Job responsibilities
Context
Personalised
care means people have choice and control over the way their care is planned
and delivered. It is based on what matters to them and their individual
strengths and needs.
This happens
within a system that makes the most of the expertise, capacity and potential of
people, families, and communities in delivering better outcomes and
experiences.
Key Features
of Personalised Care
Improves
peoples health and wellbeing and joins up care in local communities
Helps people
with multiple physical and mental health conditions make decisions about
managing their health
Recognises
that, for many people, their needs arise from circumstances beyond the purely
medical
Brings six
different parts of the health system together based on a growing evidence base
of what has worked in shared decision making:
1. Social Prescribing
2. Personal Health Budgets
3. Shared decision making
4. Supported self-management
5. Personalised care and support planning
6. Choice
Objectives
of Devon Personalised Care Programme
The programme
objectives are to maintain and enhance the social prescribing programme in
Devon, founded on principles of quality improvement and workforce
empowerment.
The focus for Devon
is to
o Support good rollout of the personalised care agenda through training
and education
o Support introduction of children and young people social prescribing
services
o Continuous improvement of existing adult social prescribing services
o Work with local communities
o Ensure we live our values incorporating patient voices and lived
experiences into our work
The Role
Applicants can
be drawn from any suitable primary care background. The Fellow will focus on
the sustained strengthening and embedding of the Personalised Care Agenda in
primary care and PCNs across Devon, working very closely with the Devon ICS
Personalised Care, Training Hub Teams, Clinical and Managerial Leads and PCN
Clinical Directors.
The areas of
focus for the Fellow are:
o Contribute to successful delivery of the PCN DES for Personalised
Care
o Strengthened collaborative working
between Devon Personalised Care, Training Hub and PCNs
o Quality engagement with PCNs to
increase the knowledge, skills, and confidence in implementing the Universal
Care Model in primary care
o Development of personalised care strand of the Devon Training Hub
Induction programme
o Work collaboratively to support
embedding of personalised care roles Care Coordinators, Health &
Wellbeing Coaches and Social Prescribing Link Workers in PCNs including
development of peer support models and appropriate training programmes
The Fellow
will:
o Engage with PCNs and Clinical
Directors to increase the knowledge, skills, and confidence in implementing the
Universal Care Model in primary care
o Support promotion of Universal Care
Model including personal health budgets and shared decision making amongst
clinicians
o Support the development of Devon Training
Hub induction programme for personalised care roles
o Develop peer support models and sustainable ongoing training
programme
Key Working
Relationships
The postholders
will be required to maintain good working relationships with a broad range of
internal and external stakeholders, including:
ICS Personalised Care Team
Devon ICS Training Hub and locality Training Hubs
Regional Team for Personalised Care
WT&E team
Fellowship Programme Directors and peer regional Fellows
Primary Care Networks and member practices
Local Authorities
Local Education providers
Primary Care Dean
Functional
Responsibilities Main Duties
Working with the Devon ICS
Personalised Care and Devon Training Hub teams to advance Devon ICS and Devon
Training Hub aims and objectives relating to the Personalised Care Agenda and
roles.
Monitor policy developments relevant to all aspects of Personalised
Care Agenda
Supporting communities of practice
With the Devon ICS Personalised Care
and Devon Training Hub Programme Managers develop ideas, analysis and projects
relating to innovation and improvement in Personalised Care
Contribute to the development and
planning of projects
Engage with PCNs and Clinical
Directors to increase the knowledge, skills, and confidence in implementing personalised
care in primary care
Support the development of Devon
induction programme for ARRS roles for the socialised care roles
Support communities of practice for
personalised care in collaboration with PCNs
Develop an ongoing training programme
package across Devon
Corporate
Responsibilities
Support the Devon ICS Training Hub and
Devon ICS Personalised Care Team to deliver high quality projects and workforce
This will be achieved through
effectively fulfilling the accountabilities and responsibilities of the role
detailed above.
Demonstrate sound judgement in the
absence of clear guidelines or precedent, seeking advice as necessary from
peers or the clinical lead as appropriate on any projects or work within the
postholders remit.
Continuous
Professional Development
The post holders will pursue a
programme of CPD in accordance with any relevant professional registration or
statutory requirements, whilst maintaining appropriate awareness of service
provider requirements.
Terms and
Conditions of Service
The posts are subject to Terms and
Conditions of Service.
The post holders will be required to
comply with all policies and procedures issued by and
on behalf of their employer.
Information
Security and Confidentiality
During the course of your employment,
you may have access to, see or hear information of a confidential nature and
you are required not to disclose such information, particularly relating to
patients or staff.
All personal identifiable information
must be held in the strictest confidence and should be disclosed only to
authorised people in accordance with NHS Confidentiality Guidelines [Caldicott]
and the Data Protection Act 1998 unless explicit written consent has been given
by the person identified, or where information sharing protocols exist.
Data
Protection
The post holders must, if required to
do so, process records or information in a fair and lawful way.
They must hold and use data only for
the specified, registered purposes for which it was obtained and disclose data
only to authorised persons or organisations.
Corporate
Governance
The post holders must, at all times,
act honestly and openly and comply with relevant corporate governance
requirements, employment legislation, standards of business conduct, codes of
openness and accountability.
Equal
Opportunities
The post holders must comply with and
promote Equal Opportunities and accordingly must avoid any behaviour which
discriminates against colleagues, potential employees, patients or clients on
the grounds of sex, marital status, sexual orientation, age, race, colour,
nationality, ethnic or national origin, religion, political opinion, trade
union membership or disability.
Health and
Safety
Under the Health and Safety at Work
Act (1974), it is the responsibility of individual employees at every level to
take care of their own health and safety and that of others who may be affected
by their acts at work.
This includes co-operating with the
organisation and colleagues in complying with health and safety obligations to
maintain a safe environment and particularly by reporting promptly and defects,
risks or potential hazards.
Flexibility
It is expected that all staff will
develop flexible working practices to be able to meet the challenges and
opportunities of working within the new NHS.
Risk
Management
Responsibility for ensuring that risks
are managed at work group and local level. This process will include the
assessment and effective control of all acceptable risk situations.
As an employee you will be expected to
maintain a high level of awareness and assist in the process of reporting
incidents, assessing risks and reporting unsafe occurrences and co- operate
with any investigations undertaken.
Employees will be required to adhere
to all employer policies and procedures and attend statutory and mandatory
training.
The above is
only an outline of the tasks, responsibilities and outcomes required of the
role.
The job holders
will carry out any other duties as may reasonably be required by their line
manager.
The job
description and person specification may be reviewed on an on-going basis in
accordance with the changing needs of the Organisation.
