Care Coordinator Harthill Primary Care Network

Job description

Job responsibilities

Job Summary

Working as part of the Primary Care Network (PCN) multidisciplinary team alongside Social Prescribing Link Workers and Health and Wellbeing Coach(es) you will support the provision of an all-encompassing approach to personalised care and promote this being embedded across the PCN.

Key Areas of Responsibility

Proactively identify and work with cohorts of patients to deliver personalised care.

Support patients to utilise decision making tools to prepare for shared decision-making conversations.

Working holistically, bring together their identified care and support needs and explore options to meet these within a single Personalised Care and Support Plan (PCSP).

Help people to manage their needs by answering their queries, making and managing appointments, providing good quality written or verbal information to inform decision making and enhancing their knowledge, skills and confidence.

Support people to take up employment and training and to access appropriate benefits through referral to the Social Prescribing Link Workers.

Connect patients with tools to support them, such as self-management education, peer support and the adoption of healthy behaviours.

Provide co-ordination and navigation for people and their carers across health and care services, working closely with the Social Prescribing Link Worker, Health and Wellbeing Coaches and other health professionals.

Support the co-ordination of MDTs across the PCN.

Raise awareness of the benefits of shared decision making and decision support tools, how to use these and how to identify patients who may benefit from this approach.

Ensure all VCSE organisations have appropriate safeguarding procedures in place and are genuine opportunities for patients to develop a sense of belonging, build knowledge, skills, and confidence.

Discuss concerns with a relevant GP to ensure safeguarding procedures are followed appropriately.

Person Specification

Qualifications

Essential

• Enrolled/in progress/qualified/willing to be enrolled in appropriate training as set out by the Personalised Care Institute (PCI)

Desirable

• Has safeguarding knowledge either level 2 or the equivalent experience

Experience

Essential

• Demonstrable understanding of the personalised care approach
• Understands how the NHS works including primary care and PCNs
• To understand and in practice apply Caldicott Principles, Data Protection Act 2018 and appropriately protect an individuals personal data, disclosing where appropriate only
• Awareness of the wider determinants of health and its impact
• Understands the needs of older people/adults with disabilities/long terms conditions particularly in relation to promoting their independence
• Working well with others to deliver goals
• Being motivated to deliver excellent services to support Primary Care in our region
• Experience of working in health, social care and other support roles in direct contact with people, families or carers (in a voluntary or paid capacity)
• Experience of working in multidisciplinary professional team environments

Desirable

• Experience of working directly in a care coordinator role, in adult health, social care, learning support or public health/health improvements
• Experience or training in personalised care and support planning

Skills

Essential

• To deliver outcomes based on set targets
• Liaise with other colleagues to promote the success of the PCN and its Partner organisations in primary care
• Work to perpetuate a culture that is transparent and open
• Has collated data and used tools to demonstrate the impact of services
• Recognises and works within limits of competence, seeking advice when needed
• Awareness of and has well-developed IT skills to facilitate quick and confident learning of new systems to support the management of patients in a primary care setting (including Microsoft packages)

Desirable

• Knowledge of SystmOne and/or EMIS clinical systems

Other

Essential

• Drive and have access to transport to attend visits or sites across the PCN, this may include home visits

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.

Employer details

Employer name

Yorkshire Health Partners Ltd

Address

Unit 2 Westbridge Court

Annie Med Lane

South Cave

East Riding of Yorkshire

HU15 2HG

Employer's website

https://yorkshirehealthpartners.co.uk/ (Opens in a new tab)