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Frailty care coordinator

Dean (OX7 3)
Integrated Care System
Care coordinator
Posted: 13 August
Offer description

The Frailty Care Coordinatorplays a vital role within the Primary Care Network (PCN), working proactivelywith people who are elderly, frail, or living with long-term conditions. Therole involves coordinating and navigating care across health and social careservices, enabling patients and their carers to better understand, manage, andimprove their health outcomes.


Main duties of the job

Thisperson-centred role ensures that patients receive holistic, joined-up caretailored to their individual needs through the development and implementationof personalised care and support plans. The Frailty Care Coordinator will workclosely with Frailty Nurse, GPs, practice staff, social prescribing linkworkers, health and wellbeing coaches, and the wider multidisciplinary team toembed personalised care within the PCN.


About us

The PCN comprises of 4 Practices across the Forest of Dean. ForestGreen PCN consists of Dockham Surgery, Drybrook Surgery, Forest Health Care andMitcheldean Surgery. The practices have a combined geographic area made up ofaround 29,000 patients. Our PCN iscommitted to developing a skilled multidisciplinary workforce that can maximisethe delivery of safe, high quality and value for money healthcare services forthe benefit of our local population. Youwill be joining an enthusiastic team of clinicians and administrators. You willbe well supported with ongoing professional development (training support, CPD,and peer support). The role will contribute to improving the quality of care ofour patients across the network of practices.

Forest Green PCN is afriendly and diverse team who are determined to make work-life balanceachievable and enjoyable and are ready to welcome new employees into thenetwork.


Job responsibilities

The Frailty Care Coordinatorplays a vital role within the Primary Care Network (PCN), working proactivelywith people who are elderly, frail, or living with long-term conditions. Therole involves coordinating and navigating care across health and social careservices, enabling patients and their carers to better understand, manage, andimprove their health outcomes.

This person-centred role ensures that patientsreceive holistic, joined-up care tailored to their individual needs through thedevelopment and implementation of personalised care and support plans. TheFrailty Care Coordinator will work closely with Frailty Nurse, GPs, practicestaff, social prescribing link workers, health and wellbeing coaches, and thewider multidisciplinary team to embed personalised care within the PCN.


Person Specification


Experience

* Experience of working in a primary care environment
* Experience of working in general practice


Skills and attributes

* Strong organisational, planning, and record-keeping skills.
* Proficiency in Microsoft Office and digital tools.
* Ability to manage data securely and accurately.
* Experience handling confidential information.
* Knowledge of clinical systems or ability to learn quickly (e.g. EMIS, SystmOne).
* Polite and confident
* Flexible and cooperative
* Motivated, forward thinker
* Problem solver with the ability to process information accurately and effectively, interpreting data as required
* High levels of integrity and loyalty
* Sensitive and empathetic in distressing situations
* Ability to work under pressure/in stressful situations
* Effectively able to communicate and understand the needs of the patient
* Commitment to ongoing professional development
* Punctual and committed to supporting the team effort
* Other requirements
* Access to own transport and ability to travel across the PCN on a regular basis
* Experience managing administrative workflows in a healthcare setting.
* Experience of using data tools to report on outcomes or service delivery.


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.

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