Care Home MDT Care Coordinator
This job is now closed
Job summary
Hillingdon Health and Care Partners is focused on delivering integrated care across its providers with a wide range of partner organisations and stakeholders, including acute trusts, mental health trusts, local authorities, community services and primary care, as well as voluntary sector organisations.
The Care Home Support Teams has been established to provide holistic care and integrated care planning (ICP) to the residents of Older Adult and Learning Disability and Mental Health Care Homes within the borough. A “whole systems” approach will aide a reducing in hospital admissions and allow for patients to be cared for in their own homes where possible.
Main duties of the job
The MDT Care Coordinator will play a key coordinating role at the heart of the multi-disciplinary Care Home Support Teams and will help in coordinating care for our Care Home patient population to ensure interventions and care needed is provided in a timely manner. As part of the Service Administration team there will be an expectation that this role will provide support to the wider team as and when required and vice versa.
About us
The Confederation, Hillingdon CIC works with general practice and other healthcare providers in Hillingdon to deliver high quality clinical services to patients. Our aim is to improve care for patients by working collaboratively across primary care and our partners as part of the Integrated Care Partnership. The Confederation team also work to develop and support individual GP practices, PCNs and Neighbourhoods and their changing needs. We are ‘of the NHS’ but independent, innovative and transformational.
General capacity across primary care is being expanded rapidly. The Confederation is determined to develop as an attractive place to work that provides rewarding roles and opportunities to grow in order to attract and retain great staff that in turn provides the highest quality care.
Details
Date posted
16 May 2022
Pay scheme
Other
Salary
£22,400 a year
Contract
Permanent
Working pattern
Full-time
Reference number
E0004-22-6306
Job locations
1A, Civic Centre, High Street
Uxbridge
Middlesex
UB8 1UW
Job description
Job responsibilities
Operational Duties
• Ensure all case summaries are received from the Care Home Support Team for any residents that need to be discussed at the MDT meeting.
• Ensure all appropriate individuals are invited to the MDT as directed by the Care Home Matron; this may include other professional, Care Home Staff and Voluntary Sector colleagues.
• Ensure all members of the MDT panel have copies of the residents’ case summaries in a timely manner.
• Provide administrative support at the MDT meetings ensuring accurate minutes are produced which reflect the clinical conversations and that an action log is produced and followed up appropriate. This should also be circulated to attendees in a timely manner.
• To be responsible for arranging appointments and referrals agreed at the MDT meeting.
• Implement systems to ensure residents are discussed when necessary and followed up within an agreed timescale.
• Coordinate the identification of high risk patients through utilisation of risk stratification tools such as the WSIC dashboard, PARR 30 etc. and work closely with the multi-disciplinary team to identify a list of patients most at risk of needing extra care.
• Be the main point of contact for Care Homes and the Care Home Support Team and signpost and liaise with multi provider agencies to support the implementation of residents care plans.
• Where care home residents have been admitted to hospital, support the Care Home Matrons where needed to liaise closely with the hospital discharge coordinator to aid the safe discharge and transfer back to their normal place of residence.
• Identify opportunities for service improvement and help to develop plans to implement and monitor improvements.
• Support the wider Care Home Support Team in minute taking of additional meetings where appropriate
• Provide logistical support to any Care Home Support staff delivering training and development projects within the Care Homes
Information Management
• Maintain accurate and contemporaneous records using clinical record keeping system such as Emis web and CMC, ensuring that they remain confidential and secure at all times.
• Actively supports and contributes to the development of key performance indicators for the successful assessment of performance.
