Wellbeing Care Coordinator

Taurus Healthcare Limited

Information:

This job is now closed

Job summary

We have an exciting opportunity for a non-clinical wellbeing care coordinator to join our Health & Wellbeing Team in North & West Primary Care Network.

The post holder will be a key member of the developing Wellbeing Team working closely with Care Coordinators, Social Prescribers, Health & Wellbeing Coaches, a Mental Health Practitioner, Occupational Therapist and Dietician, supporting the network’s population, supporting the network’s population to live healthy, positive, and fulfilling lives.

Main duties of the job

As a member of the Wellbeing Team the Care Coordinator will work within our network of GP Practices to provide a central co-ordination role for patient care planning. The role will involve working one to one with patients who need extra support, helping them to be actively involved in managing their care and supported in making choices that are right for them.

They will provide a single point of access for staff and patients, providing feedback to the practices, troubleshooting, and escalating actions as necessary, providing advocacy for service users.

They will facilitate and ensure the effective delivery of patient-centred, personalised health and social care plans for patients, monitoring progress and reporting outcomes, contributing to patient reviews and care planning within appropriate time frames.

A full Job Description & Person Specification is attached to this advert.

This position is for 30 hours per week.

About us

Taurus Healthcare was established in 2012, as the provider arm of the GP Federation serving 185,000 patients in Herefordshire. Founded and owned by the partners of the entire Herefordshire Primary Care community, Taurus is focused on providing excellent out of hospital services for patients. Our ethos is to provide high quality and cost-effective health outcomes that are delivered as close as possible to the patients home, whilst ensuring that patients who do require in hospital services are seen as quickly and effectively as possible.

The North & West Herefordshire PCN GP practices serve rural and market town communities responding to the wide - ranging health needs of the population. The network includes Kington Medical Practice, Ryeland Surgery Leominster, The Mortimer Medical Practice, Tenbury Wells Surgery and Weobley and Staunton on Wye surgeries. It is a highly organised and forward looking PCN with strong relationships between practices and community providers.

We reserve the right to close this vacancy early if we receive sufficient applications for the role. Therefore, if you are interested, please submit your application as early as possible.

Date posted

18 July 2022

Pay scheme

Other

Salary

£22,660 to £23,690 a year

Contract

Permanent

Working pattern

Part-time

Reference number

S0001-22-5677

Job locations

Suite 1, Berrows Business Centre

Bath Street

Hereford

Herefordshire

HR1 2HE


Job description

Job responsibilities

JOB PURPOSE:

The Wellbeing Care Coordinator will have a key role in the recently formed Wellbeing Team for N&W Primary Care Network supporting the network’s population to live healthy, positive, and fulfilling lives.

The Wellbeing Team will identify and work with individuals in need of proactive support with the aim of encouraging independence, a healthy lifestyle, mental wellbeing, and social connectivity. We will identify areas of health inequality within our locality and work with the primary care team, and community partners to engage with the population and understand existing gaps in provision. This will include increasing uptake in cancer screening and other health initiatives, early intervention to manage long term conditions, and supporting people to access health and community services.

As a member of the Wellbeing Team the Care Coordinator will work within our network of GP Practices to provide a central co-ordination role for patient care planning. The role will involve working one to one with patients who need extra support, helping them to be actively involved in managing their care and supported in making choices that are right for them.

The Care Coordinator will be an essential team member working with a Health & Wellbeing Coach, Social Prescriber and Primary Care Team. They will provide a single point of access for staff and patients, providing feedback to the practices, troubleshooting, and escalating actions as necessary, providing advocacy for service users.

Main Responsibilities

1. Facilitate and ensure the effective delivery of patient-centred, personalised health and social care plans for patients, monitoring progress and reporting outcomes, contributing to patient reviews and care planning within appropriate time frames.

2. Explain the management of a patient’s pathway to clinical staff, liaising between services and service users, contacting services using the appropriate procedures/referral mechanisms.

3. Work closely with all relevant care agencies (primary care, secondary care, community services, Mental Health, Social Services, Ambulance Service, Voluntary services and other relevant service providers) to ensure a coordinated delivery of the patient’s care plan, without requiring a further referral from the GP.

4. Maintain accurate records and statistical returns as required by the CCG, including providing patient-related information for entering into Clinical Reporting Systems, within the required time frame.

5. Ensure that a proper handover of care between different settings has taken place, including mutual transfer of all organisations’ communications & patient notes and ensuring care packages are set up.

6. Collect data on patients/carers for recognised outcome measure and document for service interpretation. Ensure all patient notes are updated to reflect any changes, including details on plans

7. Managing operational meeting processes, identifying patients for discussion and working closely with clinicians to define and lead the meetings. Organise and attend relevant meetings when required including multi-disciplinary team meetings, ensure a programme of regular meetings is established, ensuring that all necessary documentation is circulated in advance.

