Job summary
An exciting opportunity has arisen to recruit an
additional Care Coordinator at Lakeside Healthcare at St Neots PCN.
The care coordinator role has become a crucial part of
General Practice in the last few years.This role is multi-faceted, allowing the successful applicant to have a varied and interesting balance at work.
Care coordinators provide extra time, capacity and
expertise to support patients inpreparing for or in following-up clinical conversations they have with primary careprofessionals. They will work closely with the GPs and other primary care professionalswithin the practice to identify and manage a caseload of identified patients, making sure thatappropriate support is made available to them and their careers, and ensuring that theirchanging needs are addressed.
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. This can be an extremely rewarding opportunity to make a big difference
in peoples lives and be the link point to avoid patients having fragmented
care.
Please find below a link for further information on
the Care Coordinator role
https://www.youtube.com/watch?v=l-2-UJTAPNI
Main duties of the job
You will:
Be Involved in care navigation from reception to
optimize patient flow
Be involved working with specific vulnerable patient
groups to optimize their care.
This job is ideal for someone with initiative and the
drive to see through their own ideas and projects
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 education, training and/or
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
Explore and assist people to access personal health
budgets where appropriate
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
About us
LAKESIDE HEALTHCARE is changing the face of primary care provision in England. We are bold, adventurous and ambitious and determined to thrive in uncertain times. We are the largest true partnership in the NHS and operate from various sites across the East Midlands. Joining our team presents an opportunity to be part of a large organisation that is changing the way primary care is delivered today.
Caring & Respect: Simply put we genuinely care about people: working together for our patients and our teams, our patients come first in everything we do. We strive to ensure we connect and respond to all needs with compassion, care and respect to improve the lives and wellbeing of the communities we serve.
Teamwork & Quality: In all areas of our business we network, collaborate and learn from our Patients, Stakeholders and each another to ensure we are always striving to improve, making the right and best decisions to provide the best service.
About the Practice/Department/Team
St Neots PCN is an average sized yet forward-thinking Primary Care Network (PCN) comprising of three practices within central St Neots and Great Staughton. You will be joining an established, dynamic and varied team, whose aim is to provide exemplary patient care; finding innovative solutions in general practice to deliver the best care we can to our patients.
We strongly believe in learning and teaching to progress personal development.
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 SystemOne
- 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 SystemOne
- 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.
