Surrey Downs Health & Care
This is an exciting and innovative role which will involve working alongside community GPs, paramedics, pharmacists, district nurses and a growing team of care co‑ordinators and administrators to wrap care around our population as a ‘one team’ approach providing coordination and navigation of care and support to our patients.
Responsibilities
* Take referrals for individuals or proactively identify people who could benefit from support through care coordination. Have a positive, empathetic and responsive conversation with the person and their family and carer(s) about their needs;
* Work towards increasing patients’ understanding of how to manage and develop health and wellbeing through offering advice and guidance.
* Develop an in-depth knowledge of the local health and care infrastructure and know how and when to enable people to access support and services that are right for them;
* Work with the wider PCN, MDTs, and the social prescribing service to look at how carers can support people - this could include the initial identification of carers onto the carer register.
* With training support people to develop and implement personalised care and support.
Surrey Downs Health and Care deliver care closer to people’s own communities through our Primary Care Networks, Community Hospitals, Specialist Services and our innovative partnership of local NHS organisations.
Partnerships
* The three GP federations GP Health Partners, Dorking Health Care and Surrey Medical Network representing practices that operate in the Surrey Downs area
* Epsom and St Helier’s University Hospitals NHS Trust
* Surrey County Council
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