PCN Care Coordinator

Job description

Job responsibilities

General duties and responsibilities

Support people to develop and review personalised care and support plans to manage their needs and achieve better healthcare outcomes.

Help people manage their needs by providing a contact to answer queries, make and manage appointments, and ensure that people have good quality written or verbal information to help them make choices about their care.

Provide coordination and navigation for people and their carers across health and care services. Helping to ensure patients receive a joined-up service and the appropriate support from the right person at the right time.

Support the coordination and delivery of multidisciplinary teams with the PCN.

Maintain records of referrals and interventions to enable monitoring and evaluation of the service.

Support practices to keep care records up to date by identifying and updating missing or out of date information about a persons circumstances.

Refer onwards to social prescribing link workers and health and wellbeing coaches where required and to clinical colleagues where there is an unaddressed clinical need.

Actively participate in multidisciplinary team meetings in the PCN.

Identify when action or additional support is needed, alerting a named clinical contact in addition to relevant professionals, and highlighting any safety concerns.

Demonstrate a flexible attitude and be prepared to carry out other duties as may be reasonably required from time to time within the general character of the post or the level of responsibility of the role. Ensuring work is delivered in a timely and effective manner.

Contribute to the development of policies and plans relating to equality, diversity and reduction of health inequalities.

Clinical System / Medical Records:

Confidence and experienced user in -EMIS

Utilise EMIS to record all treatment and care, applying all appropriate templates and protocols relating to recording of patient data.

Extraction of necessary data from clinical correspondence and input into Electronic Patient Record, i.e., GP2GP and Docman system

Ensure full and accurate recording in the patients computerised records.

Safeguarding: The post holder will be expected to undertake safeguarding training (Children and Adults) appropriate to their role and adhere to policies and procedures relevant to the area they work in. Confidentiality: In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice and PCN as a business organisation.

All such information from any source is to be regarded as strictly confidential.

Health & Safety: The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the Practice Health & Safety Policy, to include:

Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks

Making effective use of training to update knowledge and skills

Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards

Reporting potential risks identified

Equality and Diversity:

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

Acting in a way that recognizes the importance of peoples rights, interpreting them in a way that is consistent with Practice & PCN procedures and policies, and current legislation

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.

Personal/Professional Development:

The post-holder will participate in any training programme implemented by the Practice/PCN as part of this employment, such training to include:

Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work.

You will be required to keep a record of the patients are seeing for audit purposes

Person Specification

Qualifications

Essential

• Educated to GCSE Standard or equivalent
• An excellent standard of written and verbal English and numeracy
• Keyboard skills
• Excellent customer service skills
• Good administrative and organisational skills
• IT literate (EMIS Web/Docman/Windows)

Desirable

• Knowledge of medical terminology
• Organisational skills
• Experience with office machinery
• Customer service qualification

Experience

Essential

• An interest in primary care
• Attention to detail
• Good communication (written and verbal)
• Work well under pressure
• Able to work as a team member
• Able to work unsupervised
• Be self-motivated and enthusiastic
• Active and empathic listening
• Flexible and adaptable - able to work according to changing need
• Commitment to personal development
• An ability to use own judgement, resourcefulness, common sense and local knowledge, to respond to enquiries and requests while adhering to practice limitations
• Building trust and rapport

Desirable

• An aptitude for comprehensive data interrogation and reporting
• Structuring conversations using a coaching approach
• Shared agenda setting, follow up planning and collaborative goal setting
• Using simple health literate communication techniques such as teach-back Knowledge of the core concepts and principles of personalised care, shared decision making, patient activation, health behaviour change, self-efficacy, motivation and assets-based approaches
• Understands how to do call and recall using searches on EMIS

Other

Essential

• Able to work at the desired times - Flexibility of working hours to cover annual leave and sickness
• An ability to make decisions appropriate to the situation while adhering to practice/PCN policies
• Availability to support PCN Enhanced Access hours - Occasional Saturday working of 4- 8 hours with Time In Lieu or evenings until 8pm within your practice allocated rota.

Desirable

• The ability to work as part of an integrated multi-skilled team - Car driver/clean licence

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

Aplos Health PCN

Address

Woolstone Medical Centre

Woolstone Road

London

SE23 2SG

Employer's website

https://www.aploshealth.co.uk/ (Opens in a new tab)