Job summary
An
exciting opportunity has arisen for a Care Coordinator to join our dynamic and
forward-thinking team at Brookside Group Practice + Earley PCN.
Benefits include:
5 weeks annual leave
Company events - Practice wide events during the year - training for whole practice 4 times per year, various sporting events and practice wide social events twice a year
NHS pension, Cycle to work scheme, Private health care plan, NHS employee discount and free onsite parking
This is a fixed term role until 31st March 2026 with the possibility that it might be extended or become permanent. If you think this is for you and can work 20 hours a week, we look forward to hearing from you.
Main duties of the job
This role is intended to become an integral part of our multidisciplinary team, working alongside social prescribing link workers and health and wellbeing coaches to provide an all-encompassing approach to personalised care and promoting and embedding the personalised care approach across the PCN.
You will be acting as a central point of contact to ensure appropriate support is made available to our patients and their carers. You will be supporting them to help them understand and manage their condition and ensuring their changing needs are addressed.
The role requires the successful candidate to also work in our Reception Team for 5 hours a week (this is part of the 20 hours).
About us
The Practice serves approximately 31,000 patients from our 4 surgeries in Earley, Lower Earley, Winnersh and Wilderness Road.
Due to our size, we value communication and teamwork. We operate a strongly relational team structure and endeavour to listen well, encourage ownership and involvement and enable staff to grow in their individual development. We, therefore, spend a lot of time investing in team meetings and communication across the organisation. We are a member of Berkshire West Clinical Commissioning Group.
We recently won the HSJ (Health Services Journal) Digital Award for our innovative work we've done to refine our triage processes and model of care.
Other key aspects of the Practice include:
Use of Anima to aid triage/consultation
Strong IT and systems including Emis Web, Accu-Rx, DXS, Docman
Longstanding Training Practice with GP registrars, Physician associate trainees and others
Opportunities for development
Specialist gynaecological, dermatology and physio services on site
Our own Primary Care Network, serving 31,000 patients
High Achieving QOF and highly successful PCN
Job description
Job responsibilities
-
Work
with patients, their families and carers to improve their understanding of the
patients condition and support them to develop and review personalised care
and support plans to manage their needs and achieve better healthcare outcomes.
-
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.
-
Assist
and help motivate people to access self-management education courses, peer
support, health coaching and other interventions that support them in their
health and wellbeing, and increase their levels of knowledge, skills and
confidence in managing their health.
-
Signpost
people to services providing advice, training and benefits where appropriate; for
example, through referral to Health & Wellbeing Advisors or external
services.
-
Provide
coordination and navigation for people and their carers across health and care
services, working closely with Health & Wellbeing Advisors, Patient Health Teams,
and other primary care professionals; helping to ensure patients receive a
joined-up service and the most appropriate support.
-
Work
collaboratively with GPs and other primary care professionals within the PCN to
proactively identify and manage a caseload, which may include patients with
long-term health conditions, and where appropriate, refer back to other health professionals within the PCN.
-
Raise
awareness of how to identify patients who may benefit from shared decision
making and support PCN staff and patients to be more prepared to have shared decision-making conversations.
-
Work
with patients, their families, carers and healthcare team members to encourage
effective help-seeking behaviours.
-
Support
the practice in developing communication channels between GPs, people and their
families and carers and other agencies.
-
Identify
unpaid carers and help them access services to support them
-
Support
practices to keep care records up-to-date by identifying and updating missing
or out-of-date information about the persons
circumstances.
Please see the attached job description for more information.
Job description
Job responsibilities
-
Work
with patients, their families and carers to improve their understanding of the
patients condition and support them to develop and review personalised care
and support plans to manage their needs and achieve better healthcare outcomes.
-
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.
-
Assist
and help motivate people to access self-management education courses, peer
support, health coaching and other interventions that support them in their
health and wellbeing, and increase their levels of knowledge, skills and
confidence in managing their health.
-
Signpost
people to services providing advice, training and benefits where appropriate; for
example, through referral to Health & Wellbeing Advisors or external
services.
