Job summary
Care Coordinators
play an important role within the PCN to proactively coordinate activities and
provide administrative support to members. The aim of the PCN team is to support
the delivery of service improvements and enhanced services within member
practices leading to improved care outcomes for patients. The Care Coordinators
must be self-motivated and able to work independently demonstrating strong
organisational and communication skills. To do this, they will work closely
with General Practices, Care Homes and existing services.
Aim of the post:
·
To provide comprehensive administrative support to
the PCN
·
To work across PCN member practices to help deliver
outcomes defined within the enhanced service and quality improvement schemes
which the PCN sign up to
·
To help coordinate care needs across practices
including the organising and documenting of multidisciplinary meetings within
care homes and to support the implementation of personalised care plans
·
To utilise
Population Reporting within the clinical systems to help identify target
patient populations
·
To ensure colleagues are made aware of any service changes, offering
guidance and help as required
Main duties of the job
Please see attached job description for further details.
The Care Coordinator will complete the following as part of
the role:
·
Be enrolled in, undertaking or qualified from
appropriate training as set out by the Personalised Care Institute
- https://www.england.nhs.uk/personalisedcare/supporting-health-and-care-staff-to-deliver-personalised-care/personalised-care-institute/
About us
The North Bucks Primary Care Network (PCN) is made up of 4 GP practices based in the North of Buckinghamshire. These are 3W Health, Waddesdon Surgery, Edlesborough Surgery and Ashcroft Surgery.
Job description
Job responsibilities
Main responsibilities:
- Be responsible
for daily updating of patients on Workflow to identify care home residents
to support the PCN team with identifying community pathways that might
prevent hospital admission and for identifying potential gaps in care
- Be responsible
for arranging, attending and minuting Care home Multi-Disciplinary Team
Meetings
- Proactively
prepare any actions prior to the MDT ensuring all relevant clinicians are
present
- To record
patient interventions on relevant electronic database systems (e.g. EMIS)
and contribute to report generation, analysis and production
- Follow up on all
forward actions resulting from MDT discussions
- Be responsible
for logging and making referrals as required
- To be
responsible for recording, reporting and producing evaluation reports
which will include evaluation detailing effectiveness outcomes of new
roles
- To be customer
(patient, carer, GP) focused when representing the service
- To work collaboratively
with other teams and services to maintain an effective and efficient
service
- To offer
appropriate support and guidance to patients and their families/carers
- To plan /
organise work using own initiative, whilst being able to work as a
valuable member of a team
- To have
excellent IT skills, to include Microsoft Office, Outlook and Excel
- To undertake
general office duties to support the role
- To work
effectively as part of a team to provide cover for Care Coordination Teams
when required and to be flexible regarding working hours to meet the needs
of the service
- To ensure all
electronic records are updated and complete within the agreed time-scales
- To use a range
of verbal and non-verbal communication tools to communicate effectively
with patients, carers and families and colleague
- Work closely and
in partnership with the Social Prescribing Link Worker(s)
- Provide
coordination of and participate in relevant internal and external working
groups and provide project advice, expertise and support where requested
- To participate
in the review and appraisal process
- To carry out any
other reasonable duties as requested by a manager to ensure quality of
service
- To participate
in any relevant training/courses/conferences
- Complete
mandatory training
- Use clinical
systems for record keeping, audit and evaluation
- Develop and
implement data collection systems that will provide accurate and timely
data
- Maintain
confidentiality
Job description
Job responsibilities
Main responsibilities:
- Be responsible
for daily updating of patients on Workflow to identify care home residents
to support the PCN team with identifying community pathways that might
prevent hospital admission and for identifying potential gaps in care
- Be responsible
for arranging, attending and minuting Care home Multi-Disciplinary Team
Meetings
- Proactively
prepare any actions prior to the MDT ensuring all relevant clinicians are
present
- To record
patient interventions on relevant electronic database systems (e.g. EMIS)
and contribute to report generation, analysis and production
- Follow up on all
forward actions resulting from MDT discussions
- Be responsible
for logging and making referrals as required
- To be
responsible for recording, reporting and producing evaluation reports
which will include evaluation detailing effectiveness outcomes of new
roles
- To be customer
(patient, carer, GP) focused when representing the service
- To work collaboratively
