Job summary
Dashwood Primary Care Network
Base:Carrington House, HP13 6SL
Salary:In range from £23,810 to £24,500 WTE dependant on experience
Working hours:37.5 hours per week
NHS Pension
33 days annual leave inclusive of bank holidays
Employee Assistance Programme 24/7 Support
Do you enjoy working with the wider community and feel passionate about the quality of care and services patients receive? Are you currently working in ahealthcare, social care, or support roleand looking to take the next step in developing your skills within GP practices?
An exciting opportunity has arisen for aCare Coordinatorto join a well-established, growing and committed Primary Care Network (PCN) team. This role will support the delivery of enhanced care and services across the PCN patient population, with a particular focus on vulnerable patients and those living in residential and nursing home settings.
Main duties of the job
You will join a thriving multidisciplinary team, working alongside GPs, Care Coordinators, Social Prescribing Link Workers and other primary care professionals to deliver high-quality, patient-centred care.
Role Overview
As a Care Coordinator, you will play a key role within the PCN multidisciplinary team (MDT), supporting patients to navigate health and care services and ensuring their needs are met in a coordinated and personalised way. You will work proactively with a defined caseload of patients, their carers, care homes and external agencies to ensure appropriate support is in place and responsive to changing needs.
Essential Skills and Experience
- Experience working directly in healthcare, social care or support roles.
- Strong verbal and written communication skills, with a compassionate and patient-centred approach.
- Excellent organisational and time-management skills, with the ability to prioritise and multitask.
- Strong administrative skills with a keen eye for detail.
- Proficient in Microsoft Office (Word, Excel, PowerPoint) and digital systems such as Microsoft Teams.
- Ability to analyse, record and report data accurately.
- Understanding of confidentiality, safeguarding and information governance requirements.
This is an excellent opportunity for a motivated and collaborative individual who is passionate about improving patient outcomes and delivering coordinated, holistic care within primary care.
About us
About FedBucks
As a GP Federation and Social Enterprise, we are proud to represent our member practices and to champion primary care by working with local general practice and system partners in the provision of community-based healthcare services. We are dedicated to providing safe and compassionate care to our patients across our range of planned and unplanned healthcare services in Buckinghamshire and believe in continuous commitment to quality service delivery and positive patient outcomes.
Patients are at the heart of everything we do, and we pride ourselves in our purpose when enabling excellent patient care and supporting general practice.
FedBucks is committed to safeguarding and promoting the welfare of children, young people, and vulnerable adults. All staff are expected to share this commitment and to uphold the organisations safeguarding policies and procedures at all times.
The successful applicant will be required to undergo an enhanced background check (e.g., DBS) prior to appointment, and regular safeguarding training will be provided and required
Job description
Job responsibilities
Primary Duties and Areas of Responsibility
utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care.
serve as the contact point, advocate and informational resource for patients, care teams, family /caregivers and community resources, responding with empathy and respect and signposting where appropriate.
ensure regular and consistent communication with care homes regarding patient progress.
support patients to utilise decision aids in preparation for a shared decision-making conversation.
acknowledge patients rights on confidential issues; maintain patient confidentiality at all times.
holistically bring together all of a persons identified care and support needs, and explore options to meet these within a single personalised care and support plan (PCSP), in line with PCSP best practice, based on what matters to the person.
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.
visit patients in community, home or care home setting to assess and discuss their care needs involving carers as appropriate.
support people to take up training and employment, and to access appropriate benefits where eligible.
support people to understand their level of knowledge, skills and confidence (their Activation level) when engaging with their health and wellbeing, including through the use of the Patient Activation Measure.
assist with the identification of high risk patients and keep a register of the teams workload.
assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing and increase their activation level.
undertake visits or arrange appointments at their Practice for patients on the PCNs case load or otherwise as directed by the Duty Doctor following identification of urgent and non-urgent clinical need to assess, diagnose, treat, prescribe and refer appropriately according to the patients health needs and acting within the PCNs clinical skill set.
