Job responsibilities
Job
Title: PCN Care Coordinator
Reports
To: Practice Managers
Hours: 37.5
hours per week, part time considered
Location: Across
all CCOB PCN member practices
Date
Prepared: August 2020
PURPOSE
To provide a
practice point of contact for patients in coordinating their care
To ensure
timely follow up and action for patients from communications from community or
secondary care
To deal with
incoming queries from patients and other healthcare providers
To organise in practice appointments, follow ups or other actions to
help the PCN practices provide high quality, compassionate care to our patient
population
SPECIFIC JOB RESPONSIBILITIES
Deal with
incoming queries directly from patients
Assist with
signposting patients to appropriate community or local services, alongside
social prescribers
Act on
communications from hospitals or community providers
Book follow
up appointments, tests or other reviews
Pro-actively
ensure patients are booked in for chronic disease management appointments
Assist with
ensure patients participate in local or national screening programmes
Promote
health education to our patient population, such as through participation in
self-care week
Pro-actively
ensure patients take up vaccination opportunities such as flu, shingles or
childhood immunisations
Refer
patients to in the house social prescribers to assist with their care
Participate
in practice MDT meetings and organise practice actions or follow ups
Demonstrate
the ability to recognise and respond appropriately when faced with a sudden
deterioration or emergency situation, alerting the team or enabling a rapid
response.
Organise and
prioritise own workload
Monitor tasks
to ensure they are completed and care delivered through regular audit of the
clinical system
Directly
liaise with multi-agencies to coordinate care for patients
Support
patients and carers and collect feedback on their experiences
Work
collaboratively with other care coordinators across the PCN to share best
practice
Support
the PCN practices to deliver on, QOF, KPIs and locally commissioned enhanced
services
To
update and maintain accurate patient medication records on the practice
clinical computer system, including advice given and action taken
Work
collaboratively with the PCN team
Develop
relationships and work closely with community, hospital and the wider health
system
Participate
in practice meetings, patient participation groups and other meetings to
improve engagement with the role
Confidentiality
In the course
of seeking treatment, patients entrust us with, or allow us to gather,
sensitive information in relation to their health and other matters. They do so in confidence and have the right
to expect that staff will respect their privacy and act appropriately. The
post-holder may have access to confidential information relating to patients
and their carers, practice staff and other healthcare workers. They may also have access to information
relating to the practice as a business organisation. All such information
from any source is to be regarded as strictly confidential. Information
relating to patients, carers, colleagues, other healthcare workers or the
business of the practice may only be divulged to authorised persons in
accordance with the practice policies and procedures relating to
confidentiality and the protection of personal and sensitive data
Health
& Safety
The
post-holder will implement and lead on the full range of promotion and
management of their own and others health, safety and security as defined in
the practice Health & Safety policy, the practice Health & Safety
manual, and the practice Infection Control policy and published procedures.
This will include (but will not be limited to):
- Maintain
an up to date knowledge of health and safety and infection control
statutory and best practice guidelines and ensure implementation across
the business
- Using
personal security systems within the workplace according to practice
guidelines
- Identifying
the risks involved in work activities and undertaking such activities in a
way that manages those risks across the business
- Using
appropriate infection control procedures, maintaining work areas in a tidy
and safe way and free from hazards, and initiation of remedial /
corrective action where needed
- Actively
identifying, reporting, and correction of health and safety hazards and
infection hazards immediately when recognised
- Keeping
own work areas and general areas generally clean, identifying issues and
hazards / risks in relation to other work areas within the business, and
assuming responsibility in the maintenance of general standards of cleanliness
across the business in consultation (where appropriate) with other sector
managers
- Demonstrate
due regard for safeguarding and promoting the welfare of children and
vulnerable adults.
Equality
and Diversity
The post-holder will support the
equality, diversity and rights of patients, carers and colleagues; acting in a
way that recognises the importance of peoples rights, interpreting them in a
way that is consistent with practice procedures and policies, and current
legislation. All CCOB employees must respect the privacy, dignity, needs and
beliefs of patients, carers and colleagues and behave in a manner which is
welcoming to and of the individual, is non-judgmental and respects their
circumstances, feelings priorities and rights.
Personal/Professional
Development
The post-holder will participate
in any training programme implemented by the practice as part of this
employment, such training to include:
- Participation in an annual individual
performance review, including taking responsibility for maintaining a
record of own personal and/or professional development
- Taking responsibility for own
development, learning and performance and demonstrating skills and
activities to others who are undertaking similar work
Quality
The post-holder will strive to
maintain quality within the practice, and will:
- Alert other team members to issues of
quality and risk
- Assess own performance and take
accountability for own actions, either directly or under supervision
- Contribute to the effectiveness of the
team by reflecting on own and team activities and making suggestions on
ways to improve and enhance the teams performance
- Work effectively with individuals in
other agencies to meet patients needs
- Effectively manage own time, workload and
resources
Communication
The post-holder should recognise the importance of
effective communication within the team and will strive to:
- Communicate
effectively with other team members
- Communicate
effectively with patients and carers
- Recognise
peoples needs for alternative methods of communication and respond
accordingly
Contribution
to the Implementation of Services
The post-holder will:
- Apply
practice policies, standards and guidance
- Discuss
with other members of the team how the policies, standards and guidelines
will affect own work
- Participate
in audit where appropriate.
This job description is not
exhaustive and may be adjusted periodically after review and consultation. You will also be expected to carry out any
reasonable duties which may be requested from time-to-time.