Your Healthcare CIC

Care Home Locality Coordinator

This job is now closed

Job summary

An opportunity has arisen to join the Locality Coordinator team at Your Healthcare as a Care Home MDT Coordinator. We are a dynamic, friendly, and supportive team where all members are encouraged to contribute to the operation and development of multidisciplinary team (MDT) working in the Kingston and Richmond Boroughs

The Locality Coordinator Team coordinates and administrates the monthly and fortnightly GP practice-based MDT meetings at each of the practices across both Kingston and Richmond. This Care Home MDT Coordinator position is vital to the roll out of a proof of concept, delivering MDTs in select practices in Kingston and Richmond.

We are looking for an enthusiastic individual who can demonstrate initiative, professionalism, and a strong team-working ethic. The successful candidate will be able to work independently when required, work effectively with a wide range of health and social care professionals, and contribute to improving MDT working as part of the team.

Main duties of the job

The proof of concept to deliver MDTs in Care Homes has been modelled in line with the Proactive Anticipatory Care (PAC) Programme which ran as a successful proof of concept for two years, followed by a borough-wide roll out in September 2023.

The post will be fundamental in supporting the Care Home MDT meetings to function effectively, implement changes to ways of working and evaluate the success of the model. The post holder will also maintain a wide range of administrative tasks to a high level and keep up with the changing demands of the service.

It is essential that candidates have both experience of and interest in administration and MDT working. You will have excellent written and verbal communication skills and good attention to detail. You will be competent and confident in the use of IT systems/platforms used within Your Healthcare. You will welcome the opportunity to take on new challenges and thrive in a busy and demanding environment. You will have the ability and confidence to problem solve and self-learn and enjoy working independently as well as part of a team.

About us

Welcome to Your Healthcare CIC. We are a not-for-profit social enterprise, proud of delivering patient-led, high-quality health and social care community services for residents in Kingston & Richmond as part of the NHS family.

As a Community Interest Company (CIC), we offer you NHS pay, conditions and training, but in a bureaucracy-free environment where you can achieve things faster and see good ideas become reality, quickly.

We are proud of our exceptional staff survey results, especially our staff engagement and good place to work scores, and our impressive feedback from patients and service users.

We are committed to promoting equality, diversity and inclusion for our staff members, service users, visitors, and carers, and we will encourage you to progress your career through learning and research.

We work closely and successfully with other local providers and commissioners so that a wide range of high-quality, integrated health and social care services are available to our local community.

We are very supportive of, and actively promote and encourage continuing professional development.

The organisation offers:

Access to the NHS Pension Scheme
Career Development
Staff Discounts

Date posted

21 November 2024

Pay scheme

Agenda for change

Band

Band 4

Salary

£31,081 to £33,665 a year inclusive of HCAS

Contract

Fixed term

Duration

1 years

Working pattern

Full-time

Reference number

B9811-24-0170

Job locations

Hollyfield House, 22 Hollyfield Road

Surbiton

KT5 9AL

Job description

Job responsibilities

The post holder/s will support the ongoing implementation of Integrated Neighbourhood Teams & MDT working in Care Homes across the Royal Borough of Kingston & the borough of Richmond. The postholder will be fundamental in supporting Primary Care Networks (PCNs) to function effectively, implement changes to ways of working and evaluate the success of this new way of working.

The postholder will support the administration, implementation, management, and delivery of enhanced MDT working in care homes across Kingston and/or Richmond.

The teams who deliver Care Home MDTs are made up of professionals from many different services, such as GP Practices, Social Care, Secondary Care and community nursing. Enhanced MDT working in Care Homes aim to improve the use of the health and care system by intervening earlier, proactively and more holistically. The post holder will be responsible for liaising with all members of the MDT, in addition to wider specialists, to ensure the meetings run smoothly, and referrals are managed effectively.

The post holder will have a key responsibility to shape the requirements of this role in the future. Whilst the job description and person specification outline key attributes, the post holder will need to be flexible and open to changing and developing the role as required.

Key Result Areas

Supporting the functioning of the care home multidisciplinary team (MDT)

Working in partnership with the PAC locality coordinator/manager to share information and identify care home residents for MDT discussion.

Liaise with Clinical Care Practitioner to identify care home residents for MDT discussion and ensure the right professionals are involved, notified, and prepared.

Produce summary notes of MDT discussions/meetings including agreed actions.

Information gathering through coordinating professional input and outputs from the quarterly risk-stratification tool using the local case-management system to access key information.

Participate in the review of patient outcomes and goals in keeping with the requirements of the role.

Alongside the Clinical Care Practitioner act as a contact point for all Care Home MDTs that you will be supporting.

In conjunction with the PAC team and wider stakeholders, continually work to review and improve processes to ensure MDTs function in the most effective way.

Monitor key actions and highlight review periods set by MDTs.

Support the development of Integrated Neighbourhood Teams (INTs) within Kingston and Richmond. This will involve working closely with PCNs to support their growth as an INT

Working in partnership with the Urgent Care & Support Service in Kingston and Care Home Support Team in Richmond, monitoring hospital admissions for care home residents, supporting the Clinical Care Practitioner to enable proactive working.

Information management, analysis and evaluation

Establish agreed performance and reporting systems and undertake case tracking of individuals discussed to support the proof-of-concept evaluation

Working with the MDT to distribute, process and analyse wellbeing surveys to patients and users to support the proof-of-concept evaluation

Access required to organisational information systems for information gathering and inputting as required to support MDTs.

Communication and working with others

Establish good working relationships across a range of professionals within multi-disciplinary teams including health, social care and voluntary sector staff.

Liaise with the core MDT membership, the HIU team, and LAS, alongside other service providers, to identify patients suitable for referral to MDTs in Care Homes

Provide admin support to the MDT to set up huddles as required.

Engage with PAC Quality Improvement (QI) meetings as appropriate to share good practice.

Present and communicate information in a range of formats to support engagement.

Report any issues or updates to the programme team in a timely manner.

Role development

Work with the wider team and programme manager to develop the role, required responsibilities, functions and requirements going forward.

Work flexibly to meet the needs of the MDTs and highlighting any gaps in provision / service.