Job summary
We are excited to offer this amazing opportunity to the right individual who has a good understanding of health inequalities, deprivation, health and social care needs within the City of Sunderland and surrounding areas.
We are looking for the right individual to come join and work alongside our professional team to improve health and social care needs to our growing population.
The successful candidate needs to be focused driven, have a caring and empathetic approach as this post requires the right individual to act as advocate. You must also be able to demonstrate excellent communication skills and have the ability to reach out to those hard to reach patients who do not engage or take responsibility in their health and social care needs ensuring you use the available resources and sign post them to the appropriate services
You must have good IT and communication skills, and have the ability to adapt with care and empathy to patients individual needsto ensure we deliver the best standards of care to our Practice population.
If you are looking at making a difference and being part of a dynamic team of Health Care professionals in supporting our Practice population to have a better quality in life then this is the role for you.
Main duties of the job
Objectives
of the role
The objective of the care coordinator is to play a key role in proactively identifying and working with people,
including the frail/elderly with long-term conditions, to provide coordination
and navigation of care and support across health and care services.
The
Practice Care coordinator will provide senior support to the practice team in
targeting hard to reach groups with a focus on inequalities including Core20
Plus 5 groups and patients
The
Care Coordinator will review peoples identified needs and help to connect them
to the services and support they require, whether within the practice or
elsewhere for example, community and hospital-based services.
Working
closely with social prescribing link workers, health and wellbeing coaches, and
other primary care professionals team to provide an all-encompassing approach to personalised care and
enable people navigate through the health and care system.
Identifying
target areas such as long term conditions, frailty, DES, QOF and IIF targets.
Support practices in achieving their recall targets and providing an enhanced
outreach service to those hard to reach groups.
Identifying
patients requiring proactive support ie hard to reach patients, high risk
patients as identified in MDTs/practice meetings.
About us
We are a busy Practice on the outskirts of Sunderland City Centre the Practice is situated in an area where health inequalities and deprivation are at there highest compared to other local areas.
We currently have a list size of 5345 patients.
Our friendly team are very diverse, always remain professional and continue to deliver excellent standards of care despite a very fast pace setting where we have higher than most health inequalities and deprivation . We ALL know the importance of team work, we all take pride in supporting one another to enable us to achieve our optimum goal in the delivery of good standards of care.
We have a team of 4 GP's 1 ANP, 2 PN, Health Care Assistant, Practice Pharmacist, Pharmacy Technicians, Social Prescribing Team, Mental Health Nurse and of course a very well supportive Administration Team.
Job description
Job responsibilities
Person/Job Specification
Qualifications
Essential
Ability to actively listen and empathise with
people and provide personalised support in a non-judgemental way
Ability to provide a culturally sensitive service
supporting people from all backgrounds and communities respecting lifestyles
and diversity
Commitment to reducing health inequalities and
proactively working to reach people from diverse communities
Ability to support people in a way that inspires
trust and confidence and motivating others to reach their potential
Ability to communicate effectively both verbally
and in writing with people their families carers community groups partner
agencies and stakeholders
Ability to maintain effective working relationships
and to promote collaborative practice with all colleagues
Ability to demonstrate personal accountability
emotional resilience and work well under pressure
Ability to organise plan and prioritise on own
initiative - including when under pressure and meeting deadlines
High level of written and verbal communication
skills
Ability to work flexibly and enthusiastically
within a team or on own initiative
Knowledge of and ability to work to policies and
procedures including confidentiality safeguarding lone working information
governance and health and safety
Proficient in MS Office and web-based services
EMIS software
Experience of working in health social care and
other support roles in direct contact with people their families or carers (in
a paid or voluntary capacity)
Experience of working within multi-professional
team environments
Experience of data collection and using tools to
measure the impact of services including EMIS searches
Knowledge of the personalised care approach
Understanding of the wider determinants of health
including social, economic and environmental factors and their impact on community's
individuals their families and carer
Understanding of and commitment to equality
diversity and inclusion
Strong organisational skills including planning prioritising
time management and record keeping
Knowledge of how the NHS works, primary care and
PCNs
Ability to recognise and work within limits of
competence and seek advice when needed
