Job summary
The successful candidate will be based in a local cluster of General Practices which are part of Primary Care Sheffield GP Practices in the Darnall and Tinsley area. They will be caring, dedicated, reliable and person-focused and enjoy working with a wide range of people. They will have good written and verbal communication skills and strong organisational and time management skills.
They will be highly motivated and proactive with a flexible attitude, keen to work and learn as part of a team and committed to providing people, their families and carers with high quality support.
This role is intended to become an integral part of the multidisciplinary team, working alongside social prescribing link workers and health and wellbeing coaches to provide an all-encompassing approach to personalised care and promoting and embedding the personalised care approach across the PCN. There may be a need to work remotely depending on the requirements of the role.
This role will involve coordinating the work of healthcare professionals and non-clinical staff including volunteers within the Frailty Team. The post holder will contribute to tackling inequalities in health and social care. An ethos of promotion of independence and partnership-working is integral to this post
Main duties of the job
Primary Duties and Areas of Responsibility
- Work with people their families and carers to improve their understanding of the patients condition and support and review
- Help people to manage their needs through answering queries making and managing appointments
- Assist people to access self-management education courses peer support health coaching
- Support people to take up training and employment
- Provide coordination and navigation for people and their carers across health and care services
- Work collaboratively with GPs and other primary care professionals within the PCN
- Support the coordination and delivery of multidisciplinary teams with the PCN
- Raise awareness of how to identify patients who may benefit from shared decision making
- Support patients referred to ensure attendance at appointments
- Support the Occupational Therapist in pro-active case finding around frailty.
- Support practices to maintain their carers registers
- Support the network in achieving targets
- Coordinate and manage the administrative functions of MDT meetings
- Take minutes of MDT meetings and disseminate chase progress
- Work with people, their families carers and healthcare team members to encourage effective help seeking behaviours
- Identify unpaid carers and help them access services to support them
- Maintain records of referrals and interventions
- Support practices to keep care records up to date
- Contribute to risk and impact assessments
- Help to streamline the social prescribing pathway
About us
Care coordinators play an important role within a PCN to proactively identify and work with people, including the frail/elderly and those with long-term conditions, to provide coordination and navigation of care and support across health and care services.
They work closely with GPs and practice teams to manage a caseload of patients, acting as a central point of contact to ensure appropriate support is made available to them and their carers; supporting them to understand and manage their condition and ensuring their changing needs are addressed.
This is achieved by bringing together all the information about a persons identified care and support needs and exploring options to meet these within a single personalised care and support plan, based on what matters to the person.
Care coordinators review patients needs and help them access the services and support they require to understand and manage their own health and wellbeing, referring to social prescribing link workers, health and wellbeing coaches, and other professionals where appropriate.
Care coordinators could potentially provide time, capacity and expertise to support people in preparing for or following-up clinical conversations they have with primary care professionals to enable them to be actively involved in managing their care and supported to make choices that are right for them. Their aim is to help people improve their quality of life.
Date posted
11 December 2024
Pay scheme
Other
Salary
£26,530 a year
Contract
Permanent
Working pattern
Full-time
Reference number
A3466-24-0076
Job locations
Darnall Primary Care Centre
290 Main Road
Sheffield
S9 4QH
Highgate Clinic
Highgate
Sheffield
S9 1WN
Darnall Grange Care Home
84 Poole Road
Sheffield
S9 4JQ
Darnall Health Centre
York Road
Sheffield
S9 5DH
Darnall View Residential Care Home
37 Halsall Avenue
Sheffield
S9 4JA
White Rose Court Care Home
Clifton Avenue
Sheffield
S9 4BA
Employer details
Employer name
Primary Care Sheffield
Address
Darnall Primary Care Centre
290 Main Road
Sheffield
S9 4QH
Employer's website
http://www.primarycaresheffield.org.uk/ (Opens in a new tab)


For questions about the job, contact:
Michael Lyall
Supporting documents
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