personal and professional development and teamwork are essential for this role.

About us

Retford & Villages PCN comprises of 5 General Practices: Riverside Health Centre, Kingfisher Family Practice, Crown House Surgery, Tuxford Medical Centre and North Leverton Surgery. With a population of over 54,000 people, it is the largest of the three PCNs in Bassetlaw.

Riverside Health Partnership serves the North Nottinghamshire market town of Retford and its surrounding villages. We are an established, well-respected, progressive and popular practice providing services from our sites in Retford, Misterton, Harworth and Gringley-on-the-hill.

The partnership has 6 GP partners (including 1 Managing GP partner), 5 Salaried GPs, 5 Advanced Nurse Practitioners (including distinct clinical operational manager and nurse team lead), Practice Manager and a structure of middle and junior managers and team leads.

For further information regarding this role, please contact our Group Practice Manager, Alison Johnson at alison.johnson16@nhs.net. You can also contact the practice on 01777 713330.

Date posted

20 July 2022

Pay scheme

Other

Salary

£22,549 to £24,882 a year

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A3243-22-1222

Job locations

Riverside Walk

Retford

Nottinghamshire

DN22 6FB


Riverside Walk

Retford

Nottinghamshire

DN22 6FB


Scrooby Road

Harworth

Doncaster

South Yorkshire

DN11 8JT


Marsh Lane

Misterton

Doncaster

South Yorkshire

DN10 4DL


Job description

Job responsibilities

Job Description and Person Specification

Salary: £22549 - £24882 WTE dependant on experience Hours: 37.5 hours Base: Riverside practices Term: Permanent Purpose of Role

To work as part of the primary care team in the practice supporting the clinical team to help achieve, the Care Coordinators will provide extra time, capacity and expertise to support patients in preparing for or in following-up clinical conversations they have with primary care professionals. Working 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. They focus delivery of the comprehensive model to reflect local priorities, health inequalities or population health education and management risk stratification.

Main Duties

  • Working with GP’s with special interest in Diabetes; focussed on improving metabolic health through diet, education and physical exercise activities
  • Delivery of practice-based education sessions on diet and exercises groups and classes.
  • Providing advice on diet and lifestyle, for patients to gain better understanding of how to regain and maintain good metabolic health, to reduce NHS costs and to lead to better outcomes.
  • Regular update sessions for other health care professionals in the practice and the wider PCN who are interested in helping their patients.
  • Proactively identify and work with a cohort of people to support their personal care requirements.
  • 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 best practice.
  • 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 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
  • Support people to understand their level of knowledge, skills and confidence (their “Activation” level) when engaging with their health and wellbeing, including through use of the Patient Activation Measure
  • Provide coordination and navigation for people and their carers across health and care services, alongside working closely with social prescribing link workers, health and wellbeing coaches and other primary care roles
  • Support the coordination and delivery of MDTs withing PCNs.

Job description

Job responsibilities

Job Description and Person Specification

Salary: £22549 - £24882 WTE dependant on experience Hours: 37.5 hours Base: Riverside practices Term: Permanent Purpose of Role

To work as part of the primary care team in the practice supporting the clinical team to help achieve, the Care Coordinators will provide extra time, capacity and expertise to support patients in preparing for or in following-up clinical conversations they have with primary care professionals. Working 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. They focus delivery of the comprehensive model to reflect local priorities, health inequalities or population health education and management risk stratification.

Main Duties

  • Working with GP’s with special interest in Diabetes; focussed on improving metabolic health through diet, education and physical exercise activities
  • Delivery of practice-based education sessions on diet and exercises groups and classes.
  • Providing advice on diet and lifestyle, for patients to gain better understanding of how to regain and maintain good metabolic health, to reduce NHS costs and to lead to better outcomes.
  • Regular update sessions for other health care professionals in the practice and the wider PCN who are interested in helping their patients.
  • Proactively identify and work with a cohort of people to support their personal care requirements.
  • 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 best practice.
  • 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 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
  • Support people to understand their level of knowledge, skills and confidence (their “Activation” level) when engaging with their health and wellbeing, including through use of the Patient Activation Measure
  • Provide coordination and navigation for people and their carers across health and care services, alongside working closely with social prescribing link workers, health and wellbeing coaches and other primary care roles
  • Support the coordination and delivery of MDTs withing PCNs.

