Job summary
The INT team members are based
in the new, contemporary building at the Mildenhall Hub and the Brandon Health
and Leisure Centre just off the main road at Brandon. The Health Centres are
the base for a wide range of other health professionals and agencies including
Adult Social Care, so we are able to work together in a fully integrated way.
The successful applicant will join a dynamic, friendly team of community
nurses, therapists, and social care colleagues.
As a
neighbourhood team co-ordinator, you will provide data, co-ordination, support
to clinicians and administrative support to multi-disciplinary teams of health
and social services, including the administrative management and coordination
of care and multidisciplinary home visits for an enhanced community support
offer; you will work within the Mildenhall and Brandon locality in order to
improve joint working practices leading to more effective patient care.
You will be
required to utilise IT systems across both health and social care to maintain
accurate records, providing timely information to members of the
multi-disciplinary team in order to ease processes and communication in
agreement with data protection protocol.
Experience of
working in the health and social care field is an advantage. You will have the
chance to be fully involved in working with the MDT and integrating with ACS
staff and will need to be committed to ongoing learning and development in the
team.
Main duties of the job
Within this role you will:
Case-find and process referrals
utilising the coordination links you have developed across the system.
Co-ordinate care and multidisciplinary
interventions for people receiving input from the Integrated Neighbourhood Team
enhance offer.
Co-ordinate regular Multidisciplinary
Team (MDT) meetings, ensuring that relevant stakeholder are invited, prepare
agendas, record actions and circulate relevant information to MDT members.
Take referrals from the MDT meetings
and act as a point of contact for health and social care colleagues.
Facilitating the delivery of the right services, are in the right place at the
right time.
Maintain active communication with the
acute hospitals (face to face and virtually) to influence admission avoidance
and support timely discharges.
Act as a central point
of information and a guide to processes for both health and social care
services in the localities to improve working practices.
Arrange, attend and
minute meetings, compiling agendas and undertaking associated administrative
work and follow up action, including ensuring professional staff are aware of
referrals.
Coordination and
technical support to the INTs for the use of telehealth, supporting set up and
removal and troubleshooting telehealth problems. This may require home visits.
Support MDT with
delivery of equipment and medication as prescribed by clinician
To manage and
prioritise own workload without direct supervision.
About us
#BeKnown
at West Suffolk NHS Foundation Trust. By us. By our patients. By our community
We are a busy, friendly, rural NHS Trust providing high-quality care and compassion to
more than a quarter of a million people across west Suffolk. We care for,
treat and support people in hospital, at home and in various community
settings.
The
West Suffolk Hospital in Bury St Edmunds provides acute and secondary care
services (emergency department, maternity and neonatal services, day surgery
unit, eye treatment centre, Macmillan unit and children's ward). It has 500+
beds and is a partner teaching hospital of the University of Cambridge.
Adult
and paediatric community services, provided in collaboration with West Suffolk
Alliance partners, include a range of nursing, therapy, specialist, and ongoing
temporary care and rehabilitation, some at our Newmarket Community Hospital.
We
do our utmost to achieve outstanding clinical outcomes for patients and our
values of fairness, inclusivity, respect, safety and team work guide how we
work and behave as a team.
With
nearly 5,000 staff, from all over the world, we strive to make our organisation
a great place to work. Whatever your role or ambition, we want to help you be
the best you can be.
We
promote a diverse and inclusive community where everyones voice counts and you
can #BeKnown for whoever you are.
Join
us. What will you #BeKnown for?
Job description
Job responsibilities
JOB PURPOSE:
The
post holder will be part of a virtual team of health and social care
staff. As a neighbourhood team
coordinator you will provide data, co-ordination, support to clinicians and
administrative support to multi-disciplinary teams of health and social services;
this is within a defined locality in order to improve joint working practices
leading to more effective patient care.
As part of this role you will take on the administrative management of
coordinating the care and multidisciplinary home visits for an enhanced
community support offer.
The
post holder will help facilitate the integration of health and social care by
maintaining up to date recording systems for organisations and by providing
information to any member of the multi-disciplinary team in order to ease
processes and communication in agreement with data protection protocol. To work with multi-disciplinary databases and
co-ordinate the information generated to inform users and commissioners about
interventions and outcomes of the integrated care service.
KEY TASKS:
You will be required to work shifts between the hours of 8am-8pm,
although the majority of the workload will be within core working hours.