Understanding of the needs of older people / adults
with disabilities / long term conditions particularly in relation to promoting
their independence
Basic knowledge of long-term conditions and the
complexities involved: medical physical emotional and social
Understanding of the needs of older people / adults
with disabilities / long term conditions particularly in relation to promoting
their independence
Desirable
Ability to provide motivational coaching to support
peoples behaviour change
NVQ Level 3 in adult care - advanced level or
equivalent qualifications or working towards
Experience or training in personalised care and
support planning
Experience of working with elderly or vulnerable
people complying with best practice and relevant legislation
Knowledge of Safeguarding Children and Vulnerable
Adults policies and processes
Access to own transport
Ability to travel across the PCN on a regular basis
Job description
Job responsibilities
Person/Job Specification
Qualifications
Essential
Ability to actively listen and empathise with
people and provide personalised support in a non-judgemental way
Ability to provide a culturally sensitive service
supporting people from all backgrounds and communities respecting lifestyles
and diversity
Commitment to reducing health inequalities and
proactively working to reach people from diverse communities
Ability to support people in a way that inspires
trust and confidence and motivating others to reach their potential
Ability to communicate effectively both verbally
and in writing with people their families carers community groups partner
agencies and stakeholders
Ability to maintain effective working relationships
and to promote collaborative practice with all colleagues
Ability to demonstrate personal accountability
emotional resilience and work well under pressure
Ability to organise plan and prioritise on own
initiative - including when under pressure and meeting deadlines
High level of written and verbal communication
skills
Ability to work flexibly and enthusiastically
within a team or on own initiative
Knowledge of and ability to work to policies and
procedures including confidentiality safeguarding lone working information
governance and health and safety
Proficient in MS Office and web-based services
EMIS software
Experience of working in health social care and
other support roles in direct contact with people their families or carers (in
a paid or voluntary capacity)
Experience of working within multi-professional
team environments
Experience of data collection and using tools to
measure the impact of services including EMIS searches
Knowledge of the personalised care approach
Understanding of the wider determinants of health
including social, economic and environmental factors and their impact on community's
individuals their families and carer
Understanding of and commitment to equality
diversity and inclusion
Strong organisational skills including planning prioritising
time management and record keeping
Knowledge of how the NHS works, primary care and
PCNs
Ability to recognise and work within limits of
competence and seek advice when needed
Understanding of the needs of older people / adults
with disabilities / long term conditions particularly in relation to promoting
their independence
Basic knowledge of long-term conditions and the
complexities involved: medical physical emotional and social
Understanding of the needs of older people / adults
with disabilities / long term conditions particularly in relation to promoting
their independence
Desirable
Ability to provide motivational coaching to support
peoples behaviour change
NVQ Level 3 in adult care - advanced level or
equivalent qualifications or working towards
Experience or training in personalised care and
support planning
Experience of working with elderly or vulnerable
people complying with best practice and relevant legislation
Knowledge of Safeguarding Children and Vulnerable
Adults policies and processes
Access to own transport
Ability to travel across the PCN on a regular basis
Person Specification
Qualifications
Essential
- Ability to actively listen and empathise with people and provide personalised support in a non-judgemental way
- Ability to provide a culturally sensitive service supporting people from all backgrounds and communities respecting lifestyles and diversity
- Commitment to reducing health inequalities and proactively working to reach people from diverse communities
- Ability to support people in a way that inspires trust and confidence and motivating others to reach their potential
- Ability to communicate effectively both verbally and in writing with people their families carers community groups partner agencies and stakeholders
- Ability to maintain effective working relationships and to promote collaborative practice with all colleagues
- Ability to demonstrate personal accountability emotional resilience and work well under pressure
- Ability to organise plan and prioritise on own initiative - including when under pressure and meeting deadlines
- High level of written and verbal communication skills
- Ability to work flexibly and enthusiastically within a team or on own initiative
- Knowledge of and ability to work to policies and procedures including confidentiality safeguarding lone working information governance and health and safety
- Proficient in MS Office and web-based services
- EMIS software
- Experience of working in health social care and other support roles in direct contact with people their families or carers (in a paid or voluntary capacity)
- Experience of working within multi-professional team environments