-
Provide
coordination and navigation for people and their carers across health and care
services, working closely with Health & Wellbeing Advisors, Patient Health Teams,
and other primary care professionals; helping to ensure patients receive a
joined-up service and the most appropriate support.
-
Work
collaboratively with GPs and other primary care professionals within the PCN to
proactively identify and manage a caseload, which may include patients with
long-term health conditions, and where appropriate, refer back to other health professionals within the PCN.
-
Raise
awareness of how to identify patients who may benefit from shared decision
making and support PCN staff and patients to be more prepared to have shared decision-making conversations.
-
Work
with patients, their families, carers and healthcare team members to encourage
effective help-seeking behaviours.
-
Support
the practice in developing communication channels between GPs, people and their
families and carers and other agencies.
-
Identify
unpaid carers and help them access services to support them
-
Support
practices to keep care records up-to-date by identifying and updating missing
or out-of-date information about the persons
circumstances.
Please see the attached job description for more information.
Person Specification
Personal Qualities
Essential
- Excellent interpersonal skills.
- Motivated and proactive.
- Ability to use initiative and judgement.
- Forward thinker with a solution focused approach.
- Ability to work under pressure.
- Ability to drive and deliver change effectively.
- Ability to motivate, enhance morale and maintain a positive working environment.
Experience
Essential
- Experience of working in health, social care and other support roles in direct contact with people, families or carers (in a paid or voluntary capacity).
- Experience of working within multi-professional team environments.
- Experience of supporting people, their families and carers in a related role.
- Experience of data collection and using tools to measure the impact of services.
Desirable
- Experience of working directly in a care coordinator role, adult health and social care, learning support or public health/health improvement.
- Experience or training in personalised care and support planning.
- Experience of working with elderly or vulnerable people, completing with best practice and relevant legislation.
Skills
Essential
- Excellent communication skills.
- Strong IT skills.
- Strong organisational skills, including planning, prioritising, time management and record keeping.
Desirable
- Knowledge of EMIS Web.
- Basic knowledge of long-term conditions and the complexities involved: medical, physical, emotional and social.
- Motivational interviewing skills.
- Coaching conversations.
Qualifications
Essential
- NVQ Level 3 in adult care - advanced level or equivalent qualifications or be willing to work towards.
- Good standard of education with excellent literacy and numeracy skills.
- Demonstrable commitment to professional and personal development is enrolled in, undertaking or qualified from appropriate training as set out in the core curriculum by The Personalised Care Insitute.
Person Specification
Personal Qualities
Essential
- Excellent interpersonal skills.
- Motivated and proactive.
- Ability to use initiative and judgement.
- Forward thinker with a solution focused approach.
- Ability to work under pressure.
- Ability to drive and deliver change effectively.
- Ability to motivate, enhance morale and maintain a positive working environment.
Experience
Essential
- Experience of working in health, social care and other support roles in direct contact with people, families or carers (in a paid or voluntary capacity).
- Experience of working within multi-professional team environments.
- Experience of supporting people, their families and carers in a related role.
- Experience of data collection and using tools to measure the impact of services.
Desirable
- Experience of working directly in a care coordinator role, adult health and social care, learning support or public health/health improvement.
- Experience or training in personalised care and support planning.
- Experience of working with elderly or vulnerable people, completing with best practice and relevant legislation.
Skills
Essential
- Excellent communication skills.
- Strong IT skills.
- Strong organisational skills, including planning, prioritising, time management and record keeping.
Desirable
- Knowledge of EMIS Web.
- Basic knowledge of long-term conditions and the complexities involved: medical, physical, emotional and social.
- Motivational interviewing skills.
- Coaching conversations.
Qualifications
Essential
- NVQ Level 3 in adult care - advanced level or equivalent qualifications or be willing to work towards.
- Good standard of education with excellent literacy and numeracy skills.
- Demonstrable commitment to professional and personal development is enrolled in, undertaking or qualified from appropriate training as set out in the core curriculum by The Personalised Care Insitute.
