Viaduct Care

Dementia and Frailty Care Co-ordinator

This job is now closed

Job summary

We have a fantastic opportunity to join our innovative team of Care Co-ordinators working in the Stockport East and South (SES) Primary Care Network (PCN) in Stockport, this role specialising in Dementia and Frailty.

Full time vacancy available but part time applications will be considered too.

This role will involve working with patients with a range of presentations and their families and carers. The Care Co-ordinator will be integral in overseeing the interdisciplinary care and will be responsible for co-ordinating a package of care and support from a variety of specialists who may be working with the patient.

You will support all key activity across the PCN; supporting the PCN Manager and associated practices by co-ordinating activity and providing an efficient, well organised administrative and operational support to the clinicians and managers in the network to ensure effective timely delivery of the PCN objectives.

Main duties of the job

Main Roles & Responsibilities:

To work with the GPs and other primary care professionals within the PCN to proactively identify and support patients requiring additional input due to their presentation.
Be responsible for running weekly EMIS searches, contacting patients to arrange appointments, whether in their own homes or bringing them into clinic. Data collection and submission, filing, general admin etc.
Bring together all a persons identified care and support needs and what matters to them; explore the options to address these in a single personalised care and support plan.
Raise awareness of shared decision-making and decision support tools and assist people to be more prepared to have a shared decision-making conversation.
Ensure that people have high-quality health information to help them make choices about their care.

About us

Viaduct Care CIC is the company structure for Stockports GP Federation and represents all of its local GP Practices. Covering a patient population of circa 300,000 practices are split into 6 PCNs with each serving a population of around 30,000-50,000 patients.

Viaduct Care represents the collective voice and interests of its member practices and as a key stakeholder in Stockport Together aims to influence and support the design and delivery of major service and system changes by being a strong and effective partner with other major service providers.

One of our priorities at Viaduct Care is to ensure that wellbeing and development of our team is at the forefront of everything we do. We have recently launched our new employee assistance programme, assisting our team to get access to a range of advice 24 hours a day. Additionally, we are keen to provide opportunities for team members to develop and grow including access to an extensive range of training and up to five paid study days per year.

Click on the Why Join Viaduct Care link to the right to find out about all of our staff support and benefits.

Date posted

25 April 2024

Pay scheme

Agenda for change

Band

Band 4

Salary

£25,147 to £27,596 a year Pro rata based on 37.5 hours per week

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

B0463-24-0015

Job locations

Merseyway Innovation Centre

21-23 Merseyway

Stockport

Greater Manchester

SK1 1PN

Job description

Job responsibilities

Main Roles & Responsibilities:

To work with the GPs and other primary care professionals within the PCN to proactively identify and support patients requiring additional input due to their presentation.

Be responsible for running weekly EMIS searches, contacting patients to arrange appointments, whether in their own homes or bringing them into clinic. Data collection and submission, filing, general admin etc.

Bring together all a persons identified care and support needs and what matters to them; explore the options to address these in a single personalised care and support plan.

Raise awareness of shared decision-making and decision support tools and assist people to be more prepared to have a shared decision-making conversation.

Ensure that people have high-quality health information to help them make choices about their care.

Assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing; explore and assist people to access personal health budgets where appropriate.

Support the coordination and delivery of multidisciplinary teams within PCN.

Contribute to increasing uptake of national screening programmes throughout the PCN.

Provide coordination and navigation for individuals and their carers across health and care services, working closely with social prescribing link workers and other primary care roles.

To help patients to manage their needs through answering queries, making, and managing appointments.

Assist and coordinate practices in meeting PCN Des and Impact and Investment Fund (IIF) targets, and practice Quality Outcomes Framework (QoF) targets.

Responsible for coordinating any joint projects, e.g. vaccination and any associated administration.

To support with venepuncture and NHS Health Checks (pulse measurement, blood pressure monitoring, height and weight measurement and waist measurement) where necessary.

Co-ordinating information across the network to be shared by the PCN practices on their websites and social media regarding health campaigns that are applicable to this cohort of patients.

It should be noted that whilst this job description lists the main areas of responsibility, there may be additional tasks appropriately assigned by either the Clinical Director or PCN Lead Manager to this role.

This list of duties is not intended to be exhaustive, but indicates the main areas of work and may be subject to change after consultation with the post-holder to meet the changing needs of the service.

Standard Clauses

Performance Management

Objectives for the post will be the subject of overall agreement and regular review between the post-holder and their line manager. This will via regular supervision and the organisations Performance Development Review (PDR) Aspire and Perform process.

Confidentiality and Compliance with the Data Protection Act 2018

The post holder must maintain confidentiality regarding information about patients, staff and other Viaduct Care business in accordance with the Data Protection Act 2018.

All employees of Viaduct Care must not, without prior permission, disclose any information regarding patients or staff. In circumstances where it is known that a member of staff has communicated information to an unauthorised person, those staff will be liable to dismissal. Moreover, the Data Protection Act 2018 also renders an individual liable to prosecution in the event of unauthorised disclosure of information.

Health and Safety

All employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act 1974 to ensure that the agreed safety procedures are carried out to maintain a safe working environment for patients, visitors and employees.

Review and ensure systems are in place for the proactive management of risk registers.

Infection Control

All employees of Viaduct Care are required to contribute to the management of infection control and be proactive in awareness raising and prevention.

Ensure that all guidelines, protocols and procedures undertaken within the service are in line with evidence based practice for infection control.

Safeguarding Children and Adults

All staff are required to act in such a way that at all times safeguards and promotes the health and well-being of children and vulnerable adults. Familiarisation with and adherence to the policies and procedures of the Local Safeguarding Boards (Children and Adults) and those of Viaduct Care is an essential requirement of all staff as is participation in mandatory safeguarding training in accordance with individual roles and responsibilities.

Equality and Diversity

Employees should promote diversity and equality of opportunity within Viaduct Care.

Build a culture where everyone is valued and equipped to do their job.

All employees must carry out all duties and responsibilities of the post in accordance with Viaduct Cares Equality, Diversity and Human Rights policies, avoiding unlawful discriminatory behaviour and actions when dealing with colleagues, service users, members of the public and other stakeholders.

Sustainability

All employees of Viaduct Care have a responsibility for working in a low carbon environment, where energy is used wisely and not wasted. Environmental impact should be reduced by recycling where possible, switching off lights, computers, monitors and equipment when not in use, minimising water usage and reporting faults promptly.