Job summary
Salary:£24,300 WTE dependant on experience
Working hours:37.5 hours per week- part time considered
NHS Pension
33 days leave inclusive of bank holidays
Employee Assistance Programme 24/7 Support
For an informal chat about role contact Lisa Downes, Social Prescriber lisa.downes@nhs.net
Phoenix Health Primary Care Network (PCN) is looking for a care co-ordinator, to work within our innovative and friendly multidisciplinary healthcare team. Phoenix Health PCN provides a range of services to the patients, communities and practices within the PCN area, based at our offices in Chinnor and covers the practice area of our 3 member practices: Cross Keys Practice, Haddenham Medical Centre and Unity Health.
Main duties of the job
The successful candidate will play a key role in proactively identifying and working with people, including the frail/elderly and those with long-term conditions, to provide co-ordination and navigation of care and support across health and care services.
They will work closely with GPs and practice teams, making sure that appropriate support is made available to people; supporting them to understand and manage their condition and ensuring their changing needs are addressed. They will enable people to access the services and support they require to meet their health and wellbeing needs, helping to improve peoples quality of life.
The care co-ordinator will work alongside social prescribing link workers and health and wellbeing coaches to provide an all-encompassing approach to personalised care and support people to navigate through the health and care system.
The postholder will work with a diverse range of people from different cultural and social backgrounds. The ability to work confidently and effectively in a varied, and sometimes challenging environment is essential. The successful candidate will have excellent interpersonal and communication skills, and be organised, patient and empathetic. They will have experience of working in health, social care or other support roles including direct contact with people, families or carers.
For more information about Phoenix Health PCN visit our website www.phoenixhealthpcn.org.uk and our Facebook page @PhoenixHealth
About us
FedBucks
is a federation of 45 GP practices covering a population of over 485,000
patients across Buckinghamshire. We began in 2016 and now employ around 200
members of staff across our head office sites, and our planned and unplanned
care services.
As
a GP Federation, we are proud to represent our member practices and to champion
primary care by working with local general practice and system partners in the
provision of community-based healthcare services. We provide safe and
compassionate care to our patients across our range of planned and unplanned
healthcare services in Buckinghamshire and believe in continuous commitment to
quality service delivery and positive patient outcomes.
Patients
are at the heart of everything we do, and we pride ourselves in ensuring our
patients feel safe, supported, communicated with, and respected, at a time when
they may be feeling vulnerable. Our vision is to provide high quality, seamless
health care that enables people to lead healthier lives, whilst feeling
supported and cared for.
Job description
Job responsibilities
Key responsibilities
Work with people, their families and carers, to
improve their understanding of their condition.
Support people to develop
and review personalised care and support plans to manage their needs and
achieve better healthcare outcomes.
Help people to manage their needs by providing
a contact to answer queries, make and manage appointments, and ensure that
people have good quality written or verbal information to help them make
choices about their care.
Assist people to access self-management
education courses, peer support, health coaching and other interventions that
support them in their health and wellbeing, and increase their levels of
knowledge, skills and confidence in managing their health.
Provide co-ordination and navigation for people
and their carers across health and care services. Helping to ensure patients
receive a joined-up service and the appropriate support from the right person
at the right time.
Work collaboratively with GPs and other primary
care professionals within the PCN to proactively identify and manage a
caseload, which may include patients with long-term health conditions, and
where appropriate, refer back to other health professionals within the PCN.
Support the co-ordination and delivery of
multidisciplinary teams with the PCN.
Raise awareness of how to identify patients who
may benefit from shared decision making and support PCN staff and people to be
more prepared to have shared decision-making conversations.
Explore and assist people to access a personal
health budget where appropriate.
Conduct follow-ups on communications from out
of hospital and in-patient services.
Maintain records of referrals and interventions
to enable monitoring and evaluation of the service.
Support practices to keep care records
up-to-date by identifying and updating missing or out-of-date information about
the persons circumstances.
Contribute to risk and impact assessments,
monitoring and evaluations of the service.
Participate in PCN meetings and events to
further the development of the PCN.