8. Ensure that meeting actions are recorded, disseminated and followed up in a timely way; ensure relevant practitioners are aware of meeting decisions and actions / outcomes, and chase for action resolution and update.

9. Network and develop strong relationships with all levels of the NHS’s key local players including the CCG, GPs and other primary care contractors, Social Services, Mental Health Trusts, Community Trusts, and other providers including the voluntary sector.

10. Be a contact point for GPs / practices and establish systems and processes which will ensure a timely and appropriate response to queries from clinicians and other stakeholders.

Patient Services

· To provide services to patients via clinics in the PCN, domiciliary visits and in residential and nursing homes, and to deliver care plans that improve the quality of patient care.

· To be present at patient group meetings or other appropriate events to give advice.

· To assist with the production of patient information leaflets and posters and support awareness projects throughout the year.

· To help plan, develop and support the introduction of new working processes within the PCN to optimise the patient uptake.

COMMUNICATIONS AND WORKING RELATIONSHIPS

PERSONAL DEVELOPMENT

  • To attend mandatory training and fire lectures regularly and assist with fire policy/evacuation procedure when necessary.
  • To keep up to date with and attend training on revisions to information systems or changes in protocols for the inputting of data in the light of Local and national initiatives. To adhere to agreed protocols at all times.
  • To participate in Individual Performance Review and Personal Development plans on an annual basis and to undertake training and development as identified within these discussions and as indicated by the requirements of the post.

CLINICAL GOVERNANCE AND QUALITY ASSURANCE

  • To realise the importance of confidentiality when dealing with patients and staff, particularly when giving or receiving information over the telephone in accordance with the Data Protection Act.
  • Maintain the high standards of the service by contributing towards individual, team and service objectives and acting at all times in the best interest of patients.
  • To accurately collect, collate and input data to Information Systems as required by procedures to ensure that patient database records are up to date and accurate.
  • To participate in Individual Performance Review and Personal Development plans on an annual basis and to undertake training and development as identified within these discussions and as indicated by the requirements of the post.

INFORMATION GOVERNANCE

  • Taurus Healthcare requires its staff to comply with Information Governance related standards and policies at all times when dealing with confidential information, which includes any information relating to the business of the company and its service users and employees.
  • All Taurus Healthcare staff are bound by a duty of confidentiality and must conduct their duties in line with the NHS Confidentiality Code of Practice, Data Protection Act and Freedom of information Act.
  • Post-holders must maintain high standards of quality in corporate and clinical record keeping ensuring information is always recorded accurately and kept up to date. The post-holder must only access information, whether paper, electronic or in other media, which is authorised to them as part of their duties.
  • All Information obtained or held during the post-holder’s period of employment that relates to the business of the company and its service users and employees will remain the property of the Taurus Healthcare. Information may be subject to disclosure under legislation at the Company’s discretion and in line with national rules on exemption.
  • Any breach of confidentiality or computer misuse could lead to disciplinary action, and in serious cases could result in dismissal. Breaches after the post-holder’s employment has ended could result in the Company taking legal action against them.

HEALTH AND SAFETY

  • To have responsibility for health, safety and welfare of self and others at work. This includes being conversant with Trust Health & Safety policies and procedures and ensuring incidents, accidents and near misses are reported; taking part in the risk management process and carrying out tasks/using equipment only when competent to do so.
  • Be responsible for ensuring the general environment is clear of all hazards.
  • All staff have a responsibility to apprise themselves of how the prevention of the spread of infection relates to their role. They have a responsibility to ensure they are aware of Company policies and procedures in relation to infection prevention and control, and ensure that they comply with them in fulfilling their role.

EQUALITY AND DIVERSITY

  • Respect the privacy, dignity, needs and beliefs of patients, carers and colleagues.
  • Act in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with Taurus procedures / policies and current legislations.
  • Act as a chaperone as needed.
  • Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

This job description may be amended by management through consultation with the post holder in order to reflect changes in, or to, the job.

Job description

Job responsibilities

JOB PURPOSE:

The Wellbeing Care Coordinator will have a key role in the recently formed Wellbeing Team for N&W Primary Care Network supporting the network’s population to live healthy, positive, and fulfilling lives.

The Wellbeing Team will identify and work with individuals in need of proactive support with the aim of encouraging independence, a healthy lifestyle, mental wellbeing, and social connectivity. We will identify areas of health inequality within our locality and work with the primary care team, and community partners to engage with the population and understand existing gaps in provision. This will include increasing uptake in cancer screening and other health initiatives, early intervention to manage long term conditions, and supporting people to access health and community services.

