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 three 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.
No agencies please.
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 diabetes.
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 including Garswood
Surgery, Windermere MC, Bethany MC, Kenneth Macrae MC, Rainford HC &
Billinge MC - with a combined list size of just 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.
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.
Please see JD attached for full details.
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.
Please see JD attached for full details.
Person Specification
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
Skills
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
Desirable
- Knowledge of GP clinical systems
Knowledge
Desirable
- General understanding of well-being and community services
- Good understanding of interventions, behavioural and motivational change methodologies
- Good understanding MDT roles and models
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
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
Person Specification
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
Skills
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
Desirable
- Knowledge of GP clinical systems
Knowledge
Desirable
- General understanding of well-being and community services
- Good understanding of interventions, behavioural and motivational change methodologies
- Good understanding MDT roles and models
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
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
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.