Job summary
An exciting opportunity has arisen to recruit an additional Care Coordinator at Lakeside Healthcare at Yaxley.
The care coordinator role has become a crucial part of General Practice.
This role will be multi-faceted, allowing the successful applicant to have a varied and interesting balance at work.
There will be partially a care navigator role, aiding the reception team in finding patients the right care with the correct service or team member. This will involve working closely with the GPs to optimize patient care and experience. This requires an applicant with good communication and team working skills.
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.
This might involve working with a variety of patient groups who are identified as being vulnerable such as the elderly, housebound, people with frailty, patients with physical disability, learning disability, chronic physical health problems, patients with cancer or those with drug or alcohol misuse.
Please find below a link for further information on the Care Coordinator role
https://www.youtube.com/watch?v=l-2-UJTAPNI
The successful candidates must be available to work on a full-time basis with flexibility when required to work across the five sites within the PCN.
Main duties of the job
You will work closely with the patient and their clinician to co-ordinate patient healthcare and direct them to the appropriate service to ensure that they get the most suitable care.
You will:
Be Involved in care navigation from reception to optimise patient flow
Be involved working with specific vulnerable patient groups to optimise their care.
This job is ideal for someone with initiative and the drive to see through their own ideas and projects
About us
LAKESIDE HEALTHCARE is changing the face of primary care provision in England. We are the largest true partnership in the NHS. Joining our team presents an opportunity to be part of a large organisation that is changing the way primary care is delivered today, focussed on local needs at a PCN level.
About the Practice/Department/Team
Lakeside Healthcare at Yaxley is a well-established surgery with a list size of over 18,000 which is growing. We achieve full QOF points and have been awarded the RCGP Quality Practice Award twice. The Practice adopted a Doctor First access system in 2012 for all GP and Nurse Practitioner/Emergency Care Practitioner appointments.
We strongly believe in learning and teaching to progress personal development.
We work within the South Peterborough PCN and are proud to be part of a forward-thinking and successful Primary Care Network comprising of four practices across South Peterborough. Although you will be based solely at Yaxley, you will be working closely with other members of our MDT who do have cross-site roles within the PCN. For more information on primary care networks please visit https://www.england.nhs.uk/primary-care/primary-care-networks/
Job description
Job responsibilities
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, this will include support digital referral management, for example from the NHS App.
Key responsibilities and tasks
You will:
Proactively identify and work with a cohort of people to support their personalised care requirements, using the available decision support aids
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
Help people to manage their needs, answering their queries and supporting them to make appointments
Support people to take up training and employment, and to access appropriate benefits where eligible
Raise awareness of shared decision making and decision support tools, and assist people to be more prepared to have a shared decision making conversation
Ensure that people have good quality information to help them make choices about their care
Support people to understand their level of knowledge, skills and confidence (their Activation level) when engaging with their health and wellbeing, including through use of the Patient Activation Measure
Assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing
Explore and assist people to access personal health budgets where appropriate
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
Support the coordination and delivery of Multi Discipline Teams within PCNs
Support the management of referrals received through the NHS App to the practice and direct to the appropriate clinician or professional group
Training requirements:
The Personalised Care Institute will set out what training is available and expected for Care Coordinators.
Job description
Job responsibilities
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, this will include support digital referral management, for example from the NHS App.
Key responsibilities and tasks
You will:
Proactively identify and work with a cohort of people to support their personalised care requirements, using the available decision support aids
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
Help people to manage their needs, answering their queries and supporting them to make appointments
Support people to take up training and employment, and to access appropriate benefits where eligible
Raise awareness of shared decision making and decision support tools, and assist people to be more prepared to have a shared decision making conversation
Ensure that people have good quality information to help them make choices about their care
Support people to understand their level of knowledge, skills and confidence (their Activation level) when engaging with their health and wellbeing, including through use of the Patient Activation Measure
Assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing
Explore and assist people to access personal health budgets where appropriate
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
Support the coordination and delivery of Multi Discipline Teams within PCNs
Support the management of referrals received through the NHS App to the practice and direct to the appropriate clinician or professional group
Training requirements:
The Personalised Care Institute will set out what training is available and expected for Care Coordinators.
Person Specification
Qualifications
Essential
- NVQ Level 3 or equivalent and/or relevant basic/first level professional qualification or working towards this.
- Good level of education with GCSE Math and English Grade C or above (or equivalent)
Desirable
- Safeguarding level 3 in Adults & Children & Young People
Experience
Essential
- Experience of working with healthcare professionals and/or previous experience in the NHS or social care
- Experience coordinating with multiple stakeholder or individuals to meet specified outcomes
- Experience providing advice/signposting
- Experience of data collection and providing monitoring information to assess the impact of services
- Experience of partnership / collaborative working and of building relationships across a variety of organisations including the voluntary sector
Desirable
- Experience of using clinical systems such as SystmOne
- Experience of supporting people
- Experience of supporting service improvement
Person Specification
Qualifications
Essential
- NVQ Level 3 or equivalent and/or relevant basic/first level professional qualification or working towards this.
- Good level of education with GCSE Math and English Grade C or above (or equivalent)
Desirable
- Safeguarding level 3 in Adults & Children & Young People
Experience
Essential
- Experience of working with healthcare professionals and/or previous experience in the NHS or social care
- Experience coordinating with multiple stakeholder or individuals to meet specified outcomes
- Experience providing advice/signposting
- Experience of data collection and providing monitoring information to assess the impact of services
- Experience of partnership / collaborative working and of building relationships across a variety of organisations including the voluntary sector
Desirable
- Experience of using clinical systems such as SystmOne
- Experience of supporting people
- Experience of supporting service improvement
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.