As a member of the Wellbeing Team the Care Coordinator will work within our network of GP Practices to provide a central co-ordination role for patient care planning. The role will involve working one to one with patients who need extra support, helping them to be actively involved in managing their care and supported in making choices that are right for them.

The Care Coordinator will be an essential team member working with a Health & Wellbeing Coach, Social Prescriber and Primary Care Team. They will provide a single point of access for staff and patients, providing feedback to the practices, troubleshooting, and escalating actions as necessary, providing advocacy for service users.

Main Responsibilities

1. Facilitate and ensure the effective delivery of patient-centred, personalised health and social care plans for patients, monitoring progress and reporting outcomes, contributing to patient reviews and care planning within appropriate time frames.

2. Explain the management of a patient’s pathway to clinical staff, liaising between services and service users, contacting services using the appropriate procedures/referral mechanisms.

3. Work closely with all relevant care agencies (primary care, secondary care, community services, Mental Health, Social Services, Ambulance Service, Voluntary services and other relevant service providers) to ensure a coordinated delivery of the patient’s care plan, without requiring a further referral from the GP.

4. Maintain accurate records and statistical returns as required by the CCG, including providing patient-related information for entering into Clinical Reporting Systems, within the required time frame.

5. Ensure that a proper handover of care between different settings has taken place, including mutual transfer of all organisations’ communications & patient notes and ensuring care packages are set up.

6. Collect data on patients/carers for recognised outcome measure and document for service interpretation. Ensure all patient notes are updated to reflect any changes, including details on plans

7. Managing operational meeting processes, identifying patients for discussion and working closely with clinicians to define and lead the meetings. Organise and attend relevant meetings when required including multi-disciplinary team meetings, ensure a programme of regular meetings is established, ensuring that all necessary documentation is circulated in advance.

8. Ensure that meeting actions are recorded, disseminated and followed up in a timely way; ensure relevant practitioners are aware of meeting decisions and actions / outcomes, and chase for action resolution and update.

9. Network and develop strong relationships with all levels of the NHS’s key local players including the CCG, GPs and other primary care contractors, Social Services, Mental Health Trusts, Community Trusts, and other providers including the voluntary sector.

10. Be a contact point for GPs / practices and establish systems and processes which will ensure a timely and appropriate response to queries from clinicians and other stakeholders.

Patient Services

· To provide services to patients via clinics in the PCN, domiciliary visits and in residential and nursing homes, and to deliver care plans that improve the quality of patient care.

· To be present at patient group meetings or other appropriate events to give advice.

· To assist with the production of patient information leaflets and posters and support awareness projects throughout the year.

· To help plan, develop and support the introduction of new working processes within the PCN to optimise the patient uptake.

COMMUNICATIONS AND WORKING RELATIONSHIPS

PERSONAL DEVELOPMENT

  • To attend mandatory training and fire lectures regularly and assist with fire policy/evacuation procedure when necessary.
  • To keep up to date with and attend training on revisions to information systems or changes in protocols for the inputting of data in the light of Local and national initiatives. To adhere to agreed protocols at all times.
  • To participate in Individual Performance Review and Personal Development plans on an annual basis and to undertake training and development as identified within these discussions and as indicated by the requirements of the post.

CLINICAL GOVERNANCE AND QUALITY ASSURANCE

  • To realise the importance of confidentiality when dealing with patients and staff, particularly when giving or receiving information over the telephone in accordance with the Data Protection Act.
  • Maintain the high standards of the service by contributing towards individual, team and service objectives and acting at all times in the best interest of patients.
  • To accurately collect, collate and input data to Information Systems as required by procedures to ensure that patient database records are up to date and accurate.
  • To participate in Individual Performance Review and Personal Development plans on an annual basis and to undertake training and development as identified within these discussions and as indicated by the requirements of the post.

INFORMATION GOVERNANCE

  • Taurus Healthcare requires its staff to comply with Information Governance related standards and policies at all times when dealing with confidential information, which includes any information relating to the business of the company and its service users and employees.
  • All Taurus Healthcare staff are bound by a duty of confidentiality and must conduct their duties in line with the NHS Confidentiality Code of Practice, Data Protection Act and Freedom of information Act.
  • Post-holders must maintain high standards of quality in corporate and clinical record keeping ensuring information is always recorded accurately and kept up to date. The post-holder must only access information, whether paper, electronic or in other media, which is authorised to them as part of their duties.
  • All Information obtained or held during the post-holder’s period of employment that relates to the business of the company and its service users and employees will remain the property of the Taurus Healthcare. Information may be subject to disclosure under legislation at the Company’s discretion and in line with national rules on exemption.
  • Any breach of confidentiality or computer misuse could lead to disciplinary action, and in serious cases could result in dismissal. Breaches after the post-holder’s employment has ended could result in the Company taking legal action against them.

