Job summary
The role holder will provide a practical front-line support service, using assessments to identify and
develop care and support plan(s) to meet the assessed needs of people accessing the locality hub, in
partnership with professional staff in other agencies and service providers. They will help people with
information, advice and guidance; and work as necessary with the multi-disciplinary team and community
to ensure provision of support for people accessing the locality hub.
This may include working with people with a frailty; people with physical impairments; people with mental,
sensory, cognitive impairments; people with a learning disability; and supporting End of Life care. They
will work within the multi-disciplinary team under the supervision and guidance of the senior hub
leadership.
Main duties of the job
The post holder will be responsible for the coordination of care and support to patients supporting
them from the point of referral. The Hub Coordinator ensures that patients who are supported through
the service are supported in the right place, by the right person, at the right time.
The post holder will facilitate the delivery of high levels of patient care and will ensure that patients and
clinicians have a good experience by being an accessible, customer focused and knowledgeable point
of contact.
They will develop and maintain an understanding of the work being done outside of the hub (including
voluntary organisations and community resources), to have a good working knowledge and relationship with
those services. These interrelationships are crucial to the success of finding creative solutions and services, to
ensure independence, choice and control. The role holders will work as part of a multi-disciplinary team in a
person-centered way, proactively seeking to empower people and maximizing their potential for
independence.
The role holder will be required to work flexibly, supported with a mobile, I.T. equipment and hot desk facilities.
About us
CSH Surrey are part of the NHS and are Surreys largest and longest
established NHS community services provider, so our 1500+ employees get
NHS pay and pensions, and also receive the Fringe High-Cost Allowance of
5%.
Our staff enjoy excellent training and development opportunities, including the
care certificate, apprenticeships, numeracy and literacy courses, access to
the Nursing Associate programme, and a wide variety of management and
leadership courses and programmes.
We CARE about our staff though through our values of Compassion,
Accountability, Respect and Excellence. Our active employee council called
The Voice, elect employee representatives to ensure colleagues' voices are
heard at Board level.
CSH is a diverse organisation, if you are a passionate, person-focused
individual then apply to join CSH Surrey today!
We welcome candidates from
all backgrounds who meet the essential criteria of the job you are applying for
and if you require any reasonable adjustments, please contact the named
individual for this advert, or our recruitment team.
Job description
Job responsibilities
To work as part of the Community Hub ensuring that people who are supported through the service
are guided through their required pathway efficiently. Referrals could include making arrangements
for home visits, assessments, referral for diagnostic procedures or admission for a limited time or
referral onto other disciplines such as health or social care or voluntary services.
Following initial triage, the role holder will be the point of contact with the service, gathering initial
information, providing guidance, initiating and carrying out assessments, as well as signposting them
to other services. This range of providers will include District and Borough Councils, Family, Friends
and Community Support, and other agencies including but not limited to NHS Continuing Healthcare,
Carers support groups, and Charities.
Create, monitor, manage and coordinate multi-disciplinary care, support plans for people which are
Care Act compliant and meet their needs in line with partner organisations.
Engage effectively with people and their families to facilitate contingency planning to anticipate
complexity and changing circumstances. Ensure proportionate reviews are completed so that people
have the opportunity to reflect on what is working, and what needs to be changed, and can do so in a
person-centred, outcome-focused way.
Ensure that independent advocacy services are utilised when required to enable engagement in the
assessment process.
Attend meetings as part of the Community Hub Team across North West Surrey as required.
To coordinate and book appointments, including transport, as required.
To attend multi-disciplinary team meetings both inside and outside of the Hub, including GP practices
and other organisations where appropriate.
Job description
Job responsibilities
To work as part of the Community Hub ensuring that people who are supported through the service
are guided through their required pathway efficiently. Referrals could include making arrangements
for home visits, assessments, referral for diagnostic procedures or admission for a limited time or
referral onto other disciplines such as health or social care or voluntary services.
Following initial triage, the role holder will be the point of contact with the service, gathering initial
information, providing guidance, initiating and carrying out assessments, as well as signposting them
to other services. This range of providers will include District and Borough Councils, Family, Friends
and Community Support, and other agencies including but not limited to NHS Continuing Healthcare,
Carers support groups, and Charities.
Create, monitor, manage and coordinate multi-disciplinary care, support plans for people which are
Care Act compliant and meet their needs in line with partner organisations.
Engage effectively with people and their families to facilitate contingency planning to anticipate
complexity and changing circumstances. Ensure proportionate reviews are completed so that people
have the opportunity to reflect on what is working, and what needs to be changed, and can do so in a
person-centred, outcome-focused way.
Ensure that independent advocacy services are utilised when required to enable engagement in the
assessment process.
Attend meetings as part of the Community Hub Team across North West Surrey as required.
To coordinate and book appointments, including transport, as required.
To attend multi-disciplinary team meetings both inside and outside of the Hub, including GP practices
and other organisations where appropriate.
Person Specification
Qualifications
Essential
- Administration, IT or Health/
- or Social Care or equivalent level of qualification
- or significant equivalent previous proven
- experience.
- Assist in the safe lifting, transferring, repositioning and movement of clients
- Additional relevant training to diploma level or
- equivalent through short courses or experience
- Intermediate knowledge of IT systems,
- databases and software programs such as
- Outlook, Word, Excel, and Power-point.
- Able to work on own initiative, organising and
- prioritising own and others workloads to
- changing and often tight deadlines.
- Observe, monitor and record patients physical and emotional well-being, and promptly report any changes to senior staff.
Desirable
- NVQ Level 2/3
- Environmental Assessment skills
- Assist in the safe lifting, transferring, repositioning and movement of clients
Experience
Essential
- Experience working with different members of MDT
- Understanding of Confidentiality and Data
- Protection Act.
- Knowledge of health and social care or the
- voluntary sector.
Desirable
- Experience working in the community with the primary care team.
Person Specification
Qualifications
Essential
- Administration, IT or Health/
- or Social Care or equivalent level of qualification
- or significant equivalent previous proven
- experience.
- Assist in the safe lifting, transferring, repositioning and movement of clients
- Additional relevant training to diploma level or
- equivalent through short courses or experience
- Intermediate knowledge of IT systems,
- databases and software programs such as
- Outlook, Word, Excel, and Power-point.
- Able to work on own initiative, organising and
- prioritising own and others workloads to
- changing and often tight deadlines.
- Observe, monitor and record patients physical and emotional well-being, and promptly report any changes to senior staff.
Desirable
- NVQ Level 2/3
- Environmental Assessment skills
- Assist in the safe lifting, transferring, repositioning and movement of clients
Experience
Essential
- Experience working with different members of MDT
- Understanding of Confidentiality and Data
- Protection Act.
- Knowledge of health and social care or the
- voluntary sector.
Desirable
- Experience working in the community with the primary care team.
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.