You will also be required to contribute to the coordination of the
multi-disciplinary organisation as well as the delivery of health and social
care plans for people who are newly discharged from hospital, discharged from a
community assessment bed or who need support within their current home to
prevent unnecessary admission. Tasks
will, under delegation, include care coordination, information and data
coordination and effective communication. This involves working with all health
and social care professionals, as well as statutory/non statutory agencies, to
provide a seamless, integrated service to our service users. You will be required to work flexibly between
the acute and community sites as the role dictates; own transport will be
needed for this.
Key Areas
of Responsibility
Integrated
Care Co-ordination
To
process and case find referrals using coordination links within the whole
system
To
coordinate the care and multi-disciplinary involvement of those people being
treated/managed under the Integrated Neighbourhood Team enhanced care.
To
facilitate members of the multidisciplinary team (MDT) to meet on a regular
basis, attend the meetings and ensure that the relevant people are
invited. Circulate relevant information
prior to the MDTs, prepare agendas, ensure notes and any actions are taken and
circulated to the relevant people.
To
take referrals from the MDT meetings within agreed format/process and act as a
point of contact for health and social care professionals.
To
actively communicate (both face to face and remotely) with the acute hospitals
to support admission avoidance and help enable appropriate timely discharges.
To monitor daily hospital and respite/residential admission and to update data
recording systems and clinicians/practitioners where appropriate.
To
be a key administrative facilitator of patient admission to and discharge from
enhanced care using agreed processes.
To
ensure the right services are in the right place at the right time by working
with key MDT members.
To
promote and facilitate integration within the locality by improving
communication links between services.
To
coordinate closely with the acute discharge planning and community assessment
bed teams to support early suFpported discharge.
To
act as a central point of information and a guide to processes for both health
and social care services in the localities to improve working practices.
To
give information to and redirect to other agencies or individuals for those
whose needs might be more suitably met elsewhere.
To
act as a resource and assist other staff with information on available
resources, relevant organisations to be approached.
Arrange,
attend and minute meetings, compiling agendas and undertaking associated
administrative work and follow up action, including ensuring professional staff
are aware of referrals.
To
provide and receive sensitive information about difficult or complex matters,
respecting confidentiality at all times.
To
manage and prioritise own workload without direct supervision.
To
organise administrative work, including maintenance of files and electronic
document management systems.
To
manage own emails
To
be responsible for recording, reporting and producing evaluation reports, which
support enhanced care.
To
be able to order equipment from the localities health and social care budgets
Coordination
and technical support to the INTs for the use of telehealth.
Support
telehealth set up and removal and troubleshoot telehealth problems, this may
require home visits.
Support
MDT with delivery of equipment and medication as prescribed by clinician
Information and Data
Co-ordination
To
receive, breakdown and co-ordinate data and produce spreadsheets for analysis
and costing within set criterias. To
identify pathways and geographical spread of referrals and interventions. To present findings at multi-disciplinary
team meetings.
To
maintain accurate databases and spreadsheets in order to provide up to date
information to any of the multi-disciplinary team about any individual in order
to ease processes and communication.
Collect
and cascade information on unplanned admissions and attendances to acute
hospitals using a set criterion, to the multi-disciplinary team to update them
on status of their patients.
To
understand and work with electronic data systems across organisations, updating
and disseminating information as requested as appropriate. This will inform commissioners and referrers
about services provided and the progress of the people under the care of the
system.
Provide
daily information on unplanned admissions to the multi-disciplinary team.
Input
key information onto SystmOne, Liquid Logic, Emis, ECare, Lorenzo and other
appropriate systems as appropriate e.g. key worker or team and contact details.
Read
only access to transport IT system and Homefirst allocation data.
Send
the daily service capacity to relevant leads across multiple agencies.
Collate
outcomes information from meetings and share as required.
Support
the system to reduce duplication and encourage joined up working.
Data
collection and monitoring to support the INTs use of telehealth
All
activities listed above are to be carried out by staff that are trained and
signed off as competent to complete the required task within the agreed WSFT
governance.
Job description
Job responsibilities
JOB PURPOSE:
The
post holder will be part of a virtual team of health and social care
staff. As a neighbourhood team
coordinator you will provide data, co-ordination, support to clinicians and
administrative support to multi-disciplinary teams of health and social services;
this is within a defined locality in order to improve joint working practices
leading to more effective patient care.
