Care - Coordinator (ARRS role)

Job description

Job responsibilities

Job description

Job responsibilities

1. Facilitate and ensure the effective delivery of patient-centred, personalised health and social care plans for patients, monitoring progress and reporting outcomes, contributing to patient reviews and care planning within appropriate time frames

2. Supporting patients to use decision aids , help create single personalised care and support plans in line with best practice.

3. Explain the management of a patients pathway to clinical staff, liaising between services and service users, contacting services using the appropriate procedures/referral mechanisms and helping patients in making and managing appointments.

4. Work closely with all relevant care agencies (primary care, secondary care, community services, Social Prescribers, Link workers, Community Pharmacists, Mental Health, Social Services, Ambulance Service, Voluntary services and other relevant service providers) to ensure a coordinated patient care plan, without requiring a further referral from the GP.

5. Ensure that a proper handover of care between different settings has taken place, including mutual transfer of all organisations communications & patient notes and ensuring care packages are set up

6. Collect data on patients/carers and ensure all patient notes are updated to reflect any changes, including details on plans.

7. Use healthcare technologies to optimise service delivery, access and coordinating care.

8. Organise and attend relevant meetings when required including Integrated Care meetings, ensure a programme of regular meetings is established, ensuring that all necessary documentation is circulated in advance.

9. Ensure that meeting actions are recorded, disseminated and followed up in a timely way; ensure relevant practitioners are aware of meeting decisions and actions / outcomes, and chase for action resolution and update.

10. Network and develop strong relationships with all levels of the NHSs key local players including the CCG, GPs and other primary care contractors, Social Services, Mental Health Trusts, Community Trusts, and other providers including the voluntary sector

11. Be a contact point for GPs / practices and establish systems and processes which will ensure a timely and appropriate response to queries from clinicians and other stakeholders

12. Identifying and working within the Primary Care teams to support personalised care for patients and bringing together all of a persons identified care and support needs to create a single personalised care and support plan.

13. Help people to manage their needs, answering their queries and supporting them to make appointments, follow ups and to advocate for them in their care journey.

14. Supporting people to take up training and employment accessing benefits where eligible and refer to social prescribers where appropriate.

15. Raising awareness of shared decision making and assisting people to have a shared decision-making conversation and ensuring that people have good quality information to help them make choices about their care.

16. Assisting people to access self-management education courses, peer support or interventions that support them in their health and wellbeing

17. To assist patients in streamlining their own care and onboarding to new technology such as the NHS Apps and use of practice websites for access.

18. To coordinate and manage the Patient Participation Groups in collaboration with Practice managers and clinical teams and to innovate ways to enhance engagement.

19. To Capture Patient Positive experiences and feedback to grow confidence within the practice and aid with the delivery of an effective patient journey,

20. Work within the policies of scheme and Practices.

21. Maintain a good working knowledge of health and safety procedures

22. Promote client involvement in the management of the service.

23. Participate in regular appraisals and practice reviews.

24. Attend training and development activities as identified and participate in meetings as required.

25. Maintain a good working knowledge of Health and Safety procedures and fire precautions, and operate the correct procedures and participate in policy development and data collection where appropriate.

26. Work flexibly to meet the needs of patients and be able to adapt to change

27. To undertake any other duties appropriate to the grade and purpose of the job as may be agreed by the post holder.

Person Specification

Qualifications

Essential

• GCSE grade A-C in English & Maths

Desirable

• NVQ qualification in Health & Social Care

Experience

Essential

• Coordination of services from a variety of organisations
• Communication & relationship building

Desirable

• Experience of working in primary care/GP practice

Person Specification

Essential

• Behaviours
• Highly organised
• Adaptability and a flexible with a positive approach to team integration
• Highly reliable and good timekeeping
• A common sense, pragmatic approach
• Willingness to undertake further training and learning
• An understanding of the importance of confidentiality
• Ability to take responsibility for own actions
• Ability to share information and good practice appropriately
• Skills and knowledge
• Essential
• Understanding of human needs physical, emotional, social
• Proven ability to recognise and manage risk
• Knowledge of the needs of vulnerable adults, safeguarding and the associated legislative framework
• Understanding of basic health and social care terminology
• Good interpersonal skills
• Ability to communicate confidently with staff of all seniority levels
• Ability to work well across teams
• Good time management and prioritisation skills, ability to work to strict deadlines
• Ability to work on own initiative without direct supervision, understanding where clinical input is needed
• IT skills and experience in the use of Microsoft Excel

Desirable

• Familiarity with IT systems currently in use in health and social care settings

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.

Employer details

Employer name

Clarendon Surgery & The Angel Medical Practice

Address

Clarendon Medical Practice

Pendleton Gateway

1 The Broadwalk, Salford

Gtr Manchester

M6 5FX

Employer's website

https://www.clarendonsurgery.co.uk (Opens in a new tab)