Job summary
Calder & Ryburn PCN consist
of four GP practices and have a combined patient list of over 43000 patients.
We have grown as a collaborative PCN over the past four years and now have over
30 members of staff working across the PCN.
Calder & Ryburn PCN are
looking for a self-motivated individual to join our growing personalised care
team to cover 12 months of maternity leave. The team currently consists of care
coordinators and social prescribing link workers who all work in GP practices
across the PCN.
Main duties of the job
Undertake
work in line with PCN directed priorities.
Proactively identify and work with a cohort of people to support
their personalised care requirements, using the available decision support aids
Ensure
regular and consistent communication with the referrer regarding patient
progress and any complications or guidance
Raise
awareness of health promotion and NHS health checks in practices
Support
national screening programmes
Support
immunisation programmes
Monitor referrals to ensure tasks are completed
and care delivered by keeping in regular telephone contact
Direct liaison with multi agencies to coordinate
care for patients
Refer to PCN social prescribing link workers
were a patient is identified as potentially benefitting from this service
To support patient/carer contact roles, and
collate patient and carer feedback on their experiences
Support Quality and Outcome Frameworks and other
Direct Enhanced Services and/or Local Enhanced Services specifications
About us
Pennine GP Alliance is a membership body of 20 General Practices working together to sustain & support the delivery of primary care to the people of Calderdale.
Out & about in Calderdale we are represented by over 90 additional clinical & non-clinical staff from Clinical Pharmacists to Care Co-ordinators. Working across the District delivering services & support to patients, Primary Care Networks & General Practices.
We pride ourselves on being a supportive employer. We encourage everyone in the team to listen, learn & lead in order to create the best outcomes for our GP members & ultimately the people of Calderdale. In addition we are committed to supporting you in your own professional development.
Working with our General Practice members & Primary Care Networks our team works proactively in creating new solutions & delivery methods to support our GPs in responding to the challenges & needs of delivering resilient & outstanding primary care. Creativity & innovation is always at the heart of our delivery as we respond to the ever-changing health & social care needs of our local people. You will play a key part in making this happen.
Employee benefits: Generous salary package & annual leave (min of 27 days plus 8 bank holidays (up to 33 days if previous NHS employment can be evidenced) Good pension scheme (10% employer contribution) Diverse workforce Flexible working Excellent development opportunities Health & wellbeing support Staff discounts & recognition scheme.
Job description
Job responsibilities
Maintain and develop engagement with all
practice staff and encourage best practice
Act
as the first port of call for patients, in their caseload in relation to their
care.
Bring together all of a persons identified care and support
needs, and explore their options to meet these into a single personalised care
and support plan (PCSP), in line with PCSP best practice
Help people to manage their needs, answering their queries and
supporting them to make appointments
Support people to take up training, employment and access
appropriate benefits where eligible
Raise awareness of shared decision-making and decision support
tools, and assist people to be more prepared to have a shared decision-making conversation
Ensure that people have good quality information to help them make
choices about their care
Support people to understand their level of knowledge, skills and
confidence their Activation level when engaging with their health and wellbeing,
including using the Patient Activation Measure
Assist people to access self-management education courses, peer
support or interventions that support them in their health and wellbeing
Explore and assist people to access personal health budgets where appropriate
Provide coordination and navigation for people and their carers
across health and care services, alongside working closely with social
prescribing link workers and other primary care roles
Support the coordination and delivery of MDTs within PCNs.
Job description
Job responsibilities
Maintain and develop engagement with all
practice staff and encourage best practice
Act
as the first port of call for patients, in their caseload in relation to their
care.
Bring together all of a persons identified care and support
needs, and explore their options to meet these into a single personalised care
and support plan (PCSP), in line with PCSP best practice
Help people to manage their needs, answering their queries and
supporting them to make appointments
Support people to take up training, employment and access
appropriate benefits where eligible
Raise awareness of shared decision-making and decision support
tools, and assist people to be more prepared to have a shared decision-making conversation
Ensure that people have good quality information to help them make
choices about their care
Support people to understand their level of knowledge, skills and
confidence their Activation level when engaging with their health and wellbeing,
including using the Patient Activation Measure
Assist people to access self-management education courses, peer
support or interventions that support them in their health and wellbeing
Explore and assist people to access personal health budgets where appropriate
Provide coordination and navigation for people and their carers
across health and care services, alongside working closely with social
prescribing link workers and other primary care roles
Support the coordination and delivery of MDTs within PCNs.
