PCN Care Home Care Coordinator

Wyre Integrated Network Limited

The closing date is 17 October 2024

Job summary

Are you looking to join a forward thinking and dynamic team? Do you want to be a part of a true Multi-Disciplinary Team improving health outcomes for patients on a daily basis?

Wyre Integrated Network PCN are recruiting for a Care Home Care Coordinator to join their team. The successful candidate will join a team consisting of Pharmacists, Paramedics, Social Prescribers, Care Coordinators, GP Assistants and a Physiotherapist supported by a team of GPs and clinical leads all striving to support the needs of the local community.

As the Care Home Coordinator, you will play a key role in enhancing continuity of care by serving as the primary point of contact for residents, families, and healthcare professionals who interact with or work in the care home. You will also oversee the coordination of the Care Home Multi-Disciplinary Team (MDT) and facilitate weekly care home rounds by identifying residents requiring review or discussion. In this role, you will support individuals in preparing for, or following up on, clinical conversations with primary care professionals. You will work closely with the Care Home Leads and primary care professionals within the Primary Care Network (PCN) to manage a caseload of care homes under our care, ensuring effective communication between Primary Care and care home staff.

Main duties of the job

As our Care Home Coordinator, you will:

  • Proactively identify and collaborate with care homes to support personalised care support plans for residents.
  • Assist residents and families in managing their healthcare needs, answering queries, and facilitating referrals to the Care Home MDT or escalating concerns to the Clinical Team.
  • Provide residents and their families with high-quality information to aid in making informed choices about their care.
  • Coordinate and direct health and care services for residents and their carers, working alongside social prescribing link workers, health and wellbeing coaches, and other primary care professionals.
  • Support the organisation with the delivery of Care Home MDTs within the PCN.

  • Build and maintain effective relationships with GPs and primary care professionals to enhance the coordination of care for the residents.

About us

We are looking for an energetic and motivated individual to join our innovative Network.

WIN PCN covers 29,000 patients over four practices in the Thornton-Poulton area and uses a network of skilled clinicians to forge relationships with varying healthcare providers and promote collaborative working through the 4 partner practices, providing personalised care for patients through every stage of life.

Benefits of joining Wyre Integrated Network:

Being part of a successful integrated team.

  • Wrap around professional and education support for successful candidates
  • Underpinning support from the safety, education/training and wider clinical team
  • Opportunity to develop a system perspective to support our healthcare without boundaries approach.
  • NHS Pension
  • Generous Annual Leave Entitlement

Date posted

19 September 2024

Pay scheme

Other

Salary

Depending on experience Band 4 - dependant on experience

Contract

Permanent

Working pattern

Part-time, Flexible working

Reference number

A4115-24-0002

Job locations

The Bungalow

Breck Road

Poulton-Le-Fylde

FY6 7PU


Lockwood GP Surgery

Breck Road

Poulton-Le-Fylde

FY6 7PU


Queensway Medical Centre

Queensway

Poulton-le-fylde

Lancashire

FY6 7ST


Beechwood Surgery

155 Victoria Road East

Thornton-cleveleys

Lancashire

FY5 5HH


The Village Practice

Church Road

Thornton-cleveleys

Lancashire

FY5 2TZ


Job description

Job responsibilities

You will guide the coordination of Care Home MDTs and facilitate weekly rounds with the GP practices ensuring that residents in need of a review or a discussion are identified and prioritised. You will provide expertise to help individuals prepare for, clinical discussions with primary care professionals. Working closely with Care Home Leads and other primary care professionals within the PCN, you will manage a caseload of care homes, ensuring timely assistance for staff and residents, and addressing changing needs. You will also support the implementation of local priorities, address health inequalities, and promote population health. This role is designed to improve communication between Primary Care and care home staff, aiming to prevent unnecessary GP visits and hospital admissions. The post holder must be adjustable, as the role will evolve alongside the Enhanced Health in Care Homes Framework initiative.

Key responsibilities

  • Proactively identify and collaborate with care homes to support personalised care for residents.

  • Assist residents and families in managing their healthcare needs, facilitating referrals to the Care Home MDT or escalating issues to the Clinical Team.
  • Promote shared decision-making, helping individuals prepare for discussions with healthcare providers.

  • Coordinate and navigate health and care services for residents and their carers, working closely with social prescribing link workers, health and wellbeing coaches, and other primary care roles.
  • Support the organisation and delivery of Care Home MDTs within the PCN.

