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PCN Care Coordinator

Nuneaton & Bedworth Primary Care Network

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This job is now closed

Job summary

We are looking for a dynamic and motivated individual to join our current team of 5 PCN Care Coordinators.

This is a fantastic opportunity to work alongside staff based in our GP practices to support our patients to access appropriate support at their time of need.

Your time will be spent based in the GP practice and visiting patients either in their own home or in Care Homes.

As a forward-thinking Primary Care Network (PCN), you will also have access to opportunities to be involved in projects designed to improve current service provision to our patient demographic.

Main duties of the job

The main remit of this role is to support GP practice staff to complete Care Home Care Plans, Blood Pressure checks, Learning Disability reviews and Memory Tests at the request of a GP.

These will be completed within the boundaries of Standard Operating Procedures (SOPs) and training/support will be provided by the Senior Care Coordinator.

As there are a number of Digital Projects currently underway across the PCN, there will also be opportunities to be involved with these in order to get patients onboard and provide appropriate support where required.

About us

Nuneaton & Bedworth Primary Care Network (PCN) is a large PCN covering 16 practices across the Nuneaton & Bedworth locality.

We are a forward-thinking organisation with a number of projects on-going to support service delivery and patient care in our area.

We have a strong management team that are very supportive of new ideas and initiatives, and are keen to develop our current workforce.

We currently have more than 50 Additional Roles staff working across our practices, and this number continues to grow.

We have recently created a role for a Senior Care Coordinator, that we have appointed from within the existing team, to help us support and develop the current services that our Care Coordinators deliver.

Date posted

02 October 2023

Pay scheme

Other

Salary

£25,075 to £27,596 a year Dependent on experience

Contract

Permanent

Working pattern

Full-time

Reference number

A5583-23-0006

Job locations

Manor Court Surgery

5 Manor Court Avenue

Nuneaton

Warwickshire

CV11 5HX


Job description

Job responsibilities

Job Purpose/Summary

As a PCN Care Coordinator you will be part of the Primary Care Multidisciplinary Team, offering a personalised approach to caring for the social and psychological needs of identified patients on your caseload, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed.

You will work closely with the GPs and other members of the practice and PCN teams to ensure the coordination and management of identified patients at all points of their care journey.

Key Responsibilities

  • Create a positive working environment in which equality and diversity are professionally managed, dignity at work is upheld and staff can do their best;
  • Work alongside the Senior Care Coordinator to effectively perform the role and develop throughout by attending supervision sessions, appraisal meetings and training / development days.
  • Ensure that Standard Operating Procedures (SOPs) are adhered to supporting in the delivery of service and completing reviews and updates with the Senior Care Coordinator.
  • Utilise adequate level of knowledge around primary care to meet the required needs of the service.
  • Support the Senior Care Coordinator to develop quality of work and keep detailed records of day-to-day tasks including managing caseloads.
  • Encourage good teamwork throughout the partnership and with each of the GP surgeries.

Care Coordinator

As a PCN Care Coordinator, you will work closely with member practices and the PCN in offering a personalised approach to caring for social and psychological needs of identified patients on your caseload, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed.

You will also support the senior care co-ordinator by contributing toward projects on an ad hoc basis to support health improvements to patients registered with member practices.

Your main duties will include:

Receiving and actioning referrals from a wide range of agencies, working with GP practices within the Primary Care Network (PCN), pharmacies, multi-disciplinary teams, hospital discharge teams and allied health professionals (list not exhaustive);

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

Facilitate and ensure the effective delivery of patient-centred, personalised health and social care plans for patients, monitoring progress and reporting outcomes, contributing to patient reviews and care planning within appropriate time frames;

Provide coordination and navigation for patients and their carers across the spectrum of services available;

Support local Care Homes to manage patient needs, including completing/reviewing Care Home Care Plans and Dementia reviews as required;

Complete Annual Learning Disability reviews on behalf of the practice;

Undertake visits to see patients in their own homes, where applicable, for Blood Pressure checks, welfare checks and provide support;

Work alongside other PCN Additional Roles staff and outside agencies to provide wrap-around support to patients;

Make appropriate third-party referrals; and

Complete and maintain accurate patient records.

