Job summary
MIAA Solutions are advertising the above role on behalf of Congleton and Holmes Chapel (CHOC) Primary Care Network, who are seeking to recruit a Care Coordinator,to join our growing PCN
team.
This is an opportunity for a Care Coordinator in our
wonderful team at the PCN that emphasises patient care and staff
training. Your role will support the four practice teams and the care
home teams. The PCN is very supportive of any development opportunities
and you will have regular supervision and access to the PCN Clinical Education
Lead. Join a genuinely fantastic PCN that prioritises staff well-being and patients
whilst offering a brilliant work/life balance.
Salary starting at £25,147 + NHS pension + 5 weeks
annual leave + Bank Holidays
Full time 37.5 hours
Working patterns flexibility between 8am 8pm
Location Congleton/Holmes Chapel, Cheshire.
Closing date: 15th September 23
Shortlisting: w/c 18th September 23
Interview date: w/c 2nd October
Main duties of the job
The Care Coordinator will have a broad portfolio of duties that originate from the requirements of the PCN DES and will contribute to better patient care.
This will be achieved by coordinating the work of our healthcare professionals and non-clinical staff involved in the care of patients. The post holder will work closely with practice staff who support the wider patient call and recall, to offer where possible, a one-contact approach to meeting the patients needs.
The successful candidates will work in Practice, with external agencies and across our PCN Practices and will be an essential part of a dynamic and forward-thinking Multi-Disciplinary Team (MDT) who are providing support and enhanced care to groups of patients, including vulnerable patients and patients in the care home setting.
About us
We are made up of four GP Practices
which are based in Congleton and Holmes Chapel; Holmes Chapel Health Centre,
Lawton House Surgery, Meadowside Medical Centre and Readesmoor Medical Centre.
We together as a PCN have a patient list of c48,000, for whom
we provide General Practice services. By working together with our local
providers of care we are improving the patient experiences of primary care. We
are in the Cheshire East Council geographic area.
Congleton and
Holmes Chapel PCN are committed to working together to deliver high quality
care for our patients. We aim to bring together collaborative working for
health, social care and the voluntary sector, by improving systems and
processes, enabling increased time to deliver improved patient care. We will
achieve more by harnessing the strengths of our stakeholders. Our mission is to
place the patient at the heart of everything we do within the community
delivered by a multi-disciplinary team improving our patients health.
Vernova
Healthcare CIC is the employing body for CHOC PCN staff. Vernova is owned and
supported by all the GP practices in Eastern Cheshire.
The successful candidate will join a growing PCN
Team, (including Clinical Pharmacists, Paramedic Practioners, FCPs, PA, SPLWs
and MHPs) and will be supported by the PCN Leadership Team. Regular development
sessions, clinical supervision, teaching, training and opportunities to upskill
will be provided, linking in with the PCN Clinical Educational Lead.
Job description
Job responsibilities
The Care Coordinator (Data) will undertake work in line with PCN and Practice directed priorities. Thefollowing are the core responsibilities of the Care Coordinator role:
Enhanced Care in Care Homes
- Manage the Care Home proxy access administration process.
- Support the GP team to identify gaps in existing Care Plans and help produce and annual Personalised Care and Support Plan (PCSP), referring to the patients named GP to complete.
- Liaise with Prospect House Care home to schedule the monthly Clinical Pharmacists visits.
- Liaise with Prospect House Care Home to ensure new admissions and patients who have beendischarged from hospital, are reviewed at the next Ward Round, and have an updated PCSP.
- Coordinate the annual influenza prophylaxis preparation.
- Be the Practice point of contact for Care Home residents relatives and Carers, and ProspectHouse staff.
Clinical Pharmacy Support
- Use EMIS web, risk stratification tools and Ardens Manger to identify and call/recall patients for the Clinical Pharmacy team to review. This includes, but is not limited to, patients for: structuremedication reviews, QOF QI, QOF Medicines Indicators, IIF indicators, Prescribing audits.
