Job summary
DAD PCN have an exciting, opportunity for a Health & Wellbeing
Practitioner/Care Co-ordinator to join our Primary Care Network. The role will
primarily involve assisting our 6 GP practices across the locality with a caseload of housebound frail patients. This post will also work with community services and practices to promote the National cancer screening uptake in Denton and Droylsden.
The role involves working very closely with the practices and the
multidisciplinary team (MDT) within the PCN.
The role is pivotal in ensuring all residents receive the best possible
care and service. The role will support the PCN team in
coordinating all key activity including access to services, advice, and
information, and ensuring health and care planning is timely, efficient, and
patient-centred.
The role involves working in
the community providing proactive clinics to targeted patients in conjunction
with the PCN/practice teams
Main duties of the job
Work collaboratively with GPs and other primary care professionals
within the PCN manage a caseload of frail housebound patients which will
include patients with long-term health conditions, and where
appropriate, refer back to other health professionals within the PCN.
Support the coordination and delivery of multidisciplinary teams with
the PCN.
Raise awareness of how to identify residents who may benefit from shared
decision making and support the PCN team to be more prepared to have shared decision-making
conversations and complete Advance Care Plans
Working within the community providing supporting educational events to raise patients' awareness of the importance of health screening and National Cancer Screening uptake.
You must hold a full UK Driving License and have use of a car for work purposes
About us
Denton Primary Care
Network is a collaboration of the primary care teams based at 3 Denton general
medical practices - Millgate Healthcare Partnership; Guide Bridge Medical;
Denton Medical Practice, and 3 Droylsden based general medical practices Market
Street Medical, Droylsden Medical and Medlock Vale Medical Practice. We
currently have a PCN population of approximately 52,000 patients and the PCN
staff work in conjunction with the local general practices to support both
local and national priorities working closely with our local care homes,
housebound and most vulnerable patients. If you would like a new challenge in
the Community and aspire to ensure the health and wellbeing of patients, then
this role may be for you
Job description
Job responsibilities
The postholder will be able to
participate in positive, empathetic and responsive conversations with residents
and their family and carer(s) about their needs.
Support people to develop and
implement personalised care plans. Review and update personalised care and
support plans at regular intervals.
Ensure personalised care and support
plans are communicated to the GP and any other professionals involved in the
persons care and uploaded to the relevant online care records, with activity
recorded using the relevant SNOMED codes.
The postholder will play an important
role within a PCN to proactively identify and work with people, including the
frail/elderly and those with long-term conditions, to provide coordination and
navigation of care and support across health and care services. They work
closely with GPs and practice teams to manage a caseload of patients, acting as
a central point of contact to ensure appropriate support is made available to
them and their carers.
The role will involve planning community events to ensure eligible patients know the importance of attendance of National Cancer Screening and to raise the uptake and liaising with local GP practices to support patient attendance at screening.
The role will involve regularly
liaison with the range of multidisciplinary professionals and colleagues
involved in the residents care, facilitating a coordinated approach and
ensuring everyone is kept up to date so that any issues or concerns can be
appropriately addressed and supported. Actively participate in
multidisciplinary team meetings in the PCN as and when appropriate identify
when action or additional support is needed, alerting a named clinical contact
in addition to relevant professionals, and highlighting any safety concerns.
Carry out and co-ordinate quality health outcomes This may include but not
exclusively the following based on training and experience
Blood pressure
monitoring
Phlebotomy taking blood tests
Act as a chaperone if required.
Undertake clinical activities
identified by the clinical team in accordance with agreed written protocols.
Understand when to report changes in
a patients condition.
Make clear and accurate entries into
a patients records when appropriate. Work as an effective team member. Liaise
with other team members and patients.
Job description
Job responsibilities
The postholder will be able to
participate in positive, empathetic and responsive conversations with residents
and their family and carer(s) about their needs.
Support people to develop and
implement personalised care plans. Review and update personalised care and
support plans at regular intervals.
Ensure personalised care and support
plans are communicated to the GP and any other professionals involved in the
persons care and uploaded to the relevant online care records, with activity
recorded using the relevant SNOMED codes.
The postholder will play an important
role within a PCN to proactively identify and work with people, including the
frail/elderly and those with long-term conditions, to provide coordination and
navigation of care and support across health and care services. They work
closely with GPs and practice teams to manage a caseload of patients, acting as
a central point of contact to ensure appropriate support is made available to
them and their carers.
The role will involve planning community events to ensure eligible patients know the importance of attendance of National Cancer Screening and to raise the uptake and liaising with local GP practices to support patient attendance at screening.
The role will involve regularly
liaison with the range of multidisciplinary professionals and colleagues
involved in the residents care, facilitating a coordinated approach and
ensuring everyone is kept up to date so that any issues or concerns can be
appropriately addressed and supported. Actively participate in
multidisciplinary team meetings in the PCN as and when appropriate identify
when action or additional support is needed, alerting a named clinical contact
in addition to relevant professionals, and highlighting any safety concerns.
Carry out and co-ordinate quality health outcomes This may include but not
exclusively the following based on training and experience
Blood pressure
monitoring
Phlebotomy taking blood tests
Act as a chaperone if required.
Undertake clinical activities
identified by the clinical team in accordance with agreed written protocols.
Understand when to report changes in
a patients condition.
Make clear and accurate entries into
a patients records when appropriate. Work as an effective team member. Liaise
with other team members and patients.
Person Specification
Experience
Essential
- Experience in healthcare assistant role in a medical/healthcare setting or similar services.
- Child & Adult Safeguarding Basic Life Support CPR/AED skills
Knowledge and Skills
Essential
- Understanding of nursing role and HCA supporting role within a healthcare environment Experience of dealing effectively with the general public
- Excellent communication skills both written and oral Good management and prioritisation of workload
- Ability to multi-task Able to work well under pressure and to deadlines Ability to work without direct supervision
- Ability to work well in a team Sensitivity and ability to empathise Confidence, tact and diplomacy Confidentiality Initiative, flexibility and adaptability
- Accurate and thorough approach Observations and recording
Qualifications
Essential
- Good standard of education standard grades at Grade A-C or equivalent, including maths and english. Knowledge of NHS primary care services. Willingness and ability to undertake requisite training to obtain recognised healthcare qualification Health or Health & Social Care Qualification at NVQ level 3 or Care Co-ordinator Person Centred Care Course
Person Specification
Experience
Essential
- Experience in healthcare assistant role in a medical/healthcare setting or similar services.
- Child & Adult Safeguarding Basic Life Support CPR/AED skills
Knowledge and Skills
Essential
- Understanding of nursing role and HCA supporting role within a healthcare environment Experience of dealing effectively with the general public
- Excellent communication skills both written and oral Good management and prioritisation of workload
- Ability to multi-task Able to work well under pressure and to deadlines Ability to work without direct supervision
- Ability to work well in a team Sensitivity and ability to empathise Confidence, tact and diplomacy Confidentiality Initiative, flexibility and adaptability
- Accurate and thorough approach Observations and recording
Qualifications
Essential
- Good standard of education standard grades at Grade A-C or equivalent, including maths and english. Knowledge of NHS primary care services. Willingness and ability to undertake requisite training to obtain recognised healthcare qualification Health or Health & Social Care Qualification at NVQ level 3 or Care Co-ordinator Person Centred Care Course
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.
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
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.
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).