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, working closely with social prescribing link workers, health and wellbeing coaches, and other primary care professionals.
refer through to the appropriate member of the team, and/or make referrals on behalf of the team.
support the coordination and delivery of multidisciplinary teams (MDTs) within the PCN, to include management of the team diaries and arrangement/planning of team meetings and producing reports as requested.
liaise with members across all practices within the PCN, supporting good communication.
Job description
Job responsibilities
Primary Duties and Areas of Responsibility
utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care.
serve as the contact point, advocate and informational resource for patients, care teams, family /caregivers and community resources, responding with empathy and respect and signposting where appropriate.
ensure regular and consistent communication with care homes regarding patient progress.
support patients to utilise decision aids in preparation for a shared decision-making conversation.
acknowledge patients rights on confidential issues; maintain patient confidentiality at all times.
holistically bring together all of a persons identified care and support needs, and explore options to meet these within a single personalised care and support plan (PCSP), in line with PCSP best practice, based on what matters to the person.
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.
visit patients in community, home or care home setting to assess and discuss their care needs involving carers as appropriate.
support people to take up training and employment, and to access appropriate benefits where eligible.
support people to understand their level of knowledge, skills and confidence (their Activation level) when engaging with their health and wellbeing, including through the use of the Patient Activation Measure.
assist with the identification of high risk patients and keep a register of the teams workload.
assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing and increase their activation level.
undertake visits or arrange appointments at their Practice for patients on the PCNs case load or otherwise as directed by the Duty Doctor following identification of urgent and non-urgent clinical need to assess, diagnose, treat, prescribe and refer appropriately according to the patients health needs and acting within the PCNs clinical skill set.
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, working closely with social prescribing link workers, health and wellbeing coaches, and other primary care professionals.
refer through to the appropriate member of the team, and/or make referrals on behalf of the team.
support the coordination and delivery of multidisciplinary teams (MDTs) within the PCN, to include management of the team diaries and arrangement/planning of team meetings and producing reports as requested.
liaise with members across all practices within the PCN, supporting good communication.
Person Specification
Skills and Knowledge
Essential
- Capacity to be innovative and develop the role of a care coordinator
- Ability to work with a range of clinical and non-clinical personnel as part of a team
- Ability to work independently and effectively with a high degree of motivation
- Ability to prioritise and work to deadlines
- Ability to define, collate, analyse and interpret data
- Able to utilise databases and information technology, including word processing, spreadsheets and presentation packages effectively
- Ability to communicate information to patients and carers in an appropriate manner, using well developed empathy skills
Desirable
- Understanding of NHS long term plan and priorities relevant to primary care
- Local knowledge of community healthcare and social care
- Understanding of the current issues facing primary care team.
Qualifications
Desirable
- Qualification in Health and Social Care Level 2 desirable
Experience
Essential
- Experience of coordinating patient care
- 1 years of experience in primary care or community setting
Desirable
- Case management experience
Person Specification
Skills and Knowledge
Essential
- Capacity to be innovative and develop the role of a care coordinator
- Ability to work with a range of clinical and non-clinical personnel as part of a team
- Ability to work independently and effectively with a high degree of motivation
- Ability to prioritise and work to deadlines
- Ability to define, collate, analyse and interpret data
- Able to utilise databases and information technology, including word processing, spreadsheets and presentation packages effectively
- Ability to communicate information to patients and carers in an appropriate manner, using well developed empathy skills
Desirable
- Understanding of NHS long term plan and priorities relevant to primary care
- Local knowledge of community healthcare and social care
- Understanding of the current issues facing primary care team.
Qualifications
Desirable
- Qualification in Health and Social Care Level 2 desirable
Experience
Essential
- Experience of coordinating patient care
- 1 years of experience in primary care or community setting
Desirable
- Case management experience
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.
