Job responsibilities
This role is NOT open to applications from those who will require sponsorship under the points-based system. Should you apply for this role and be found to require sponsorship, your application will be rejected.
Key Duties & Responsibilities:
The
Care Coordinator responsibilities include but are not limited to the
following:
To work with the GPs and other
primary care professionals within the Primary Care Network (PCN) to identify
and manage a caseload of patients who would benefit from support through care
coordination
To work closely and in partnership with the Social Prescribing Link Worker and
Health and Well-being Coaches to assist people to access self-management
education courses, peer support, health coaching and other interventions that
support them in their health and wellbeing, and increase their levels of
knowledge, skills and confidence in managing their health.
Work with patients, their
families and carers to improve their understanding of the patients condition
and support them to develop and review personalized care and support plans to
manage their needs and to achieve better healthcare outcomes.
Identity unpaid carers and help
them access services to support them and place them on the carers register
To support patients to utilise
decision aids, help create single personalised care and support plans, in line
with best practice.
To support the PCN in the delivery of the DES specifications, such as
tackling health inequalities through targeted work with specific groups
identified through population health management
To help people to manage their
needs through answering queries, making, and managing appointments and
ensuring that people have good quality written or verbal information to help
them make choices about their care
To provide coordination and
navigation with the aid of digital tools for people and their carers across
health and care services
To support the coordination and
delivery of MDTs within the PCN
Collaborative
working relationships
Works within the primary care team, contributing
to leadership of service evaluation and research to promote quality improvement
activity.
Collaborates with multi-disciplinary PCN
team
Uses healthcare technologies to optimise
service delivery, patients access, and continuity of care
Management
Demonstrates understanding of the
implications of national priorities for the team and/or service.
Uses resources effectively to manage
patient treatment in line with local guidance and makes recommendations for
change where improvements can be made.
Follows professional and organisational
policies
Education, learning
and development
It is the responsibility of the employee to
comply with all organisational and statutory requirements (eg. health and
safety, infection control, equality and diversity, confidentiality,
safeguarding adults and children, information governance).
Engages in annual appraisal, developing
objectives to inform a Personal Development Plan, which may include 360-degree
appraisal and use of patient feedback.
Participate in teaching and training of
medical, nursing, and all other practice staff.
Supports the practice staff and responds to
requests for advice and assistance.
Complete all mandatory and statutory
training required by the role.
Takes responsibility for personal
development, learning and performance and maintain education through attendance
on any courses and/or study days necessary to ensure that professional
development requirements are met.
Undertakes additional training where
necessary to provide enhanced services and participate in training programmes
implemented by the PCN/practices as part of this employment.
Understands and demonstrates the
characteristics of a role model to members in the team and/or service.
Demonstrates an understanding of current
educational policies relevant to working areas of practice and keeps up to date
with relevant clinical practice.
Quality
Under supervision
and support of GPs in the practice, the post-holder will strive to maintain
quality within the practices, and will:
Participate in clinical governance activity
and contribute to the improvement in quality of health outcomes through audit,
risk management and Quality Improvement
Alerts other team members to concerns about
risk, quality, and safety
Participates in investigation of incidents
and events as required
Identifies, applies, and disseminates
research findings relating to own practice
Collects data for audit purposes and uses
clinical audit to monitor quality in the service
Contributes to the effectiveness of the
team by reflecting on own and team activities and making suggestions on ways to
improve and enhance the teams performance
Works effectively with individuals in other
agencies to meet patients needs
Effectively manages own time, workload, and
resources
Meets timescales/deadlines for audits and
written returns to ensure that the Practice meets quality standards and
receives the designated funding.
Confidentiality
In the performance of
the duties outlined in this Job Description, the post-holder will have access
to confidential information relating to patients and their carers, practice
staff and other healthcare workers. They may also have access to information relating
to the Company as a business organisation. All information is to be regarded as
strictly confidential.
Maintains confidentiality of any
information concerning patients in accordance with current policy on
information governance.
Demonstrates respect for privacy and
confidentiality in all interactions with patients and the public.
Data Protection
This post has a requirement for
confidentiality. If you are required to obtain, process and/or use information
held electronically you should do 'it in a fair and lawful way. You should
hold data only for the specific registered purpose and not use or disclose it
in any way incompatible with such a purpose. Data must only be disclosed to
authorised persons or organisations as instructed. Breaches of confidence in
relation to data will result in disciplinary action which may involve
dismissal.
You must not at any time use the personal
data held by the organisation for any purpose other than practice business and
this must not be disclosed to a third party. If you are in any doubt regarding
your responsibilities under the Data Protection Act 2018 you must contact your
line manager or appropriate senior lead at the time.
Safeguarding adults
and children
The postholder has a duty to safeguard and
promote the welfare of vulnerable adults and children.
When adults or children and/or their carers
use primary care services, it is essential that all adult and child protection
concerns are both recognised and acted on appropriately.
The postholder has a responsibility to
ensure they are familiar with and follow local policies in relation to
safeguarding vulnerable adults and that they follow the local child protection
procedures and any supplementary guidance.
The postholder has a responsibility to
support appropriate investigations either internally or externally.
To ensure the postholder is equipped to
carry out their duties effectively, they must also attend vulnerable adult and
child protection training and updates at the competency level appropriate to
the work they do and in accordance with the local vulnerable adult and child
protection training guidance.
Health & Safety
Assists in promoting
and maintaining their own and others health, safety and security as defined in
the PCN Health & Safety Policy, to include:
Using personal security systems within the
workplace according to practice guidelines
Adhere to the guidance within the Lone
Workers policy, when making home visits
Identifying the risks involved in work
activities and undertaking such activities in a way that manages those risks
Making effective use of training to update
knowledge and skills
Using appropriate infection control
procedures, maintaining work areas in a tidy and safe way and free from hazards
Reporting potential risks identified
Complies with policies for infection
control and hand hygiene to reduce the spread of healthcare-associated
infections. For clinical staff with direct patient contact, this will include
compliance with clinical procedures and protocols, including uniform and dress
code, the use of personal protective equipment policy, safe procedures for
using aseptic techniques, and safe disposal of sharps
All staff are required to attend mandatory
training in Infection Control and be compliant with all measures known to be
effective in reducing healthcare-associated infections
Equality and
Diversity
Supports the equality,
diversity, and rights of patients, carers and colleagues that includes:
Acting in a way that recognises the
importance of peoples rights, interpreting them in a way that is consistent
with practice procedures and policies, and current legislation
Respects the privacy, dignity, needs and
beliefs of patients, carers and colleagues
Flexibility
This job description is not intended to be
exhaustive. The post-holder will be expected to adopt a flexible attitude
towards the duties outlined which may be subject to amendment at any time in
consultation with the post-holder and in line with the needs of the
organisation
The post holder may be required to fulfil
other duties, as agreed with the practice manager /line manager to meet the
needs of the organisation. This will involve travel to other sites within the
organisation
Security
It is the
responsibility of all employees to work within the security policies and
procedures of the practices they work at to protect the patients, staff, and
visitors. This duty applies to the specific work area of the individual and the
practice in general. You are expected to wear ID and to sign in and out of
practices you are working at
