Care Coordinator

ALL SAINTS SURGERY

Information:

This job is now closed

Job summary

You will work within primary care to ensure that patients have the best Health Care journey possible. Helping them & the system to improve and administer tracking processes along the patient pathway to ensure the patients journey is managed efficiently, smoothly and in accordance with targets & agreed timescales.

Ensure pathways are validated throughout the patient journey and resolve / escalateconcerns within the pathways accordingly e.g. risks to cancer targets etc and resolve pathway blockers where possible. You will work within your primary care team to understand the national and local targets affecting patients with long term conditions including cancers.

You will use various IT systems including GP IT system eg EMIS/System One & will be confident in engaging with all other providers. You will also work in partnership with the acute clinical teams, to ensure the patient journey is seamless and as efficient as it possibly can be. Your role will also be to remove obstacles and duplication to ensure a consistent and effective administration service is always maintained.

Specifically, The PCN/GP practice will ensure that you: Are enrolled in, undertaking, or qualified from appropriate training as set outby the Personalised Care Institute. Work closely and in partnership with the Social Prescribing Link Worker(s)or social prescribing service provider and Health and Wellbeing Coach(es), to deliver the key PCN responsibilities outlined below.

Main duties of the job

a. utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care

b. support patients to utilise decision aids in preparation for a shareddecision-making conversation

c. holistically bring together all of a persons identified care and supportneeds, and explore options to meet these within a single personalisedcare and support plan (PCSP), in line with PCSP best practice, based onwhat matters to the person

d. help people to manage their needs through answering queries, making and managing appointments, and ensuring that people have good quality written or verbal information to help them make choices about their care

e. support people to take up training and employment, and to accessappropriate benefits where eligible

f. support people to understand their level of knowledge, skills and confidence when engaging with their health and wellbeing, eg using the Patient Activation Measure

g. assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing and increase their activation level

h. explore and assist people to access personal health budgets where appropriate

i. provide coordination and navigation for people and their carers across health and care services, working closely with social prescribing link workers, health and wellbeing coaches, and other primary care professionals

j. support the coordination and delivery of MDTs within the PCN

About us

We are a very progressive general practice situated in the beautiful town of Burton on Trent.

We are located in modern premises and have a CQC rating of good.

We believe in investing in the surgery team and pride ourselves in the quality of care that we give to our patients.

We are looking for a suitable candidate who has a positive attitude and likes challenges and can contribute to the surgery team in taking care of our patients.

Date posted

07 June 2023

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Part-time

Reference number

A0286-23-0002

Job locations

ALL SAINTS ROAD

BURTON ON TRENT

STAFFORDSHIRE

DE14 3LS


Job description

Job responsibilities

a. utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care

b. support patients to utilise decision aids in preparation for a shared decision-making conversation;

c. holistically bring together all of a persons identified care and support needs, and explore options to meet these within a single personalised care and support plan (PCSP), in line with PCSP best practice, based on what matters to the person;

d. help people to manage their needs through answering queries, making and managing appointments, and ensuring that people have good quality written or verbal information to help them make choices about their care;

e. support people to take up training and employment, and to access appropriate benefits where eligible;

f. support people to understand their level of knowledge, skills and confidence when engaging with their health and wellbeing, eg using the Patient Activation Measure

g. assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing and increase their activation level

h. explore and assist people to access personal health budgets where appropriate

i. provide coordination and navigation for people and their carers across health and care services, working closely with social prescribing link workers, health and wellbeing coaches, and other primary care professionals

j. support the coordination and delivery of MDTs within the PCN.

key wider responsibilities

a. work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients, and where required and as appropriate, refer people back to other health professionals within the PCN or GP practice

b. raise awareness within the PCN of shared decision making and decision support tools

c. raise awareness of how to identify patients who may benefit from shared decision making and support PCN/PC staff and patients to be more prepared to have shared decision-making conversations.

In addition to the key responsibilities you will have knowledge of basic safeguarding processes in place for vulnerable individuals; and provide opportunities for the patient to develop friendships and a sense of belonging, as well as to build knowledge, skills and confidence.