- Experience of data collection and using tools to measure the impact of services including EMIS searches
- Knowledge of the personalised care approach
- Understanding of the wider determinants of health including social, economic and environmental factors and their impact on community's individuals their families and carer
- Understanding of and commitment to equality diversity and inclusion
- Strong organisational skills including planning prioritising time management and record keeping
- Knowledge of how the NHS works, primary care and PCNs
- Ability to recognise and work within limits of competence and seek advice when needed
- Understanding of the needs of older people / adults with disabilities / long term conditions particularly in relation to promoting their independence
- Basic knowledge of long-term conditions and the complexities involved: medical physical emotional and social
- Understanding of the needs of older people / adults with disabilities / long term conditions particularly in relation to promoting their independence
Desirable
- Ability to provide motivational coaching to support peoples behaviour change
- NVQ Level 3 in adult care - advanced level or equivalent qualifications or working towards
- Experience or training in personalised care and support planning
- Experience of working with elderly or vulnerable people complying with best practice and relevant legislation
- Knowledge of Safeguarding Children and Vulnerable Adults policies and processes
- Access to own transport
- Ability to travel across the PCN on a regular basis
Knowledge & Skills
Essential
- Qualifications
- Essential
- Ability to actively listen and empathise with people and provide personalised support in a non-judgemental way
- Ability to provide a culturally sensitive service supporting people from all backgrounds and communities respecting lifestyles and diversity
- Commitment to reducing health inequalities and proactively working to reach people from diverse communities
- Ability to support people in a way that inspires trust and confidence and motivating others to reach their potential
- Ability to communicate effectively both verbally and in writing with people their families carers community groups partner agencies and stakeholders
- Ability to maintain effective working relationships and to promote collaborative practice with all colleagues
- Ability to demonstrate personal accountability emotional resilience and work well under pressure
- Ability to organise plan and prioritise on own initiative - including when under pressure and meeting deadlines
- High level of written and verbal communication skills
- Ability to work flexibly and enthusiastically within a team or on own initiative
- Knowledge of and ability to work to policies and procedures including confidentiality safeguarding lone working information governance and health and safety
- Proficient in MS Office and web-based services
- EMIS software
- Experience of working in health social care and other support roles in direct contact with people their families or carers (in a paid or voluntary capacity)
- Experience of working within multi-professional team environments
- Experience of data collection and using tools to measure the impact of services including EMIS searches
- Knowledge of the personalised care approach
- Understanding of the wider determinants of health including social, economic and environmental factors and their impact on community's individuals their families and carer
- Understanding of and commitment to equality diversity and inclusion
- Strong organisational skills including planning prioritising time management and record keeping
- Knowledge of how the NHS works, primary care and PCNs
- Ability to recognise and work within limits of competence and seek advice when needed
- Understanding of the needs of older people / adults with disabilities / long term conditions particularly in relation to promoting their independence
- Basic knowledge of long-term conditions and the complexities involved: medical physical emotional and social
- Understanding of the needs of older people / adults with disabilities / long term conditions particularly in relation to promoting their independence
Desirable
- Ability to provide motivational coaching to support peoples behaviour change
- NVQ Level 3 in adult care - advanced level or equivalent qualifications or working towards
- Experience or training in personalised care and support planning
- Experience of working with elderly or vulnerable people complying with best practice and relevant legislation
- Knowledge of Safeguarding Children and Vulnerable Adults policies and processes
- Access to own transport
- Ability to travel across the PCN on a regular basis
Person Specification
Qualifications
Essential
- Ability to actively listen and empathise with people and provide personalised support in a non-judgemental way
- Ability to provide a culturally sensitive service supporting people from all backgrounds and communities respecting lifestyles and diversity
- Commitment to reducing health inequalities and proactively working to reach people from diverse communities
- Ability to support people in a way that inspires trust and confidence and motivating others to reach their potential
- Ability to communicate effectively both verbally and in writing with people their families carers community groups partner agencies and stakeholders
- Ability to maintain effective working relationships and to promote collaborative practice with all colleagues
- Ability to demonstrate personal accountability emotional resilience and work well under pressure
