Care Coordinator

Job description

Job responsibilities

KEY WORKING RELATIONSHIPS

Practice teams GPs, Practice Managers, Nurses and Support Staff

Network Staff Frailty Team, Pharmacists, Self-Management, Mental Health

Patients and Carers

Dorset ICB

Voluntary Sector Organisations

Public Health Dorset

KEY RESPONSIBILITIES

Work with the duty doctors to coordinate patient care ensuring they are allocated to the appropriate member of the primary care team, as directed by the duty GP team.

The role will require a good working knowledge of SystmOne in order to be able to set up and run SystmOne searches to identify the patient cohorts, as directed by the clinicians. You will also need to understand how to use the Dorset Intelligence & Insight Service (DiiS). Training will be provided if required.

Monitoring C The Signs Dashboard to ensure patients have returned cancer diagnostic testing requirements. Liaising with patients to overcome any barriers to undertaking diagnostic testing.

Supporting the hypertension practice pathways by monitoring the BP@Home dashboard, internal triage of incoming blood pressure results, onboarding patients to the Viso/Luscii platform and linking with Digital Transformation Lead to ensure all requirements and targets of the CCLIP are met.

Checking Shared Care requirements for patients under Secondary Care and confirming necessary administrative tasks are completed as well as booking in essential follow-ups and/or phlebotomy.

Making Pharmrefer referrals to community pharmacy using the online template.

Monitoring and maintaining Spirometry waiting lists and making appointments in Spiro clinics ensuring all clinical exclusion criteria are adhered to.

Inviting patients for their NHS Health Checks and booking these appointments.

Developing an understanding of the Quality Outcome Framework (QOF) and Investment and Impact Fund (IIF) to ensure clinical coding is completed.

Keeping records of the NHS Digital Flag and Reasonable Communication Adjustments required by patients with Learning Disabilities, Autism or other Disabilities. This may include person-centred conversations with the individual to understand their needs.

Act as Carers Lead for the Practice.

Monitoring Diabetes 8 Care Processes for the Practice eg checking secondary care blood tests and importing data. Flagging patients requiring additional support along agreed care pathways.

Booking vaccination clinics including Shingrix, RSV and Pneumovax.

Using clinical letters from secondary care and other health professionals to create coding on patient records.

The role will also work in a person-centred way with patients and colleagues to encourage patient engagement in the quality improvement programmes as outlined in the DES and also contribute to a positive and seamless service-user experience, appropriately supporting those who may experience additional barriers to accessing the services.

To support the Network and Practice teams with clinical audit and evaluation relating the Network DES clinical outcomes and quality improvement initiatives.

• To undertake any other duties or projects commensurate with the nature and grade of this post as required.

1. Organisational responsibilities:

• To maintain professional conduct with patients and professionals as a representative of the practice and Central Bournemouth Primary Care Network.

• To comply with data protection regulations, ensuring that information on patients remains confidential.

• To work in a manner that facilitates inclusion, particularly of patients identified as frail and vulnerable.

• To administer and organise own work to ensure that it is accurate and meets targets, reasonable deadlines and reporting requirements.

• To adhere to all employing Practice and Network, policies and procedures and Primary Care standards, policies and procedures as defined by your Line Manager.

• To undertake relevant training in health and safety policy and procedures, ensuring that all practices and procedures are undertaken in accordance with a healthy and safe working environment.

• To be responsible for personal learning and development.

Person Specification

Qualifications

Essential

• GCSE - O Levels
• Demonstrable commitment to professional and personal development and willingness to complete study / training as appropriate to the role

Experience

Essential

• Proficient in MS office, able to record accurately using a range of electronic systems
• Experience of data collection and providing monitoring information
• Experience of data analytics and abilities to work with data for audit and evaluation purposes.
• Experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field
• Proficient in MS office, able to record accurately using a range of electronic systems
• Experience of data collection and providing monitoring information
• Experience of data analytics and abilities to work with data for audit and evaluation purposes.
• Experience of using computer records and systems
• Experience of working with people in a customer facing role patients/ students/ service users
• Confidence with communication, interpersonal skills and building relationships
• Effective organisational skills, able to manage own workload, prioritise and meet deadlines.
• Flexible and adaptable to deal with unpredictable situations
• Experience of collaborative working and building relationships across varied organisations
• Use of Microsoft Office Suite including Word, Outlook and Excel

Desirable

• Experience of using Systmone clinical records.

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.

Employer details

Employer name

James Fisher Medical Centre

Address

4 Tolpuddle Gardens

Bournemouth

Dorset

BH9 3LQ

Employer's website

https://www.jfmc.co.uk/ (Opens in a new tab)