PCN Care Coordinator

Primary Integrated Community Services

This job is now closed

Job summary

We have an exciting opportunity for a PCN Care Coordinator to join our dynamic team. We are looking for someone who is enthusiastic about providing high quality care.

You will be based within Rosewood Primary Care Network covering:

Roundwood Surgery
Acorn Medical Practice
Churchside Medical Practice
Forest Medical Group
Millview Surgery
Roundwood Surgery

Rosewood PCN has a patient population in excess of 46,900. You will be part of a wider team of Care Coordinators and supported by our Care Coordination Manager and Team Leaders who are on the PICS leadership team.

Main duties of the job

KEY RESPONSIBILITIES

To provide coordination, administrative and support to the Clinical teams and other members of the PCN
To support the coordination and delivery of multidisciplinary team meetings for care home residents
To proactively identify residents in care homes who require a personalised care and support plan

KEY REQUIREMENTS

Good standard of education GCSE or equivalent in English and Mathematics

About us

Benefits of working for PICS

We offer a comprehensive package which includes:

Part of a team of experienced practitioners and supported by a *INSERT LEAD* who will help support your professional development
Part of the NHS Pension Scheme or an alternative government based scheme (based on eligibility) with generous employer contributions
Competitive salaries with clear progression pathways referenced to NHS Agenda for Change
Fully integrated with NHS IT systems
Generous annual leave entitlement which references NHS Agenda for Change and recognises previous NHS service

On appointment 27 days plus 8 days bank holiday entitlement
After 5 years 29 days plus 8 days bank holiday entitlement
After 10 years 33 days plus 8 days bank holiday entitlement

Competitive leave entitlement that includes sickness pay and maternity leave
Join a caring culture and a company of can do experts

Date posted

14 April 2021

Pay scheme

Agenda for change

Band

Band 4

Salary

£21,892 to £24,157 a year

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

E0220-21-0551

Job locations

Unit H4 Ash Tree Court

Nottingham Business Park

Nottingham

Nottinghamshire

NG8 6PY

Wood Street

Mansfield

Nottinghamshire

NG18 1QQ

Job description

Job responsibilities

JOB SUMMARY

The post holder will work within the PCN Team, providing coordination, administrative and support to the Clinical teams and other members of the PCN.

The post holder will work closely with Care Homes, General Practices and existing services to support the coordination and delivery of multidisciplinary team meetings for care home residents.

The post holder will support the PCN to proactively identify residents in care homes who require a personalised care and support plan.

ROLE OBJECTIVES:

The post holder, working closely with the PCN team, Care Home, GPs and existing community services will:

Coordinate Multi-Disciplinary Team meetings for people living in care homes
Utilise Population Health Intelligence to proactively identify care home residents and work with the PCN team to enable the PCN team to deliver personalised care
Utilise Population Health Intelligence tools where needed to support other patients in the PCN.

ADDITIONAL RESPONSBILITIES:

