This is avery exciting opportunity to support the rollout of a national Lung CancerScreening programme. The Lung Cancer Screening programme (LCS) aims todiagnose lung cancer earlier by identifying the population at an increasedrisk, inviting them for a lung health check and where eligible, a low-dose CT scan.The health check helps to spot signs of lung cancer earlier, when its much moretreatable, ultimately saving lives.
This CareCoordinator role is employed by DHC, working in close partnership with the Surreyand Sussex Cancer Alliance
This role is to support the smooth co-ordination of patientcare across Surrey Primary CareNetworks and GP Federations for the benefit of our patients.
Main duties of the job
The Care Coordinator will work as part of a team to deliveradministrative support to Lung Cancer Screening Programme. They will beresponsible for supporting the primary care administration of the project,recording data from the Lung Cancer service provider systems to the relevantprimary care systems, liaising with the Lung Cancer screening team, patients,and GP practices. This will include but not limited to organising further tests,coordinating patient-care services, and working with the care teams to evaluaterequired interventions. They will also be responsible for updating GP systemswith all patient letters from the Lung cancer screening service.
About us
DHC isa GP Federation dedicated to supporting general practice in Surrey by providinghigh-quality healthcare. By working together, we develop health services thathelp our patients stay well, are efficient and meet the needs of our localstakeholders. We place people at the centre of everything we do. We provide awide range of quality healthcare services including elective care, TalkingTherapies, and community healthcare which we integrate and co-ordinate withprimary care.
We areregistered with the CQC (Care Quality Commission) and are an accredited AQP(Any Qualified Provider). We value our team and provide strong leadership withgreat professional development, in a fun and friendly environment.
DHC isworking at the center of the local health system to evolve and deliverintegrated care and that requires strong partnerships with many organisations.In all of our services, we aim to put the patient at the center of their care,make sure our services are easy to access by local patients and reduce waitingtimes for patients. We are well placed to influence the wider system in makinggood choices for our population.
* 27- 33days annual leave plus bank holidays
* Opportunityto buy or sell leave
* Trainingand career development opportunities
* DHC actively encourage and promote diversity, ensure all voices areheard and included and are committed to equal opportunities for all.
Job responsibilities
Job Summary:
This role is to support the smooth co-ordination ofpatient care across Primary Care Networks across Surrey Heartlands geography andGP Federations for the benefit of our patients.
The Care Coordinator will work as part of a team to deliveradministrative support to Lung Cancer Screening Programme. They will be responsible for supporting the primary careadministration of the project, recording data from the Lung Cancer service provider systems to therelevant primary care systems, liaising with the Lung Cancer screening team, patients,and GP practices. This will include but not limited to organising further tests,coordinating patient-care services, and working with the care teams to evaluaterequired interventions. They will also be responsible for updating GP systemswith all patient letters from the Lung cancer screening service.
KeyResponsibilities and Duties
* Input datainto the patients healthcare records as necessary
* Followprotocols and policies mapping patient outcomes.
* Sendingregular reminders to all staff of the shifts and other routine tasks tomitigate last-minute cancellations.
* Use Accurx tocommunicate to patients outcomes of the TLHC screening programme.
* Maintain the TLHCdatabase with full details of actions taken and escalate any issues to thesenior team.
* Monitoring theemail inboxes & follow up on any issues raised by patients or staff issueshighlighting any concerns
* Support the services Complaints procedure
* To work across the Primary CareNetworks within the Surrey Heartland's area, as the Lung cancer screeningbecome active in each PCN area. To be the main point of contact for all Lungcancer screening activity across each PCN and with all practice colleagues.
* To minimisethe impact on primary care of the Lung cancer screening activity and resultsfrom patients scans and manage any patient-centred requirements which come tolight from those reports.
* Booking patients with mild/moderate incidental findings for further tests using GP/Enhanced Accessappointments for any incidental findings generated from CT scans. Working up any missing components such asblood tests etc before the GP or Practice Nurse is notified of the need toreview a patient.
* Workingwith the MDTs/screening review team at the trust to ensure a smooth transferof patients with coding and notifications to the practice.
* To talk topatients, and where appropriate their families and/or carers, remotely bytelephone or video. Explaining the scan results where concerns are raised andexplaining the next steps if any are required.
Care Coordination
* Overall responsibility for ensuring that the patients information isforthcoming from both the Lung Cancer Screening providers information system toensure the smooth running of follow-up care of these patients within themedical centres.
* A key role of the Care Coordinator will be to receive patient detailsfrom the Lung Cancer screening service providers system and manage the transferof data onto GP systems where this is not coded automatically through ICESystems.
* Link to screening mobile site to ensure thenon-registered population attending on site as part of the Federation patientregistration and engagement programme.
Managing a caseload
* Identify patients who may needsupport by receiving information about referrals and transfers of care from theservice and from internal practice intelligence.
* Ensure patients havesufficient notes and codes entered into the system prior to notifying thepractice or individual GP of the CT scan reports.
* Maintaining access to the Lungcancer screening service provider information System alongside the screeningadministrator to ensure seamless transfer of care.
