PCN Care Coordinator

Job summary

Wickhambrook Surgery in Suffolk are seeking a permanent care coordinator to join our team to support our Primary Care Network (PCN). This role is offered on a part-time basis for 20 hours a week, working on a Monday, Wednesday and Friday each week, with the requirement to work until 6.30pm one day per week. Although supporting our PCN, this role will be based at the above surgery.

The ideal candidate will have excellent customer service skills, be happy to work in a busy working environment whilst maintaining accuracy in all areas of the role.

Main duties of the job

• Assist with personal care plans for individual patients, ensuring preventative actions are detailed to support the appropriate use of services.
• Collate patients identified care and support needs and review the options to meet these needs and bring them into a single personalised care and support plan in line with best practice.
• Provide coordination and navigation of patients, and where appropriate their carers across health and social care services, where appropriate working hand in hand with social prescribing link workers (SPLW), health and wellbeing coaches, and other primary care professionals.
• 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.
• Document data on the computer system using clinical coding to ensure accurate retrieval of information for monitoring and audit purpose.
• Apply infection control measures in accordance with local and national guidelines.
• Assist the clinical team in following up patients who have home treatment care, ensuring that any issues are recorded and followed up with the clinical team.
• Maintain the at risk drug database ensuring that patients are sent blood monitoring paper work in a timely manner, escalating any concerns to patient GPs.
• Process home blood pressure waiting list, to ensure that patients are contacted in priority order and equipment has is maintained and cleaned.

About us

West Suffolk Rural Primary Care Network (PCN) consists of 3 GP Surgeries, Wickhambrook, Glemsford and Guildhall Clare surgeries covering around 15,800 patients. PCN's are a national Initiative from the NHS. The PCN offers a new way of organising care, bringing together all local health and care services in our local area to deliver more joined up care to local populations.

Wickhambrook Surgery is a happy and thriving rural 3 partner GMS GP Practice. We are a dispensing GP Practice with a clear focus on delivering the highest quality patient care to our 5300 patients. As part of the Suffolk Rural PCN, Wickhambrook surgery sits centrally in the countryside between Haverhill, Newmarket, Bury St Edmunds, Sudbury and Clare. We are served by a good road structure; however, bus links are infrequent so own transport is essential. The advertised role is based at Wickhambrook surgery.

Our friendly team consists of 3 GP partners, 1 salaried GP, GP registrars, nurses and HCAs, who are all well supported by very efficient reception, admin and dispensing teams.

We welcome pre-application enquiries and can offer an informal look around our practice by appointment.