As part of this role you will take on the administrative management of
coordinating the care and multidisciplinary home visits for an enhanced
community support offer.
The
post holder will help facilitate the integration of health and social care by
maintaining up to date recording systems for organisations and by providing
information to any member of the multi-disciplinary team in order to ease
processes and communication in agreement with data protection protocol. To work with multi-disciplinary databases and
co-ordinate the information generated to inform users and commissioners about
interventions and outcomes of the integrated care service.
KEY TASKS:
You will be required to work shifts between the hours of 8am-8pm,
although the majority of the workload will be within core working hours.
You will also be required to contribute to the coordination of the
multi-disciplinary organisation as well as the delivery of health and social
care plans for people who are newly discharged from hospital, discharged from a
community assessment bed or who need support within their current home to
prevent unnecessary admission. Tasks
will, under delegation, include care coordination, information and data
coordination and effective communication. This involves working with all health
and social care professionals, as well as statutory/non statutory agencies, to
provide a seamless, integrated service to our service users. You will be required to work flexibly between
the acute and community sites as the role dictates; own transport will be
needed for this.
Key Areas
of Responsibility
Integrated
Care Co-ordination
To
process and case find referrals using coordination links within the whole
system
To
coordinate the care and multi-disciplinary involvement of those people being
treated/managed under the Integrated Neighbourhood Team enhanced care.
To
facilitate members of the multidisciplinary team (MDT) to meet on a regular
basis, attend the meetings and ensure that the relevant people are
invited. Circulate relevant information
prior to the MDTs, prepare agendas, ensure notes and any actions are taken and
circulated to the relevant people.
To
take referrals from the MDT meetings within agreed format/process and act as a
point of contact for health and social care professionals.
To
actively communicate (both face to face and remotely) with the acute hospitals
to support admission avoidance and help enable appropriate timely discharges.
To monitor daily hospital and respite/residential admission and to update data
recording systems and clinicians/practitioners where appropriate.
To
be a key administrative facilitator of patient admission to and discharge from
enhanced care using agreed processes.
To
ensure the right services are in the right place at the right time by working
with key MDT members.
To
promote and facilitate integration within the locality by improving
communication links between services.
To
coordinate closely with the acute discharge planning and community assessment
bed teams to support early suFpported discharge.
To
act as a central point of information and a guide to processes for both health
and social care services in the localities to improve working practices.
To
give information to and redirect to other agencies or individuals for those
whose needs might be more suitably met elsewhere.
To
act as a resource and assist other staff with information on available
resources, relevant organisations to be approached.
Arrange,
attend and minute meetings, compiling agendas and undertaking associated
administrative work and follow up action, including ensuring professional staff
are aware of referrals.
To
provide and receive sensitive information about difficult or complex matters,
respecting confidentiality at all times.
To
manage and prioritise own workload without direct supervision.
To
organise administrative work, including maintenance of files and electronic
document management systems.
To
manage own emails
To
be responsible for recording, reporting and producing evaluation reports, which
support enhanced care.
To
be able to order equipment from the localities health and social care budgets
Coordination
and technical support to the INTs for the use of telehealth.
Support
telehealth set up and removal and troubleshoot telehealth problems, this may
require home visits.
Support
MDT with delivery of equipment and medication as prescribed by clinician
Information and Data
Co-ordination
To
receive, breakdown and co-ordinate data and produce spreadsheets for analysis
and costing within set criterias. To
identify pathways and geographical spread of referrals and interventions. To present findings at multi-disciplinary
team meetings.
To
maintain accurate databases and spreadsheets in order to provide up to date
information to any of the multi-disciplinary team about any individual in order
to ease processes and communication.
Collect
and cascade information on unplanned admissions and attendances to acute
hospitals using a set criterion, to the multi-disciplinary team to update them
on status of their patients.
To
understand and work with electronic data systems across organisations, updating
and disseminating information as requested as appropriate. This will inform commissioners and referrers
about services provided and the progress of the people under the care of the
system.
Provide
daily information on unplanned admissions to the multi-disciplinary team.
Input
key information onto SystmOne, Liquid Logic, Emis, ECare, Lorenzo and other
appropriate systems as appropriate e.g. key worker or team and contact details.
Read
only access to transport IT system and Homefirst allocation data.
Send
the daily service capacity to relevant leads across multiple agencies.
Collate
outcomes information from meetings and share as required.
