Job summary
As a PCN Care Coordinator you will be part of the
Primary Care Multidisciplinary Team, offering a personalised Admin approach to caring
for the social and psychological needs of identified patients on your caseload,
making sure that appropriate support is made available to them and their
carers, and ensuring that their changing needs are addressed.
You will work closely with the GPs and other
members of the practice and PCN teams to ensure the Admin coordination and management
of identified patients at all points of their care journey.
Main duties of the job
- Create a positive working environment in which equality and diversity are professionally managed, dignity at work is upheld and staff can do their best;
- Work alongside other ARRS roles to effectively perform the role and develop throughout by attending supervision sessions, appraisal meetings and training / development days.
- Ensure that Standard Operating Procedures (SOPs) are adhered to supporting in the delivery of service and completing reviews and updates with the PCN management team.
- Utilise adequate level of knowledge around primary care to meet the required needs of the service.
- Support the other ARRS staff/PCN management team to develop quality of work and keep detailed records of day-to-day tasks including managing caseloads.
- Encourage good teamwork throughout the partnership and with each of the GP surgeries and contributing to the Enhanced Health for Care home.
About us
We are a Primary Care Network (PCN) of six practices working together with a range of local providers, including primary care, community services, social care, and the voluntary sector, to offer more personalized, coordinated health and social care to their local populations.
Our PCN comprises of 49,348 patients over the six practices
The aims of a networks are to:
Protect, improve, and extend local General Practice through greater organisational scale to provide convenient high quality, comprehensive and integrated services.
Enhance the skills and flexibility of the General Practice workforce to meet population and service needs with programmes of continuing professional development.
Work and collaborate with others to innovate in service provision, building on new technologies and recognising lifestyle choices of service users in the way in which they wish to access care.
Our PCN comprises of 49,348 patients over the six practices
Hazelwood Group Practice
27 Parkfield Road, Coleshill B46 3LD
Pear Tree Surgery
28 Meadow Close, Kingsbury, Tamworth B78 2NR
Dordon and Polesworth Group Practice
162 Long Street, Dordon, Tamworth B45 1QA
Satis House Medical Practice
10 Birmingham Road, Water Orton B46 1TH
Hartshill Health Centre
Sidhu Close, Hartshill, Nuneaton, Warwickshire, CV10 0GQ
Camp Hill Surgery
Ramsden Avenue, Nuneaton CV10 9EB
Job description
Job responsibilities
As a PCN Care
Coordinator, you will work closely with member practices and the PCN in
offering a personalised approach to caring for social and psychological needs
of identified patients on your caseload, making sure that appropriate support
is made available to them and their carers, and ensuring that their changing
needs are addressed.
You will also
support other ARRS roles by contributing towards projects on an ad
hoc basis to support health improvements to patients registered with member
practices.
Your main duties will include:
Receiving and actioning
referrals from a wide range of agencies, working with GP practices within the
Primary Care Network (PCN), pharmacies, multi-disciplinary teams, hospital
discharge teams and allied health professionals (list not exhaustive);
Utilise population
health intelligence to proactively identify and work with a cohort of patients
to deliver personalised care approach;
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;
Provide coordination
and navigation for patients and their carers across the spectrum of services
available;
Support local Care
Homes to manage patient needs, including completing/reviewing Care Home Care
Plans and Dementia reviews as required, contributing to Care home ward rounds
Complete Annual
Learning Disability reviews on behalf of the practice;
Undertake assistance where clinicians visits to see
patients in their own homes, where applicable, for Blood Pressure checks,
welfare checks and provide support;
Work alongside other
PCN Additional Roles staff and outside agencies to provide wrap-around support
to patients;
Make appropriate third-party
referrals; and
Complete and maintain
accurate patient records.
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 the position. This description will be open to regular
review and may be amended to consider development within the practices. The post holder should be prepared to take on
additional duties or relinquish existing duties to maintain the efficient
running of the Network. This job
description is intended as a basic guide to the scope and responsibilities of
the post and is not exhaustive. It will
be subject to regular review and amendment as necessary in consultation with
the post holder.
