Job summary
Weymouth and Portland PCN is
looking for a Cancer Care Coordinator to join our existing friendly team of
care coordinators. The successful candidate will be based at a central
location, supporting all 6 surgeries in Weymouth and Portland.
You will need to be caring,
dedicated, reliable and person-focussed and enjoy working with a wide range of
people. You will have good written and verbal communication skills and strong
organisational and time management skills. We are looking for someone who is
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.
If you are interested in developing your skills
in primary care, then we would love to hear from you
Main duties of the job
Care coordinators play an
important role within a PCN to proactively identify and work with people,
including the frail/elderly, early diagnosis of cancer and end of life care
patients. You will provide coordination and navigation of care and support
across health and care services for patients with a diagnosis of cancer. The
individual will also work with the PCN team, supporting the establishment of
processes to improve early detection of cancer.
The post-holder will ensure
cancer patients receive appropriate information, onwards referrals and support
as needed. They will also support the practices within the PCN to improve their
services, including uptake of national cancer screening. They will also support
MDT meetings and manage a caseload of patients identified through these
meetings, working in conjunction with the Cancer Clinical Lead.
This is a
pivotal role and is required to support multidisciplinary teams and coordinate
care for patients with cancer.
Interviews taking place 9th, 10th and 11th December 2024.
About us
Two Harbours Healthcare is a not for profit organisation led by local General Practices in Weymouth and Portland. Our goal is to work more closely together (and with stakeholders) to share expertise, resources and provide services for the NHS.
Job description
Job responsibilities
- Work with individual practice teams and primary care professionals within the PCN to identify and manage a caseload of patients
- Work closely and in partnership with PCN colleagues including Social Prescribing Link Workers, Health Coaches and Clinical Pharmacist(s).
- Signpost team members, patients and carers to relevant services as appropriate
- Make referrals to the multi-disciplinary team as appropriate
- Central co-ordination role around proactive support and care planning for agreed patient cohorts (cancer specifically for this role)
- Support patient independence, promote healthcare and well-being including the use of digital apps to support their care
- Supporting patients and carers to utilise decision aids when appropriate
- Support patients to have shared decision making conversations
- Empower patients, this may include the use of validated PAM tools
- Facilitate smooth and planned discharge and handover between care settings across the health and social care system, including GP, acute, community, and be responsible for facilitating inter-agency communication and support
- Support people to take up training and employment, or to access appropriate benefits where eligible for example, through referral to social prescribing link workers;
- Assist people to access self-management education courses, peer support or interventions that support them to take more control of their health and wellbeing;
- Use healthcare technologies to optimise service delivery, access, and continuity of care for patients and carers
- Use Population Health Intelligence and Risk Stratification tools proactively to identify groups of patients for MDT discussions or to deliver health services
- May attend and present at MDT meetings or local schools
- May support the coordination and delivery of surgery MDT meetings
- May support in the setting up and administration of Group Consultations
- Opportunity to develop and shape this service
- Perform any duty specifically delegated by your line manager as being properly the responsibility of this post.
The tasks and responsibilities in this job description may change in the light of developments within the surgery or practice and are subject to review.
Job description
Job responsibilities
- Work with individual practice teams and primary care professionals within the PCN to identify and manage a caseload of patients
- Work closely and in partnership with PCN colleagues including Social Prescribing Link Workers, Health Coaches and Clinical Pharmacist(s).
- Signpost team members, patients and carers to relevant services as appropriate
- Make referrals to the multi-disciplinary team as appropriate
- Central co-ordination role around proactive support and care planning for agreed patient cohorts (cancer specifically for this role)
- Support patient independence, promote healthcare and well-being including the use of digital apps to support their care
- Supporting patients and carers to utilise decision aids when appropriate
- Support patients to have shared decision making conversations
- Empower patients, this may include the use of validated PAM tools
- Facilitate smooth and planned discharge and handover between care settings across the health and social care system, including GP, acute, community, and be responsible for facilitating inter-agency communication and support
- Support people to take up training and employment, or to access appropriate benefits where eligible for example, through referral to social prescribing link workers;
- Assist people to access self-management education courses, peer support or interventions that support them to take more control of their health and wellbeing;
- Use healthcare technologies to optimise service delivery, access, and continuity of care for patients and carers
- Use Population Health Intelligence and Risk Stratification tools proactively to identify groups of patients for MDT discussions or to deliver health services
- May attend and present at MDT meetings or local schools
- May support the coordination and delivery of surgery MDT meetings
- May support in the setting up and administration of Group Consultations
- Opportunity to develop and shape this service
- Perform any duty specifically delegated by your line manager as being properly the responsibility of this post.
The tasks and responsibilities in this job description may change in the light of developments within the surgery or practice and are subject to review.
Person Specification
Experience
Essential
- Data analysis and interpretation
- Experience of working with patients or the public in a customer care environment
Desirable
- Primary Care experience
- Working in a healthcare setting as part of a team
Qualifications
Essential
- Good general secondary education including Maths and English
Desirable
- Presentation skills
- Change management
Knowledge
Essential
- Good working knowledge of primary care and the challenges facing patient care in the NHS
- A good range of IT knowledge including Word, Excel, email and databases
Desirable
- IT GP clinical system, SystmOne
- Needs of patients with long-term conditions
- Health promotion strategies and Public Health issues in the local area
- Change-management and ability to support patients to change lifestyle
- Negotiation and conflict management skills
- Ability to identify determinants on health in the local area
- Awareness of local and national health policy
- Awareness of issues within the wider health econo
Skills
Essential
- Understanding and adherence to strict confidentiality
- Excellent communication and interpersonal skills, both written and verbal
- Good teamworking skills
- Able to analyse & extract relevant information
- Good organizational skills
- Able to use own judgement, resourcefulness and common sense
- Able to work under pressure
- Able to prioritise workload and meet deadlines
Personal Qualities
Essential
- Self-directed working using initiative
- Innovative approach
- Highly motivated
- Caring, compassionate and confident
- Calm approach, performing under pressure
- Positive attitude
- Pleasant and articulate
Person Specification
Experience
Essential
- Data analysis and interpretation
- Experience of working with patients or the public in a customer care environment
Desirable
- Primary Care experience
- Working in a healthcare setting as part of a team
Qualifications
Essential
- Good general secondary education including Maths and English
Desirable
- Presentation skills
- Change management
Knowledge
Essential
- Good working knowledge of primary care and the challenges facing patient care in the NHS
- A good range of IT knowledge including Word, Excel, email and databases
Desirable
- IT GP clinical system, SystmOne
- Needs of patients with long-term conditions
- Health promotion strategies and Public Health issues in the local area
- Change-management and ability to support patients to change lifestyle
- Negotiation and conflict management skills
- Ability to identify determinants on health in the local area
- Awareness of local and national health policy
- Awareness of issues within the wider health econo
Skills
Essential
- Understanding and adherence to strict confidentiality
- Excellent communication and interpersonal skills, both written and verbal
- Good teamworking skills
- Able to analyse & extract relevant information
- Good organizational skills
- Able to use own judgement, resourcefulness and common sense
- Able to work under pressure
- Able to prioritise workload and meet deadlines
Personal Qualities
Essential
- Self-directed working using initiative
- Innovative approach
- Highly motivated
- Caring, compassionate and confident
- Calm approach, performing under pressure
- Positive attitude
- Pleasant and articulate
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.
