Job summary
The post holder will have a key role in supporting our TLCP PCN to proactively identify and work with people, including the frail/elderly and those with long-term conditions, to provide coordination and navigation of care and support across health and care services.
The care coordinator (CC) may be required to deal with patients and, if appropriate, their carers, before or after the patients consultation with a clinician or other healthcare professional.
The CCs role requires them to be able to work closely with the patient and their clinician or other healthcare professional and understand the roles of, a variety of different people working in the practice and across the PCN.
The CC will be involved in co-coordinating patients healthcare and directing them to the appropriate service to ensure that they get the most suitable care from whatever health or social care provider is appropriate.
You may be given a caseload of identified patients and be required to ensure that their changing or present needs are addressed by taking into account local priorities, health inequalities and/or population health management risk stratification.
Main duties of the job
The following are the core responsibilities of the care coordinator. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:
- Support Quality and Outcome Frameworks, PCN and other LES and DES specifications
- Maintain and develop engagement with appropriate TLCP colleagues and encourage best practice
- Act as the first port of call for patients, in their caseload in relation to their care.
- Support and Manage clinical call and recall
- Bring together all of a persons identified care and support needs, and explore their options to meet these into a single personalised care and support plan (PCSP)
- Working across TLCP to manage the needs of patients in Care Homes, supported accommodation or trying to remain living at home
- Performance targets - Ensure all patients receive enhanced care in a timely fashion and any other aspect of managing the patient facing service.
- Support with the performance/KPIs dashboards.
- Undertake audits for dashboards/KPIs
- Support with any admin related task to the central team
- To work as part of a multi-disciplinary team in a patient facing role to assess and respond to patients and colleagues using their expert knowledge.
- To be responsible for arranging assessment of new patients with subsequent production and completion of individual care plans by appropriate clinicians
- Support the coordination and delivery of MDTs for their patient cohort
About us
THE LEWISHAM CARE PARTNERSHIP (TLCP)
We are a 58k patient practice working from 5 sites in Central Lewisham. TLCP is a Partnership and PCN in its own right with no other practices involved.
We are an innovative organisation that thrives on the challenges that are being presented to General Practice. We are working with partner organisations at all level within Health and Social Care from other PCNs in the locality to national initiatives. You will be entitled to Annual Leave, Bank Holiday and Study Leave and supported by the clinical team/admin team within the practices.
We are seeking dynamic professional colleagues keen to join our clinical team. TLCP has 14 GP partners, 15 Salaried GPs , 21 in our nursing team and 8 in our pharmacy team
TLCP is a teaching practice for Medical and Nursing staff, it has a full complement of non-clinical managers and staff.
Date posted
18 August 2023
Pay scheme
Other
Salary
£12 to £14.50 an hour
Contract
Permanent
Working pattern
Full-time, Part-time
Reference number
U0101-23-0005
Job locations
56 - 60 Loampit Hill
London
SE13 7SX
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172 Adelaide Avenue
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SE4 1JN
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20 Turnham Road
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London
SE13 7NN
Employer details
Employer name
The Lewisham Care Partnership
Address
56 - 60 Loampit Hill
London
SE13 7SX
Employer's website
https://www.thelewishamcarepartnership.co.uk/ (Opens in a new tab)
For questions about the job, contact:
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