Professional Responsibilities
• Incorporates Life-Long learning strategy into own and others practice
• Identifies skills required in order to achieve competencies required to do the job
• Contributes to own appraisal and maintains own professional development
• Sets objectives which are specific, measurable, realistic, achievable and timely
• Demonstrates awareness of safe record keeping guidance
• Management and Leadership
• Works independently
• Demonstrates an ability to identify priorities by effective time management
• Manages queries / concerns / complaints according to organisational Policy
• Ensures that feedback to others is positive and meaningful and that strengths are clearly acknowledged
• Identifies and manages a safe workload and reports areas of concern appropriately
• Negotiates confidently and asserts authority when necessary
• Knows the resources that are available and can access them at any given time
• Knows when to seek advice
Communications
• The individual will require exceptional communication skills due to the need to deal with complex patient needs and communicating with multi professionals. Working in partnership, the post holder communicates effectively with Care Homes, the wider multi-disciplinary Team and other key stakeholders on a range of complex health care matters, issues, ideas and situations.
Additional Information
• The post holder is responsible for maintaining a working knowledge of current and proposed legislative and statutory guidance in relation to their practice and is responsible for maintaining their CPD. The post holder will identify and agree with their line manager objectives to be achieved throughout the year.
Collaborative Working Relationships:
• Foster and maintain strong links with all services across the PCN and neighbouring networks.
• Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships.
• Demonstrates use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations e.g. CCGs).
• Can recognise personal limitations and refer to more appropriate colleague(s) when necessary.
• Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to:
o Patients and their representatives.
o GP, nurses and other practice staff.
o Other healthcare professionals including community pharmacists, pharmacy technicians, social prescribers, first contact physiotherapists, physicians associate and paramedics.
o Community pharmacists and support staff
o Other members of the medicines management (MM) team including pharmacists, technicians and dieticians
o Locality/GP prescribing lead
o Community nurses and other allied health professionals
o Hospital staff with responsibilities for prescribing and medicines optimization
o Community nurses and other allied health professionals
Professional Development:
• Work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the role and responsibilities.
• Involved in one to one meetings with line manager monthly to discuss targets and outcomes achieved.
• Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.
• Review yearly progress and develop clear plans to achieve results within priorities set by others.
Knowledge, Skills and Experience Required:
• Recognises priorities when problem-solving and identifies deviations from normal pattern and can refer to seniors when appropriate.
• Able to follow legal, ethical, professional and organisational policies/procedures and codes of conduct.
Education, Training and Development:
• Understands and demonstrates the characteristics of a role model to members in the team and/or service.
• Demonstrates self-development through continuous professional development activity.
Leadership:
• Demonstrate understanding of, and contributes to, the workplace vision.
• Demonstrates ability to improve quality within limitations of service.
• Reviews yearly progress and develops clear plans to achieve results within priorities set by others.
• Demonstrate ability to motivate self to achieve goals.
•Promotes diversity and equality in people management techniques and leads by example.
Patient Confidentiality
• The post holder must at all times respect patient confidentiality and, in particular, the confidentiality of electronically stored personal data in line with the requirements of the General Data Protection Regulation and in keeping with Hillingdon Primary Care Confederation Information Governance Policy and procedures.
- The post holder should not divulge patient information unless sanctioned by the line manager and required for the role.
Data Protection
- You are required to ensure that any information obtained, processed or held on a computer is done so in a lawful way and to hold data only for the specified registered purposes and to use or disclose data only to authorised persons or organisations.
Health and Safety/Risk Management
• The post-holder must comply at all times with all local Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System.
•The post-holder will comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).
Equality & Diversity
- It is the aim of the organisation to ensure that no job applicant or employee receives less favourable treatment on the grounds of sex, religion, race, colour, nationality, disability, ethnic or national origins, or is not placed at a disadvantage by conditions or requirements which cannot be shown to be justifiable.
- To this end the organisation has an Equal Opportunities Policy and it is the responsibility of each employee to contribute to its success.
Job description
Job responsibilities
Operational Duties
• Ensure all case summaries are received from the Care Home Support Team for any residents that need to be discussed at the MDT meeting.
• Ensure all appropriate individuals are invited to the MDT as directed by the Care Home Matron; this may include other professional, Care Home Staff and Voluntary Sector colleagues.
• Ensure all members of the MDT panel have copies of the residents’ case summaries in a timely manner.
