Care Coordinator

The Lewisham Care Partnership

Information:

This job is now closed

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


Hilly Fields Medical Centre

172 Adelaide Avenue

London

SE4 1JN


Honor Oak Group Practice

20 Turnham Road

London

SE4 2LA


The Surgery

36 Belmont Hill

London

SE13 5AY


Morden Hill Surgery

Morden Hill

London

SE13 7NN


Job description

Job responsibilities

Generic Responsibilities

All staff at The Lewisham Care Partnership (TLCP) have a duty to conform to the following:

Equality, Diversity & Inclusion

A good attitude and positive action towards ED&I creates and environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do, and it is required by law.

Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staffs have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staffs have a responsibility to ensure that you treat our patients and their colleagues with dignity and respect.

Safety, Health, Environment and Fire (SHEF)

TLCP is committed to supporting and promoting opportunities to for staff to maintain their health, well-being and safety. You have a duty to take reasonable care of health and safety at work for you, your team and others, and to cooperate with employers to ensure compliance with health and safety requirements. All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation.

Confidentiality

TLCP is committed to maintaining an outstanding confidential service. In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.

In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients, their carers, practice or staff information. All such information from any source is to be regarded as strictly confidential.

Information relating to patients, carers, colleagues, or the members practices may only be divulged to authorised persons in accordance with PGPA policies and procedures relating to confidentiality and the protection of personal and sensitive data, or under the guidance of your manager.

This role profile is not exhaustive, and you may be directed to complete other tasks according to the skills and requirements for individual roles. These duties will always be reasonable and deemed within the expectations of your position.

Quality & Continuous Improvement (CI)

To preserve and improve the quality of our output, all personnel are required to think not only of what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work. The responsibility for this rests with everyone working within the practice to look for opportunities to improve quality and share good practice.

We continually strive to improve work processes which deliver health care with improved results across all areas of our service provision. We promote a culture of continuous improvement, where everyone counts and staffs are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.

Induction Training

As part of the TLCP, all personnel are to complete a induction programme; this is managed by the Manager.

Learning and Development

The effective use of training and development is fundamental in ensuring that all staffs are equipped with the appropriate skills, knowledge, attitude and competences to perform their role. All staff will be required to partake and complete mandatory training as directed by the training coordinator, as well as participating in the TLCP training programme. Staff will also be permitted (subject to approval) to undertake external training courses which will enhance their knowledge and skills, progress their career and ultimately, enable them to improve processes and service delivery.

Collaborative Working

All staffs are to recognise the significance of collaborative working. Teamwork is essential in multidisciplinary environments. Effective communication is essential and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner.

Service Delivery

Staff at The Lewisham Care Partnership must adhere to the information contained with the policies and regional directives, ensuring protocols are adhered to at all times. Staff will be given detailed information during the induction process regarding policy and procedure.

Security

The security of the site of work is the responsibility of all personnel. Staff must ensure they remain vigilant at all times and report any suspicious activity immediately to their line manager. Under no circumstances are staffs to share the codes for the door locks to anyone and are to ensure that restricted areas remain effectively secured.

Professional Conduct

At The Lewisham Care Partnership, staffs are required to dress appropriately for their role.

Leave

All personnel are entitled to take leave. Line managers are to ensure all of their staff are afforded the opportunity to take a minimum of four weeks plus bank holiday days leave each year(pro rota for part time), and should be encouraged to take all of their leave entitlement.

STATEMENT:

This document may be amended following consultation with the post holder, to facilitate the development of the role, the TLCP and the individual. It may be reviewed in light of experience, changes and developments. All personnel should be prepared to accept additional, or surrender existing duties.

Post holder: ..

Manager:

Date:

Job description

Job responsibilities

Generic Responsibilities

All staff at The Lewisham Care Partnership (TLCP) have a duty to conform to the following:

Equality, Diversity & Inclusion

A good attitude and positive action towards ED&I creates and environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do, and it is required by law.

Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staffs have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion or belief, sex or sexual orientation. Staffs have a responsibility to ensure that you treat our patients and their colleagues with dignity and respect.

