Job summary
An exciting opportunity has arisen for a Care
Co-ordinator to develop a pioneering role within primary care. The role will provide co-ordination and
navigation for people and their carers across health and care services working closely with social prescribing link workers, health and wellbeing coaches and other
primary care roles.
West Lancashire GP Federation is looking for a Care Co-ordinator to join the Ormskirk PCN. There are 4 member practices of Ormskirk PCN who cover a population of 29,000 patients.
Main duties of the job
Care Co-Ordinators provide extra
time, capacity and expertise to support patients in preparing for or in
following up clinical conversations that they have with primary care
professionals i.e. doctors, nurses, physiotherapists, physician associates,
paramedics etc. Their focus is on
delivering a comprehensive model for personalised care, reflecting local
priorities, health inequalities and population health management risk
stratification. They also support the
coordination and delivery of MDTs within PCNs.
You will take an approach that is non-judgmental, based on strong
communication and negotiation skills. Your role and skills will
support and encourage the prevention of developing further illness, or the
deterioration of existing long-term conditions.
The role will focus on supporting chronic
disease reviews, cancer care and Learning Disability reviews. This is a part time role working 16 hours per week over 2 days.
About us
Employment will be with the West Lancashire Network Plus (formerly known as the West Lancashire GP Federation) as a central function to the Primary Care Network members. Direct line management and supervision will be provided by the PCN Clinical Director. Support will be provided by the Primary Care Network Manager and wider team of GPs, local CCG Medicines Optimisation team, Practice Managers and Advanced Nurse Practitioners.
Job description
Job responsibilities
- work closely with practice and PCN healthcare roles, the PCC is to identify and work with a cohort of people to support their personalised care requirements, using any available decision support tools such as Patient Activation Measure (PAM), templates and software
- collate all of a patients identified care and support needs and review the options to meet these needs and bring them into a single personalised care and support plan (PCSP) in line with best practice
- meet patients, patient carers and family members to discuss their personalised care requirements, the services available to them and the help they want
- visit patients, checking on the care that they have received and documenting it accordingly
- work with the care team to evaluate interventions and identify where and when further ones will be required
- help people to manage their needs by answering their queries and supporting them in making appointments
- support people to access appropriate benefits where eligible as well as taking up employment and training
- assist patients to be better prepared to have conversations on shared decision making and to improve awareness of shared decision making and related support tools
- provide patients with high quality, easy to understand information to assist them in making choices about their care
- support patients in understanding their level of knowledge, skills and confidence (known as activation level) when participating in their health and well-being using, where appropriate, the PAM
- liaise with other PCCs in other practices across the region and share best practice
- assist patients to access self-management education courses, peer support or interventions that support them in their health and well-being
- where appropriate, to assist patients to access personal health budgets
- provide coordination and navigation of patients, and where appropriate their carers, across health and social care services, where appropriate working hand in hand with social prescribing link workers (SPLW)
- support in the delivery of enhanced services and other service requirements on behalf of the PCN
- lead in the management of patient complaints and participate in the identification of any necessary learning brought about through clinical incidents and near-miss events
- actively participate in the delivery of multi-disciplinary team (MDT) meetings within PCNs; responsible for preparatory admin, sending meeting invitations and taking notes of meetings.
- undertake all mandatory training and induction programmes
- contribute to and embrace the spectrum of clinical governance
- contribute to public health campaigns (e.g. flu clinics) through advice or direct care
-
undertaking clinical observations to support the plans, as appropriate.