  • Demonstrate flexibility in liaising with multiple services and stakeholders, facilitating information-sharing between GPs, practices, social care teams, commissioners, patients, and the voluntary sector.
  • Support the continued development of an integrated health and social care approach within the PCN, ensuring a coordinated response to referrals from GPs and health and social care teams.
  • Act as a critical link in ensuring that patients are signposted to the appropriate health, social, or voluntary services in a timely manner.

Job description

Job responsibilities

You will guide the coordination of Care Home MDTs and facilitate weekly rounds with the GP practices ensuring that residents in need of a review or a discussion are identified and prioritised. You will provide expertise to help individuals prepare for, clinical discussions with primary care professionals. Working closely with Care Home Leads and other primary care professionals within the PCN, you will manage a caseload of care homes, ensuring timely assistance for staff and residents, and addressing changing needs. You will also support the implementation of local priorities, address health inequalities, and promote population health. This role is designed to improve communication between Primary Care and care home staff, aiming to prevent unnecessary GP visits and hospital admissions. The post holder must be adjustable, as the role will evolve alongside the Enhanced Health in Care Homes Framework initiative.

Key responsibilities

  • Proactively identify and collaborate with care homes to support personalised care for residents.

  • Assist residents and families in managing their healthcare needs, facilitating referrals to the Care Home MDT or escalating issues to the Clinical Team.
  • Promote shared decision-making, helping individuals prepare for discussions with healthcare providers.

  • Coordinate and navigate health and care services for residents and their carers, working closely with social prescribing link workers, health and wellbeing coaches, and other primary care roles.
  • Support the organisation and delivery of Care Home MDTs within the PCN.

  • Demonstrate flexibility in liaising with multiple services and stakeholders, facilitating information-sharing between GPs, practices, social care teams, commissioners, patients, and the voluntary sector.
  • Support the continued development of an integrated health and social care approach within the PCN, ensuring a coordinated response to referrals from GPs and health and social care teams.
  • Act as a critical link in ensuring that patients are signposted to the appropriate health, social, or voluntary services in a timely manner.

Person Specification

Personal Qualities

Essential

  • Flexible and cooperative
  • Ability to work under pressure

Experience

Desirable

  • Experience of working in a primary care setting
  • Experience of working in, or with care home staff/residents

Skills

Essential

  • Excellent communication skills (written and oral)
  • Effective time management (planning and organising)
  • Ability to work as a team member and autonomously.
  • Problem solving and analytical skills.
  • Ability to follow policy and procedure

Desirable

  • Good knowledge of MS Office and Outlook

Qualifications

Essential

  • GCSE grade A* to C (9-4) in English and Maths or equivalent.
  • Willingness to work towards further educational qualifications required for the role.

Desirable

  • NVQ Level 3, Advanced level, or equivalent qualifications
Person Specification

Personal Qualities

Essential

  • Flexible and cooperative
  • Ability to work under pressure

Experience

Desirable

  • Experience of working in a primary care setting
  • Experience of working in, or with care home staff/residents

Skills

Essential

  • Excellent communication skills (written and oral)
  • Effective time management (planning and organising)
  • Ability to work as a team member and autonomously.
  • Problem solving and analytical skills.
  • Ability to follow policy and procedure

Desirable

  • Good knowledge of MS Office and Outlook

Qualifications

Essential

  • GCSE grade A* to C (9-4) in English and Maths or equivalent.
  • Willingness to work towards further educational qualifications required for the role.

Desirable

  • NVQ Level 3, Advanced level, or equivalent qualifications

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

Wyre Integrated Network Limited

Address

The Bungalow

Breck Road

Poulton-Le-Fylde

FY6 7PU


Employer's website

https://www.beechwoodsurgery.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Wyre Integrated Network Limited

Address

The Bungalow

Breck Road

Poulton-Le-Fylde

FY6 7PU


Employer's website

https://www.beechwoodsurgery.nhs.uk/ (Opens in a new tab)

For questions about the job, contact:

Administrator

Emily Sadler

emily.sadler4@nhs.net

Date posted

19 September 2024

Pay scheme

Other

Salary

Depending on experience Band 4 - dependant on experience

Contract

Permanent

Working pattern

Part-time, Flexible working

Reference number

A4115-24-0002

Job locations

The Bungalow

Breck Road

Poulton-Le-Fylde

FY6 7PU


Lockwood GP Surgery

Breck Road

Poulton-Le-Fylde

FY6 7PU


Queensway Medical Centre

Queensway

Poulton-le-fylde

Lancashire

FY6 7ST


Beechwood Surgery

155 Victoria Road East

Thornton-cleveleys

Lancashire

FY5 5HH


The Village Practice

Church Road

Thornton-cleveleys

Lancashire

FY5 2TZ


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