Early Cancer Diagnosis
- Support the delivery of PCN objectives under the Early Cancer Diagnosis requirements of thePCN DES. This includes but is not limited to: attending relevant forum meetings, patient follow up from cancer screening, cancer care planning, patient communications.
Cardiovascular Disease Prevention and Diagnosis
- Support patient call and recall is directed by the Practices Quality and Compliance.
Health Inequalities
- Identify patient cohorts being targeted by the PCN / Practices, inviting them to participate inagreed interventions.
- Learning Disabilities care planning.
MDT Meetings
- Prepare the agenda for MDT meetings and contact all parties to ensure attendance and toconfirm patients to be discussed.
- Minute the MDT meetings, add notes and SNOMED codes to the patients Medical Records.
- Disseminate actions and follow-up ahead of the next meeting to ensure actions are completed.
Care Planning
- Support the Practice objectives (local and PCN-level) to ensure Care Plans are actively createdand updated. This includes for Learning Disability patients, Dementia patients, Care Homeresidents and Cancer patients.
- Identify patients without recent care plans in place and work with their name GP to updatethese plans.
- Ensure that preventative actions are agreed and detailed in Care Plans to support thereduction of unnecessary hospital admissions.
Investment and Impact Fund
- Support patient call and recall is directed by the Operations Manager Quality andCompliance.
- Ensure the minimum number of patient contacts by aligning multiple tests and reviews.
Support Data Collection:
- Effective use of the EMIS diary date to effectively manage care.
- Ensure timely and accurate collation of data for the practice and PCN.
- Maintain accurate and up to date records of patient contacts using GP record systems andother IM&T systems relevant to the role i.e. entering notes onto EMIS using agreed SNOMEDcodes.
- Appropriate management of collected data, ensuring all data is kept and shared in accordancewith all relevant governance requirements.
- Validate and quality assure incoming data.
- Run regular patient searches using EMIS in order to have an up-to-date record of progress ofachievement of Key Performance Indicators.
- Case finding to support target achievement and enhancing register prevalence.
Job description
Job responsibilities
The Care Coordinator (Data) will undertake work in line with PCN and Practice directed priorities. Thefollowing are the core responsibilities of the Care Coordinator role:
Enhanced Care in Care Homes
- Manage the Care Home proxy access administration process.
- Support the GP team to identify gaps in existing Care Plans and help produce and annual Personalised Care and Support Plan (PCSP), referring to the patients named GP to complete.
- Liaise with Prospect House Care home to schedule the monthly Clinical Pharmacists visits.
- Liaise with Prospect House Care Home to ensure new admissions and patients who have beendischarged from hospital, are reviewed at the next Ward Round, and have an updated PCSP.
- Coordinate the annual influenza prophylaxis preparation.
- Be the Practice point of contact for Care Home residents relatives and Carers, and ProspectHouse staff.
Clinical Pharmacy Support
- Use EMIS web, risk stratification tools and Ardens Manger to identify and call/recall patients for the Clinical Pharmacy team to review. This includes, but is not limited to, patients for: structuremedication reviews, QOF QI, QOF Medicines Indicators, IIF indicators, Prescribing audits.
Early Cancer Diagnosis
- Support the delivery of PCN objectives under the Early Cancer Diagnosis requirements of thePCN DES. This includes but is not limited to: attending relevant forum meetings, patient follow up from cancer screening, cancer care planning, patient communications.
Cardiovascular Disease Prevention and Diagnosis
- Support patient call and recall is directed by the Practices Quality and Compliance.
Health Inequalities
- Identify patient cohorts being targeted by the PCN / Practices, inviting them to participate inagreed interventions.
- Learning Disabilities care planning.
MDT Meetings
- Prepare the agenda for MDT meetings and contact all parties to ensure attendance and toconfirm patients to be discussed.
- Minute the MDT meetings, add notes and SNOMED codes to the patients Medical Records.
- Disseminate actions and follow-up ahead of the next meeting to ensure actions are completed.
Care Planning
- Support the Practice objectives (local and PCN-level) to ensure Care Plans are actively createdand updated. This includes for Learning Disability patients, Dementia patients, Care Homeresidents and Cancer patients.
