One Wight Health Ltd

Learning Disability & Autism Care Co-ordinator

Information:

This job is now closed

Job summary

Contract: 12 Month Fixed term

2 Full Time Posts.

Salary: Up to £26,000 dependent on experience

A full current driving licence and use of a car is essential.

This vacancy may close early as applications will be considered upon submission.Candidates are strongly encouraged to apply early.

The Learning Disability & Autism Care Co-ordinators will work within South (IW) - (The Bay Medical Practice, South Wight Medical Practice, Ventnor Medical Practice) and North & East (IW) - (Tower House, Esplanade, Argyll House, East Cowes, St Helens, Medina) Primary Care Network (PCN) to support people with a learning disability and autism to achieve better health outcomes and experience of services. They will act as a central contact point for patients and carers to ensure that services are co-ordinated and reflect what is important to the person.

The successful candidate will be based within practices in the PCN. The role is intended to become an integral part of the PCNs multidisciplinary team to further embed a personalised care approach to the care of people with a learning disability and/or autism.

This is a new role and the post holders will be instrumental to its future development.

Please note that the PCN Learning Disability & Autism Care Co-ordinator role is not a clinical role but will require to undertake relevant training such as safeguarding, confidentiality and data protection etc

Main duties of the job

It is well known that people with a Learning Disability (LD) and Autism (A) have poorer outcomes and die younger than people who do not, reducing these inequalities is a key priority for the NHS.

Learning Disability Annual Health Checks that are facilitated in Primary Care are an important mechanism for ensuring that the needs of people with learning disabilities are regularly reviewed, and that they are offered the support they need to access health and care services. The PCN Learning Disability & Autism Care Co-ordinator will support people to prepare for their Annual Health Check, co-ordinating any communications and reasonable adjustments required. The PCN Learning Disability & Autism Care Co-ordinator will support patient and carers so that any actions that result from the Annual Health Check are put into place, acting as link between patients, Primary Care and wider health and care services.

Further information about the annual health check can be found here :Learning disabilities - Annual health checks - NHS (www.nhs.uk)

About us

We support our member GP practices to help them deliver the best possible care to patients on the Island. We host a team of Social Prescribers, Health and Wellbeing Coaches and Care Co-ordinators under a Primary Care Contract that support our Island practices.

We aim to do that by providing centralised services that enable GPs to enhance their offer of support to patients.

We also provide direct support to GPs and practice staff to enable them to develop, lead and manage their practices more effectively and efficiently on aday-day basis. For example, providing training and education, mentoring, recruitment support, resources, access to specialist roles and sharing best practice.

We also help bid for and secure additional funding from NHS England, where it becomes available, to help support new initiatives that help practices to meet their patients care needs and we work to support general practice/primary care, to make sure it has a voice within the wider healthcare system as it develops plans for the future care for our population.

Details

Date posted

11 February 2025

Pay scheme

Other

Salary

Depending on experience

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

E0049-LDACC-0325

Job locations

5A Hight Street

Ryde

Isle of Wight

PO33 2PN


Job description

Job responsibilities

Description of role/ core responsibilities

The post holder will:

Work closely with GPs and other Primary Care professionals within the PCN to identify and manage a caseload of patients with a learning disability and / or Autism.

Work with people and their carers and primary care staff to organise and prepare for Annual Health Checks, enabling them to be actively involved in managing their care and supported to make choices that are right for them.

Help to connect patients and their carers with relevant services, ensuring that reasonable adjustments are made that facilitate improved access to services, and promote optimum outcomes for the person.

Focus delivery of this comprehensive model to reflect local priorities, promote inclusion and reduce health inequalities.

Identify and report on key themes and issues to inform the strategic approach to service development.

Develop engagement pathways for patients on the LD register.

Review forward plan for LD A HC.

Co-ordinate LD A HC elements with appropriate clinicians.

Review DNA and understanding any themes and delivering quality improvement projects.

Develop and maintain key relationships with organisations and people with lived experience.

Complete and follow up Health Action Plan.

Create a database of resources for clinicians to use.

Develop and deliver health promotion work for people with a learning disability and autistic people.

Develop and co-ordinate specific tests and cancer screening services for LD & A people to improve access and uptake.

Support practices in primary care networks to become LD friendly practices.

Service Delivery

Provide support for patients with suspected Autism to access the service, to facilitate the referral for ASD assessment and provide support and signposting during the lengthy wait for assessment.

Proactively identify and work with a cohort of people to support their personalised care requirements, using the available decision support aids.

Support the Practice to establish preferred means of communication to comply with The Accessible Information Standard 2016 and ask about Reasonable Adjustments to meet The Equality Act 2010, to ensure that these are documented/coded and flagged correctly.

