Job summary
The successful candidate will be based in Wigan Central & North PCNs. They will be caring, dedicated, reliable, person-focused and enjoy working with a wide range of people. They will have good written and verbal communication skills and strong organisational and time management skills. They will be highly motivated and proactive with a flexible attitude, keen to work and learn as part of a team and committed to providing people, their families and carers with high quality support.
This role will have a special focus on health inequalities/safeguarding.
Main duties of the job
Work with people, their families & carers, to
improve their understanding of their condition.
Support people to develop & review personalised care
& support plans to manage their needs & achieve better healthcare
outcomes.
Help people to manage their needs by providing a
contact to answer queries, make & manage appointments, & 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 & other interventions that support
them in their health & wellbeing, & increase their levels of knowledge,
skills & confidence in managing their health.
Provide co-ordination & navigation for people
& their carers across health & care services. Helping to ensure
patients receive a joined-up service & the appropriate support from the
right person at the right time.
Work collaboratively with GPs & other primary
care professionals within the PCN to proactively identify & manage a
caseload, which may include patients with long-term health conditions, & where
appropriate, refer back to other health professionals within the PCN.
Support the co-ordination & delivery of
multidisciplinary teams with the PCN.
Raise awareness of how to identify patients who may
benefit from shared decision making & support PCN staff & people to be
more prepared to have shared decision-making conversations.
About us
Joining enthusiastic, dynamic, friendly and mature PCNs. You can expect a warm welcome, doors are always open, and every voice is heard.
We constantly strive to improve patient pathways and health care outcomes. The post holder will play an integral role within the network and will be part of the MDT enabling this to happen.
We are a flexible company and both full and part time applicants will be considered
KEY WORKING RELATIONSHIPS:
GPs, Practice Nurses and other practice staff
PCN/GP Prescribing Lead
PCN Managers
Community Nurses and other Allied Health Professionals
Community Pharmacists and support staff
Job description
Job responsibilities
Care co-ordinators play an important role within a PCN to
proactively identify and work 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 work closely with GPs and practice teams to manage a
caseload of patients, acting as a central point of contact to ensure
appropriate support is made available to people and their carers; supporting
them to understand and manage their condition and ensuring their changing needs
are addressed.
This is achieved by bringing together all the information
about a persons identified care and support needs and exploring options to
meet these within a single personalised care and support plan, based on what
matters to the person.
Care co-ordinators could provide time, capacity and
expertise to support people in preparing for, or following-up, clinical
conversations. Enabling them to be more actively involved in managing their
care and supporting them to make choices that are right for them. Care co-ordinators help people improve their quality
of life.
This role is intended to become an integral part of the
PCNs multidisciplinary team, working alongside social prescribing link workers
and health and wellbeing coaches to provide an all-encompassing approach to
personalised care and promoting and embedding the personalised care approach
across the PCN.
Job description
Job responsibilities
Care co-ordinators play an important role within a PCN to
proactively identify and work 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 work closely with GPs and practice teams to manage a
caseload of patients, acting as a central point of contact to ensure
appropriate support is made available to people and their carers; supporting
them to understand and manage their condition and ensuring their changing needs
are addressed.
This is achieved by bringing together all the information
about a persons identified care and support needs and exploring options to
meet these within a single personalised care and support plan, based on what
matters to the person.
Care co-ordinators could provide time, capacity and
expertise to support people in preparing for, or following-up, clinical
conversations. Enabling them to be more actively involved in managing their
care and supporting them to make choices that are right for them. Care co-ordinators help people improve their quality
of life.
This role is intended to become an integral part of the
PCNs multidisciplinary team, working alongside social prescribing link workers
and health and wellbeing coaches to provide an all-encompassing approach to
personalised care and promoting and embedding the personalised care approach
across the PCN.
Person Specification
Qualifications
Essential
- GCSE grade A to C in English and Maths
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
- Experience of data collection and using tools to measure the impact of services
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
- Experience of working with elderly or vulnerable people, complying with best practice and relevant legislation
Knowledge and Skills
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
- Knowledge of how the NHS works, including primary care and PCNs
Desirable
- Knowledge of Safeguarding Children and Vulnerable Adults policies and processes
- Ability to recognise and work within limits of competence and seek advice when needed
- Understanding of the needs of older people/adults with disabilities /long term conditions particularly in relation to promoting their independence
- Basic knowledge of long-term conditions and the complexities involved: medical, physical, emotional and social
Person Specification
Qualifications
Essential
- GCSE grade A to C in English and Maths
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
- Experience of data collection and using tools to measure the impact of services
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
- Experience of working with elderly or vulnerable people, complying with best practice and relevant legislation
Knowledge and Skills
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
- Knowledge of how the NHS works, including primary care and PCNs
Desirable
- Knowledge of Safeguarding Children and Vulnerable Adults policies and processes
- Ability to recognise and work within limits of competence and seek advice when needed
- Understanding of the needs of older people/adults with disabilities /long term conditions particularly in relation to promoting their independence
- Basic knowledge of long-term conditions and the complexities involved: medical, physical, emotional and social
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.