- Ability to organise plan and prioritise on own initiative - including when under pressure and meeting deadlines
- High level of written and verbal communication skills
- Ability to work flexibly and enthusiastically within a team or on own initiative
- Knowledge of and ability to work to policies and procedures including confidentiality safeguarding lone working information governance and health and safety
- Proficient in MS Office and web-based services
- EMIS software
- Experience of working in health social care and other support roles in direct contact with people their families or carers (in a paid or voluntary capacity)
- Experience of working within multi-professional team environments
- Experience of data collection and using tools to measure the impact of services including EMIS searches
- Knowledge of the personalised care approach
- Understanding of the wider determinants of health including social, economic and environmental factors and their impact on community's individuals their families and carer
- Understanding of and commitment to equality diversity and inclusion
- Strong organisational skills including planning prioritising time management and record keeping
- Knowledge of how the NHS works, primary care and PCNs
- Ability to recognise and work within limits of competence and seek advice when needed
- Understanding of the needs of older people / adults with disabilities / long term conditions particularly in relation to promoting their independence
- Basic knowledge of long-term conditions and the complexities involved: medical physical emotional and social
- Understanding of the needs of older people / adults with disabilities / long term conditions particularly in relation to promoting their independence
Desirable
- Ability to provide motivational coaching to support peoples behaviour change
- NVQ Level 3 in adult care - advanced level or equivalent qualifications or working towards
- Experience or training in personalised care and support planning
- Experience of working with elderly or vulnerable people complying with best practice and relevant legislation
- Knowledge of Safeguarding Children and Vulnerable Adults policies and processes
- Access to own transport
- Ability to travel across the PCN on a regular basis
Knowledge & Skills
Essential
- Qualifications
- Essential
- Ability to actively listen and empathise with people and provide personalised support in a non-judgemental way
- Ability to provide a culturally sensitive service supporting people from all backgrounds and communities respecting lifestyles and diversity
- Commitment to reducing health inequalities and proactively working to reach people from diverse communities
- Ability to support people in a way that inspires trust and confidence and motivating others to reach their potential
- Ability to communicate effectively both verbally and in writing with people their families carers community groups partner agencies and stakeholders
- Ability to maintain effective working relationships and to promote collaborative practice with all colleagues
- Ability to demonstrate personal accountability emotional resilience and work well under pressure
- Ability to organise plan and prioritise on own initiative - including when under pressure and meeting deadlines
- High level of written and verbal communication skills
- Ability to work flexibly and enthusiastically within a team or on own initiative
- Knowledge of and ability to work to policies and procedures including confidentiality safeguarding lone working information governance and health and safety
- Proficient in MS Office and web-based services
- EMIS software
- Experience of working in health social care and other support roles in direct contact with people their families or carers (in a paid or voluntary capacity)
- Experience of working within multi-professional team environments
- Experience of data collection and using tools to measure the impact of services including EMIS searches
- Knowledge of the personalised care approach
- Understanding of the wider determinants of health including social, economic and environmental factors and their impact on community's individuals their families and carer
- Understanding of and commitment to equality diversity and inclusion
- Strong organisational skills including planning prioritising time management and record keeping
- Knowledge of how the NHS works, primary care and PCNs
- Ability to recognise and work within limits of competence and seek advice when needed
- Understanding of the needs of older people / adults with disabilities / long term conditions particularly in relation to promoting their independence
- Basic knowledge of long-term conditions and the complexities involved: medical physical emotional and social
- Understanding of the needs of older people / adults with disabilities / long term conditions particularly in relation to promoting their independence
Desirable
- Ability to provide motivational coaching to support peoples behaviour change
- NVQ Level 3 in adult care - advanced level or equivalent qualifications or working towards
- Experience or training in personalised care and support planning
- Experience of working with elderly or vulnerable people complying with best practice and relevant legislation
- Knowledge of Safeguarding Children and Vulnerable Adults policies and processes
- Access to own transport
- Ability to travel across the PCN on a regular basis
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.
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.
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).
