Job summary
We are seeking a Care Coordinator to join our growing multi-disciplinary team at Our Health Partnership, working for and across the Alliance of Sutton Practices Primary Care Network (ASP PCN), made up of The Manor Practice - B72 1RL, Ashfield Surgery - B76 1QN & Hawthornes Surgery - B72 1DL.
Main duties of the job
We are looking for individuals who will provide administrative support and coordinate the work of healthcare professionals and non-clinical staff involved in the care of patients registered at GP practices within the wider PCN population.
The Care Coordinator will be part of the Primary Care Network (PCN) Multi-Disciplinary Team (MDT) who together are responsible for managing the care of people registered with practices within the PCN.
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.
Please see attached job description and person specification for full details of the role.
About us
Our
Health Partnership was set up by local GPs who are passionate about providing high
quality primary care and using their time and skills effectively to benefit
patients.
We
are currently a GP partnership of 30 practices with 38 surgeries, serving around 280,000 patients in Birmingham, Wolverhampton, and
Shropshire.
The
partnership offers a shared administrative and management structure, cutting
down the time doctors have to spend on admin. It opens up economies of scale to
get best value from budgets. It has the resources to develop innovative
services and effective partnerships with local hospitals and care services. And
it can access new funding streams that are only available to large GP
organisations.
Job description
Job responsibilities
Primary Duties and Areas of Responsibility
Multi-Disciplinary Teams
- Overall responsibility for arranging the weekly PCN led MDT meetings (including the weekly virtual Care Home(s) MDT) and the smooth running of integrated care within the team setting. The key role of the Care Coordinator will be to schedule the weekly MDT meetings, manage the meeting agenda items; ensuring that all new referrals are identified, and information circulated to team members in advance of the meeting.
- Coordinate and manage the administrative functions of MDT meetings.
- Liaise with all clinical and non-clinical members in the MDT to ensure effective MDT function.
- Take minutes of MDT meetings and disseminate; chase progress against actions identified in these meetings and ensure follow up where necessary.
- Manage reporting required and associated within the DES specifications for required services.
Patient Identification
- Receive and collate information from transfers of care (including hospital admissions and discharges) plus out of hours calls and present this information to the MDT as required.
- Liaise with service providers and clinicians to identify frequent flyers, and new service users utilising risk stratification tools provided and present this information to the weekly MDT meetings.
- Support the completion of new referrals by checking criteria, and where criteria have been met, direct referral to the MDT
- Signpost team members, service users and carers to relevant services
Maintenance of IT based information systems and responsibility for key performance data:
- To ensure the IT requirements for recording activity are adhered to in collaboration with other team members
- Accurate update and maintenance of GP systems within the MDT.
- To provide agreed performance/activity data within the MDT and PCN and wider OHP organisation.
Communication and collaborative working relationships
- Demonstrates ability to work as a member of a team.
- Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary.
- Actively work toward developing and maintaining effective working relationships both within and outside the PCN or group of PCNs.
- Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to Patients GP, Nurses, other practice staff and other healthcare professionals including pharmacists and pharmacy technicians from provider and commissioning organisations.
- Work with service users, PCN practices and partners e.g. Care Homes to ensure new referrals are logged and allocated
- Develop excellent working relationships with the all partners, wider service networks including the voluntary sector, GP practices, adult social care, hospitals, community pharmacists and other members of the MDT
- Acting as a point of contact for residents, families and professionals who visit the care home, such as MDT members and in-reach specialists.
- Meet regularly with the clinical lead and review case load and MDT function.
- Keep the MDT and OHP organisation abreast of good news stories.
- Provide background information about individuals for the weekly MDT meetings
- Communicate effectively with service users and their families/carers, other staff both internal and external and members of the public
- Manage and prioritise workload on a daily basis and deal with the competing demands of the MDT
Other responsibilities
- To act at all times in an anti-discriminatory manner
- To be able to plan and respond to workload according to operational priorities
- To support the delivery of these functions across wider locality areas where necessary
- To undertake any training required in order to maintain competency including mandatory training
- To contribute to, and work within a safe working environment.
- The Care Coordinator must at all times carry out duties and responsibilities with due regard to the GP Practices equal opportunity policies and procedures
- The Care Coordinator is expected to take responsibility for self-development on a continuous basis, undertaking on-the-job training as required
- The Care Coordinator must be aware of individual responsibilities under the Health and Safety at Work Act, and identify and report as necessary any untoward accident, incident or potentially hazardous environment.
Patient Care
- Communicate effectively and sensitively and use language appropriate to a patient and carer/relatives condition and level of understanding
- Effectively use all methods of communication and be aware of and manage barriers to communication
- Effectively recognise and manage challenging behaviours, carers and or relatives
- Provide information to patients, their carers and/or relatives on behalf of the team
Supporting Care Delivery
- Be the point of liaison for service users and interface with all health and social care professionals, including keeping everyone informed and updated
- Follow through actions identified by the MDT including arranging tests, referrals, signposting, etc.
- Follow through with service users and others involved to ensure all services and care arrangements are in place
Autonomy/Scope within Role
- The post holder will be required to work within clearly defined organisational protocols, policies and procedures
Job description
Job responsibilities
Primary Duties and Areas of Responsibility
Multi-Disciplinary Teams
- Overall responsibility for arranging the weekly PCN led MDT meetings (including the weekly virtual Care Home(s) MDT) and the smooth running of integrated care within the team setting. The key role of the Care Coordinator will be to schedule the weekly MDT meetings, manage the meeting agenda items; ensuring that all new referrals are identified, and information circulated to team members in advance of the meeting.
