Job responsibilities
- Provide coordination and navigation for people and their carers across health and care services, working closely with social prescribers, other primary care professionals and third party organisations involved in the care of our patient population.
- Utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care.
- Making and managing patient appointments and recall programmes for those with chronic disease.
- Help people to manage their needs through answering queries, making and managing appointments and ensuring that people have good quality written or verbal information to help them make choices about their care.
- Holistically bring together all of a persons identified care and support plan, in line with best practice, based on what matters to the person.
- Raise awareness within the PCN of shared-decision making and decision support tools, including how to identify patients who may benefit from this.
- As part of the multidisciplinary team, build relationships with staff in GP practices within the
PCN, organising and attending relevant meetings, providing information and feedback on care coordination priorities.
- Be proactive in developing strong links with local agencies, and in encouraging equality and inclusions.
- Liaise directly with care homes and other key providers to support MDT care review and compile and circulate relevant information across stakeholder groups.
- Understand and adhere to the requirements of the safeguarding protocols for vulnerable individuals as they pertain to your role.
- Capture key information to enable comprehensive and accurate records of support, inputting these into clinical systems as required and adhering to data protection legislation.
Confidentiality
The post holder may have access to confidential information relating to patients, their carers, practice staff and other healthcare workers. They may also have access to information relating to the Federation as a business organisation. All such information from any source is to be regarded as strictly confidential.
Information relating to patients, carers, colleagues, other healthcare workers or the business of the Federation may only be divulged to authorised persons in accordance with the Federations policies and procedures relating to confidentiality and the protection of personal and sensitive data.
Health and SafetyThe post holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Health & Safety Policy of the employing practice.
Equality and DiversityThe post holder will support the equality, diversity and rights of patients, carers and colleagues to include:
- Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with the practice procedures and policies and current legislation.
Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.
This job description is not an exhaustive list and you may be required to undertake duties commensurate with your level and pay grade.
Person Specification Care Coordinator
Qualifications Essential Desirable
Educated to GCSE level or equivalent
Relevant NVQ Level 3 in Health and Social Care or other Relevant professional experience
Demonstrate commitment to continuous professional development.
Experience Essential Desirable
Experience of working with healthcare professionals and/or previous experience in the NHS or social care
Experience coordinating with multiple stakeholders or individuals to meet specified outcomes
Experience providing advice/signposting with an awareness of how and when this is the right option
Knowledge of safeguarding interventions and an awareness of the Mental Capacity Act
Skilled in the use of person-centred measurement and outcomes delivery
Knowledge of a range of local community groups which support wellbeing
Experience of undertaking quality improvement activity
Sound understanding of disease prevention and the NHS choices website
Skills Essential Desirable
Excellent verbal and written communication skills with the ability to communicate effectively at all levels including with patients, carers, specialist services, GPs and colleagues
Good technical literacy with e.g. Ms Word, Ms Excel
Able to work independently and to manage your own workload
Able to build strong professional relationships
Demonstrable experience of effective planning and organisation skills to deliver targets to deadlines
A high level of health literacy
Able to analyse and interpret information and present results in a clear and concise manner
Experience of using a clinical record keeping system such as SystmOne or EMIS
Personal Attributes Essential Desirable
Ability to reflect on and share best practice with peers
Passionate about combatting disadvantage and inequality in healthcare
Able to work as part of a team
Being a Can do problem solver
Other requirements Essential Desirable
Disclosure Barring Service (DBS) check
Willingness to work flexible hours when required to meet work demands.
