Senior Community Care Coordinator: South West Shropshire PCN

Job description

Job responsibilities

Primary Duties and Areas of Responsibility:

The key role of the Senior Care Coordinator will be to schedule the weekly MDT meetings, manage the meeting agenda items; ensuring that all new referrals are identified, and information circulated to team members in advance of the meeting.

Coordinate and manage the administrative functions of MDT meetings.

Liaise with all clinical and non-clinical members in the MDT to ensure effective MDT function.

Take minutes of MDT meetings and disseminate; chase progress against actions identified in these meetings and ensure follow up where necessary.

Manage reporting required and associated within the DES specifications for required services.

Ensure that PCN staff have a suitable induction and are adequately trained to fulfil their role

Support and mentor PCN staff, both as individuals and as team members where appropriate

Identify any gaps in staffing levels to meet PCN commitments Organisational

Work with OHP to facilitate development of PCN protocols and procedures, review and update as required

Delegate work as appropriate to utilise the skills of colleagues from member practices

Provide reports on PCN wide contracting and quality work

Support integration of administrative and management functions of member practices in accordance with PCN decisions

Receive and collate information from transfers of care (including hospital admissions and discharges) plus out of hours calls and present this information to the MDT as required.

Liaise with service providers and clinicians to identify frequent flyers, and new service users utilising risk stratification tools provided and present this information to the weekly MDT meetings.

Support the completion of new referrals by checking criteria, and where criteria have been met, direct referral to the MDT.

Signpost team members, service users and carers to relevant services Maintenance of IT based information systems and responsibility for key performance data

To ensure the IT requirements for recording activity are adhered to in collaboration with other team members

Accurate update and maintenance of GP systems within the MDT.

To provide agreed performance/activity data within the MDT and PCN and wider OHP organisation.

Demonstrates ability to work as a member of a team.

Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary.

Actively work toward developing and maintaining effective working relationships both within and outside the PCN or group of PCNs.

Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to Patients GP, Nurses, other practice staff and other healthcare professionals including pharmacists and pharmacy technicians from provider and commissioning organisations.

Develop excellent working relationships with the all partners, wider service networks including the voluntary sector, GP practices, adult social care, hospitals, community pharmacists and other members of the MDT

Meet regularly with the clinical lead and review case load and MDT function.

Keep the MDT and OHP organisation abreast of good news stories.

Provide background information about individuals for the weekly MDT meetings

Communicate effectively with service users and their families/carers, other staff both internal and external and members of the public

Manage and prioritise workload on a daily basis and deal with the competing demands of the MDT Other responsibilities

To act at all times in an anti-discriminatory manner

To be able to plan and respond to workload according to operational priorities

To support the delivery of these functions across wider locality areas where necessary

To undertake any training required in order to maintain competency including mandatory training

To contribute to, and work within a safe working environment.

The Care Coordinator must at all times carry out duties and responsibilities with due regard to the GP Practices equal opportunity policies and procedures

The Care Coordinator is expected to take responsibility for self-development on a continuous basis, undertaking on-the-job training as required

The Care Coordinator must be aware of individual responsibilities under the Health and Safety at Work Act, and identify and report as necessary any untoward accident, incident or potentially hazardous environment.

Communicate effectively and sensitively and use language appropriate to a patient and carer/relatives condition and level of understanding

Effectively use all methods of communication and be aware of and manage barriers to communication

Effectively recognise and manage challenging behaviours, carers and or relatives

Provide information to patients, their carers and/or relatives on behalf of the team Supporting Care Delivery

Be the point of liaison for service users and interface with all health and social care professionals, including keeping everyone informed and updated

Follow through actions identified by the MDT including arranging tests, referrals, signposting, etc.

Follow through with service users and others involved to ensure all services and care arrangements are in place

The post holder will be required to work within clearly defined organisational protocols, policies and procedures

Person Specification

Experience

Essential

• Experience in use of databases
• Experience of administrative duties
• Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality
• Working in a multi-disciplinary setting where influence and negotiation is required
• Knowledge/familiarity with medical terminology
• Working in a busy and demanding environment whilst delivering in a timely manner

Desirable

• Minimum of 2 years experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field
• Vulnerable adults awareness
• Experience of care of the elderly
• Understanding of current issues facing the NHS
• Knowledge of Social services structures Training in continuing care criteria
• Understanding of health and social care processes

Qualifications

Essential

• ECDL or equivalent
• Diploma/ HNC level (or relevant experience)
• NVQ Level 3 Business Administration (or relevant experience)
• Ongoing internal and external training to keep up to date with changes/developments

Desirable

• Long term conditions training
• Welfare Rights basic training

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.

Certificate of Sponsorship

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).

Employer details

Employer name

Our Health Partnership

Address

1st Floor

1856 Pershore Road

Birmingham

B30 3AS

Employer's website

https://ourhealthpartnership.com/ (Opens in a new tab)