HEALTH AND SAFETY

  • To have responsibility for health, safety and welfare of self and others at work. This includes being conversant with Trust Health & Safety policies and procedures and ensuring incidents, accidents and near misses are reported; taking part in the risk management process and carrying out tasks/using equipment only when competent to do so.
  • Be responsible for ensuring the general environment is clear of all hazards.
  • All staff have a responsibility to apprise themselves of how the prevention of the spread of infection relates to their role. They have a responsibility to ensure they are aware of Company policies and procedures in relation to infection prevention and control, and ensure that they comply with them in fulfilling their role.

EQUALITY AND DIVERSITY

  • Respect the privacy, dignity, needs and beliefs of patients, carers and colleagues.
  • Act in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with Taurus procedures / policies and current legislations.
  • Act as a chaperone as needed.
  • Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

This job description may be amended by management through consultation with the post holder in order to reflect changes in, or to, the job.

Person Specification

Other Job Requirements

Essential

  • Understanding of confidentiality and Data Protection.
  • Required to travel to meetings and work from other locations as required in order to carry out work across the federation.

Qualifications

Essential

  • GCSE English or equivalent level.
  • GCSE Mathematics or equivalent level.

Desirable

  • ECDL or equivalent level of keyboard/IT skills.

Experience

Essential

  • Working knowledge of Microsoft office Word, Excel, Outlook and PowerPoint and using video calling software e.g. Microsoft teams.
  • Experience of using IT systems such as EMIS.
  • Experience of working in a health or social care setting.
  • Experience of partnership/collaborative working and of building relationships across a variety of organisations.
  • Knowledge of the personalised care approach.
  • Experience of providing one to one and/or group support.

Desirable

  • Experience of using the Patient Activation Measure (PAM) to assess knowledge, skills and confidence.

Skills

Essential

  • Good interpersonal communication skills, both written and verbal.
  • Ability to manage and prioritise own work to meet deadlines.
  • Ability to work effectively as part of a team.
  • Ability to communicate confidently with staff of all seniority levels
  • Good level of accuracy and attention to detail.

Personal Qualities & Attributes

Essential

  • Reliable, conscientious and flexible approach to work.
  • Commitment to reducing health inequalities and proactively working to reach people from diverse communities.
  • To be able to work independently on own initiative.
  • Ability to maintain confidentiality.
Person Specification

Other Job Requirements

Essential

  • Understanding of confidentiality and Data Protection.
  • Required to travel to meetings and work from other locations as required in order to carry out work across the federation.

Qualifications

Essential

  • GCSE English or equivalent level.
  • GCSE Mathematics or equivalent level.

Desirable

  • ECDL or equivalent level of keyboard/IT skills.

Experience

Essential

  • Working knowledge of Microsoft office Word, Excel, Outlook and PowerPoint and using video calling software e.g. Microsoft teams.
  • Experience of using IT systems such as EMIS.
  • Experience of working in a health or social care setting.
  • Experience of partnership/collaborative working and of building relationships across a variety of organisations.
  • Knowledge of the personalised care approach.
  • Experience of providing one to one and/or group support.

Desirable

  • Experience of using the Patient Activation Measure (PAM) to assess knowledge, skills and confidence.

Skills

Essential

  • Good interpersonal communication skills, both written and verbal.
  • Ability to manage and prioritise own work to meet deadlines.
  • Ability to work effectively as part of a team.
  • Ability to communicate confidently with staff of all seniority levels
  • Good level of accuracy and attention to detail.

Personal Qualities & Attributes

Essential

  • Reliable, conscientious and flexible approach to work.
  • Commitment to reducing health inequalities and proactively working to reach people from diverse communities.
  • To be able to work independently on own initiative.
  • Ability to maintain confidentiality.

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.

Additional information

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

Taurus Healthcare Limited

Address

Suite 1, Berrows Business Centre

Bath Street

Hereford

Herefordshire

HR1 2HE


Employer's website

https://www.herefordshiregeneralpractice.co.uk (Opens in a new tab)

Employer details

Employer name

Taurus Healthcare Limited

Address

Suite 1, Berrows Business Centre

Bath Street

Hereford

Herefordshire

HR1 2HE


Employer's website

https://www.herefordshiregeneralpractice.co.uk (Opens in a new tab)

For questions about the job, contact:

Date posted

18 July 2022

Pay scheme

Other

Salary

£22,660 to £23,690 a year

Contract

Permanent

Working pattern

Part-time

Reference number

S0001-22-5677

Job locations

Suite 1, Berrows Business Centre

Bath Street

Hereford

Herefordshire

HR1 2HE


Supporting documents