The roles involves travelling to PCN member practices as required for the service delivery.
Job description
Job responsibilities
As a PCN Care
Coordinator, you will work closely with member practices and the PCN in
offering a personalised approach to caring for social and psychological needs
of identified patients on your caseload, making sure that appropriate support
is made available to them and their carers, and ensuring that their changing
needs are addressed.
You will also
support other ARRS roles by contributing towards projects on an ad
hoc basis to support health improvements to patients registered with member
practices.
Your main duties will include:
Receiving and actioning
referrals from a wide range of agencies, working with GP practices within the
Primary Care Network (PCN), pharmacies, multi-disciplinary teams, hospital
discharge teams and allied health professionals (list not exhaustive);
Utilise population
health intelligence to proactively identify and work with a cohort of patients
to deliver personalised care approach;
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;
Provide coordination
and navigation for patients and their carers across the spectrum of services
available;
Support local Care
Homes to manage patient needs, including completing/reviewing Care Home Care
Plans and Dementia reviews as required, contributing to Care home ward rounds
Complete Annual
Learning Disability reviews on behalf of the practice;
Undertake assistance where clinicians visits to see
patients in their own homes, where applicable, for Blood Pressure checks,
welfare checks and provide support;
Work alongside other
PCN Additional Roles staff and outside agencies to provide wrap-around support
to patients;
Make appropriate third-party
referrals; and
Complete and maintain
accurate patient records.
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 the position. This description will be open to regular
review and may be amended to consider development within the practices. The post holder should be prepared to take on
additional duties or relinquish existing duties to maintain the efficient
running of the Network. This job
description is intended as a basic guide to the scope and responsibilities of
the post and is not exhaustive. It will
be subject to regular review and amendment as necessary in consultation with
the post holder.
The roles involves travelling to PCN member practices as required for the service delivery.
Person Specification
Experience
Essential
- 1.Ability to manage and prioritise a caseload
- 2.Ability to work flexibly and enthusiastically within a team or on own initiative
- 3.Good communication skills, both written and verbal
- 4.Ability to build relationships with patients, their families and carers
- 5.Ability to provide personalised support to individuals, their families and carers
- 6.Ability to listen and empathise with people in a non-judgmental way
- 7.Able to provide leadership and complete tasks in a timely manner
- 8.Able to maintain effective working relationships and promote collaborative working
- 9.Ability to communicate difficult messages to patients and families
Desirable
- Experience of using clinical systems such as EMIS Web
Qualifications
Essential
- GCSE Grade C or above in Maths and English, or equivalent qualification
Desirable
- NVQ Level 3, Advanced Level or equivalent or working towards and a commitment to professional and personal development
Personal Qualities
Essential
- Full UK driving licence and access to a car
- The post-holder is required to travel independently between practice sites (where applicable) and to attend meetings hosted by other agencies.
Person Specification
Experience
Essential
- 1.Ability to manage and prioritise a caseload
- 2.Ability to work flexibly and enthusiastically within a team or on own initiative
- 3.Good communication skills, both written and verbal
- 4.Ability to build relationships with patients, their families and carers
- 5.Ability to provide personalised support to individuals, their families and carers
- 6.Ability to listen and empathise with people in a non-judgmental way
- 7.Able to provide leadership and complete tasks in a timely manner
- 8.Able to maintain effective working relationships and promote collaborative working
- 9.Ability to communicate difficult messages to patients and families
Desirable
- Experience of using clinical systems such as EMIS Web
Qualifications
Essential
- GCSE Grade C or above in Maths and English, or equivalent qualification
Desirable
- NVQ Level 3, Advanced Level or equivalent or working towards and a commitment to professional and personal development
Personal Qualities
Essential
- Full UK driving licence and access to a car
- The post-holder is required to travel independently between practice sites (where applicable) and to attend meetings hosted by other agencies.
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.