Support
the system to reduce duplication and encourage joined up working.
Data
collection and monitoring to support the INTs use of telehealth
All
activities listed above are to be carried out by staff that are trained and
signed off as competent to complete the required task within the agreed WSFT
governance.
Person Specification
Experience
Essential
- Previous relevant experience of working in health or social care environment in a front line setting
- Previous experience of NHS/Social Care/Voluntary organisation
- Awareness of the needs of vulnerable people including older people
- Experience of communicating with others in a positive and respectful manner
- Experience of working in a customer/patient focused environment
- Proven ability to demonstrate a systematic approach to prioritisation of work and cope under pressure to meet deadlines
- Administrative experience related to service users or patients
- Proven experience of working as part of a team.
- Experience with day to day problem solving related to patients and service users
Desirable
- Experience of coordinating care and peoples workload
- Experience using enhanced communication skills
- Enhanced experience with problem solving
Qualifications
Essential
- Level 1 Qualification or equivalent in both Maths and English
- Experience of working within a health or care front line setting
- Care Certificate (or willingness to undertake)
- Foundation degree (or equivalent experience)
Skills & Abilities
Essential
- Excellent verbal and written communication skills
- Good interpersonal skills
- Excellent planning, organisational and communication skills
- Excellent time management skills
- Ability to work to clear protocols/guidelines within role boundaries
- Ability to work with person centred approach
- Confident IT skills
- Basic awareness and understanding of the relevant Health and Social Care legislation
- Comprehensive working knowledge of Microsoft Office, especially Word and Excel
- Customer communication skills
- An ability to work on own initiative and manage own workload
- Be able to communicate clearly and appropriately with members of the public, colleagues and staff in other agencies verbally, on the telephone and in writing
- Able to work flexibly to maintain service requirements
- Ability to maintain confidentiality.
Personal Qualities
Essential
- Commitment to delivering a consistent professional high standard
- Confidence to work and challenge within a multidisciplinary team
- Flexible approach to work, able to cover all shift patterns
- Reliable approach to working duties
- Ability to problem solve
- Ability to prioritise and work under pressure
- Ability to work on own initiative and as a team player
- Commitment to continued personal and professional development
- Smart appearance in line with WSFT Uniform Policy
- Represent and promote the service in a professional manner
- Ability to travel to community locations to carry out job role.
Person Specification
Experience
Essential
- Previous relevant experience of working in health or social care environment in a front line setting
- Previous experience of NHS/Social Care/Voluntary organisation
- Awareness of the needs of vulnerable people including older people
- Experience of communicating with others in a positive and respectful manner
- Experience of working in a customer/patient focused environment
- Proven ability to demonstrate a systematic approach to prioritisation of work and cope under pressure to meet deadlines
- Administrative experience related to service users or patients
- Proven experience of working as part of a team.
- Experience with day to day problem solving related to patients and service users
Desirable
- Experience of coordinating care and peoples workload
- Experience using enhanced communication skills
- Enhanced experience with problem solving
Qualifications
Essential
- Level 1 Qualification or equivalent in both Maths and English
- Experience of working within a health or care front line setting
- Care Certificate (or willingness to undertake)
- Foundation degree (or equivalent experience)
Skills & Abilities
Essential
- Excellent verbal and written communication skills
- Good interpersonal skills
- Excellent planning, organisational and communication skills
- Excellent time management skills
- Ability to work to clear protocols/guidelines within role boundaries
- Ability to work with person centred approach
- Confident IT skills
- Basic awareness and understanding of the relevant Health and Social Care legislation
- Comprehensive working knowledge of Microsoft Office, especially Word and Excel
- Customer communication skills
- An ability to work on own initiative and manage own workload
- Be able to communicate clearly and appropriately with members of the public, colleagues and staff in other agencies verbally, on the telephone and in writing
- Able to work flexibly to maintain service requirements
- Ability to maintain confidentiality.
Personal Qualities
Essential
- Commitment to delivering a consistent professional high standard
- Confidence to work and challenge within a multidisciplinary team
- Flexible approach to work, able to cover all shift patterns
- Reliable approach to working duties
- Ability to problem solve
- Ability to prioritise and work under pressure
- Ability to work on own initiative and as a team player
- Commitment to continued personal and professional development
- Smart appearance in line with WSFT Uniform Policy
- Represent and promote the service in a professional manner
- Ability to travel to community locations to carry out job role.
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.