Be responsible for daily updating of patients on e-HealthScope Workflow to identify care residents to support the PCN team with identifying community pathways that might prevent hospital admission and for identifying potential gaps in care
Be responsible for arranging, attending and minuting Care home Multi-Disciplinary Team Meetings
Proactively prepare any actions prior to the MDT ensuring all relevant clinicians are present
To record patient interventions on relevant electronic database systems (e.g. SystmOne) and contribute to report generation, analysis and production
Follow up on all forward actions resulting from MDT discussions
Be responsible for logging and making referrals
To contribute to the integration of health and social care by maintaining up to date recording systems for all agencies within the PCN Team and providing information to any member of the PCN Team in order to ease processes and communication in agreement with data protection protocol
To be responsible for recording, reporting and producing evaluation reports which will include evaluation detailing effectiveness outcomes of new roles.
To be customer (patient, carer, GP) focused when representing the service
To work collaboratively with other teams and services to maintain an effective and efficient service
To offer appropriate support and guidance to patients and their families/carers
To plan / organise work using own initiative, whilst being able to work as a valuable member of a team
To have excellent IT skills, to include Microsoft Office, Outlook and Excel
To undertake general office duties to support the role
To work effectively as part of a team to provide cover for Care Coordination Teams when required and to be flexible regarding working hours to meet the needs of the service
To ensure all electronic records are updated and complete within the agreed time-scales
To use a range of verbal and non-verbal communication tools to communicate effectively with patients, carers and families and colleague
Provide coordination of and participate in relevant internal and external working groups and provide project advice, expertise and support where requested
Support the PCN team by inputting into the overall strategy development and programming of work streams by applying knowledge and understanding of programme and project management
Work with key personnel in the PCN to develop & support collective general practice projects including areas of federated working
Work towards completing the appropriate training to deliver and support the Comprehensive Model for Personalised Care
Work closely and in partnership with the Social Prescribing Link Worker(s)
Provide coordination of and participate in relevant internal and external working groups and provide project advice, expertise and support where requested
To participate in the review and appraisal process
To carry out any other reasonable duties as requested by a manager to ensure quality of service
To participate in any relevant training/courses/conferences
Complete mandatory training
Use clinical systems for record keeping, audit and evaluation
Develop and implement data collection systems that will provide accurate and timely data.
Maintain confidentiality

Please download the PCN Care Coordinator job description for full details of the role.

Job description

Job responsibilities

JOB SUMMARY

The post holder will work within the PCN Team, providing coordination, administrative and support to the Clinical teams and other members of the PCN.

The post holder will work closely with Care Homes, General Practices and existing services to support the coordination and delivery of multidisciplinary team meetings for care home residents.

The post holder will support the PCN to proactively identify residents in care homes who require a personalised care and support plan.

ROLE OBJECTIVES:

The post holder, working closely with the PCN team, Care Home, GPs and existing community services will:

Coordinate Multi-Disciplinary Team meetings for people living in care homes
Utilise Population Health Intelligence to proactively identify care home residents and work with the PCN team to enable the PCN team to deliver personalised care
Utilise Population Health Intelligence tools where needed to support other patients in the PCN.

ADDITIONAL RESPONSBILITIES:

Be responsible for daily updating of patients on e-HealthScope Workflow to identify care residents to support the PCN team with identifying community pathways that might prevent hospital admission and for identifying potential gaps in care
Be responsible for arranging, attending and minuting Care home Multi-Disciplinary Team Meetings
Proactively prepare any actions prior to the MDT ensuring all relevant clinicians are present
To record patient interventions on relevant electronic database systems (e.g. SystmOne) and contribute to report generation, analysis and production
Follow up on all forward actions resulting from MDT discussions
Be responsible for logging and making referrals
To contribute to the integration of health and social care by maintaining up to date recording systems for all agencies within the PCN Team and providing information to any member of the PCN Team in order to ease processes and communication in agreement with data protection protocol
To be responsible for recording, reporting and producing evaluation reports which will include evaluation detailing effectiveness outcomes of new roles.
To be customer (patient, carer, GP) focused when representing the service
To work collaboratively with other teams and services to maintain an effective and efficient service
To offer appropriate support and guidance to patients and their families/carers
To plan / organise work using own initiative, whilst being able to work as a valuable member of a team
To have excellent IT skills, to include Microsoft Office, Outlook and Excel
To undertake general office duties to support the role
To work effectively as part of a team to provide cover for Care Coordination Teams when required and to be flexible regarding working hours to meet the needs of the service
To ensure all electronic records are updated and complete within the agreed time-scales
To use a range of verbal and non-verbal communication tools to communicate effectively with patients, carers and families and colleague
Provide coordination of and participate in relevant internal and external working groups and provide project advice, expertise and support where requested
Support the PCN team by inputting into the overall strategy development and programming of work streams by applying knowledge and understanding of programme and project management
Work with key personnel in the PCN to develop & support collective general practice projects including areas of federated working
Work towards completing the appropriate training to deliver and support the Comprehensive Model for Personalised Care
Work closely and in partnership with the Social Prescribing Link Worker(s)
Provide coordination of and participate in relevant internal and external working groups and provide project advice, expertise and support where requested
To participate in the review and appraisal process
To carry out any other reasonable duties as requested by a manager to ensure quality of service
To participate in any relevant training/courses/conferences
Complete mandatory training
Use clinical systems for record keeping, audit and evaluation
Develop and implement data collection systems that will provide accurate and timely data.
Maintain confidentiality

Please download the PCN Care Coordinator job description for full details of the role.