- Identify patients without recent care plans in place and work with their name GP to updatethese plans.
- Ensure that preventative actions are agreed and detailed in Care Plans to support thereduction of unnecessary hospital admissions.
Investment and Impact Fund
- Support patient call and recall is directed by the Operations Manager Quality andCompliance.
- Ensure the minimum number of patient contacts by aligning multiple tests and reviews.
Support Data Collection:
- Effective use of the EMIS diary date to effectively manage care.
- Ensure timely and accurate collation of data for the practice and PCN.
- Maintain accurate and up to date records of patient contacts using GP record systems andother IM&T systems relevant to the role i.e. entering notes onto EMIS using agreed SNOMEDcodes.
- Appropriate management of collected data, ensuring all data is kept and shared in accordancewith all relevant governance requirements.
- Validate and quality assure incoming data.
- Run regular patient searches using EMIS in order to have an up-to-date record of progress ofachievement of Key Performance Indicators.
- Case finding to support target achievement and enhancing register prevalence.
Person Specification
Experience
Essential
- Experience of working in General Practice, the NHS or Social Care
- Understanding of current issues facing the NHS and social care process
- Experience of administrative duties
- Able to demonstrate a clear understanding of working with confidential
- information and an understanding of service user confidentiality
- Working in a multi-disciplinary setting where influence and negotiation is
- required
- Working in a busy and demanding environment whilst delivering in a timely manner
Desirable
- Knowledge/familiarity with medical terminology
- Previous experience in the Care Coordinator role.
Skills
Essential
- Proven record of excellent written and verbal communication skills and
- interpersonal skills
- Evidence of excellent knowledge of Microsoft Office
- Excellent motivational and influencing skills
- Able to prioritise and manage own workload and ensuring completion of tasks on time
- Strong analytical and judgement skills
- Ability to analyse and interpret information and present results in a clear and concise manner
Desirable
- Experienced working with EMIS Web (Medical Record system)
Qualifications
Essential
- Good standard of education with excellent literacy and numeracy skills
Desirable
- NVQ Level 3 Business Administration (or relevant experience)
Personal Attributes
Essential
- Professional attitude, calm and efficient manner
- Conscientious, hardworking, self- motivated, work with minimal supervision
- Creative and tenacious in finding solutions to difficult problems
- Ability to meet deadlines and work under pressure
- Ability to engage and sustain relationships with all professionals, other organisations and service-users
- Committed to personal development, willingness to undergo further training or development
- Car user and willing to travel between PCN GP practices
Person Specification
Experience
Essential
- Experience of working in General Practice, the NHS or Social Care
- Understanding of current issues facing the NHS and social care process
- Experience of administrative duties
- Able to demonstrate a clear understanding of working with confidential
- information and an understanding of service user confidentiality
- Working in a multi-disciplinary setting where influence and negotiation is
- required
- Working in a busy and demanding environment whilst delivering in a timely manner
Desirable
- Knowledge/familiarity with medical terminology
- Previous experience in the Care Coordinator role.
Skills
Essential
- Proven record of excellent written and verbal communication skills and
- interpersonal skills
- Evidence of excellent knowledge of Microsoft Office
- Excellent motivational and influencing skills
- Able to prioritise and manage own workload and ensuring completion of tasks on time
- Strong analytical and judgement skills
- Ability to analyse and interpret information and present results in a clear and concise manner
Desirable
- Experienced working with EMIS Web (Medical Record system)
Qualifications
Essential
- Good standard of education with excellent literacy and numeracy skills
Desirable
- NVQ Level 3 Business Administration (or relevant experience)
Personal Attributes
Essential
- Professional attitude, calm and efficient manner
- Conscientious, hardworking, self- motivated, work with minimal supervision
- Creative and tenacious in finding solutions to difficult problems
- Ability to meet deadlines and work under pressure
- Ability to engage and sustain relationships with all professionals, other organisations and service-users
- Committed to personal development, willingness to undergo further training or development
- Car user and willing to travel between PCN GP practices
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.
