Job summary
An exciting opportunity has arisen for a Care Coordinator for Banbury Cross Health Centre Primary Care Network in Oxfordshire. The role will involve working closely with our multi-disciplinary team to provide personalised, efficient, professional and flexible care ensuring all patients receive the best possible service.
You will be working with a wide variety of patients including those identified with long term conditions, on the learning disability register and elderly and frail patients. You will need to be empathetic and work with them with support from colleagues in the practice and PCN.
The successful candidate will have exemplary communication skills and have an understanding of primary care services & community health services. We are a research active practice and you will be able support the delivery of studies to benefit our patients.
The post holder will be employed by PML and work within Banbury Cross Primary Care Network.
If you are interested in a new and exciting opportunity with this PCN, we would love to hear from you.
We look forward to receiving your application and request you include a cover letter with your CV.
Main duties of the job
You will engage in a range of activities to support patients at the practice including but not limited to: patient recall, booking appointments, running searches, communicating with patients and colleagues (within the practice and externally), co-ordinating patient care, assisting in projects to identify patients who may need support from the practice and PCN.
Please see the job description for further information.
If you wish to discuss this opportunity, please contact Catherine Page Catherine.page5@nhs.net
About us
PML is a successful not-for-profit, GP-led organisation providing various NHS community and primary care clinical services to patients across Oxfordshire and Northamptonshire. We have evolved as a NHS healthcare provider since 2004 and in the last few years have grown significantly, now employing around 300 staff with a turnover of circa £16m. PML holds GMS contracts, as well as being a GP Federation representing circa 50 GP practices covering approximately 650,000 patients.
We welcome applicants from a diverse range of backgrounds and circumstances and people with protected characteristics under the Equality Act 2010
Job description
Job responsibilities
The duties and responsibilities may include any or all of the items in the following list. Duties may be varied from time to time under the direction of the Quality, Research and Data team Manager, dependent on current and evolving practice workload and staffing levels:
- To put systems in place to identify patients who are elderly, frail or who have long term health needs and support, this may include End of Life, Dementia/Parkinsons, Mental Health, Social care, Learning disabilities, housebound, care homes.
- To manage a virtual ward of the highest need patients, ensuring their progress and welfare is regularly checked and update patient records with details.
- Areas of support might include; mental health assessments, care plans (creating and reviewing), carers support, coordinating responsive services.
- To co-ordinate care plans, making sure actions are completed by health care professionals.
- To signpost to the relevant members of the practice team and outside organisations as 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.
- To coordinate, attend and provide administrative support for MDT meetings. To disseminate information from these meetings to other practice staff as necessary.
- To coordinate visits or arrange appointments at the practice for patients on the caseload
- To maintain accurate and up to date records of patient contacts, entering notes onto EMIS.
- To liaise with primary, secondary and specialist care services as required.
- 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. Referring to primary care teams for help with signposting and supporting patients to access services.
- To ensure information regarding unresolved matters is handed over to colleagues.
- To check and respond regularly to tasks, emails and notifications.
- To attend meetings and training sessions as required
- To provide cover for absence to ensure continuity.
- To work mainly on own initiative, but referring more complex issues to colleagues or line manager
- To coordinate research at the practice supporting patient care.
- Any other duties as reasonably required.
Education, Training and Development
- The Personalised Care Institute set out what training is available and expected for Care Coordinators. Also E-learning for Health.
Health and Safety/Risk Management
- The post-holder must comply at all times with PMLs Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System
- The post-holder will comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).
Equality and Diversity
- The post-holder must co-operate with all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc.
Respect for Patient Confidentiality
- This post has a requirement for confidentiality. If you are required to obtain, process and/or use information held electronically you should do 'it in a fair and lawful way. You should hold data only for the specific registered purpose and not use or disclose it in any way incompatible with such a purpose. Data must only be disclosed to authorised persons or organisations as instructed. Breaches of confidence in relation to data will result in disciplinary action which may involve dismissal.
- You must not at any time use the personal data held by the organisation for any purpose other than practice business and this must not be disclosed to a third party. If you are in any doubt regarding your responsibilities under the Data Protection Act 2018 you must contact your line manager or appropriate senior lead at the time.
As a representative of Principal Medical Ltd, you will be expected to:
- Participate in the objective setting process as part of the annual Organisational Development Review/Appraisal process, to understand how own role and objectives are linked to team, directorate and corporate objectives, to review what aspects of your role are being done well, and to identify any areas for development.