• Provide administrative support at the MDT meetings ensuring accurate minutes are produced which reflect the clinical conversations and that an action log is produced and followed up appropriate. This should also be circulated to attendees in a timely manner.
• To be responsible for arranging appointments and referrals agreed at the MDT meeting.
• Implement systems to ensure residents are discussed when necessary and followed up within an agreed timescale.
• Coordinate the identification of high risk patients through utilisation of risk stratification tools such as the WSIC dashboard, PARR 30 etc. and work closely with the multi-disciplinary team to identify a list of patients most at risk of needing extra care.
• Be the main point of contact for Care Homes and the Care Home Support Team and signpost and liaise with multi provider agencies to support the implementation of residents care plans.
• Where care home residents have been admitted to hospital, support the Care Home Matrons where needed to liaise closely with the hospital discharge coordinator to aid the safe discharge and transfer back to their normal place of residence.
• Identify opportunities for service improvement and help to develop plans to implement and monitor improvements.
• Support the wider Care Home Support Team in minute taking of additional meetings where appropriate
• Provide logistical support to any Care Home Support staff delivering training and development projects within the Care Homes
Information Management
• Maintain accurate and contemporaneous records using clinical record keeping system such as Emis web and CMC, ensuring that they remain confidential and secure at all times.
• Actively supports and contributes to the development of key performance indicators for the successful assessment of performance.
Professional Responsibilities
• Incorporates Life-Long learning strategy into own and others practice
• Identifies skills required in order to achieve competencies required to do the job
• Contributes to own appraisal and maintains own professional development
• Sets objectives which are specific, measurable, realistic, achievable and timely
• Demonstrates awareness of safe record keeping guidance
• Management and Leadership
• Works independently
• Demonstrates an ability to identify priorities by effective time management
• Manages queries / concerns / complaints according to organisational Policy
• Ensures that feedback to others is positive and meaningful and that strengths are clearly acknowledged
• Identifies and manages a safe workload and reports areas of concern appropriately
• Negotiates confidently and asserts authority when necessary
• Knows the resources that are available and can access them at any given time
• Knows when to seek advice
Communications
• The individual will require exceptional communication skills due to the need to deal with complex patient needs and communicating with multi professionals. Working in partnership, the post holder communicates effectively with Care Homes, the wider multi-disciplinary Team and other key stakeholders on a range of complex health care matters, issues, ideas and situations.
Additional Information
• The post holder is responsible for maintaining a working knowledge of current and proposed legislative and statutory guidance in relation to their practice and is responsible for maintaining their CPD. The post holder will identify and agree with their line manager objectives to be achieved throughout the year.
Collaborative Working Relationships:
• Foster and maintain strong links with all services across the PCN and neighbouring networks.
• Explores the potential for collaborative working and takes opportunities to initiate and sustain such relationships.
• Demonstrates use of appropriate communication to gain the co-operation of relevant stakeholders (including patients, senior and peer colleagues, and other professionals, other NHS/private organisations e.g. CCGs).
• Can recognise personal limitations and refer to more appropriate colleague(s) when necessary.
• Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to:
o Patients and their representatives.
o GP, nurses and other practice staff.
o Other healthcare professionals including community pharmacists, pharmacy technicians, social prescribers, first contact physiotherapists, physicians associate and paramedics.
o Community pharmacists and support staff
o Other members of the medicines management (MM) team including pharmacists, technicians and dieticians
o Locality/GP prescribing lead
o Community nurses and other allied health professionals
o Hospital staff with responsibilities for prescribing and medicines optimization
o Community nurses and other allied health professionals
Professional Development:
• Work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the role and responsibilities.
• Involved in one to one meetings with line manager monthly to discuss targets and outcomes achieved.
• Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.
• Review yearly progress and develop clear plans to achieve results within priorities set by others.
Knowledge, Skills and Experience Required:
• Recognises priorities when problem-solving and identifies deviations from normal pattern and can refer to seniors when appropriate.