- Coordinate and manage the administrative functions of MDT meetings.
- Liaise with all clinical and non-clinical members in the MDT to ensure effective MDT function.
- Take minutes of MDT meetings and disseminate; chase progress against actions identified in these meetings and ensure follow up where necessary.
- Manage reporting required and associated within the DES specifications for required services.
Patient Identification
- Receive and collate information from transfers of care (including hospital admissions and discharges) plus out of hours calls and present this information to the MDT as required.
- Liaise with service providers and clinicians to identify frequent flyers, and new service users utilising risk stratification tools provided and present this information to the weekly MDT meetings.
- Support the completion of new referrals by checking criteria, and where criteria have been met, direct referral to the MDT
- Signpost team members, service users and carers to relevant services
Maintenance of IT based information systems and responsibility for key performance data:
- To ensure the IT requirements for recording activity are adhered to in collaboration with other team members
- Accurate update and maintenance of GP systems within the MDT.
- To provide agreed performance/activity data within the MDT and PCN and wider OHP organisation.
Communication and collaborative working relationships
- Demonstrates ability to work as a member of a team.
- Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary.
- Actively work toward developing and maintaining effective working relationships both within and outside the PCN or group of PCNs.
- Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to Patients GP, Nurses, other practice staff and other healthcare professionals including pharmacists and pharmacy technicians from provider and commissioning organisations.
- Work with service users, PCN practices and partners e.g. Care Homes to ensure new referrals are logged and allocated
- Develop excellent working relationships with the all partners, wider service networks including the voluntary sector, GP practices, adult social care, hospitals, community pharmacists and other members of the MDT
- Acting as a point of contact for residents, families and professionals who visit the care home, such as MDT members and in-reach specialists.
- Meet regularly with the clinical lead and review case load and MDT function.
- Keep the MDT and OHP organisation abreast of good news stories.
- Provide background information about individuals for the weekly MDT meetings
- Communicate effectively with service users and their families/carers, other staff both internal and external and members of the public
- Manage and prioritise workload on a daily basis and deal with the competing demands of the MDT
Other responsibilities
- To act at all times in an anti-discriminatory manner
- To be able to plan and respond to workload according to operational priorities
- To support the delivery of these functions across wider locality areas where necessary
- To undertake any training required in order to maintain competency including mandatory training
- To contribute to, and work within a safe working environment.
- The Care Coordinator must at all times carry out duties and responsibilities with due regard to the GP Practices equal opportunity policies and procedures
- The Care Coordinator is expected to take responsibility for self-development on a continuous basis, undertaking on-the-job training as required
- The Care Coordinator must be aware of individual responsibilities under the Health and Safety at Work Act, and identify and report as necessary any untoward accident, incident or potentially hazardous environment.
Patient Care
- Communicate effectively and sensitively and use language appropriate to a patient and carer/relatives condition and level of understanding
- Effectively use all methods of communication and be aware of and manage barriers to communication
- Effectively recognise and manage challenging behaviours, carers and or relatives
- Provide information to patients, their carers and/or relatives on behalf of the team
Supporting Care Delivery
- Be the point of liaison for service users and interface with all health and social care professionals, including keeping everyone informed and updated
- Follow through actions identified by the MDT including arranging tests, referrals, signposting, etc.
- Follow through with service users and others involved to ensure all services and care arrangements are in place
Autonomy/Scope within Role
- The post holder will be required to work within clearly defined organisational protocols, policies and procedures
Person Specification
Skills & Attributes
Essential
- Proven record of excellent written and verbal communication skills
- and interpersonal skills
- Able to deal with service users sensitively
- Able to work as part of a team
- Able to prioritise and manage own workload
- Excellent motivational and influencing skills
- Excellent negotiating skills
- Car user (to travel between more than one GP practice)
- Excellent interpersonal skills
Qualifications
Essential
- ECDL or equivalent Diploma/ HNC level (or relevant experience)
- NVQ Level 3 Business Administration (or relevant experience)
- Ongoing internal and external training to keep up to date with changes/ developments
Desirable
- Long term conditions training
- Welfare Rights basic training
Experience
Essential
- Experience in use of databases
- Experience of administrative duties
- Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality
- Working in a busy and demanding environment whilst delivering in a timely manner
Desirable
- Minimum of 2 years experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field
- Knowledge/familiarity with medical terminology
- Vulnerable adults awareness
- Experience of care of the elderly
- Understanding of current issues facing the NHS
- Knowledge of social services structures Training in continuing care criteria
- Understanding of health and social care processes
Person Specification
Skills & Attributes
Essential
- Proven record of excellent written and verbal communication skills
- and interpersonal skills
- Able to deal with service users sensitively
- Able to work as part of a team
- Able to prioritise and manage own workload
- Excellent motivational and influencing skills
- Excellent negotiating skills
- Car user (to travel between more than one GP practice)
- Excellent interpersonal skills
Qualifications
Essential
- ECDL or equivalent Diploma/ HNC level (or relevant experience)
- NVQ Level 3 Business Administration (or relevant experience)
- Ongoing internal and external training to keep up to date with changes/ developments
Desirable
- Long term conditions training
- Welfare Rights basic training
Experience
Essential
- Experience in use of databases
- Experience of administrative duties
- Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality
- Working in a busy and demanding environment whilst delivering in a timely manner
Desirable
- Minimum of 2 years experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field
- Knowledge/familiarity with medical terminology
- Vulnerable adults awareness
- Experience of care of the elderly
- Understanding of current issues facing the NHS
- Knowledge of social services structures Training in continuing care criteria
- Understanding of health and social care processes
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.