working at Hants Lane
supporting Chronic Disease review, Cancer Care and Learning Disability reviews
Job description
Job responsibilities
- work closely with practice and PCN healthcare roles, the PCC is to identify and work with a cohort of people to support their personalised care requirements, using any available decision support tools such as Patient Activation Measure (PAM), templates and software
- collate all of a patients identified care and support needs and review the options to meet these needs and bring them into a single personalised care and support plan (PCSP) in line with best practice
- meet patients, patient carers and family members to discuss their personalised care requirements, the services available to them and the help they want
- visit patients, checking on the care that they have received and documenting it accordingly
- work with the care team to evaluate interventions and identify where and when further ones will be required
- help people to manage their needs by answering their queries and supporting them in making appointments
- support people to access appropriate benefits where eligible as well as taking up employment and training
- assist patients to be better prepared to have conversations on shared decision making and to improve awareness of shared decision making and related support tools
- provide patients with high quality, easy to understand information to assist them in making choices about their care
- support patients in understanding their level of knowledge, skills and confidence (known as activation level) when participating in their health and well-being using, where appropriate, the PAM
- liaise with other PCCs in other practices across the region and share best practice
- assist patients to access self-management education courses, peer support or interventions that support them in their health and well-being
- where appropriate, to assist patients to access personal health budgets
- provide coordination and navigation of patients, and where appropriate their carers, across health and social care services, where appropriate working hand in hand with social prescribing link workers (SPLW)
- support in the delivery of enhanced services and other service requirements on behalf of the PCN
- lead in the management of patient complaints and participate in the identification of any necessary learning brought about through clinical incidents and near-miss events
- actively participate in the delivery of multi-disciplinary team (MDT) meetings within PCNs; responsible for preparatory admin, sending meeting invitations and taking notes of meetings.
- undertake all mandatory training and induction programmes
- contribute to and embrace the spectrum of clinical governance
- contribute to public health campaigns (e.g. flu clinics) through advice or direct care
-
undertaking clinical observations to support the plans, as appropriate.
working at Hants Lane
supporting Chronic Disease review, Cancer Care and Learning Disability reviews
Person Specification
Qualifications
Essential
- Minimum English GCSE grade C or equivalent
- Minimum Maths GCSE grade C or equivalent
Desirable
- Customer Care Qualification
Experience
Essential
- Experience of working in a health care setting
Skills and Knowledge
Essential
- Computer literate with extensive experience of Microsoft Word, Outlook, Excel, PowerPoint and Access
- Excellent written, interpersonal and communication skills
- Ability to prioritise and have a flexible approach to workflows
- Strong focus on timely delivery of objectives and strong self-motivation
- Ability to communicate at all levels
- Active and empathetic listening
- Effective questioning
- Ability to build trust and rapport
- Professional behaviour at all times
- Effective time management
- Ability to work as a team member and autonomously
- Strong analytical thinking and ability to handle multiple tasks concurrently
- Ability to travel to locations across West Lancashire
- Experience of working in a Primary Care setting, healthcare environment and/or public sector is desirable
- Experience in working within a digital environment
- Planning and organisational skills
- Knowledge of the core concepts and principles of personalised care, shared decision making, patient activation, health behaviour change, self-efficacy, motivation and assets-based approaches
- Shared agenda setting/ collaborative goal setting/ shared follow-up planning
Desirable
- Knowledge of personalised care
Person Specification
Qualifications
Essential
- Minimum English GCSE grade C or equivalent
- Minimum Maths GCSE grade C or equivalent
Desirable
- Customer Care Qualification
Experience
Essential
- Experience of working in a health care setting
Skills and Knowledge
Essential
- Computer literate with extensive experience of Microsoft Word, Outlook, Excel, PowerPoint and Access
- Excellent written, interpersonal and communication skills
- Ability to prioritise and have a flexible approach to workflows
- Strong focus on timely delivery of objectives and strong self-motivation
- Ability to communicate at all levels
- Active and empathetic listening
- Effective questioning
- Ability to build trust and rapport
- Professional behaviour at all times
- Effective time management
- Ability to work as a team member and autonomously
- Strong analytical thinking and ability to handle multiple tasks concurrently
- Ability to travel to locations across West Lancashire
- Experience of working in a Primary Care setting, healthcare environment and/or public sector is desirable
- Experience in working within a digital environment
- Planning and organisational skills
- Knowledge of the core concepts and principles of personalised care, shared decision making, patient activation, health behaviour change, self-efficacy, motivation and assets-based approaches
- Shared agenda setting/ collaborative goal setting/ shared follow-up planning
Desirable
- Knowledge of personalised care
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.