Job description

Job responsibilities

a. utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care

b. support patients to utilise decision aids in preparation for a shared decision-making conversation;

c. holistically bring together all of a persons identified care and support needs, and explore options to meet these within a single personalised care and support plan (PCSP), in line with PCSP best practice, based on what matters to the person;

d. help people to manage their needs through answering queries, making and managing appointments, and ensuring that people have good quality written or verbal information to help them make choices about their care;

e. support people to take up training and employment, and to access appropriate benefits where eligible;

f. support people to understand their level of knowledge, skills and confidence when engaging with their health and wellbeing, eg using the Patient Activation Measure

g. assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing and increase their activation level

h. explore and assist people to access personal health budgets where appropriate

i. provide coordination and navigation for people and their carers across health and care services, working closely with social prescribing link workers, health and wellbeing coaches, and other primary care professionals

j. support the coordination and delivery of MDTs within the PCN.

key wider responsibilities

a. work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients, and where required and as appropriate, refer people back to other health professionals within the PCN or GP practice

b. raise awareness within the PCN of shared decision making and decision support tools

c. raise awareness of how to identify patients who may benefit from shared decision making and support PCN/PC staff and patients to be more prepared to have shared decision-making conversations.

In addition to the key responsibilities you will have knowledge of basic safeguarding processes in place for vulnerable individuals; and provide opportunities for the patient to develop friendships and a sense of belonging, as well as to build knowledge, skills and confidence.

Person Specification

Qualifications

Essential

  • JOB TITLE: Primary Care Coordinator ESSENTIAL DESIRABLE HOW TESTED
  • QualificationsTo hold GCSE Maths & English Grade C or above, or equivalent certificate Computer related
  • experience
  • Application form
  • Job related
  • experience/Knowledge Significant previous administrative experience
  • Experience working with IT packages.
  • Understanding of key challenges
  • facing the NHSExperience within a healthcare setting
  • Understanding of key
  • challenges facing the
  • health economy
  • Up to date knowledge and understanding of key access targets
  • e.g. 18 weeks Referral to TreatmentApplication form/Interview
  • /References
  • Job Related SkillsWord-processing ability to produce accurate, well presented work
  • Good analytical and organisation skills
  • Good presentation skillsApplication form/Interview
  • Personal SkillsExcellent written and oral
  • communication skills
  • Ability to manage own and others workload / priorities / competing tasks effectively
  • Able to work independently or as part of a team
  • Ability to work under pressure and to tight deadlines
  • Ability to use own initiative
  • Good time management
  • Able to work flexibly in order to meet the needs of the service
  • Application form/Interview
Person Specification

Qualifications

Essential

  • JOB TITLE: Primary Care Coordinator ESSENTIAL DESIRABLE HOW TESTED
  • QualificationsTo hold GCSE Maths & English Grade C or above, or equivalent certificate Computer related
  • experience
  • Application form
  • Job related
  • experience/Knowledge Significant previous administrative experience
  • Experience working with IT packages.
  • Understanding of key challenges
  • facing the NHSExperience within a healthcare setting
  • Understanding of key
  • challenges facing the
  • health economy
  • Up to date knowledge and understanding of key access targets
  • e.g. 18 weeks Referral to TreatmentApplication form/Interview
  • /References
  • Job Related SkillsWord-processing ability to produce accurate, well presented work
  • Good analytical and organisation skills
  • Good presentation skillsApplication form/Interview
  • Personal SkillsExcellent written and oral
  • communication skills
  • Ability to manage own and others workload / priorities / competing tasks effectively
  • Able to work independently or as part of a team
  • Ability to work under pressure and to tight deadlines
  • Ability to use own initiative
  • Good time management
  • Able to work flexibly in order to meet the needs of the service
  • Application form/Interview

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

ALL SAINTS SURGERY

Address

ALL SAINTS ROAD

BURTON ON TRENT

STAFFORDSHIRE

DE14 3LS


Employer's website

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


Employer details

Employer name

ALL SAINTS SURGERY

Address

ALL SAINTS ROAD

BURTON ON TRENT

STAFFORDSHIRE

DE14 3LS


Employer's website

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


For questions about the job, contact:

Practice Manager

Lily Singh

lily.singh@nhs.net

07795258515

Date posted

07 June 2023

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Part-time

Reference number

A0286-23-0002

Job locations

ALL SAINTS ROAD

BURTON ON TRENT

STAFFORDSHIRE

DE14 3LS


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