SW Healthcare

Care Coordinator - Nightingale PCN

This job is now closed

Job summary

Nightingale PCN has an exciting opportunity for a Care Coordinator to join their expanding team. Working across the PCN and wider multidisciplinary teams this is a pivotal role in ensuring all patients receive the best possible care and services available.

The Care Coordinator role will support the PCN General Manager in the coordination and delivery of key PCN Direct Enhanced Service delivery and wider priorities including the coordination of the Frailty cohort of patients, patients living within Care Homes and the broad coordination of the Additional Roles Team.

The role will include supporting digital initiatives and includes responsibilities for the co-ordination of the patient’s journey through Primary Care and the seamless transfer of care across the system.

The Care Coordinator will possess excellent communication, administration and organisational skills – working directly with the PCN Management Team and the clinicians across the PCN.

Main duties of the job

The successful candidate will provide coordination and navigation for people and their carers across health and care services, alongside Social Prescribing link workers and other primary care roles, ultimately ensuring patients needs are put first and assisting in meeting their personalised care requirements.

We are looking for someone who has experience of working with healthcare professionals and or previous experience in the NHS or social care and can demonstrate effective partnership / collaborative working as well as possessing knowledge / familiarity with medical terminology. Experience of data collection and providing monitoring information to assess the impact of services is also key.

About us

Nightingales PCN is a collaboration of 6 GP practices in Redditch extending into Wythall with a shared population of 42,281.

Nightingales PCN has a shared ambition to innovate general practice and build a sustainable model for general practice for the future.

The opportunity to introduce additional roles to complement the existing primary care workforce has been embraced and recent recruitment has resulted in appointments to the Additional Roles Team including Clinical Pharmacists, Pharmacy Technician, First Contact Physio’s and Physician Associates alongside already established Social Prescribers. For new PCN staff, an induction and mentorship approach will be introduced which secures the opportunity to build relationships across the practices and creates effective development and supervision opportunities in order to build necessary expertise and experience.

27 days holiday plus bank holidays, NHS pension, company sick pay*

Nightingales PCN is part of SW Healthcare, a GP Federation, supporting practices across Worcestershire.

Date posted

24 May 2022

Pay scheme

Other

Salary

£23,225.47 a year

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

B0158-22-8698

Job locations

Droitwich Medical Centre

Ombersley Street East

Droitwich Spa

Worcestershire

WR9 8RD

Winyates Health Centre

Winyates Centre

Redditch

Worcestershire

B98 0NR

The Ridgeway Surgery

Feckenham Road

Astwood Bank

Redditch

Worcestershire

B96 6DS

Job description

Job responsibilities

Care Coordinators will:

· Provide coordination and navigation for people and their carers across health and care services, alongside Social Prescribing link workers and other primary care roles;

· Support the coordination and delivery of MDTs within the PCN as required;

· Support the coordination of a dedicated multidisciplinary team looking after Care Homes within the PCN area;

· Lead the coordination and navigation of care for a defined frail population across the PCN – proactively supporting and managing patients to remain within their own homes wherever possible – working closely with the wider community team;

· Focus upon patients and provide support necessary fulfil effective personalised care requirements;

· Help patients to manage their needs, answering their queries and supporting them to make appointments – with a focus upon promoting patient independence and autonomy wherever possible;

· Coordination of key meetings (including Care Home residents and frail/vulnerable people living within their own homes. Ensure good communication between professionals and be available as a point of contact between partners;

· Liaise with multi agencies to coordinate pathways of care for patients.

· Provide coordination and navigation for people and their carers across health and care services;

· Support Quality and Outcome Frameworks and other National and Local targets as required.

Confidentiality

· In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately;

· In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential.

Equality and Diversity

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

· Acting in a way that recognises the importance of people’s rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation;

· Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues;

Personal/Professional Development

In addition to maintaining continued education through attendance at any courses and/or study days necessary to ensure that professional development requirements are met, the post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:

· Participation in an annual individual performance review, annual Appraisal including taking responsibility for maintaining a record of own personal and/or professional development;

· Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

Quality

The post-holder will strive to maintain quality within the practice, and will:

· Alert other team members to issues of Clinical Governance issues, quality and risk; participate in Significant Event Analysis reviews;

· Assess own performance and take accountability for own actions, either directly or under supervision;

· Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance;

· Work effectively with individuals in other agencies to meet patient’s needs;

· Effectively manage own time, workload and resources. He/she will also contribute to the overall team-working of the Practice putting the needs of the Practice first.

Contribution to the planning and implementation of services

The post-holder will:

· Apply practice policies, standards and guidance;

· Discuss with other members of the team how the policies, standards and guidelines will affect own work;

· Participate in audit where appropriate;

· Work with the Lead GP to achieve standards of quality, performance standards, without compromising levels of patient healthcare;

· Contribute towards the development and implementation of new standards, policies and procedures that are/will be required of GP Practices now and in the future (as directed by NHS/ DoH/, new legislation etc.).

Communication

The post-holder will:

· Be able to effectively communicate at all levels of the organisation to a variety of health professionals, users and carers, independent and voluntary sector to provide the best outcomes for users of the services.

· Provide interface between hospital, primary, community and social settings, participate where appropriate in clinical meetings relating to patient care and outcomes

· Communicate effectively with patients and carers

· Be able to keep accurate contemporaneous documentation, both written and computerised, inpatient records and will need to be familiar with EMIS Web.

· Recognise people’s needs for alternative methods of communication and respond accordingly

Clinical Governance

The post-holder will:

· participate and operate within the clinical governance framework for the organisation at all times, incorporating service users and carers, audit, guidelines and risk management;

· actively participate in the practices, becoming familiar with and abiding by its plans, policies and procedures.

IT Security Policy

· You are required to work within the remit of the practices IT Technology Security Policies.

· As a consequence of the above unauthorised/inappropriate use of computers including the internet, email, passwords, computer packages etc. will be regarded as gross misconduct and will be treated as such under the practices disciplinary procedures.

This job description is not exhaustive and may be adjusted periodically to reflect the on-going changes in practice.