Person Specification
Other requirements
Essential
- Meets DBS reference standards and has a clear criminal record, in line with the law on spent convictions
- Access to own transport and ability to travel across the locality on a regular basis
- Continued commitment to improve skills and ability in new areas of work
Experience
Essential
- Experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field (including unpaid work)
- Experience of data collection and providing monitoring information to assess the impact of services
- Experience of partnership/collaborative working and of building relationships across a variety of organisations
- Experience of working with or in general practice
- Working in a multi-disciplinary setting where influence and negotiation is required
Desirable
- Experience of supporting people, their families and carers in a related role (including unpaid work)
- Experience in use of databases
- Knowledge/familiarity with medical terminology
- Vulnerable adults awareness
- Experience of care of the elderly
Personal qualities & Attributes
Essential
- Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
- Able to work as part of a team
- Able to support people in a way that inspires trust and confidence, motivating others to reach their potential
- Ability to communicate effectively, both verbally and in writing, with people, their families, carers, partner agencies and stakeholders.
- Ability to identify risk and assess/manage risk when working with individuals
- Excellent negotiating skills
- Ability to maintain effective working relationships and to promote collaborative practice with all colleagues in PGPA, PCN and the wider system
- Demonstrates personal accountability, emotional resilience and works well under pressure
Qualifications
Essential
- ECDL or equivalent
- NVQ Level 2 Business Administration (or relevant experience)
- Demonstrable commitment to professional and personal
- development
Desirable
- Training in motivational coaching and interviewing or equivalent
Skills and Knowledge
Essential
- Knowledge of the personalised care approach
- Advanced experience of using word, excel and PowerPoint including ability to use word processing skills, emails and the internet to create simple plans and reports
- Creative problem solver and willing to search for hard-to-find information
Desirable
- Knowledge of general practice clinical systems, such as, EMIS and SystmOne
- Ability to read large amounts of information and extract the salient points, to analyse data and report on findings
Person Specification
Other requirements
Essential
- Meets DBS reference standards and has a clear criminal record, in line with the law on spent convictions
- Access to own transport and ability to travel across the locality on a regular basis
- Continued commitment to improve skills and ability in new areas of work
Experience
Essential
- Experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field (including unpaid work)
- Experience of data collection and providing monitoring information to assess the impact of services
- Experience of partnership/collaborative working and of building relationships across a variety of organisations
- Experience of working with or in general practice
- Working in a multi-disciplinary setting where influence and negotiation is required
Desirable
- Experience of supporting people, their families and carers in a related role (including unpaid work)
- Experience in use of databases
- Knowledge/familiarity with medical terminology
- Vulnerable adults awareness
- Experience of care of the elderly
Personal qualities & Attributes
Essential
- Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
- Able to work as part of a team
- Able to support people in a way that inspires trust and confidence, motivating others to reach their potential
- Ability to communicate effectively, both verbally and in writing, with people, their families, carers, partner agencies and stakeholders.
- Ability to identify risk and assess/manage risk when working with individuals
- Excellent negotiating skills
- Ability to maintain effective working relationships and to promote collaborative practice with all colleagues in PGPA, PCN and the wider system
- Demonstrates personal accountability, emotional resilience and works well under pressure
Qualifications
Essential
- ECDL or equivalent
- NVQ Level 2 Business Administration (or relevant experience)
- Demonstrable commitment to professional and personal
- development
Desirable
- Training in motivational coaching and interviewing or equivalent
Skills and Knowledge
Essential
- Knowledge of the personalised care approach
- Advanced experience of using word, excel and PowerPoint including ability to use word processing skills, emails and the internet to create simple plans and reports
- Creative problem solver and willing to search for hard-to-find information
Desirable
- Knowledge of general practice clinical systems, such as, EMIS and SystmOne
- Ability to read large amounts of information and extract the salient points, to analyse data and report on findings
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.