Person Specification

Qualifications

Essential

Good standard of education GCSE or equivalent in English and Mathematics

Desirable

A-level / NVQ level 3 or equivalent experience in admin / business / marketing / customer service environment
Degree level education or equivalent

Experience

Essential

Experience of office procedures working at a high level as part of an administration team / within an administration role
Experience of setting up and implementing internal processes and procedures.
Experience of dealing with sensitive/confidential information
Experience of working with reception / telephone environments
Proven administrative experience

Desirable

Experience of working within Multidisciplinary teams

Knowledge

Essential

Understanding of Clinical Governance
Understanding of Confidentiality and Data Protection Act

Desirable

Working knowledge of the management of databases
Knowledge of local guidelines
Knowledge and understanding of relevant health and social care legislation and initiatives

Skills and abilities

Essential

Understanding and able to deal with confidential and sensitive issues when liaising with team members / other professionals
Ability to prioritise and organise workload to meet deadlines
Ability to work under pressure with constant interruptions requiring skills in multi-tasking, maintaining accuracy at all times
Ability to problem solve and support others in resolving problems
Ability to work in partnership with other agencies
Ability to manage conflicting issues assertively and sensitively

Desirable

Ability to use electronic patient record / TPP Clinical SystmOne

Personal qualities

Essential

Adaptable and flexible
Ability to use own initiative when appropriate
Ability to build and maintain effective working relationships
Ability to challenge and be challenged
Ability to motivate self and others, and to work as part of a team
Ability to work flexibly to meet the needs of the service
Ability to communicate with a high level of effectiveness both verbally and in writing

Autonomy

Essential

Demonstrated capabilities to manage own workload and make informed decisions in the absence of required information, working to tight and often changing timescales

Other requirements

Essential

Driver with sole use of vehicle

Person Specification

Qualifications

Essential

Good standard of education GCSE or equivalent in English and Mathematics

Desirable

A-level / NVQ level 3 or equivalent experience in admin / business / marketing / customer service environment
Degree level education or equivalent

Experience

Essential

Experience of office procedures working at a high level as part of an administration team / within an administration role
Experience of setting up and implementing internal processes and procedures.
Experience of dealing with sensitive/confidential information
Experience of working with reception / telephone environments
Proven administrative experience

Desirable

Experience of working within Multidisciplinary teams

Knowledge

Essential

Understanding of Clinical Governance
Understanding of Confidentiality and Data Protection Act

Desirable

Working knowledge of the management of databases
Knowledge of local guidelines
Knowledge and understanding of relevant health and social care legislation and initiatives

Skills and abilities

Essential

Understanding and able to deal with confidential and sensitive issues when liaising with team members / other professionals
Ability to prioritise and organise workload to meet deadlines
Ability to work under pressure with constant interruptions requiring skills in multi-tasking, maintaining accuracy at all times
Ability to problem solve and support others in resolving problems
Ability to work in partnership with other agencies
Ability to manage conflicting issues assertively and sensitively

Desirable

Ability to use electronic patient record / TPP Clinical SystmOne

Personal qualities

Essential

Adaptable and flexible
Ability to use own initiative when appropriate
Ability to build and maintain effective working relationships
Ability to challenge and be challenged
Ability to motivate self and others, and to work as part of a team
Ability to work flexibly to meet the needs of the service
Ability to communicate with a high level of effectiveness both verbally and in writing

Autonomy

Essential

Demonstrated capabilities to manage own workload and make informed decisions in the absence of required information, working to tight and often changing timescales