PCN Care Coordinator (Fixed Term, Maternity Cover)

East End Health Network

Information:

This job is now closed

Job summary

East End Health Network PCN has an exciting opportunity for a PCN Care Coordinator to work across GP practices in their Primary Care Network (PCN). East End Health Network PCN is a forward-thinking Primary Care Network compromising 4 practices. We recognise the value that a PCN Care Coordinator can bring to our practices and our patients and we look forward to growing our PCN team. Our aim is to provide exemplary patient care; finding innovative solutions in general practice to deliver the best outcomes to our patients. We are seeking an enthusiastic and forward-thinking PCN Care Coordinator to join our like-minded PCN.

Main duties of the job

Work within our network of GP Practices to provide a central co-ordination role for patient care planning. The primary focus of the job is to co-ordinate care packages for patients as identified by the GP across health, social care and mental health as appropriate, providing a single-point of access for staff & service users, actively managing patients care plan delivery. Facilitate smooth and planned discharge and handover between care settings across the health and social care system, including GP, acute, community, and be responsible for facilitating inter-agency communication and support. Identify and work with a list of named patients with the aim of encouraging independence, enabling people to remain at home, reducing unnecessary admissions to hospitals and supporting early discharge from hospital, improving the quality of care. Provide feedback to the practices, troubleshoot and escalate actions as necessary, providing advocacy for service users.

About us

The Network was originally formed in June 2009 and comprises four practices: Albion Health Centre, Blithehale Medical Centre, Health E1 Homeless Medical Centre and The Spitalfields Practice. These practices are situated in the LAP 2 (Local Area Partnership) area of Tower Hamlets. The Network was legally constituted in 2012 and became known as the East End Health Network Co Ltd (eehn.co.uk)

Date posted

10 October 2024

Pay scheme

Other

Salary

£23,000 to £28,000 a year

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

A1561-24-0022

Job locations

20 Old Montague Street

London

E1 5PB


22 Dunbridge Street

London

E2 6JA


333 Whitechapel Road

London

E1 1BU


Brick Lane

London

E1 6PU


Job description

Job responsibilities

Patient Care management/co-ordination

Facilitate and ensure the effective delivery of patient-centred, personalised health and social care plans for patients, monitoring progress and reporting outcomes, contributing to patient reviews and care planning within appropriate time frames

Explain the management of a patients pathway to clinical staff, liaising between services and service users, contacting services using the appropriate procedures/referral mechanisms

Work closely with all relevant care agencies (primary care, secondary care, community services, Mental Health, Social Services, Ambulance Service, Voluntary services and other relevant service providers) to ensure a coordinated and of the patients care plan, without requiring a further referral from the GP.

Maintain accurate records and statistical returns as required by the CCG, including providing patient-related information for entering into Clinical Reporting Systems, within the required time frame.

Ensure that a proper handover of care between different settings has taken place, including mutual transfer of all organisations communications & patient notes and ensuring care packages are set up

Collect data on patients/carers for recognised outcome measure and document for service interpretation. Ensure all patient notes are updated to reflect any changes, including details on plans

Managing operational meeting processes, identifying patients for discussion and working closely with clinicians to define and lead the meetings. Organise and attend relevant meetings when required including Integrated Care meetings, ensure a programme of regular meetings is established, ensuring that all necessary documentation is circulated in advance

Ensure that meeting actions are recorded, disseminated and followed up in a timely way; ensure relevant practitioners are aware of meeting decisions and actions / outcomes, and chase for action resolution and update.

Network and develop strong relationships with all levels of the NHSs key local players including the CCG, GPs and other primary care contractors, Social Services, Mental Health Trusts, Community Trusts, and other providers including the voluntary sector

Be a contact point for GPs / practices and establish systems and processes which will ensure a timely and appropriate response to queries from clinicians and other stakeholders

Job description

Job responsibilities

Patient Care management/co-ordination

Facilitate and ensure the effective delivery of patient-centred, personalised health and social care plans for patients, monitoring progress and reporting outcomes, contributing to patient reviews and care planning within appropriate time frames

Explain the management of a patients pathway to clinical staff, liaising between services and service users, contacting services using the appropriate procedures/referral mechanisms

Work closely with all relevant care agencies (primary care, secondary care, community services, Mental Health, Social Services, Ambulance Service, Voluntary services and other relevant service providers) to ensure a coordinated and of the patients care plan, without requiring a further referral from the GP.

Maintain accurate records and statistical returns as required by the CCG, including providing patient-related information for entering into Clinical Reporting Systems, within the required time frame.

Ensure that a proper handover of care between different settings has taken place, including mutual transfer of all organisations communications & patient notes and ensuring care packages are set up

Collect data on patients/carers for recognised outcome measure and document for service interpretation. Ensure all patient notes are updated to reflect any changes, including details on plans

Managing operational meeting processes, identifying patients for discussion and working closely with clinicians to define and lead the meetings. Organise and attend relevant meetings when required including Integrated Care meetings, ensure a programme of regular meetings is established, ensuring that all necessary documentation is circulated in advance

Ensure that meeting actions are recorded, disseminated and followed up in a timely way; ensure relevant practitioners are aware of meeting decisions and actions / outcomes, and chase for action resolution and update.

Network and develop strong relationships with all levels of the NHSs key local players including the CCG, GPs and other primary care contractors, Social Services, Mental Health Trusts, Community Trusts, and other providers including the voluntary sector

Be a contact point for GPs / practices and establish systems and processes which will ensure a timely and appropriate response to queries from clinicians and other stakeholders

Person Specification

Qualifications

Essential

  • Relevant degree or equivalent level of training and experience.
  • Evidence of consistent pattern of learning from education, training and experience.

Desirable

  • Qualification in health or social care allied profession.

Experience

Essential

  • Coordination of services from a variety of organisations.
  • Communication and relationship building.
  • Experience in health or social care.
  • Experience of developing relationships with a wide variety of people.

Desirable

  • Experience of health and social care assessments
  • Demonstrated successful outcomes delivery within determined timeframes.
Person Specification

Qualifications

Essential

  • Relevant degree or equivalent level of training and experience.
  • Evidence of consistent pattern of learning from education, training and experience.

Desirable

  • Qualification in health or social care allied profession.

Experience

Essential

  • Coordination of services from a variety of organisations.
  • Communication and relationship building.
  • Experience in health or social care.
  • Experience of developing relationships with a wide variety of people.

Desirable

  • Experience of health and social care assessments
  • Demonstrated successful outcomes delivery within determined timeframes.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Additional information

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Employer details

Employer name

East End Health Network

Address

20 Old Montague Street

London

E1 5PB


Employer's website

http://www.eehn.co.uk/ (Opens in a new tab)

Employer details

Employer name

East End Health Network

Address

20 Old Montague Street

London

E1 5PB


Employer's website

http://www.eehn.co.uk/ (Opens in a new tab)

For questions about the job, contact:

PCN Operations Manager

Ashadul Alom

ashadul.alom@nhs.net

02076501934

Date posted

10 October 2024

Pay scheme

Other

Salary

£23,000 to £28,000 a year

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

A1561-24-0022

Job locations

20 Old Montague Street

London

E1 5PB


22 Dunbridge Street

London

E2 6JA


333 Whitechapel Road

London

E1 1BU


Brick Lane

London

E1 6PU


Supporting documents

Privacy notice

East End Health Network's privacy notice (opens in a new tab)