Job summary
St Helens North Primary Care
Network are looking to recruit to a Care Coordinator post. You will
work within our Primary Care Network multidisciplinary healthcare team. You will be part of a team of four Care Coordinators who will be working together and in partnership with the six practices
that make up the Primary Care Network, the staff within the Network and partner
organisations to support the care of patients with long term conditions, frail
patients and those in care homes. They will be involved in helping to redesign
and refine the way we care for these patients.
Please note we are unable to sponsor overseas applications.
If enough applications are received prior to the closing date, this advert may close early.
Main duties of the job
The Care Coordinators role will
support other ARRS roles, the PCN leadership team and GPs in coordinating all key activity
including improving access to services, providing advice and information, and
ensuring health and care planning is timely, efficient, and patient-centred. The successful candidate will be expected to contact patients directly regarding their care, build relationships and carry out home visits when required.
The role will include supporting
digital initiatives and includes responsibilities for the co-ordination of the
patients journey through primary care. This may include supporting with patients who have recently been discharged from hospital, contacting patients with a recent cancer diagnosis or supporting patients who have diabeties. The role will generally involve working
within core hours 8-6:30 but may involve supporting patients outside these
times as required on a case by case basis.
About us
The post holder will be working
as part of the St Helens North Primary Care Network. We are a team of 6 Practices,
Garswood Surgery, Windermere MC, Bethany MC, Kenneth Macrae MC, Rainford HC
& Billinge MC - with a combined list size of approx 30,000 patients. It
is a friendly and close knit team and our work ethic is that of motivation,
productivity, respect and innovation.
This is an exciting
opportunity to be a part of an expanding and diverse Primary Care Network team,
improving patient care and all whilst developing your knowledge and skills.
Our mission is to provide pro-active care to patients to improve their health and wellbeing and to make a positive impact to their lives, with respect and compassion. Working in partnership with local people, health and social care, voluntary sectors, community groups and colleagues to bring communities together and helping to reduce health inequalities.
You can find more information
about PCN's in St Helens at
https://www.sthelensccg.nhs.uk/about-us/primary-care-networks-in-st-helens/
Job description
Job responsibilities
The Care Coordinator will liaise with GPs, practice teams and
Network staff to:
Identify patients who are elderly, frail or who have long term
health needs and support.
Support patients to access personalised care and support plans,
in line with best practice.
Be involved and when appropriate organise care homes and
practice MDTs
Ensure regular and consistent communication with care homes
regarding patient progress and any complications, including supporting the
coordination of ward rounds
Work with Network pharmacists to arrange SMRs and support work
towards PCN DES
Liaise with primary, secondary and specialist care services as required
Work with the multi-disciplinary team to help identify people at
risk of loss of independence or admission to hospital as a result of inadequate
social support
Provide these cohorts of people signposting to identified
services in order to maintain their independence and improve their health and
well being
Support patient access to cancer screening and prevention
services
Visit patients in community, home or care home settings to
assess and discuss their care needs involving carers as appropriate.
Work with Social Prescribing Link Workers to assist with
personal care plans for individual patients, ensuring preventative actions are
detailed to support the appropriate use of services.
Work with Frailty Practitioners to coordinate care of frail
patients in own homes
The successful candidate will have great negotiation and
communication skills and will have an understanding of primary care services
& community health services. The post holder will work across six practices
in St Helens North PCN and will be required to travel from practice to practice
and to other venues during fulfilment of their duties, therefore a full clean
driving license is essential, plus access to a reliable vehicle.
For a full job description please see attached
Job description
Job responsibilities
The Care Coordinator will liaise with GPs, practice teams and
Network staff to:
Identify patients who are elderly, frail or who have long term
health needs and support.
Support patients to access personalised care and support plans,
in line with best practice.
Be involved and when appropriate organise care homes and
practice MDTs
Ensure regular and consistent communication with care homes
regarding patient progress and any complications, including supporting the
coordination of ward rounds
Work with Network pharmacists to arrange SMRs and support work
towards PCN DES
Liaise with primary, secondary and specialist care services as required
Work with the multi-disciplinary team to help identify people at
risk of loss of independence or admission to hospital as a result of inadequate
social support
Provide these cohorts of people signposting to identified
services in order to maintain their independence and improve their health and
well being
Support patient access to cancer screening and prevention
services
Visit patients in community, home or care home settings to
assess and discuss their care needs involving carers as appropriate.
Work with Social Prescribing Link Workers to assist with
personal care plans for individual patients, ensuring preventative actions are
detailed to support the appropriate use of services.
Work with Frailty Practitioners to coordinate care of frail
patients in own homes
The successful candidate will have great negotiation and
communication skills and will have an understanding of primary care services
& community health services. The post holder will work across six practices
in St Helens North PCN and will be required to travel from practice to practice
and to other venues during fulfilment of their duties, therefore a full clean
driving license is essential, plus access to a reliable vehicle.
For a full job description please see attached
Person Specification
Skills and Knowledge
Essential
- Excellent communication skills (written and oral) Strong IT skills Clear, polite telephone manner Competent in the use of Office and Outlook Effective time management (planning and organising) Ability to work as a team member and autonomously Excellent interpersonal skills Problem-solving & analytical skills
- General understanding of well-being and community services Good understanding of interventions, behavioural and motivational change methodologies Good understanding MDT roles and models
Desirable
- Knowledge of GP clinical systems
- General understanding of well-being and community services Good understanding of interventions, behavioural and motivational change methodologies Good understanding MDT roles and models
Qualifications
Essential
- Core Level of Maths and English Willing to engage with the training programmes via the Personalised Care Institute for the new roles identified within primary care networks as part of the NHS Long Term Plan
Experience
Essential
- Experience of working with the general public Experience of working or volunteering in a healthcare or care sector setting
Desirable
- Experience of preparing minutes, plans and reports Experience of organising recurring events or meetings Experience of using tools to create individualised plans
Personal Qualities
Essential
- Polite and confident, flexible and cooperative Motivated Forward Thinker Sensitive and empathetic in distressing situations Ability to work under pressure and flexibly when required
Person Specification
Skills and Knowledge
Essential
- Excellent communication skills (written and oral) Strong IT skills Clear, polite telephone manner Competent in the use of Office and Outlook Effective time management (planning and organising) Ability to work as a team member and autonomously Excellent interpersonal skills Problem-solving & analytical skills
- General understanding of well-being and community services Good understanding of interventions, behavioural and motivational change methodologies Good understanding MDT roles and models
Desirable
- Knowledge of GP clinical systems
- General understanding of well-being and community services Good understanding of interventions, behavioural and motivational change methodologies Good understanding MDT roles and models
Qualifications
Essential
- Core Level of Maths and English Willing to engage with the training programmes via the Personalised Care Institute for the new roles identified within primary care networks as part of the NHS Long Term Plan
Experience
Essential
- Experience of working with the general public Experience of working or volunteering in a healthcare or care sector setting
Desirable
- Experience of preparing minutes, plans and reports Experience of organising recurring events or meetings Experience of using tools to create individualised plans
Personal Qualities
Essential
- Polite and confident, flexible and cooperative Motivated Forward Thinker Sensitive and empathetic in distressing situations Ability to work under pressure and flexibly when required
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.