Establish who is the persons main support and support the practice to ensure this is documented and coded correctly.

Identify barriers to accessing health care services, and plan actions and initiatives to overcome and assist easier access to services.

Work with people, their families, and carers to improve their understanding of the Learning Disability Annual Health Check (LDAHC).

Work with Practices, people and their families and carers or other support services to prepare for the LDAHC.

Review attendance to AHC appointments and follow up those which have not attended or not been supported to attend and support to reschedule as appropriate.

Bring together a persons identified care and support needs and support them to explore their options with the clinicians to produce a single personalised care and support plan: The Health Action Plan (HAP).

Help patients and their carers prepare for conversations they have with Primary Care professionals, ensuring that their changing needs are addressed.

Follow up on AHC appointment to ensure patients and carers have the support to ensure quality health outcomes.

Support the interface between primary care services, specialist community services and acute services, thereby ensuring that people with a learning disability can enjoy good health and receive appropriate treatment when necessary.

Develop plans to meet the additional health needs of people with a learning disability who come from ethnic communities that experience health inequalities.

Promote and encourage the use of client held information (communication/ hospital passports), for when patients access healthcare services. Support development of communication/hospital when needed.

Help people to manage their needs, answering their queries and supporting them to make appointments.

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, accessible information to help them make choices about their care.

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, health and wellbeing coaches and other primary care roles.

Support the coordination and delivery of best interest decision making meetings & Multi-disciplinary team meetings within PCNs.

Promote and enable access to screening and immunisation programmes.

Identify unpaid carers and help them access services to support them. If the carer is a patient at a practice within the PCN, ensure they are correctly coded.

Identify when action or additional support is needed, alerting timely a named clinical contact in addition to relevant professionals, and highlighting any safety concerns.

Identify and raise any issues or concerns relating to care provision.

Work independently on a day to day basis, making decisions within scope of role and actively seek supervision where required.

Clinical (dependant on experience and Training)

Undertake part one of the LD annual health check

Phlebotomy

Record height, weight, blood pressure, pulse and basic observations

Urinalysis

Job description

Job responsibilities

Description of role/ core responsibilities

The post holder will:

Work closely with GPs and other Primary Care professionals within the PCN to identify and manage a caseload of patients with a learning disability and / or Autism.

Work with people and their carers and primary care staff to organise and prepare for Annual Health Checks, enabling them to be actively involved in managing their care and supported to make choices that are right for them.

Help to connect patients and their carers with relevant services, ensuring that reasonable adjustments are made that facilitate improved access to services, and promote optimum outcomes for the person.

Focus delivery of this comprehensive model to reflect local priorities, promote inclusion and reduce health inequalities.

Identify and report on key themes and issues to inform the strategic approach to service development.

Develop engagement pathways for patients on the LD register.

Review forward plan for LD A HC.

Co-ordinate LD A HC elements with appropriate clinicians.

Review DNA and understanding any themes and delivering quality improvement projects.

Develop and maintain key relationships with organisations and people with lived experience.

Complete and follow up Health Action Plan.

Create a database of resources for clinicians to use.

Develop and deliver health promotion work for people with a learning disability and autistic people.

Develop and co-ordinate specific tests and cancer screening services for LD & A people to improve access and uptake.

Support practices in primary care networks to become LD friendly practices.

Service Delivery

Provide support for patients with suspected Autism to access the service, to facilitate the referral for ASD assessment and provide support and signposting during the lengthy wait for assessment.

Proactively identify and work with a cohort of people to support their personalised care requirements, using the available decision support aids.

Support the Practice to establish preferred means of communication to comply with The Accessible Information Standard 2016 and ask about Reasonable Adjustments to meet The Equality Act 2010, to ensure that these are documented/coded and flagged correctly.

Establish who is the persons main support and support the practice to ensure this is documented and coded correctly.

Identify barriers to accessing health care services, and plan actions and initiatives to overcome and assist easier access to services.

Work with people, their families, and carers to improve their understanding of the Learning Disability Annual Health Check (LDAHC).

Work with Practices, people and their families and carers or other support services to prepare for the LDAHC.

Review attendance to AHC appointments and follow up those which have not attended or not been supported to attend and support to reschedule as appropriate.

Bring together a persons identified care and support needs and support them to explore their options with the clinicians to produce a single personalised care and support plan: The Health Action Plan (HAP).

Help patients and their carers prepare for conversations they have with Primary Care professionals, ensuring that their changing needs are addressed.

Follow up on AHC appointment to ensure patients and carers have the support to ensure quality health outcomes.

Support the interface between primary care services, specialist community services and acute services, thereby ensuring that people with a learning disability can enjoy good health and receive appropriate treatment when necessary.

