Job summary
North Derbyshire PCN is looking for an enthusiastic Care Coordinator to support work on a project for patients who are high users of health and care services, those who are on Safeguarding lists and under Palliative care.
- Part-time (30 hours per week), fixed-term 9 months
This is an exciting role working within an established team of Care Coordinators who are proactively supporting our PCN's patient community.
Main duties of the job
Care co-ordinators play an important role within a PCN to proactively identify and work with people, including the frail/elderly and those with long-term conditions, to provide co-ordination and navigation of care and support across health and care services.
They work closely with Multidisciplinary Practice teams to manage a caseload of patients, acting as a central point of contact to ensure appropriate support is made available to people and their carers; supporting them to understand and manage their condition and ensuring their changing needs are addressed.
About us
Our vision is exceptional care provided by exceptional people. Our mission is to bring our diverse people, communities, and partners together- providing patient-centered care we can all be proud of.
We all play a part in achieving this, by living up to the values we promise to our patients and each other. As members of staff we will always be guided by our Proud to CARE values:
- COMPASSION - treating everyone with kindness - welcoming diversity and inclusion, considering individual needs; and challenging inappropriate behaviours outside of our values
- AMBITION - Aspiring to be the best - reaching high standards, providing exceptional care and services; and achieving measurable improvements in people's health and wellbeing
- RESPECT - Valuing and appreciating everyone - listening, learning and acting on their experiences, being open and honest; and recognising that working with others brings benefits
- ENCOURAGEMENT- Opportunities for all - supporting education and development, helping people to bring their improvement ideas to life and speak-up; and getting everyone involved in our future
We will support you to be the best you can be and offer coaching and mentoring, career development opportunities and support to build up your professional networks.
Job description
Job responsibilities
Key responsibilities
- Work with people, their families and carers, to improve their understanding of their condition.
- Support people to develop and review personalised care and support plans to manage their needs and achieve better healthcare outcomes.
- Help people to manage their needs by providing a contact to answer queries, make and manage appointments, and ensure that people have good quality written or verbal information to help them make choices about their care.
- Assist people to access self-management education courses, peer support, health coaching and other interventions that support them in their health and wellbeing, and increase their levels of knowledge, skills and confidence in managing their health.
- Provide co-ordination and navigation for people and their carers across health and care services. Helping to ensure patients receive a joined-up service and the appropriate support from the right person at the right time.
- Work collaboratively with GPs and other primary care professionals within the PCN to proactively identify and manage a caseload, which may include patients with long-term health conditions, and where appropriate, refer back to other health professionals within the PCN.
- Raise awareness of how to identify patients who may benefit from shared decision making and support PCN staff and people to be more prepared to have shared decision-making conversations.
- Support PCNs in developing communication channels between GPs, people and their families and carers and other agencies.
- Identify carers and help them access services to support them liaising with the practice carers champion
- Conduct follow-ups on communications from out of hospital and in-patient services.
- Maintain records of referrals and interventions to enable monitoring and evaluation of the service.
Job description
Job responsibilities
Key responsibilities
- Work with people, their families and carers, to improve their understanding of their condition.
- Support people to develop and review personalised care and support plans to manage their needs and achieve better healthcare outcomes.
- Help people to manage their needs by providing a contact to answer queries, make and manage appointments, and ensure that people have good quality written or verbal information to help them make choices about their care.
- Assist people to access self-management education courses, peer support, health coaching and other interventions that support them in their health and wellbeing, and increase their levels of knowledge, skills and confidence in managing their health.
- Provide co-ordination and navigation for people and their carers across health and care services. Helping to ensure patients receive a joined-up service and the appropriate support from the right person at the right time.
- Work collaboratively with GPs and other primary care professionals within the PCN to proactively identify and manage a caseload, which may include patients with long-term health conditions, and where appropriate, refer back to other health professionals within the PCN.
- Raise awareness of how to identify patients who may benefit from shared decision making and support PCN staff and people to be more prepared to have shared decision-making conversations.
- Support PCNs in developing communication channels between GPs, people and their families and carers and other agencies.
- Identify carers and help them access services to support them liaising with the practice carers champion
- Conduct follow-ups on communications from out of hospital and in-patient services.
- Maintain records of referrals and interventions to enable monitoring and evaluation of the service.
Person Specification
Skills and Knowledge
Essential
- Proficient in MS Office and web -based services
- Completed a two day PCI accredited care co-ordination training course or be willing to complete one prior to taking referrals
- Understanding of personalised care and the comprehensive model of personalised care
- Knowledge of how the NHS works, including primary care and PCNs
Desirable
- Knowledge of Safeguarding Children and Vulnerable Adults policies and processes
Experience
Essential
- Experience of working in health, social care and other support roles in direct contact with people, families or carers (in a paid or voluntary capacity)
- Experience of working within multi - professional team environments
- Experience of supporting people, their families and carers in a related role
Desirable
- Experience of working directly in a care co-ordinator role, adult health and social care, learning support or public health / health improvement
- Experience of working with elderly or vulnerable people, complying with best practice and relevant legislation
Personal Attributes and qualities
Essential
- Ability to actively listen, empathise with people and provide personalised support in a non-judgemental way.
- Ability to provide a culturally sensitive service supporting people from all backgrounds and communities, respecting lifestyles and diversity
- Ability to communicate effectively, both verbally and in writing, with people, their families, carers, partner agencies and stakeholders
Desirable
- Ability to provide motivational coaching to support people's behaviour change
Skills and knowledge
Essential
- Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities, individuals, their families and carers
- Understanding of, and commitment to, equality, diversity and inclusion
- Understanding of, and commitment to, equality, diversity and inclusion
- Ability to recognise and work within limits of competence and seek advice when needed
- Understanding of the needs of older people / adults with disabilities / long term conditions particularly in relation to promoting their independence
- Basic knowledge of long -term conditions and the complexities involved: medical, physical, emotional and social
Person Specification
Skills and Knowledge
Essential
- Proficient in MS Office and web -based services
- Completed a two day PCI accredited care co-ordination training course or be willing to complete one prior to taking referrals
- Understanding of personalised care and the comprehensive model of personalised care
- Knowledge of how the NHS works, including primary care and PCNs
Desirable
- Knowledge of Safeguarding Children and Vulnerable Adults policies and processes
Experience
Essential
- Experience of working in health, social care and other support roles in direct contact with people, families or carers (in a paid or voluntary capacity)
- Experience of working within multi - professional team environments
- Experience of supporting people, their families and carers in a related role
Desirable
- Experience of working directly in a care co-ordinator role, adult health and social care, learning support or public health / health improvement
- Experience of working with elderly or vulnerable people, complying with best practice and relevant legislation
Personal Attributes and qualities
Essential
- Ability to actively listen, empathise with people and provide personalised support in a non-judgemental way.
- Ability to provide a culturally sensitive service supporting people from all backgrounds and communities, respecting lifestyles and diversity
- Ability to communicate effectively, both verbally and in writing, with people, their families, carers, partner agencies and stakeholders
Desirable
- Ability to provide motivational coaching to support people's behaviour change
Skills and knowledge
Essential
- Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities, individuals, their families and carers
- Understanding of, and commitment to, equality, diversity and inclusion
- Understanding of, and commitment to, equality, diversity and inclusion
- Ability to recognise and work within limits of competence and seek advice when needed
- Understanding of the needs of older people / adults with disabilities / long term conditions particularly in relation to promoting their independence
- Basic knowledge of long -term conditions and the complexities involved: medical, physical, emotional and social
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Additional information
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
