CARE COORDINATOR

Job description

Job responsibilities

POST TITLE: Care Coordinator (WTE 0.5)

LOCATION: General Practices within the East Lindsey PCN based North Thoresby

This role exists under the Primary Care Network Additional Roles Reimbursement Scheme

JOB PURPOSE:

To work closely with PCN Practices and the multidisciplinary team in coordinating all key activities including access to services, advice, and information, and ensuring heath and care planning is timely, efficient, and patient-centred. The post holder will help patients interact and engage with everyday life through activities designed to develop, maintain, or retrain skills for people with a cognitive, physical, or mental disorder, condition, or illness. You will support the provision of continuity of care and act as a point of contact for families, residents, and professionals for identified patients in your caseload.

The job description and person specification are an outline of the tasks, responsibilities and outcomes required of the role. The job holder will carry out any other duties as may reasonable be required by their line manager.

PRIMARY DUTIES AND AREAS OF RESPONSIBILITIES

Provide coordination and navigation for people and their carers across health and care services, working closely with social prescribers, health and wellbeing coaches and other primary care professionals.

Utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care

Support PCN staff and patients to be prepared to have shared-decision making conversations including utilising decision aids and tools, and support patients to understand their level of knowledge, skills and confidence (their activation level) when engaging with their health and wellbeing including through the use of the Patient Activation Measure.

Help people to manage their needs through answering queries, making and managing appointments and ensuring that people have food quality written or verbal information to help them make choices about their care

Holistically bring together all of a persons identified care and support plan, in line with best practice, based on what matters to the person

Support people to take up training and employment, and to access appropriate benefits, education courses, peer support, and/or personal health budgets where applicable

Raise awareness within the PCN of shared-decision making and decision support tools, including how to identify patients who may benefit from this

As part of the multidisciplinary team, build relationships with staff in GP practices within the PCN, attending relevant meetings, providing information and feedback on care coordination priorities

Be proactive in developing strong link with local agencies, and in encouraging equality and inclusions

Liaise directly with care homes and other key providers, and compile and circulate relevant information across stakeholder groups

Understand, out in place and adhere to safeguarding protocols for vulnerable individuals

Capture key information to enable comprehensive and accurate records of support, inputting these into clinical systems as required and adhering to data protection legislation

CONFIDENTIALITY

The post holder may have access to confidential information relating to patients, their carers, practice staff and other healthcare workers. They may also have access to information relating to the PCN 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 PCN may only be divulged to authorised persons in accordance with the employing practices policies and procedures relating to confidentiality and the protection of personal and sensitive data.

HEALTH & SAFETY

The post holder will assist in promoting and maintaining their own and others health, safety and security as defined in the PCN employing practices Health & Safety Policy.

EQUALITY AND DIVERSITY

The post holder will support the equality, diversity and rights of patients, carers and colleagues to include

- acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with the practice procedures and policies and current legislation.

- Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.

Person Specification

Qualifications

Essential

• Educated to GCSE level or equivalent

Desirable

• Desirable if hold a relevant NVQ Level 3 qualification or equivalent

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 using a patient clinical system
• Awareness of how and when to signpost
• Knowledge of safeguarding interventions and an awareness of the Mental Capacity Act
• Skilled in the use of person-centred measurement and outcomes delivery

Desirable

• Knowledge of a range of local community groups which support wellbeing (desirable)
• Awareness of relevant Health and Social Care legislation and a developed knowledge of crisis intervention (desirable)
• Experience of undertaking quality improvement activity (desirable)
• Sound understanding of disease prevention and the NHS choices website (desirable)

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

East Lindsey Primary Care Network

Address

Doctors Surgery

47 Highfield Road

North Thoresby

Grimsby

DN36 5RT

Employer's website

http://www.elpcn.co.uk/ (Opens in a new tab)