The Care Coordinator supports patientsin navigating health and care services, particularly those with complex,long-term conditions, frailty, cancer, or multiple health needs. Workingclosely within a GP practice team and wider multidisciplinary partners, therole helps ensure patients receive coordinated, person-centred care and areconnected with appropriate clinical, community, and voluntary services.
The role also includes supporting thepractice with safeguarding administration, assisting with the recording,monitoring, and coordination of safeguarding concerns and referrals in linewith practice policies and local safeguarding procedures. The Care Coordinatorwill help maintain accurate records, support communication between services,and contribute to the safe and effective delivery of care within the practice.
Main duties of the job
* Coordinate and support care for patients with complex needs, including long-term conditions, frailty and cancer, helping them access appropriate health, social care and community services.
* Support the development, coordination and review of personalised care plans alongside the GP practice team and wider multidisciplinary partners.
* Act as a key point of contact for patients and carers, including undertaking home visits where appropriate to support engagement, care planning and ongoing support.
* Organise and support monthly Gold Standards Framework (GSF) meetings and provide safeguarding administration, including recording concerns, supporting referrals and maintaining accurate, confidential records.
About us
Our team is the most important part of the culture here at Eastfield Medical Centre, staff wellbeing is a priority and staff feel valued and appreciated.
Atmosphere is always professional, calm, and happy, both staff and patients benefit from this.
Job responsibilities
* TheCare Coordinator will work as part of the primary care team to support patientswith complex health needs, including those living with long-term conditions,frailty and cancer. The role focuses on improving patient outcomes andexperience by helping individuals navigate health and care services andensuring care is coordinated across primary care, community services andpartner organisations.
* Thepostholder will support the identification of patients who may benefit fromadditional care coordination, proactive management or personalised careplanning. They will assist with the development, implementation and review ofpersonalised care plans, ensuring patients and carers are involved in decisionsabout their care and support.
* TheCare Coordinator will act as a key point of contact for patients and carers,helping them to access appropriate services and addressing barriers to care.This may include undertaking home visits where appropriate to support patientengagement, care planning and follow-up for individuals who may find itdifficult to attend the practice.
* Therole will involve working closely with GPs, nurses and the widermultidisciplinary team, liaising with community services, hospitals, socialcare providers and voluntary organisations to ensure patients receive timely,coordinated care.
* Thepostholder will also support coordination of care for residents within thepractices associated care home. This includes supporting communication betweenthe practice and care home staff, assisting with care planning, and helping toensure residents receive appropriate and timely support from the practice andwider services.
* TheCare Coordinator will organise and support monthly Gold Standards Framework(GSF) meetings to review patients who may require palliative or end-of-lifecare. Responsibilities will include preparing patient lists, coordinatingattendance from relevant professionals, documenting discussions and ensuringagreed actions are followed up.
* Therole also includes providing administrative support for safeguarding processeswithin the practice. This includes recording safeguarding concerns, supportingreferrals to appropriate safeguarding teams, maintaining accurate records andensuring information is handled in accordance with safeguarding procedures andinformation governance requirements.
* Thepostholder will maintain accurate and up-to-date patient records on theclinical system and support audits, reporting and service improvementinitiatives where required.
Person Specification
Experience
*. Ability to actively listen, empathise with people and provide person-centred support in a non-judgemental way
*. Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity
*. Commitment to reducing health inequalities and proactively working to reach people from all communities
*. Able to support people in a way that inspires trust and confidence, motivating others to reach their potential
*. Ability to communicate effectively, both verbally and in writing
*. Ability to maintain effective working relationships and to promote collaborative practice
*. Can demonstrate personal accountability, emotional resilience and ability to work well under pressure
* Experience in working in a primary Care setting
Other Requirements
* Use of a car and a full driving licence is
* required for this post
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.
#J-18808-Ljbffr