Person Specification

Personal Attributes

Essential

  • Willingness and ability to work across different sites and travel to alternative sites and across the community as required.
  • Polite and confident
  • Flexible and cooperative
  • Motivated
  • Problem solver with the ability to process information accurately and effectively, interpreting data as required
  • Efficient, organised and methodical
  • High levels of integrity and loyalty
  • Responsibility for own development, learning and performance.
  • Sensitive and empathetic in distressing situations
  • Able to communicate effectively and understand the needs of the patient
  • Assess own performance and take accountability for own actions under supervision

Experience

Essential

  • A good understanding of General Practice and Multi Disciplinary Team working

Desirable

  • Understanding of Metabolic Health
  • Interest in Diabetes

Qualifications

Desirable

  • Qualification in Personal Fitness / Diet / Nutrition

Skills and Abilities

Essential

  • Confidence to talk to patients and deliver 1:1 and small group work
  • Computer literate with an ability to use the required GP clinical systems (desirable) and Microsoft office packages (essential)
  • Self-motivated and able to work independently and autonomously as required, without the need for close supervision or support.
  • Effective verbal and written communication skills including report writing, presentations and system specifications.
  • Effectively manage own time, workload, and resources.
  • Effective interpersonal skills

Desirable

  • Awareness of systems to support management of patients in a primary care setting
  • Awareness of systems to support management of patients in a primary care setting
  • Understanding of the aims of current healthcare policy within the PCN
Person Specification

Personal Attributes

Essential

  • Willingness and ability to work across different sites and travel to alternative sites and across the community as required.
  • Polite and confident
  • Flexible and cooperative
  • Motivated
  • Problem solver with the ability to process information accurately and effectively, interpreting data as required
  • Efficient, organised and methodical
  • High levels of integrity and loyalty
  • Responsibility for own development, learning and performance.
  • Sensitive and empathetic in distressing situations
  • Able to communicate effectively and understand the needs of the patient
  • Assess own performance and take accountability for own actions under supervision

Experience

Essential

  • A good understanding of General Practice and Multi Disciplinary Team working

Desirable

  • Understanding of Metabolic Health
  • Interest in Diabetes

Qualifications

Desirable

  • Qualification in Personal Fitness / Diet / Nutrition

Skills and Abilities

Essential

  • Confidence to talk to patients and deliver 1:1 and small group work
  • Computer literate with an ability to use the required GP clinical systems (desirable) and Microsoft office packages (essential)
  • Self-motivated and able to work independently and autonomously as required, without the need for close supervision or support.
  • Effective verbal and written communication skills including report writing, presentations and system specifications.
  • Effectively manage own time, workload, and resources.
  • Effective interpersonal skills

Desirable

  • Awareness of systems to support management of patients in a primary care setting
  • Awareness of systems to support management of patients in a primary care setting
  • Understanding of the aims of current healthcare policy within the PCN

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Additional information

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Employer details

Employer name

Riverside Health Partnership

Address

Riverside Walk

Retford

Nottinghamshire

DN22 6FB


Employer's website

http://riversidehealth.co.uk/ (Opens in a new tab)

Employer details

Employer name

Riverside Health Partnership

Address

Riverside Walk

Retford

Nottinghamshire

DN22 6FB


Employer's website

http://riversidehealth.co.uk/ (Opens in a new tab)

For questions about the job, contact:

Group Practice Manager

Alison Johnson

alison.johnson16@nhs.net

01777713330

Date posted

20 July 2022

Pay scheme

Other

Salary

£22,549 to £24,882 a year

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A3243-22-1222

Job locations

Riverside Walk

Retford

Nottinghamshire

DN22 6FB


Riverside Walk

Retford

Nottinghamshire

DN22 6FB


Scrooby Road

Harworth

Doncaster

South Yorkshire

DN11 8JT


Marsh Lane

Misterton

Doncaster

South Yorkshire

DN10 4DL


Supporting documents

Privacy notice

Riverside Health Partnership's privacy notice (opens in a new tab)