Job summary
The new role of Care Coordinator (Health Inequalities) will play a lead role in
coordinating care to reduce health inequalities across the Primary Care
Network. A key part of the role
is to support residents and care staff with a Personalised Care and Support
Plan for all residents which will involve liaising closely with GPs, practice
staff, community nursing staff and other NHS professionals, acting as part of a
wider multiagency integrated team
Main duties of the job
The ideal candidate will work closely and in partnership with the other Care
coordinators and Social Prescribing Link Workers (SPLWs) and the wider
Community Services, to explore care options for patients based on what
matters to the person.
They will help people 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.
About us
Northern Arc Primary Care Network is based across 2 practices, delivering care to over 30 thousand patients.
We aim to provide high quality, safe, personalised care in an integrated and forward-thinking environment. We are committed to ensuring an excellent patient experience and advocate best practice in the delivery of the services we offer.
Job description
Job responsibilities
- To liaise with care home managers to identify those residents who would benefit from having a review.
- To arrange regular meetings of multi-disciplinary teams (MDTs) supporting each care home and the EHICH clinical team
- To ensure all residents receive a comprehensive geriatric assessment.
- To ensure personalised care and support plans are completed for each resident including personal, health, social or wellbeing goals.
- To foster good communication between care home managers and all members of the MDT
- To maintain and develop engagement with GPs, practice staff and community care staff.
- To liaise with multi agencies to coordinate pathways of care for residents.
- To help residents manage their needs, answering their queries and supporting them to access primary care services.
- To ensure residents have good quality information to enable them to make choices about their care.
- To collect data on residents for recognised outcome measures. Ensure residents notes and care plans are updated to reflect any changes.
- To identify and proactively recall a selected cohort of patients to deliver personal care, for example, patients with Learning Disabilities who need an annual review.
Job description
Job responsibilities
- To liaise with care home managers to identify those residents who would benefit from having a review.
- To arrange regular meetings of multi-disciplinary teams (MDTs) supporting each care home and the EHICH clinical team
- To ensure all residents receive a comprehensive geriatric assessment.
- To ensure personalised care and support plans are completed for each resident including personal, health, social or wellbeing goals.
- To foster good communication between care home managers and all members of the MDT
- To maintain and develop engagement with GPs, practice staff and community care staff.
- To liaise with multi agencies to coordinate pathways of care for residents.
- To help residents manage their needs, answering their queries and supporting them to access primary care services.
- To ensure residents have good quality information to enable them to make choices about their care.
- To collect data on residents for recognised outcome measures. Ensure residents notes and care plans are updated to reflect any changes.
- To identify and proactively recall a selected cohort of patients to deliver personal care, for example, patients with Learning Disabilities who need an annual review.
Person Specification
Experience
Essential
- Good general education with demonstrable ability in Mathematics and English Language
- Experience of maintaining and manipulating computerised and/or paper based data/information
- Experience of Microsoft word and excel.
- Experience of working in a service orientated environment
- An awareness of equal opportunities
- An awareness of Health & Safety within the workplace
- Knowledge and understanding of Health & Social Care terminology and familiarity with symptoms of medical conditions
Desirable
- Experience of working with older, frail, and vulnerable adults
- Experience of working in a GP Practice or NHS environment
- An awareness of equal opportunities
Abilities and Aptitudes
Essential
- Ability to handle face to face and telephone enquiries in a professional manner
- In communication, ability to assess any given situation and to respond in the appropriate manner, with a high degree of tact & diplomacy
- Ability to organise and prioritise work, and to adhere to deadlines and targets
- Ability to handle information securely and confidentially
- Ability to work cooperatively as part of a team
- Strong customer service skills
- Ability to work on own initiative dealing with confidential issues
- Able to work efficiently and with a great degree of accuracy
- The ability to form strong relationships quickly
- A good knowledge of local NHS, Private and Voluntary organisations
Desirable
- Person-focused individual who enjoys working with a wide range of people
- Aptitude to adapt working style to meet the needs of the patient
- Aptitude to use standard office equipment efficiently
- Highly motivated and proactive
Person Specification
Experience
Essential
- Good general education with demonstrable ability in Mathematics and English Language
- Experience of maintaining and manipulating computerised and/or paper based data/information
- Experience of Microsoft word and excel.
- Experience of working in a service orientated environment
- An awareness of equal opportunities
- An awareness of Health & Safety within the workplace
- Knowledge and understanding of Health & Social Care terminology and familiarity with symptoms of medical conditions
Desirable
- Experience of working with older, frail, and vulnerable adults
- Experience of working in a GP Practice or NHS environment
- An awareness of equal opportunities
Abilities and Aptitudes
Essential
- Ability to handle face to face and telephone enquiries in a professional manner
- In communication, ability to assess any given situation and to respond in the appropriate manner, with a high degree of tact & diplomacy
- Ability to organise and prioritise work, and to adhere to deadlines and targets
- Ability to handle information securely and confidentially
- Ability to work cooperatively as part of a team
- Strong customer service skills
- Ability to work on own initiative dealing with confidential issues
- Able to work efficiently and with a great degree of accuracy
- The ability to form strong relationships quickly
- A good knowledge of local NHS, Private and Voluntary organisations
Desirable
- Person-focused individual who enjoys working with a wide range of people
- Aptitude to adapt working style to meet the needs of the patient
- Aptitude to use standard office equipment efficiently
- Highly motivated and proactive
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.
