W&HP PCN Care Coordinator - Ageing Well Team

Job description

Job responsibilities

Main Duties:

To help to develop the booking system and take responsibility for booking patient appointments.

To support clinicians to make referrals and signpost to specialist services quickly where necessary.

To monitor and record outcomes of all those accessing the service.

To gather and collate statistical and other information and data as required, to report on activity and outcomes and ensure effective qualitative and quantitative monitoring and evaluation of the service.

To be involved with conducting patient searches to identify population groups who would benefit from our service

To support clinical staff in the identification and completion of QOF targets that can be carried out as part of the holistic assessments.

Identify and set up productive partnerships, and formalise partnerships with local people, community groups and other agencies that may have an impact on health and wellbeing.

Take part in internal and MDT meetings as required.

To work collaboratively with GP practices and other PCN staff as required

To be involved with collation of service user and carer feedback.

To support clinical visits where a second person is required

There will be the opportunity to develop your role as the team becomes more established. This may include introducing clinical elements such as clinical observations training can be provided and home visits to support health and social care needs.

Communication

To provide, and receive, information with empathy and understanding, and to adapt communication when barriers to understanding arise seeking senior guidance when necessary.

Take an active role in MDT processes providing administrative support and input as required.

Provide a point of contact for the person and their family carers and the range of professionals involved in their care.

To develop and maintain effective working relationships with other members of the primary care and wider team.

Administration

Keep timely, accurate and complete electronic patient records and activity data, all of which will be maintained and stored in accordance with professional and organisational standards.

To have responsibility for appropriate documentation related to patients in their care to be disseminated to all relevant professionals in a timely manner and in accordance with operating standards.

Other

To participate in discussions about the direction of service developments and improvements.

To participate in service audits and changes.

To participate in discussion for the implementation of policies and procedures

To contribute to the health and safety of others and the environment

To participate in appraisal processes and participate in CPD/ personal development plan.

To pro-actively participate in mandatory training and in-service training.

Responsibilities and Confidentiality

The post holder is expected to:

Adhere to Practice PCN policies and procedures and relevant legislation.

Attend mandatory training as identified by the Practice PCN

The post holder must maintain the confidentiality of information about patients, staff and Practice business in accordance with the General Data Protection Regulation, Caldicott principles and Practice Information Governance policies and procedures.

Safeguarding

All employees have a duty for safeguarding and promoting the welfare of children and adults at risk. Staff must be familiar with the practice PCNs Safeguarding Policy and the process for raising concerns about the welfare of anyone with whom they have contact. Staff must also ensure they receive the appropriate level of safeguarding children and adult training.

Staff are expected to access supervision and support from their line managers and or the locality based safeguarding team when managing complex cases.

Job Description Agreement

This job description is intended to provide an outline of the key tasks and responsibilities only. There may be other duties required of the post holder commensurate with this position as requested by Woodsley and Holt Park PCN. This description will be open to regular review and may be amended to consider the development of the practice. All members of staff should be prepared to take on additional duties or relinquish existing duties to maintain the efficient running of the Practice.

Person Specification

Experience

Essential

• Previous experience working with the general public, with evidence of good practice.
• Working autonomously and as part of a team.

Desirable

• Previous experience working with frail, older people, ideally within a care setting.
• To have an awareness of older peoples needs and complexity this brings.

Skills, Knowledge and Aptitudes

Essential

• Excellent interpersonal, verbal and written communication skills
• Excellent IT and computer skills
• Time Management and ability to prioritise workload
• Able to work independently and effectively within a team
• Flexible and motivated
• Able to recognise and work within own limitations
• Understanding of equal opportunity and diversity issues
• Willingness to receive clinical training in the future.
• Ability to adapt to change within working situations.

Desirable

• Knowledge of the PCN and community working.
• Use of population health and clinical searches to identify cases.
• Knowledge of local community resources
• Use of clinical systems to input data

Other requirements

Essential

• Current driving licence and access to own vehicle
• Highly motivated and proactive.

Desirable

• Flexibility of working hours.

Qualifications

Essential

• English and Maths to GCSE Grade C or above or equivalent.

Desirable

• NVQ level 3 or working towards

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

South and East Leeds GP Group

Address

Hosted employer's address

1st Floor Park Edge Practice

Leeds

West Yorkshire

LS14 1HX

Employer's website

https://www.seleedsgpgroup.nhs.uk/ (Opens in a new tab)