Care Coordinator

Job description

Job responsibilities

Basic purpose of the role

Care coordinators provide extra time, capacity and expertise to support patients in preparing for or in following-up clinical conversations they have with primary care professionals. They will work closely with the GPs and other primary care professionals within the PCN to identify and manage a caseload of identified patients, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed. They focus delivery of the comprehensive model to reflect local priorities, health inequalities or population health management risk stratification.

Key role requirements

a. Proactively identify and work with a cohort of people to support their personalised care requirements, using the available decision support aids.

b. Bring together all of a persons identified care and support needs, and explore their options to meet these into a single personalised care and support plan, in line with PCSP best practice.

c. Help people to manage their needs, answering their queries and supporting them to make appointments.

d. Work with End of Life patients to case-find and then complete EPaCCS (care plans) on the patients behalf.

e. Raise awareness of shared decision making and decision support tools, and assist people to be more prepared to have a shared decision making conversation.

f. Ensure that people have good quality information to help them make choices about their care,

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

h. Provide coordination and navigation for people and their carers across health and care services, alongside working closely with social prescribing link workers, health and wellbeing coaches and other primary care roles.

i. Support the coordination and delivery of MDTs within PCNs.

General

Ensure that all activities are monitored and evaluated.

Attend internal meetings as required.

Work in accordance with PCN policies, including the equal opportunities policy and practice.

Attend any training courses and supervision sessions as required.

Work with due regard to the PCN Health and Safety Policy, ensuring that all practices and procedures are undertaken in accordance with issued guidelines.

Undertake any other duties as may reasonably be required from time to time.

Special working conditions

To be prepared to work flexibly, including evenings and weekends if required.

Currently the position will be based at Unit 10, Faraday Way. Visits to each surgery and agile working may be required.

Person Specification

Experience

Desirable

• Experience of working in General Practice/Primary Care/Social Care
• Experience of managing conflicting workloads
• Experience of managing challenging conversations
• Experience of working with vulnerable/patients with complex needs
• Experience of multi-disciplinary team working

Qualifications

Essential

• GCSE grade A to C in English and Maths
• Be prepared to undertake all training as required The Personalised Care Institute (live from April 2020) will set out what training is available and expected for Care Coordinators.

Desirable

• Qualified to NVQ level 3 in a relevant topic

Knowledge and skills

Essential

• Ability to work as part of diverse team
• Good IT skills
• Excellent communication skills
• Ability/willingness to work flexibly if required

Desirable

• Ability to drive/ have own car
• Experience of working with EMIS systems/General practice software
• Ability to coordinate meetings/agenda setting and minute taking

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

Blackpool Central West Primary Care Network

Address

Blackpool Central West PCN

Unit 10, Faraday Way

Blackpool

FY2 0JW