with other teams and services to maintain an effective and efficient
service
- To offer
appropriate support and guidance to patients and their families/carers
- To plan /
organise work using own initiative, whilst being able to work as a
valuable member of a team
- To have
excellent IT skills, to include Microsoft Office, Outlook and Excel
- To undertake
general office duties to support the role
- To work
effectively as part of a team to provide cover for Care Coordination Teams
when required and to be flexible regarding working hours to meet the needs
of the service
- To ensure all
electronic records are updated and complete within the agreed time-scales
- To use a range
of verbal and non-verbal communication tools to communicate effectively
with patients, carers and families and colleague
- Work closely and
in partnership with the Social Prescribing Link Worker(s)
- Provide
coordination of and participate in relevant internal and external working
groups and provide project advice, expertise and support where requested
- To participate
in the review and appraisal process
- To carry out any
other reasonable duties as requested by a manager to ensure quality of
service
- To participate
in any relevant training/courses/conferences
- Complete
mandatory training
- Use clinical
systems for record keeping, audit and evaluation
- Develop and
implement data collection systems that will provide accurate and timely
data
- Maintain
confidentiality
Person Specification
Qualifications
Essential
- GCSE Maths and English (or equivalent)
Desirable
- Training in motivational coaching and interviewing or equivalent experience.
Experience
Essential
- Experience of supporting people, their families and carers
- Good experience of IT systems and packages
- Experience of data collection and reporting
- Experience of working within a patient-facing role
- Experience of collaborative working and building relationships across varied organisations
Desirable
- Previous experience in Social Prescribing
- NVQ Level 3 or equivalent in a health and social care role
- Experience of using EMIS Web and Docman
- Experience of supporting people with their mental health
- Experience of working with vulnerable people
Skills
Essential
- Demonstrable commitment to professional and personal development
- Enthusiasm to develop the service
- Genuine enjoyment of helping people to attain their optimum independence
- Ability to organise and prioritise workload effectively
- Ability to exercise sound judgement when faced with conflicting pressures
- Excellent record keeping skills
- Excellent written, verbal and listening skills
- Ability to work automatously as well as within a team
- Excellent communication skills with a wide range of people
- Excellent administration skills
- Computer literate excellent IT skills in Microsoft Outlook, Word, Excel & PowerPoint and the internet and intranet
- Non-judgemental approach to people
- Compassionate and patient nature
- Ability to respect peoples life choices
- Ability to be a good team player
- Ability to organise self and help organise others
- Ability to get on with people from all walks of life
- Excellent observational skills
- Effective questioning skills
- Full, clean driving licence and access to a vehicle
Desirable
- Awareness of local referral pathways
- EMIS experience
- Clinical background
Person Specification
Qualifications
Essential
- GCSE Maths and English (or equivalent)
Desirable
- Training in motivational coaching and interviewing or equivalent experience.
Experience
Essential
- Experience of supporting people, their families and carers
- Good experience of IT systems and packages
- Experience of data collection and reporting
- Experience of working within a patient-facing role
- Experience of collaborative working and building relationships across varied organisations
Desirable
- Previous experience in Social Prescribing
- NVQ Level 3 or equivalent in a health and social care role
- Experience of using EMIS Web and Docman
- Experience of supporting people with their mental health
- Experience of working with vulnerable people
Skills
Essential
- Demonstrable commitment to professional and personal development
- Enthusiasm to develop the service
- Genuine enjoyment of helping people to attain their optimum independence
- Ability to organise and prioritise workload effectively
- Ability to exercise sound judgement when faced with conflicting pressures
- Excellent record keeping skills
- Excellent written, verbal and listening skills
- Ability to work automatously as well as within a team
- Excellent communication skills with a wide range of people
- Excellent administration skills
- Computer literate excellent IT skills in Microsoft Outlook, Word, Excel & PowerPoint and the internet and intranet
- Non-judgemental approach to people
- Compassionate and patient nature
- Ability to respect peoples life choices
- Ability to be a good team player
- Ability to organise self and help organise others
- Ability to get on with people from all walks of life
- Excellent observational skills
- Effective questioning skills
- Full, clean driving licence and access to a vehicle
Desirable
- Awareness of local referral pathways
- EMIS experience
- Clinical background
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.