- Undertake relevant activities and mandatory training to meet objectives identified in Personal Development Plan.
- Adhere to all PML policies and guidelines, including HR, Information Governance, Risk Management and Health & Safety policies.
- Comply with relevant PML and own professional codes of conduct and accountability.
- Maintain professional registration if this is a requirement of the job.
- Carry out your duties in a way that supports equality and values diversity. This responsibility includes your actions in relation to service users, carers, work colleagues, people in other organisations and members of the public.
In accordance with the Health and Safety at Work Act 1974 and subsequent legislation, the post holder is required to undertake a proactive role in the management of risks in all their actions. This includes:
- Undertaking risk assessments in line with the PML risk assessment process;
- Reporting all incidents, near misses and hazards in line with the Partnerships reporting arrangements/system;
- Undertaking a statutory duty of care for your own personal safety and that of others;
- Attending all statutory and mandatory health and safety training, appropriate to the role; and
- Maintaining the security and confidentiality of information you come across in your role in the organisation in line with PML policies and protocols.
All employees have a responsibility to protect and safeguard vulnerable people (children and adults). They must be aware of child and adult protection procedures and who to contact within the organisation for further advice. All employees are required to attend safeguarding awareness training and to undertake additional training appropriate to their role.
Job description
Job responsibilities
The duties and responsibilities may include any or all of the items in the following list. Duties may be varied from time to time under the direction of the Quality, Research and Data team Manager, dependent on current and evolving practice workload and staffing levels:
- To put systems in place to identify patients who are elderly, frail or who have long term health needs and support, this may include End of Life, Dementia/Parkinsons, Mental Health, Social care, Learning disabilities, housebound, care homes.
- To manage a virtual ward of the highest need patients, ensuring their progress and welfare is regularly checked and update patient records with details.
- Areas of support might include; mental health assessments, care plans (creating and reviewing), carers support, coordinating responsive services.
- To co-ordinate care plans, making sure actions are completed by health care professionals.
- To signpost to the relevant members of the practice team and outside organisations as 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.
- To coordinate, attend and provide administrative support for MDT meetings. To disseminate information from these meetings to other practice staff as necessary.
- To coordinate visits or arrange appointments at the practice for patients on the caseload
- To maintain accurate and up to date records of patient contacts, entering notes onto EMIS.
- To liaise with primary, secondary and specialist care services as required.
- 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. Referring to primary care teams for help with signposting and supporting patients to access services.
- To ensure information regarding unresolved matters is handed over to colleagues.
- To check and respond regularly to tasks, emails and notifications.
- To attend meetings and training sessions as required
- To provide cover for absence to ensure continuity.
- To work mainly on own initiative, but referring more complex issues to colleagues or line manager
- To coordinate research at the practice supporting patient care.
- Any other duties as reasonably required.
Education, Training and Development
- The Personalised Care Institute set out what training is available and expected for Care Coordinators. Also E-learning for Health.
Health and Safety/Risk Management
- The post-holder must comply at all times with PMLs Health and Safety policies, in particular by following agreed safe working procedures and reporting incidents using the organisations Incident Reporting System
- The post-holder will comply with the Data Protection Act (1984) and the Access to Health Records Act (1990).
Equality and Diversity
- The post-holder must co-operate with all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be treated equally irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc.
Respect for Patient Confidentiality
- This post has a requirement for confidentiality. If you are required to obtain, process and/or use information held electronically you should do 'it in a fair and lawful way. You should hold data only for the specific registered purpose and not use or disclose it in any way incompatible with such a purpose. Data must only be disclosed to authorised persons or organisations as instructed. Breaches of confidence in relation to data will result in disciplinary action which may involve dismissal.
- You must not at any time use the personal data held by the organisation for any purpose other than practice business and this must not be disclosed to a third party. If you are in any doubt regarding your responsibilities under the Data Protection Act 2018 you must contact your line manager or appropriate senior lead at the time.
As a representative of Principal Medical Ltd, you will be expected to:
- Participate in the objective setting process as part of the annual Organisational Development Review/Appraisal process, to understand how own role and objectives are linked to team, directorate and corporate objectives, to review what aspects of your role are being done well, and to identify any areas for development.
