Care Co-ordinator Whitby Health Partnership

Job description

Job responsibilities

Primary Duties and Areas of Responsibility

Overall responsibility for arranging the MDT meetings and the smooth running of integrated care of the frail and vulnerable. The key role of the Care Coordinator will be to schedule the MDT meetings, manage the meeting agenda items; ensuring that all new referrals are identified, and information circulated to team members in advance of the meeting. The role will also contribute to completion & update of care plans for frail elderly patients including those with dementia which involves information on next of kin, power of attorney and consent for others to discuss medical record etc.

Safeguarding Administration

Family Liasion for vulnerable patients and carer

Working with the PCN on projects such as vacination clinics, local health initiatives and research.

Completing dementia reviews in care home patients

-Working with LD registered patients to ensure they recieve optimal care

-Ensuring adequate records are kept for patients with DNACPR

Receive and co-ordinate information from transfers of care (including hospital admissions and discharges) plus out of hours calls and present this information to the MDT as required.

Liaise with all clinical and non-clinical members to ensure effective care.

Manage reporting required and associated within the DES specifications for required services.

Administration support of new patients who require advanced care planning, DoLs status and power of attorney, contacting previous medical centres for missing information.

The care-coordinator acts as a point of contact for the frail and vulnerable who may be in care homes or housebound, seeing the queries through to completion and linking in with the relevant clinicians to enable this completion which will include the GPs, ANPs and clinical pharmacist.

care-coordinator will be the main link between the medical centre and the community care team.

Take minutes of meetings and disseminate; chase progress against actions identified in these meetings and ensure follow up where necessary.

Liaise with service providers and clinicians to identify frequent flyers, and new service users utilising risk stratification tools provided and present this information to the appropriate person.

Signpost team members, service users and carers to relevant services including the Social Prescribing Link Worker Service

To ensure the IT requirements for recording activity are adhered to in collaboration with other team members

To provide agreed performance/activity data within the required timescales

Demonstrates ability to work as a member of a team.

Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary.

Actively work toward developing and maintaining effective working relationships both within and outside the PCN.

Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to Patients GP, Nurses, other practice staff and other healthcare professionals including pharmacists and pharmacy technicians from provider and commissioning organisations.

Develop excellent working relationships with the all partners, wider service networks including the voluntary sector, GP practices, adult social care, hospitals, community pharmacists and other members of the MDT

Acting as a point of contact for residents, families and professionals

Meet regularly with the clinical lead and review case load.

Communicate effectively with service users and their families/carers, other staff both internal and external and members of the public

Manage and prioritise workload on a daily basis and deal with the competing demands.

Person Specification

Qualifications

Essential

• Qualifications (Training or equivalent)
• GCSE grade C/4 or above in English and Maths (or equivalent)
• Care Coordinator training or equivalent relevant experience
• Evidence of ongoing professional development
• Training in Primary Care systems (including EMIS Web)

Desirable

• Additional training in Safeguarding

Experience

Essential

• Minimum of 2 years experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field (desirable)
• Experience currently or previously within a care co-coordinator role
• Experience in use of databases including EMIS
• Experience of administrative duties
• Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality
• Working in a multi-disciplinary setting where influence and negotiation is required
• Knowledge/familiarity with medical terminology
• Understanding of health and social care processes
• Vulnerable adults awareness

Aptitude and Personal Qualities

Desirable

• Professional attitude and assertive approach
• Committed to development
• Conscientious, hardworking and self- motivated to work with minimal supervision
• Creative and tenacious in finding solutions to difficult problems
• Ability to work with information, clinicians, social workers and managers
• Ability to meet deadlines and work under pressure
• Ability to engage and sustain relationships with all professionals, other organisations and service-users
• Approachable and flexible
• Honest and reliable
• Enthusiastic
• Sensitive to patients needs
• Willingness to undergo further training or development
• Requires a flexible approach, and a highly motivated post holder. The role may need to be reviewed and developed in the future in line with changing priorities
• Access to and ability to use transport as travel between sites across the county will be required for meetings and training
• Willingness to undergo further training and development as the job develops

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

Whitby Health Partnership

Address

114 Chester Road

Whitby

Ellesmere Port

CH65 6TG

Employer's website

https://whitbyhealthpartnership.co.uk/ (Opens in a new tab)