Job description

Job responsibilities

Job Purpose/Summary

As a PCN Care Coordinator you will be part of the Primary Care Multidisciplinary Team, offering a personalised approach to caring for the social and psychological needs of identified patients on your caseload, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed.

You will work closely with the GPs and other members of the practice and PCN teams to ensure the coordination and management of identified patients at all points of their care journey.

Key Responsibilities

  • Create a positive working environment in which equality and diversity are professionally managed, dignity at work is upheld and staff can do their best;
  • Work alongside the Senior Care Coordinator to effectively perform the role and develop throughout by attending supervision sessions, appraisal meetings and training / development days.
  • Ensure that Standard Operating Procedures (SOPs) are adhered to supporting in the delivery of service and completing reviews and updates with the Senior Care Coordinator.
  • Utilise adequate level of knowledge around primary care to meet the required needs of the service.
  • Support the Senior Care Coordinator to develop quality of work and keep detailed records of day-to-day tasks including managing caseloads.
  • Encourage good teamwork throughout the partnership and with each of the GP surgeries.

Care Coordinator

As a PCN Care Coordinator, you will work closely with member practices and the PCN in offering a personalised approach to caring for social and psychological needs of identified patients on your caseload, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed.

You will also support the senior care co-ordinator by contributing toward projects on an ad hoc basis to support health improvements to patients registered with member practices.

Your main duties will include:

Receiving and actioning referrals from a wide range of agencies, working with GP practices within the Primary Care Network (PCN), pharmacies, multi-disciplinary teams, hospital discharge teams and allied health professionals (list not exhaustive);

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

Facilitate and ensure the effective delivery of patient-centred, personalised health and social care plans for patients, monitoring progress and reporting outcomes, contributing to patient reviews and care planning within appropriate time frames;

Provide coordination and navigation for patients and their carers across the spectrum of services available;

Support local Care Homes to manage patient needs, including completing/reviewing Care Home Care Plans and Dementia reviews as required;

Complete Annual Learning Disability reviews on behalf of the practice;

Undertake visits to see patients in their own homes, where applicable, for Blood Pressure checks, welfare checks and provide support;

Work alongside other PCN Additional Roles staff and outside agencies to provide wrap-around support to patients;

Make appropriate third-party referrals; and

Complete and maintain accurate patient records.

Person Specification

Experience

Desirable

  • Experience of working in General Practice
  • Understanding of Primary Care
  • Knowledge of EMIS computer systems
  • Experience of working with patients
  • HCA experience

Qualifications

Essential

  • GCSE Grade A to C in English and Maths (or equivalent)

Desirable

  • Qualified to NVQ level 2 in Health & Social Care

Other

Essential

  • Must hold a full driving licence and have access to a car to use for work purposes.
Person Specification

Experience

Desirable

  • Experience of working in General Practice
  • Understanding of Primary Care
  • Knowledge of EMIS computer systems
  • Experience of working with patients
  • HCA experience

Qualifications

Essential

  • GCSE Grade A to C in English and Maths (or equivalent)

Desirable

  • Qualified to NVQ level 2 in Health & Social Care

Other

Essential

  • Must hold a full driving licence and have access to a car to use for work purposes.

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

Nuneaton & Bedworth Primary Care Network

Address

Manor Court Surgery

5 Manor Court Avenue

Nuneaton

Warwickshire

CV11 5HX


Employer's website

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

Employer details

Employer name

Nuneaton & Bedworth Primary Care Network

Address

Manor Court Surgery

5 Manor Court Avenue

Nuneaton

Warwickshire

CV11 5HX


Employer's website

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

For questions about the job, contact:

Senior Care Coordinator

Erica Waters

erica.waters@nhs.net

Date posted

02 October 2023

Pay scheme

Other

Salary

£25,075 to £27,596 a year Dependent on experience

Contract

Permanent

Working pattern

Full-time

Reference number

A5583-23-0006

Job locations

Manor Court Surgery

5 Manor Court Avenue

Nuneaton

Warwickshire

CV11 5HX


Supporting documents

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