Care Co-ordinator

Job description

Job responsibilities

Key responsibilities 1. Undertake work in line with PCN directed priorities. 2. Proactively identify and work with a cohort of people to support their personalised care requirements, using the available decision support aids. 3. Ensure regular and consistent communication with the referrer regarding patient progress and any complications or guidance. 4. Raise awareness of health promotion and NHS health checks in practices. 5. Support national screening programmes. 6. Support immunisation programmes. 7. Monitor referrals to ensure tasks are completed and care delivered by keeping in regular telephone contact. 8. Direct liaison with multi agencies to coordinate care for patients. 9. Refer to PCN social prescribing link workers were a patient is identified as potentially benefitting from this service. 10. To support patient/carer contact roles, and collate patient and carer feedback on their experiences. 11. Support Quality and Outcome Frameworks and other DES/LES specifications. 12. Maintain and develop engagement with all practice staff and encourage best practice. 13. Act as the first port of call for patients, in their caseload in relation to their care. 14. Bring together all of a persons identified care and support needs, and explore their options to meet these into a single personalised care and support plan (PCSP), in line with PCSP best practice. 15. Help people to manage their needs, answering their queries and supporting them to make appointments. 16. Support people to take up training, employment and access appropriate benefits where eligible. 17. Raise awareness of shared decision-making and decision support tools, and assist people to be more prepared to have a shared decision-making conversation. 18. Ensure that people have good quality information to help them make choices about their care. 19. Support people to understand their level of knowledge, skills and confidence their Activation level when engaging with their health and wellbeing, including using the Patient Activation Measure. 20. Assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing. 21. Explore and assist people to access personal health budgets where appropriate. 22. Provide coordination and navigation for people and their carers across health and care services, alongside working closely with social prescribing link workers and other primary care roles. 23. Support the coordination and delivery of MDTs within PCNs. Confidentiality In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately. In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients, their carers, practice or staff information. All such information from any source is to be regarded as strictly confidential. Information relating to patients, carers, colleagues, or the members practices may only be divulged to authorised persons in accordance with PGPA policies and procedures relating to confidentiality and the protection of personal and sensitive data, or under the guidance of your manager. This role profile is not exhaustive, and you may be directed to complete other tasks according to the skills and requirements for individual roles. These duties will always be reasonable and deemed within the expectations of your position.

Person Specification

Qualifications

Essential

• ECDL or equivalent
• Diploma/ HNC level (or relevant experience)
• NVQ Level 2 Business Administration (or relevant experience)
• Demonstrable commitment to professional and personal
• Development

Desirable

• Training in motivational coaching and interviewing or equivalent

Experience

Essential

• Experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field (including unpaid work).
• Experience of data collection and providing monitoring information to assess the impact of services.
• Experience of partnership/collaborative working and of building relationships across a variety of organisations.
• Experience of working with or in general practice.
• Working in a multi-disciplinary setting where influence and negotiation is required.
• Knowledge/familiarity with medical terminology.

Desirable

• Experience of supporting people, their families and carers in a related role (including unpaid work).
• Experience in use of databases.
• Vulnerable adults awareness.
• Experience of care of the elderly.

Skills and Knowledge

Essential

• Knowledge of the personalised care approach
• Advanced experience of using word, excel and PowerPoint including ability to use word processing skills, emails and the internet to create simple plans and reports
• Creative problem solver and willing to search for hard-to-find information
• Meets DBS reference standards and has a clear criminal record, in line with the law on spent convictions
• Access to own transport and ability to travel across the locality on a regular basis
• Continued commitment to improve skills and ability in new areas of work

Desirable

• Knowledge of general practice clinical systems, such as, EMIS and SystmOne
• Ability to read large amounts of information and extract the salient points, to analyse data and report on findings

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

Pennine GP Alliance

Address

C/O Spring Hall Medical Practice

173c Spring Hall Lane

Halifax

HX1 4JG

Employer's website

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