The Green House Surgery

Care Co-ordinator

This job is now closed

Job summary

The Care Coordinator will work as part of our multi-disciplinary team. This role will give you will the opportunity to develop both, the service and the role. You will be working with patients to help them better understand their conditions and what support is available locally to keep them happy and independent. This might involve working with clinicians looking after local Care Homes, participating in multi-disciplinary team meetings for both clinical and non-clinical staff or working with a specific cohort of patients yourself.

We are looking for a positive team player who is willing to go the extra mile to help patients and others who come into contact with the organisation. We need someone who can build strong relationships with team members, hard-working and able to meet deadlines.

The role requires high standards and great attention to detail, to provide an excellent service to patients and colleagues. The ideal candidate will be an individual who is self-motivated, organised, reliable and committed to improving patients' wellbeing as part of a team.

Main duties of the job

Work collaboratively with our existing Care Coordinator to provide support to specific patient groups.

Support the delivery of effective, coordinated care to our aligned care homes.

Liaise with other clinical and non-clinical professionals within the team and other partners involved in patient care.

Help people to manage their needs through answering queries, making and managing appointments, and ensuring that people have good quality written or verbal information to help them make choices about their care.

Provide coordination and navigation for people and their carers across health and care services, working closely with social prescribing link workers, health and wellbeing coaches, and other professionals.

Help identify where reasonable adjustments are required to support the delivery of equitable care.

About us

Our existing clinical team provides us with a diverse skill set consisting of, four GP Partners, Salaried GP, Paramedic Practitioner, Nurse Practitioners, Practice Nurses, Healthcare Assistants and Phlebotomists. As a member of Recdar Costal PCN, we benefit from having access to various ARRS practitioners and have good working relationships with the other member practices.

The Green House Surgery currently has a registered patient list of approximately 10,000 patients residing in Redcar and surrounding areas. We work from modern, purpose-built premises and benefit from ease of with access to hospital-based diagnostics and other services. We have excellent public transport links (Redcar train stations are within walking distance) and also have free on-site parking for both patients and staff.

We are a friendly & supportive team.

Date posted

23 December 2024

Pay scheme

Other

Salary

Depending on experience PCN ARRS PAY RATE

Contract

Permanent

Working pattern

Part-time

Reference number

A3401-24-0006

Job locations

Redcar Primary Care Hospital

West Dyke Road

Redcar

Teesside

TS10 4NW

Job description

Job responsibilities

PRIMARY DUTIES AND AREAS OF RESPONSIBILITY

Service Delivery

Work with practice teams to coordinate care for patients with greater needs to improve the patient pathway and expedite care as appropriate

Proactively identify patients who require care coordination, using agreed criteria and population health tools as appropriate

Support the delivery of the practice GSF and frailty programmes

Support the achievement of practice quality standards including QOF IIF DES and LIS

Work closely and in partnership with the Social Prescribing Link Workers, to address wider determinants of health, such as poor housing, debt, stress and loneliness and identify and prioritise a person's care/support needs in a single personalised care and support plan, based on what matters to the person in shared decision-making process

Help patients manage their needs through answering queries, making and managing appointments, and ensuring that people have access to good quality information about their care

Assist people to access personal health budgets where appropriate

Coordinate appointments and encourage uptake of vaccinations in eligible populations

Encouraging uptake of QOF LTC Annual and Structured Medication Reviews

Encouraging the delivery of good quality annual health checks for patients with learning disabilities and SMI

Supporting the practice in delivering its IIF priorities

Supporting cancer screening, including FIT tests/bowel screening, cervical screening, and breast screening. Refer smokers to smoking cessation.

Coordinating and following up of referrals and appointments

Communication

Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment

Support patients to use decision aids in preparation for shared decision-making conversations

Communicate effectively with patients and carers, recognising the need for alternative methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating

Anticipate barriers to communication and take action to improve communication

Maintain effective communication within the PCN and with external stakeholders

Delivering a quality service

Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures

Prioritise, organise and manage own workload in a manner that maintains and promotes quality

Deliver care according to NSF, NICE guidelines and evidence-based care

Assess effectiveness of care delivery through self and peer review, and clinical supervision

Partake in the audit cycle as a means of evaluating the quality of the work of self and the team

In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate

Evaluate patients response to health care provision and the effectiveness of care

Participate in shared learning across the organisation

Actively participate in network/practice significant event procedures and work in accordance with revised protocols and procedures.

Understand and apply legal issues that support the identification of vulnerable and abused children and adults, and be aware of statutory child/vulnerable patients health procedures and local guidance

Team working

Understand own role and scope and identify how this may develop over time

Work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working

Delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence

Prioritise own workload

Work effectively with others to clearly define values, direction and policies impacting upon care delivery

Discuss, highlight and work with the team to create opportunities toimprove patient care

General Responsibilities

Ensure strict confidentiality of correspondence, reports, meetings and verbal communications as appropriate.

Adapt to and support any changes that are implemented to improve the service.

At all times provide a caring service and to treat those with whom they come into contact in a courteous and respectful manner.

Demonstrate commitment by the efficient completion of all tasks allocated.

Carry out duties and responsibilities in compliance with health and safety policy and statutory regulations.

Adhere to equal opportunities policy throughout the course of employment.

Equality and Diversity

Identify patterns of discrimination and take action to overcome this and promote diversity and equality of opportunity

Enable others to promote equality and diversity in a non-discriminatory culture

Support people who need assistance in exercising their rights

Monitor and evaluate adherence to local chaperoning policies

Act as a role model in the observance of equality and diversity good practice

Accept the rights of individuals to choose their care providers, participate in care and refuse care