Job summary
The post holder
will contribute to tackling inequalities in health and social care particularly
regarding individuals with long-term conditions. An ethos of promotion of
independence and partnership-working is integral to this post.
Main duties of the job
Attend MDT meetings
Support practices and the PCN OT
Management of Registers
Referrals
Admission avoidance and Transfer of Care
Training
Coding - correct use of codes i.e. snomed for QOF
Excellent working relationships
Excellent communication skills
Manage and prioritize workload
Review case load and MDT function
Communicate complex and highly sensitive information adhering to Policies and Procedures. Help maintain excellent communication for external parties
About us
Located in Somerset, Taunton Deane West our Primary Care Network consists of three GP practices Luson Surgery, Wellington Medical Centre and Lister House. You will be working in a team consisting of Care Coordinators, Complex Care Nurse, First Contact Physiotherapists, Occupational Therapist, Pharmacists, CYP Mental Health Link Practitioner, Digital Data Coordinator, in addition to the practice staff.
Job description
Job responsibilities
The post holder will be responsible for the complex care provision of support
to Taunton Deane West Primary Care Network which will include attending and
working with the multidisciplinary team (MDT), who
are responsible for managing the care of people registered with practices
within Taunton Deane West PCN. They will attend the
weekly MDT and help identification of people in need of review, to fit with the
DES criteria and themes of Ageing well. The referral pathway may vary from GPs
to other practitioners, village agents, social prescribers with the aim of
providing a patient centred, cost-effective approach to the care of patients
with multiple morbidities and illness trajectories that will deteriorate over
time.
The post holder will require to work in different practices
within the area so will require a degree of flexibility and a range of duties
that may vary as the service develops.
The post holder
will contribute to tackling inequalities in health and social care particularly
regarding individuals with long-term conditions. An ethos of promotion of
independence and partnership-working is integral to this post.
Job description
Job responsibilities
The post holder will be responsible for the complex care provision of support
to Taunton Deane West Primary Care Network which will include attending and
working with the multidisciplinary team (MDT), who
are responsible for managing the care of people registered with practices
within Taunton Deane West PCN. They will attend the
weekly MDT and help identification of people in need of review, to fit with the
DES criteria and themes of Ageing well. The referral pathway may vary from GPs
to other practitioners, village agents, social prescribers with the aim of
providing a patient centred, cost-effective approach to the care of patients
with multiple morbidities and illness trajectories that will deteriorate over
time.
The post holder will require to work in different practices
within the area so will require a degree of flexibility and a range of duties
that may vary as the service develops.
The post holder
will contribute to tackling inequalities in health and social care particularly
regarding individuals with long-term conditions. An ethos of promotion of
independence and partnership-working is integral to this post.
Person Specification
PERSONAL CAPABILITIES
Essential
- Diplomatic
- Calm and objective
- Assertive confident, yet approachable
- Personally, and professionally mature
- Recognition of own limitations
- Demonstrates enthusiasm
- Able to travel between sites and patients
EFFORT
Essential
- Ability to deal with complex and difficult emotional situations
Qualifications
Essential
- Registered General Nurse - Adult
- First Level degree or equivalent in related subject
- Registered Paramedic - First Level degree or equivalent in related subject
- Recognised mentoring qualification or prepared to work towards
Desirable
- Post basic qualification in relevant subject
- PACR (Physical and Clinical Reasoning certificate)
Experience
Essential
- Relevant post registration experience at Band 6 or above in a related speciality, minimum 3 years
- Evidence of autonomous working
- Experience of multi professional working
- Experience of teaching
- Evidence of good communication skills
- Ability to support and influence change
- Leadership and management experience
KNOWLEDGE
Essential
- Knowledge/familiarity with medical terminology
- Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality
- Understanding of current issues facing the NHS and Social Care
- Knowledge of social services structures
- Understanding of health and social care processes
SKILLS AND ABILITY
Essential
- IT Literate
- Teaching/assessment and presentation skills
- Organisation and negotiation skills
- Effective communication
- Ability to motivate self and others
- Ability to work autonomously and as part of a team
- Flexible attitude to working
- Exemplar written communication skills
EXPERIENCE
Essential
- Proven experience of working with healthcare professionals and or previous experience in the NHS or Social Care or relevant field
- Experience in use of databases
- Vulnerable adults: level 3 adult safeguarding
- Experience of Care of the Elderly
- Experience of providing advice/signposting to users
Person Specification
PERSONAL CAPABILITIES
Essential
- Diplomatic
- Calm and objective
- Assertive confident, yet approachable
- Personally, and professionally mature
- Recognition of own limitations
- Demonstrates enthusiasm
- Able to travel between sites and patients
EFFORT
Essential
- Ability to deal with complex and difficult emotional situations
Qualifications
Essential
- Registered General Nurse - Adult
- First Level degree or equivalent in related subject
- Registered Paramedic - First Level degree or equivalent in related subject
- Recognised mentoring qualification or prepared to work towards
Desirable
- Post basic qualification in relevant subject
- PACR (Physical and Clinical Reasoning certificate)
Experience
Essential
- Relevant post registration experience at Band 6 or above in a related speciality, minimum 3 years
- Evidence of autonomous working
- Experience of multi professional working
- Experience of teaching
- Evidence of good communication skills
- Ability to support and influence change
- Leadership and management experience
KNOWLEDGE
Essential
- Knowledge/familiarity with medical terminology
- Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality
- Understanding of current issues facing the NHS and Social Care
- Knowledge of social services structures
- Understanding of health and social care processes
SKILLS AND ABILITY
Essential
- IT Literate
- Teaching/assessment and presentation skills
- Organisation and negotiation skills
- Effective communication
- Ability to motivate self and others
- Ability to work autonomously and as part of a team
- Flexible attitude to working
- Exemplar written communication skills
EXPERIENCE
Essential
- Proven experience of working with healthcare professionals and or previous experience in the NHS or Social Care or relevant field
- Experience in use of databases
- Vulnerable adults: level 3 adult safeguarding
- Experience of Care of the Elderly
- Experience of providing advice/signposting to users
Additional information
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
