Primary Care Network Care Coordinator

Job description

Job responsibilities

To work closely with our PCN, practices, and the multidisciplinary team to provide a central co-ordinated role in patient care planning and delivery, mostly but not exclusively in the context of the Networks Housebound Programme.

Key responsibilities of the post

• To co-ordinate care packages for patients and their carers as identified by clinicians across health, social care and mental health services as appropriate.
• To provide a single point of access for staff & service users.
• To support the provision of continuity of care and act as a point of contact for families, residents, and professionals for identified patients in your caseload.
• To actively manage patients care plan delivery and liaise with the PCNs clinicians and Allied Professionals as needed.
• To help people to manage patients needs through answering queries, making and managing appointments, and ensuring that people have good quality information to help them make choices about their care.
• To assist people to access self-management information, interventions that support them in their health and wellbeing and increase their activation.
• To actively support the PCNs activities around immunisation including the delivery of the Covid 19 vaccination programme.
• To work with the Clinical Lead and support the further development of new services including the Housebound Programme
• To help support and coordinate monthly, quarterly, annual dashboard data, KPIs and additional target related performance reports.
• To support the coordination and delivery of MDTs including minute taking.
• Collate, prepare and submit data for returns to monitoring bodies
• Interpret data and communicate data outcomes
• To maintain accurate patients records.
• Assist with in the production of information for auditing purposes

To undertake any other duties commensurate to the role, particularly supporting new ways of working including remote working.

Attend all relevant and required training and comply with Network arrangements for continuing professional development.

Support PCN Locality work steams

To support intelligent call and recall i.e. Covid-19 booster vaccine, flu jab.

To support Patient Participation Groups

Supporting patients to use surgery pods and other online services

To support patients with long term health conditions

We aim is to keep quality high, services equitable and bureaucracy low in a partnership of mutual trust, respect and vision.

You will be part of a team dedicated to the delivery of high-quality health care whilst instigating/engaging-in initiatives to tackle the wider determinants of ill-health.

You will be part of a team working together in a collaborative model, to maximise the benefits to our patients and community, while preserving the integrity and working practices of each of our member Practices.

Person Specification

Qualifications

Essential

• Higher education level e.g. Level II Diploma in Health and Social Care or equivalent level of training and experience
• Evidence of consistent pattern of learning from education, training and experience

Experience

Essential

• Understanding of human needs: physical, emotional, social.
• Experience in Primary Care or social care.
• Ability to communicate confidently both with clinical and non-clinical staff.
• Good time management and prioritisation skills.
• Ability to work on own initiative.
• Adaptability and a flexible positive approach.
• Willingness to undertake further learning and training.
• Experience of developing relationships with a wide variety of people.
• Demonstrate commitment to team working.
• Good IT skills.
• Fitness to do the job within manual-handling policy.
• Ability to work with high volumes of patient contacts and a pressurised environment on a daily basis.

Desirable

• Experience and knowledge of working with communities within Tower Hamlets.
• Knowledge of the needs of vulnerable adults, safeguarding and the associated legislative framework.
• Experience of working with Health IT systems such as EMIS or AccuRx .

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

Merchant Street Practice

Address

Bromley By Bow Health Centre

St. Leonards Street

London

E3 3BT

Employer's website

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