• Able to follow legal, ethical, professional and organisational policies/procedures and codes of conduct.
Education, Training and Development:
• Understands and demonstrates the characteristics of a role model to members in the team and/or service.
• Demonstrates self-development through continuous professional development activity.
Leadership:
• Demonstrate understanding of, and contributes to, the workplace vision.
• Demonstrates ability to improve quality within limitations of service.
• Reviews yearly progress and develops clear plans to achieve results within priorities set by others.
• Demonstrate ability to motivate self to achieve goals.
•Promotes diversity and equality in people management techniques and leads by example.
Patient Confidentiality
• The post holder must at all times respect patient confidentiality and, in particular, the confidentiality of electronically stored personal data in line with the requirements of the General Data Protection Regulation and in keeping with Hillingdon Primary Care Confederation Information Governance Policy and procedures.
- The post holder should not divulge patient information unless sanctioned by the line manager and required for the role.
Data Protection
- You are required to ensure that any information obtained, processed or held on a computer is done so in a lawful way and to hold data only for the specified registered purposes and to use or disclose data only to authorised persons or organisations.
Health and Safety/Risk Management
• The post-holder must comply at all times with all local Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System.
•The post-holder will comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).
Equality & Diversity
- It is the aim of the organisation to ensure that no job applicant or employee receives less favourable treatment on the grounds of sex, religion, race, colour, nationality, disability, ethnic or national origins, or is not placed at a disadvantage by conditions or requirements which cannot be shown to be justifiable.
- To this end the organisation has an Equal Opportunities Policy and it is the responsibility of each employee to contribute to its success.
Person Specification
Qualifications
Essential
- GCSE Passes at grade C or above or equivalent experience
Experience
Essential
- Significant administrative/secretarial experience including supporting MDT meetings
- Previous experience of working in primary care, the NHS or Social Care
Desirable
- Co-ordination of services from a range of different organisations in a multi-professional environment
Knowledge and Skills
Essential
- Excellent knowledge of IT systems and software programmes such as Outlook, Word, Excel and Powerpoint
- Maintaining accurate, timely, concise and legible clinical records both electronic and handwritten which adhere to national guidelines and information governance rules
- Ability to multitask and deliver to timelines
- Ability to take comprehensive minutes and actions which accurately reflect the meeting
Desirable
- Working knowledge of EMIS
Person Specification
Qualifications
Essential
- GCSE Passes at grade C or above or equivalent experience
Experience
Essential
- Significant administrative/secretarial experience including supporting MDT meetings
- Previous experience of working in primary care, the NHS or Social Care
Desirable
- Co-ordination of services from a range of different organisations in a multi-professional environment
Knowledge and Skills
Essential
- Excellent knowledge of IT systems and software programmes such as Outlook, Word, Excel and Powerpoint
- Maintaining accurate, timely, concise and legible clinical records both electronic and handwritten which adhere to national guidelines and information governance rules
- Ability to multitask and deliver to timelines
- Ability to take comprehensive minutes and actions which accurately reflect the meeting
Desirable
- Working knowledge of EMIS
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
The Confederation, Hillingdon CIC
Address
1A, Civic Centre, High Street
Uxbridge
Middlesex
UB8 1UW
Employer's website
https://www.theconfederationhillingdon.org.uk (Opens in a new tab)
Employer details
Employer name
The Confederation, Hillingdon CIC
Address
1A, Civic Centre, High Street
Uxbridge
Middlesex
UB8 1UW
Employer's website
https://www.theconfederationhillingdon.org.uk (Opens in a new tab)
Employer contact details
For questions about the job, contact:
Details
Date posted
16 May 2022
Pay scheme
Other
Salary
£22,400 a year
Contract
Permanent
Working pattern
Full-time
Reference number
E0004-22-6306
Job locations
1A, Civic Centre, High Street
Uxbridge
Middlesex
UB8 1UW
Supporting documents
Privacy notice
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