Safety, Health, Environment and Fire (SHEF)

TLCP is committed to supporting and promoting opportunities to for staff to maintain their health, well-being and safety. You have a duty to take reasonable care of health and safety at work for you, your team and others, and to cooperate with employers to ensure compliance with health and safety requirements. All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation.

Confidentiality

TLCP is committed to maintaining an outstanding confidential service. In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.

In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients, their carers, practice or staff information. All such information from any source is to be regarded as strictly confidential.

Information relating to patients, carers, colleagues, or the members practices may only be divulged to authorised persons in accordance with PGPA policies and procedures relating to confidentiality and the protection of personal and sensitive data, or under the guidance of your manager.

This role profile is not exhaustive, and you may be directed to complete other tasks according to the skills and requirements for individual roles. These duties will always be reasonable and deemed within the expectations of your position.

Quality & Continuous Improvement (CI)

To preserve and improve the quality of our output, all personnel are required to think not only of what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work. The responsibility for this rests with everyone working within the practice to look for opportunities to improve quality and share good practice.

We continually strive to improve work processes which deliver health care with improved results across all areas of our service provision. We promote a culture of continuous improvement, where everyone counts and staffs are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.

Induction Training

As part of the TLCP, all personnel are to complete a induction programme; this is managed by the Manager.

Learning and Development

The effective use of training and development is fundamental in ensuring that all staffs are equipped with the appropriate skills, knowledge, attitude and competences to perform their role. All staff will be required to partake and complete mandatory training as directed by the training coordinator, as well as participating in the TLCP training programme. Staff will also be permitted (subject to approval) to undertake external training courses which will enhance their knowledge and skills, progress their career and ultimately, enable them to improve processes and service delivery.

Collaborative Working

All staffs are to recognise the significance of collaborative working. Teamwork is essential in multidisciplinary environments. Effective communication is essential and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner.

Service Delivery

Staff at The Lewisham Care Partnership must adhere to the information contained with the policies and regional directives, ensuring protocols are adhered to at all times. Staff will be given detailed information during the induction process regarding policy and procedure.

Security

The security of the site of work is the responsibility of all personnel. Staff must ensure they remain vigilant at all times and report any suspicious activity immediately to their line manager. Under no circumstances are staffs to share the codes for the door locks to anyone and are to ensure that restricted areas remain effectively secured.

Professional Conduct

At The Lewisham Care Partnership, staffs are required to dress appropriately for their role.

Leave

All personnel are entitled to take leave. Line managers are to ensure all of their staff are afforded the opportunity to take a minimum of four weeks plus bank holiday days leave each year(pro rota for part time), and should be encouraged to take all of their leave entitlement.

STATEMENT:

This document may be amended following consultation with the post holder, to facilitate the development of the role, the TLCP and the individual. It may be reviewed in light of experience, changes and developments. All personnel should be prepared to accept additional, or surrender existing duties.

Post holder: ..

Manager:

Date:

Person Specification

Qualifications

Desirable

  • The Care Coordinator is enrolled in, undertaking or qualified in appropriate training as set out by the Personalised Care Institute
  • Passed training requirements as outlined by the Personalised Care Institute and fully understands the Personalised Care Framework

Experience

Desirable

  • Experience of working in a primary care setting

Experience

Essential

  • NA

Desirable

  • Experience of working in a primary care setting
Person Specification

Qualifications

Desirable

  • The Care Coordinator is enrolled in, undertaking or qualified in appropriate training as set out by the Personalised Care Institute
  • Passed training requirements as outlined by the Personalised Care Institute and fully understands the Personalised Care Framework

Experience

Desirable

  • Experience of working in a primary care setting

Experience

Essential

  • NA

Desirable

  • Experience of working in a primary care setting

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

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)

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:

TLCP HR Administrator

Veeru Rajamuthiah

veeru.rajamuthiah@nhs.net

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


Hilly Fields Medical Centre

172 Adelaide Avenue

London

SE4 1JN


Honor Oak Group Practice

20 Turnham Road

London

SE4 2LA


The Surgery

36 Belmont Hill

London

SE13 5AY


Morden Hill Surgery

Morden Hill

London

SE13 7NN


Privacy notice

The Lewisham Care Partnership's privacy notice (opens in a new tab)