Job description
Job responsibilities
Key responsibilities
Work with people, their families and carers, to
improve their understanding of their condition.
Support people to develop
and review personalised care and support plans to manage their needs and
achieve better healthcare outcomes.
Help people to manage their needs by providing
a contact to answer queries, make and manage appointments, and ensure that
people have good quality written or verbal information to help them make
choices about their care.
Assist people to access self-management
education courses, peer support, health coaching and other interventions that
support them in their health and wellbeing, and increase their levels of
knowledge, skills and confidence in managing their health.
Provide co-ordination and navigation for people
and their carers across health and care services. Helping to ensure patients
receive a joined-up service and the appropriate support from the right person
at the right time.
Work collaboratively with GPs and other primary
care professionals within the PCN to proactively identify and manage a
caseload, which may include patients with long-term health conditions, and
where appropriate, refer back to other health professionals within the PCN.
Support the co-ordination and delivery of
multidisciplinary teams with the PCN.
Raise awareness of how to identify patients who
may benefit from shared decision making and support PCN staff and people to be
more prepared to have shared decision-making conversations.
Explore and assist people to access a personal
health budget where appropriate.
Conduct follow-ups on communications from out
of hospital and in-patient services.
Maintain records of referrals and interventions
to enable monitoring and evaluation of the service.
Support practices to keep care records
up-to-date by identifying and updating missing or out-of-date information about
the persons circumstances.
Contribute to risk and impact assessments,
monitoring and evaluations of the service.
Participate in PCN meetings and events to
further the development of the PCN.
Person Specification
Experience
Essential
- Experience of working in health, social care and other support roles in direct contact with people, families or carers (in a paid or voluntary capacity)
- Experience of working within multi - professional team environments
- Experience of supporting people, their families and carers in a related role
Desirable
- Experience of working directly in a care co-ordinator role, adult health and social care, learning support or public health / health improvement
- Experience or training in personalised care and support planning
Skills and Knowledge
Essential
- Understanding of personalised care and the comprehensive model of personalised care
- Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities, individuals, their families and carers.
- Understanding of, and commitment to, equality, diversity and inclusion
- Strong organisational skills, including planning, prioritising, time management and record keeping.
Skills Personal Attributes
Essential
- Ability to actively listen, empathise with people and provide personalised support in a non-judgemental way
- Ability to provide a culturally sensitive service supporting people from all backgrounds and communities, respecting lifestyles and diversity
- Commitment to reducing health inequalities and proactively working to reach people from diverse communities
- Ability to support people in a way that inspires trust and confidence, motivating others to reach their potential
- Ability to communicate effectively, both verbally and in writing, with people, their families, carers, partner agencies and stakeholders
- Ability to identify risk and assess / manage risk when working with individuals
- Have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the care co-ordinator role e.g. when there is a mental health need requiring a qualified practitioner
Person Specification
Experience
Essential
- Experience of working in health, social care and other support roles in direct contact with people, families or carers (in a paid or voluntary capacity)
- Experience of working within multi - professional team environments
- Experience of supporting people, their families and carers in a related role
Desirable
- Experience of working directly in a care co-ordinator role, adult health and social care, learning support or public health / health improvement
- Experience or training in personalised care and support planning
Skills and Knowledge
Essential
- Understanding of personalised care and the comprehensive model of personalised care
- Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities, individuals, their families and carers.
- Understanding of, and commitment to, equality, diversity and inclusion
- Strong organisational skills, including planning, prioritising, time management and record keeping.
Skills Personal Attributes
Essential
- Ability to actively listen, empathise with people and provide personalised support in a non-judgemental way
- Ability to provide a culturally sensitive service supporting people from all backgrounds and communities, respecting lifestyles and diversity
- Commitment to reducing health inequalities and proactively working to reach people from diverse communities
- Ability to support people in a way that inspires trust and confidence, motivating others to reach their potential
- Ability to communicate effectively, both verbally and in writing, with people, their families, carers, partner agencies and stakeholders
- Ability to identify risk and assess / manage risk when working with individuals
- Have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the care co-ordinator role e.g. when there is a mental health need requiring a qualified practitioner
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.