Develop plans to meet the additional health needs of people with a learning disability who come from ethnic communities that experience health inequalities.

Promote and encourage the use of client held information (communication/ hospital passports), for when patients access healthcare services. Support development of communication/hospital when needed.

Help people to manage their needs, answering their queries and supporting them to make appointments.

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, accessible information to help them make choices about their care.

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, health and wellbeing coaches and other primary care roles.

Support the coordination and delivery of best interest decision making meetings & Multi-disciplinary team meetings within PCNs.

Promote and enable access to screening and immunisation programmes.

Identify unpaid carers and help them access services to support them. If the carer is a patient at a practice within the PCN, ensure they are correctly coded.

Identify when action or additional support is needed, alerting timely a named clinical contact in addition to relevant professionals, and highlighting any safety concerns.

Identify and raise any issues or concerns relating to care provision.

Work independently on a day to day basis, making decisions within scope of role and actively seek supervision where required.

Clinical (dependant on experience and Training)

Undertake part one of the LD annual health check

Phlebotomy

Record height, weight, blood pressure, pulse and basic observations

Urinalysis

Person Specification

Skills and Knowledge

Essential

  • Knowledge of national priorities to improve outcomes for people with a learning disability.
  • Knowledge of how the NHS works, including primary care and PCNs.
  • Knowledge of Safeguarding Children and Vulnerable Adults policies and processes.
  • Able to work without day to day supervision.
  • Ability to identify risk and assess / manage risk when working with individuals.
  • Ability to recognise and work within limits of competence and seek advice when needed.
  • Can communicate complex and sensitive information, both verbally and in writing, in an understandable form to a variety of audiences (patients/carers and professionals).
  • Excellent interpersonal, influencing and negotiating skills.
  • Work effectively independently and as a team member.
  • Able to build effective working relationship with people, families and professionals.
  • Ability to produce timely and informative reports.
  • Ability to manage a case load.
  • Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines.
  • Ability to respond to unexpected events.

Qualifications

Essential

  • GCSE grade A-C in maths and English or skills level 2 in maths and English (or equivalent)

Experience

Essential

  • Experience of working with people with a learning disability or additional care needs due to cognitive impairment and their carers.
  • Knowledge of national priorities to improve outcomes for people with a learning disability.
  • Knowledge of how the NHS works, including primary care and PCNs.
  • 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 or training in personalised care and support planning.

Desirable

  • Experience of providing motivational coaching to support peoples behaviour change.
  • Experience of data collection and using tools to measure the impact of services.
Person Specification

Skills and Knowledge

Essential

  • Knowledge of national priorities to improve outcomes for people with a learning disability.
  • Knowledge of how the NHS works, including primary care and PCNs.
  • Knowledge of Safeguarding Children and Vulnerable Adults policies and processes.
  • Able to work without day to day supervision.
  • Ability to identify risk and assess / manage risk when working with individuals.
  • Ability to recognise and work within limits of competence and seek advice when needed.
  • Can communicate complex and sensitive information, both verbally and in writing, in an understandable form to a variety of audiences (patients/carers and professionals).
  • Excellent interpersonal, influencing and negotiating skills.
  • Work effectively independently and as a team member.
  • Able to build effective working relationship with people, families and professionals.
  • Ability to produce timely and informative reports.
  • Ability to manage a case load.
  • Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines.
  • Ability to respond to unexpected events.

Qualifications

Essential

  • GCSE grade A-C in maths and English or skills level 2 in maths and English (or equivalent)

Experience

Essential

  • Experience of working with people with a learning disability or additional care needs due to cognitive impairment and their carers.
  • Knowledge of national priorities to improve outcomes for people with a learning disability.
  • Knowledge of how the NHS works, including primary care and PCNs.
  • 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 or training in personalised care and support planning.

Desirable

  • Experience of providing motivational coaching to support peoples behaviour change.
  • Experience of data collection and using tools to measure the impact of services.

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.

Employer details

Employer name

One Wight Health Ltd

Address

5A Hight Street

Ryde

Isle of Wight

PO33 2PN


Employer's website

https://onewighthealth.co.uk/ (Opens in a new tab)

Employer details

Employer name

One Wight Health Ltd

Address

5A Hight Street

Ryde

Isle of Wight

PO33 2PN


Employer's website

https://onewighthealth.co.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Link Worker Lead

contact@onewighthealth.co.uk

01983632532

Details

Date posted

11 February 2025

Pay scheme

Other

Salary

Depending on experience

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

E0049-LDACC-0325

Job locations

5A Hight Street

Ryde

Isle of Wight

PO33 2PN


Supporting documents

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