Job summary
You will work with GP practice teams to coordinate the care of patients with frailty, cancer, long term conditions, safeguarding and social issues, patients requiring proactive care, and patients who require support to communicate effectively. You will liaise with the patient, practice team, secondary care teams, social services, the voluntary and community sector, and other members of the Primary Care Network team to help smooth the patients pathway, expedite care where appropriate, and follow up letters and results.
You will support the practice to deliver good quality care for frail patients, patients in palliative care, and patients with long term conditions. You will work with the practice team to prepare for effective GSF and frailty meetings, and ensure that processes such as falls assessments and medication reviews are carried out in a timely manner.
Main duties of the job
Where appropriate, you will help develop a personalised care and support plan for these patients. You will support the practice to ensure that patients are reviewed at an appropriate frequency, and to achieve QOF, IIF, and LIAISE targets.
Communication skills, both written and verbal
Empathy with the patients needs and conditions
Positive attitude to work, colleagues and patients
Non-judgemental attitude to patients
Tact and diplomacy
Desire to help and put people first
Ability to negotiate the best possible services for patients
Advocacy skills
Time management
Team working
Good IT keyboard skills
About us
The postholder will be employed by Durham Dales Health Federation (DDHF) on behalf of Bishop Auckland Primary Care Network. The role will be across the three Practices within Bishop Auckland PCN: Station View Medical Centre, Auckland Medical Group and Bishopgate Medical Practice
DDHF is a federation of 12 GP practices across Durham Dales who came together, looking for a solution to help them provide the care patients needed, share resources and ideas, and be prepared for the challenges the NHS would face in the future.The answer they came up with was a formal collaboration between the dozen practices: the Durham Dales Health Federation.
DDHFs founding principal is to work together to provide high-quality, cost effective primary healthcare services.That means providing a range of services that all GP practices in the area can use to help look after patients.
We employ a range of Clinical staff; Pharmacists, Advanced Clinical Practitioners, GPs, Additional Reimbursement Role Scheme including 3x Social Prescribing Link Workers, care coordinators and Health and wellbeing coach as well as non-clinical, administration support staff.
DDHF are able to offer Regular one-to-one support and appraisals. NHS pension is carried over, car lease scheme which is transferable.Bike Scheme,Salary Sacrifice Scheme.Dress Down Friday, Complimentary refreshments, Free Car Par, Health service discounts, Immunisations offered
Job description
Job responsibilities
Work with practice teams to coordinate care for patients with greater needs, to improve the patient pathway and expedite care as appropriate
Proactively identify patients who require care coordination, using agreed criteria and population health tools as appropriate
Support the delivery of the practice GSF and frailty programmes
Support the achievement of practice quality standards including QOF, IIF, and LIAISE
Work closely and in partnership with the Bishop Auckland Social Prescribing Link Workers, to assist patients to take up training and employment and access benefits
Help patients manage their needs through answering queries, making and managing appointments, and ensuring that people have access to good quality information about their care
Assist people to access personal health budgets where appropriate
Coordinate appointments and encourage uptake of vaccinations in eligible populations
Job description
Job responsibilities
Work with practice teams to coordinate care for patients with greater needs, to improve the patient pathway and expedite care as appropriate
Proactively identify patients who require care coordination, using agreed criteria and population health tools as appropriate
Support the delivery of the practice GSF and frailty programmes
Support the achievement of practice quality standards including QOF, IIF, and LIAISE
Work closely and in partnership with the Bishop Auckland Social Prescribing Link Workers, to assist patients to take up training and employment and access benefits
Help patients manage their needs through answering queries, making and managing appointments, and ensuring that people have access to good quality information about their care
Assist people to access personal health budgets where appropriate
Coordinate appointments and encourage uptake of vaccinations in eligible populations
Person Specification
Qualifications
Essential
- GCSE Grade A-C in Maths & English or skills level 2 Maths & English or equivalent
Desirable
- Qualification in a health or social care allied profession
Experience
Essential
- Experience of providing and receiving complex, sensitive information
Desirable
- Experience working in a primary care setting
Knowledge & Skills
Essential
- Demonstrate an appreciation of the health needs of patients in the Bishop Auckland area
- Communication skills, both written and verbal
- Empathy with the patients needs and conditions
- Positive attitude to work, colleagues and patients
- Non-judgemental attitude to patients
- Tact and diplomacy
- Desire to help and put people first
- Ability to negotiate the best possible services for patients
- Advocacy skills
- Time management
- Team working
- Good IT keyboard skills
Desirable
- Knowledge of community based primary care issues
- Knowledge of primary care networks and collaborative ways of working
- Understanding of safeguarding principles.
- Knowledge of SystmOne information system
Other
Essential
- Full UK driving Licence
- Willingness to travel between GP practices and work from various locations in the Bishop Auckland area
- Highly motivated
- Enthusiastic and confident
Person Specification
Qualifications
Essential
- GCSE Grade A-C in Maths & English or skills level 2 Maths & English or equivalent
Desirable
- Qualification in a health or social care allied profession
Experience
Essential
- Experience of providing and receiving complex, sensitive information
Desirable
- Experience working in a primary care setting
Knowledge & Skills
Essential
- Demonstrate an appreciation of the health needs of patients in the Bishop Auckland area
- Communication skills, both written and verbal
- Empathy with the patients needs and conditions
- Positive attitude to work, colleagues and patients
- Non-judgemental attitude to patients
- Tact and diplomacy
- Desire to help and put people first
- Ability to negotiate the best possible services for patients
- Advocacy skills
- Time management
- Team working
- Good IT keyboard skills
Desirable
- Knowledge of community based primary care issues
- Knowledge of primary care networks and collaborative ways of working
- Understanding of safeguarding principles.
- Knowledge of SystmOne information system
Other
Essential
- Full UK driving Licence
- Willingness to travel between GP practices and work from various locations in the Bishop Auckland area
- Highly motivated
- Enthusiastic and confident
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
Durham Dales Health Federation
Address
Unit 51 Innovation Hse, Longfield Rd
South Church Enterprise Park
Bishop Auckland
Durham
DL14 6XB
Employer's website
https://ddhf.co.uk/ (Opens in a new tab)
