Job summary
An
exciting opportunity has arisen for a Care Co-ordinator to join Surrey Heath
Primary Care Network [PCN], supporting delivery of the new Network Contract
Direct Enhanced Service [DES] specifications.
We
are looking for a Care Co-ordinator to support our PCN, to work closely with
PCN Practices and the multidisciplinary team in coordinating all key activities
including access to services, advice, and information, and ensuring heath and
care planning is timely, efficient, and patient-centred. The post holder will
help patients interact and engage with everyday life through activities
designed to develop, maintain, or retrain skills for people with a cognitive,
physical, or mental disorder, condition, or illness. You will 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.
Main duties of the job
Provide coordination and
navigation for people and their carers across health and care services, working
closely with social prescribers, health and wellbeing coaches and other primary
care professionals.
Utilise population health
intelligence to proactively identify and work with a cohort of patients to
deliver personalised care
Support PCN staff and patients to
be prepared to have shared-decision making conversations including utilising
decision aids and tools, and support patients to understand their level of
knowledge, skills and confidence (their activation level) when engaging with
their health and wellbeing including through the use of the Patient Activation
Measure.
Help people to manage their needs
through answering queries, making and managing appointments and ensuring that
people have food quality written or verbal information to help them make
choices about their care
Support the practice with the
Patient Participation Group [PPG]
Holistically bring together all of
a persons identified care and support plan, in line with best practice, based
on what matters to the person
Support people to take up training
and employment, and to access appropriate benefits, education courses, peer
support, and/or personal health budgets where applicable
About us
We are Surrey Heath Community
Providers Limited, which is a federation of 7 GP practices across 10 sites,
covering a population of over 97,000 patients across Surrey Heath. We began in
2016 and now employ around 200 members of staff across our head office sites,
and our primary care and unplanned care services.
As a GP Federation, we are
proud to represent our member practices and to champion primary care by working
with local general practice and system partners in the provision of community based
healthcare services. We are dedicated to providing safe and compassionate care
to our patients across our range of primary care and unplanned healthcare
services in Surrey Heath, and believe in continuous commitment to quality
service delivery and positive patient outcomes.
Patients
are at the heart of everything we do, and we pride ourselves in ensuring our patients feel safe, supported,
communicated with and respected, at a time when they may be feeling
vulnerable. Our vision is to provide high quality, seamless health care that
enables people to lead healthier lives, whilst feeling supported and cared for.
Job description
Job responsibilities
Please see Supporting Documents for full Job Description, list of responsibilities and Person Specification
Job description
Job responsibilities
Please see Supporting Documents for full Job Description, list of responsibilities and Person Specification
Person Specification
Personal Attributes
Essential
- Creative, flexible and sensitive approach to working with people with diverse support needs.
- Ability to motivate people.
- Ability to reflect on and share best practice with peers.
- Able to travel locally as required.
- Passionate about combatting disadvantage and inequality in healthcare.
- Able to work as part of a team.
Qualifications
Essential
- 4 GCSEs (C and above) or equivalent
Desirable
- Relevant NVQ Level 3 qualification or equivalent
Skills
Essential
- Excellent verbal and written communication skills with the ability to communicate effectively at all levels including with patients, carers, specialist services, GPs and colleagues.
- Good technical literacy with e.g. Word, Excel, and experience using a clinical system such as EMIS.
- Able to work independently and manage own workload.
- Able to build strong professional relationships.
- Demonstrable experience of effective planning and organisation skills to deliver targets to deadlines.
- Proven record of excellent written communication skills and a high level of health literacy.
- Understanding of social determinants of health and how these can be addressed with patients.
- Able to analyse and interpret information and present results in a clear and concise manner.
Knowledge
Essential
- Experience of working with healthcare professionals and/or previous experience in the NHS or social care.
- Experience coordinating with multiple stakeholder or individuals to meet specified outcomes.
- Experience providing advice/signposting.
- Experience using a patient clinical system such as EMIS.
- Awareness of how and when to signpost.
- Knowledge of safeguarding interventions and an awareness of the
- Mental Capacity Act.
- Skilled in the use of person-centred measurement and outcomes delivery.
Desirable
- Knowledge of a range of local community groups which support wellbeing.
- Awareness of relevant Health and Social Care legislation and a developed knowledge of crisis intervention.
- Experience of undertaking quality improvement activity.
- Sound understanding of disease prevention and the NHS choices website.
Person Specification
Personal Attributes
Essential
- Creative, flexible and sensitive approach to working with people with diverse support needs.
- Ability to motivate people.
- Ability to reflect on and share best practice with peers.
- Able to travel locally as required.
- Passionate about combatting disadvantage and inequality in healthcare.
- Able to work as part of a team.
Qualifications
Essential
- 4 GCSEs (C and above) or equivalent
Desirable
- Relevant NVQ Level 3 qualification or equivalent
Skills
Essential
- Excellent verbal and written communication skills with the ability to communicate effectively at all levels including with patients, carers, specialist services, GPs and colleagues.
- Good technical literacy with e.g. Word, Excel, and experience using a clinical system such as EMIS.
- Able to work independently and manage own workload.
- Able to build strong professional relationships.
- Demonstrable experience of effective planning and organisation skills to deliver targets to deadlines.
- Proven record of excellent written communication skills and a high level of health literacy.
- Understanding of social determinants of health and how these can be addressed with patients.
- Able to analyse and interpret information and present results in a clear and concise manner.
Knowledge
Essential
- Experience of working with healthcare professionals and/or previous experience in the NHS or social care.
- Experience coordinating with multiple stakeholder or individuals to meet specified outcomes.
- Experience providing advice/signposting.
- Experience using a patient clinical system such as EMIS.
- Awareness of how and when to signpost.
- Knowledge of safeguarding interventions and an awareness of the
- Mental Capacity Act.
- Skilled in the use of person-centred measurement and outcomes delivery.
Desirable
- Knowledge of a range of local community groups which support wellbeing.
- Awareness of relevant Health and Social Care legislation and a developed knowledge of crisis intervention.
- Experience of undertaking quality improvement activity.
- Sound understanding of disease prevention and the NHS choices website.
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.
