Mental Health Care Coordinator

Job description

Job responsibilities

Role Purpose:

To support the practice in delivering excellent patient care by effectively co-ordinating different elements of care from multi-disciplinary teams within and outside the practice focussed on mental health

Service Co-ordination

Provide coordination and navigation for patients and their carers across mental health and care services, working closely with Social Prescribing Link Workers, Health and Wellbeing Coaches, and other primary care professionals

Co-ordinate the work of healthcare professionals and non-clinical staff involved in the care of patients registered at the practice

Co-ordinate MDT meetings, collating information on patients requiring review and providing secretarial and administrative support, and ensuring the completion of resulting actions

Act on communications from hospitals, community services, mental health services and other providers

Facilitate inter-agency communication to support the discharge and handover of patients between different mental health and care settings

Support Lead GPs with the administrative aspects of QOF (Quality Outcomes Framework)

Act as a named, single point of contact for health professionals and patients within your remit (mental health focus)

Point of contact for patient mental health queries and triage/sign posting into appropriate mental health services

Assist with the marketing of the Proactive Care Team through event planning and attendance, newsletters and social media.

Maintenance of the practice Health Corners to ensure up to date and relevant information exists.

Assisting the Social Prescribing Teams with referrals

Patient Support & Care Planning

Contact patients with mental health concerns and queries to assess, triage and signpost into appropriate mental health services, seeking clinical guidance where required

Make every contact count - help people to manage their health needs through answering queries, making appointments, booking tests and arranging other reviews including long-term condition reviews, screening and vaccinations.

Ensuring that actions from review meetings are progressed on behalf of patients

Provide patients with good quality written or verbal information to support them in making choices about their care

Proactively support patients to participate in local and national screening programmes

Support patients in readiness for shared decision-making conversations

Support people to understand their level of knowledge, skills and confidence engaging with their health and wellbeing

Identify and address safeguarding concerns

Identify and support carers of patients to ensure that they also look after their own wellbeing

Work with GPs and other primary care professionals to identify and manage a caseload of patients

Supporting patients through the varying stages of mental health such as: -

Prevention and staying well

Provide single point of contact to be able to assess and respond to changing needs

Provide education around self-care, self-management and health literacy

Support people to get the most out of consultations, reducing the need for follow ups

Facilitating joint working and information flow across mental health teams and health care systems.

Reducing the risk of deterioration through personalised care and regular contact.

Deterioration/acute episodes

Facilitating joint working and information flow across mental health teams and health care systems.

Facilitate referrals and ensure timely access to right professionals and teams

Support with coordination of treatment escalation plans

Help identify where peoples needs are increasing, and they are at risk of an acute episode

Discharge and recovery

Provide support to people who have been discharged to ensure all necessary arrangements in place

Support people to access the right service and resources for them

Empower and enable people to self-manage

Facilitate joint working and information flow across teams and healthcare systems.

Patient experience sampling

Development Activity

Actively promote your role within the practice and PCN

Raise awareness of Proactive Care Team in the community by attending events and community groups

Contribute to tackling inequalities in health and social care particularly regarding individuals with long-term conditions and complex care needs

Support the development and implementation of projects, campaigns, education and initiatives aimed at improving mental health and care of patients

Ensure personal skills are kept up to date by complete mandatory training and additional training

Reporting

Maintain effective records of activity and produce reports as required

Ensure personal workplan is up to date

Provide any agreed performance/activity data

Assisting to document and evidence outcomes

This job description is intended to provide an outline of the key tasks and responsibilities only. There may be other duties required of the post-holder commensurate with the position. This description will be open to regular review and may be amended to consider development within the Practice. All members of staff should be prepared to take on additional duties or relinquish existing duties to maintain the efficient running of the Practice.

This job description is intended as a basic guide to the scope and responsibilities of the post and is not exhaustive. It will be subject to regular review and amendment as necessary in consultation with the post holder.

Person Specification

Qualifications

Essential

• Good standard of general education (NVQ Level 2 or equivalent)

Desirable

• NVQ Level 3 or equivalent

Experience

Essential

• Experience of supporting people
• Experience of having difficult conversations
• Experience of call handling
• Experienced facilitator
• Experience of working in a busy and demanding environment
• Experience of delivering high quality customer or patient care
• Experience of general administration processes and record keeping
• Computer literate and able to confidently use Microsoft Office
• Excellent negotiation skills
• Excellent communication skills, both verbal and written
• Able to effectively manage own workload
• Able to meet deadlines, work under pressure and balance priorities
• Able to build and sustain relationships at all levels
• Experience of one or more of the following areas: mental health, community services, palliative care, learning difficulties, dementia, care homes, mental health, long-term health conditions, frailty, substance misuse

Desirable

• Experience of working in a health or social care setting, ideally general practice
• Experience of EMIS clinical system
• Experience of recording notes/actions
• Understanding of patient care needs
• Knowledge of medical terminology
• An understanding and knowledge of the workings of the NHS

Additional Criteria

Essential

• Emotionally resilient and able to flag personal support needs to management when required
• Committed to personal development
• Approachable and flexible
• Sensitive to patients needs
• Ability and willingness to work across all Holderness Health sites

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

Holderness Health

Address

Church View Surgery

5 Market Hill House

Hedon

HU12 8JE

Employer's website

https://www.holdernesshealth.nhs.uk/ (Opens in a new tab)