- Undertake relevant activities and mandatory training to meet objectives identified in Personal Development Plan.
- Adhere to all PML policies and guidelines, including HR, Information Governance, Risk Management and Health & Safety policies.
- Comply with relevant PML and own professional codes of conduct and accountability.
- Maintain professional registration if this is a requirement of the job.
- Carry out your duties in a way that supports equality and values diversity. This responsibility includes your actions in relation to service users, carers, work colleagues, people in other organisations and members of the public.
In accordance with the Health and Safety at Work Act 1974 and subsequent legislation, the post holder is required to undertake a proactive role in the management of risks in all their actions. This includes:
- Undertaking risk assessments in line with the PML risk assessment process;
- Reporting all incidents, near misses and hazards in line with the Partnerships reporting arrangements/system;
- Undertaking a statutory duty of care for your own personal safety and that of others;
- Attending all statutory and mandatory health and safety training, appropriate to the role; and
- Maintaining the security and confidentiality of information you come across in your role in the organisation in line with PML policies and protocols.
All employees have a responsibility to protect and safeguard vulnerable people (children and adults). They must be aware of child and adult protection procedures and who to contact within the organisation for further advice. All employees are required to attend safeguarding awareness training and to undertake additional training appropriate to their role.
Person Specification
Qualifications
Essential
- Educated to GCSE level or equivalent
Experience
Essential
- Experience of working in a multi-disciplinary setting where influence and negotiation is required.
- Experience of coordinating and liaising with multiple teams or individuals to meet specified outcomes.
- Experience providing advice/signposting to patients.
Desirable
- Minimum of 2 years experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field.
- Experience of undertaking quality improvement activity.
- Experience of using technology and digital tools to support health and wellbeing.
- Experience of co-production with patients or service-users.
Skills and Knowledge
Essential
- Excellent influencing and negotiating skills.
- Excellent organisational and administration skills.
- Ability to analyse and interpret information and present results in a clear and concise manner.
- Able to prioritise and manage own workload.
- Able to deal with patients sensitively.
- Knowledge/familiarity with medical terminology.
- Good knowledge of Microsoft Office.
- Able to collate and disseminate voluminous and sometimes complex information.
- Proven record of excellent written and verbal communication skills.
Desirable
- Knowledge of a range of technology and digital tools that can be used support health and wellbeing.
- Sound understanding of disease prevention (primary, secondary and tertiary) and how patients can build prevention into their lifestyle.
- Understanding of current issues facing the NHS.
- Awareness of local services and resources for individuals, carers and families.
- Able to use patient activation tools to measure knowledge, skills and confidence in managing their own health and wellbeing.
Other
Essential
- Proven team player.
- Committed to continuing professional development.
- Positive attitude.
- Excellent interpersonal skills.
Desirable
- Full driving license/access to car
Person Specification
Qualifications
Essential
- Educated to GCSE level or equivalent
Experience
Essential
- Experience of working in a multi-disciplinary setting where influence and negotiation is required.
- Experience of coordinating and liaising with multiple teams or individuals to meet specified outcomes.
- Experience providing advice/signposting to patients.
Desirable
- Minimum of 2 years experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field.
- Experience of undertaking quality improvement activity.
- Experience of using technology and digital tools to support health and wellbeing.
- Experience of co-production with patients or service-users.
Skills and Knowledge
Essential
- Excellent influencing and negotiating skills.
- Excellent organisational and administration skills.
- Ability to analyse and interpret information and present results in a clear and concise manner.
- Able to prioritise and manage own workload.
- Able to deal with patients sensitively.
- Knowledge/familiarity with medical terminology.
- Good knowledge of Microsoft Office.
- Able to collate and disseminate voluminous and sometimes complex information.
- Proven record of excellent written and verbal communication skills.
Desirable
- Knowledge of a range of technology and digital tools that can be used support health and wellbeing.
- Sound understanding of disease prevention (primary, secondary and tertiary) and how patients can build prevention into their lifestyle.
- Understanding of current issues facing the NHS.
- Awareness of local services and resources for individuals, carers and families.
- Able to use patient activation tools to measure knowledge, skills and confidence in managing their own health and wellbeing.
Other
Essential
- Proven team player.
- Committed to continuing professional development.
- Positive attitude.
- Excellent interpersonal skills.
Desirable
- Full driving license/access to car
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.