* Help patients understand their condition and the need for any follow-upactions, including blood tests by liaising with clinical colleagues. Aim forpatients to have specific instructions regarding follow-up activities.
* With the help of relevant clinical colleagues, develop a care plan toaddress patients personal health care needs in relation to CT scan reports.Ensure care plans are uploaded to all relevant systems for sharing with otherproviders, including SystmOne and ShareMyCare.
* Promote clear communicationamongst a care team and treating clinicians by ensuring awareness regardingpatient care plans and the reasons for their creation.
* Assist and empower thepatient to consult and collaborate with other health care providers andspecialists to set up patient appointments and treatment plans.
* Alert the line manager to any issues compromising the qualityof projects and operational work streams
* Be responsible forliaising with relevant managers and coordinating incident, complaint andcompliment logging, investigation and reporting, ensuring that the appropriateactions are taken and learning shared within the service and across partnerorganisations where appropriate
Linking with other services
* Signpost team members, service users and carers to relevant servicesincluding the PCN Social Prescribing Link Worker Service.
* Liaise with the SocialPrescriber regarding patients that are identified as needing well-being support.
* Liaise with PCN clinicians responsiblefor frailty regarding patients that are identified as needing ongoing support.
* Liaise with acute trusts, hospices,community and social care providers as required.
* Arranging,coordinating and minute taking for any key governance meetings; ensure thatresponsible managers provide reports to support these meetings.You will be expected to travel across SurreyHeartlands.
* Liaising with relevant serviceswho may support patients through a holistic approach. This could includeservices such as stop smoking, exercise groups and psychosocial support.
Record Keeping
* Keep accurate and up-to-daterecords of contact with patients, carers and professionals, including use ofSystmOne or EMIS to record patient contact on the medical record.
* Use accurate SNOMED codes torecord patient contacts and interventions, mainly via the use of existing templates,for audit purposes and monitoring and measuring outcomes.
* Report case studies andoutcomes to the PCN at the end of the PCN live screening cycle.
General Responsibilities
* Workas part of the team to seek feedback, continually improve the service and contribute to business planning.
* Undertakeany tasks consistent with the level of the post and the scope of the role, ensuring that work isdelivered in a timely and effective manner.
* Attendongoing training and courses to keep abreast of new developments in health careas required by the PCN and Federation.
* Treatpatients with empathy and respect and conduct oneself in a professional manner.
* Attend and contribute torelevant meetings.
* To be able to beflexible with working hours including weekends and evenings
* Workcollaboratively to help develop and promote a positive working culture,encouraging staff participation and involvement in developing, improving andpromoting the service.
* Duties may vary from time totime, without changing the general character of the post or the level of responsibility.
Confidentiality
We consider confidentialityand ensure minimal and appropriate usage of all data we hold and access, tocomply with NHS Information Governance frameworks.
We ask staff to be vigilantabout both their safety and the patients, taking necessary action, asrequired, and feeding back any concerns so that we can make improvements.
The organisation values therich diversity, skills and abilities that people from differing backgrounds andexperiences bring to the workplace. Implementing and abiding by a policy thatprovides for diversity and equal opportunities and deters unlawfuldiscrimination is therefore important to this organisation.
Technology
We use a selection of computertechnology systems and tools. Staff should expect to use automated informationsystems in their work to improve quality, efficiency and service coordination,and to enable faster and more accurate communication internally and externally.
Health and Safety
At DHC federation, werecognise the need to comply with the
Health and Safety at Work etc.Act 1974 and understand this is a legal requirement, not a matter of choice. Wewill continuously strive to fulfil our responsibilities for all matterspertaining to health and safety.
Furthermore, we will ensureall our staff are fully aware of their individual and collectiveresponsibilities and that they are committed to maintaining a positive and proactiveapproach to minimising risk.
Training and Development
We ensure that people have theinformation, equipment and skills they need to do their work. This includesbespoke training opportunities based on identified gaps and agreed prioritieswith the team (e.g., Human Factors, trauma-informed care; Non-ViolentCommunication).
Person Specification
Experience
* Experience of working directly in either the NHS or Adult Social Care
Personal Qualities & Attributes
* Able to listen, empathise with people and provide person- centred support in a non-judgmental way.
* Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity.
* Committed 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.
* Able to communicate effectively, both verbally and in writing, with people, their families, carers, community groups, partner agencies and stakeholders.
* Able to identify risk and assess/manage risk when working with individuals.
* Have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the link worker role e.g. when there is a mental health need requiring a qualified practitioner.
* Able to provide leadership and to finish work tasks.
* Able to maintain effective working relationships and to promote collaborative practice with all colleagues.
* Committed to collaborative working with all local agencies (including VCSE organisations and community groups). Able to work with others to reduce hierarchies and find creative solutions to community issues.
* Demonstrates personal accountability, emotional resilience and works well under pressure.
* Able to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines.
* High level of written and oral communication skills.
* Able to work flexibly and enthusiastically within a team or on own initiative.
* Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.
* Excellent IT skills including Excel and knowledge of GP clinical systems
Qualifications
* Demonstrable commitment to professional and personal development
* NVQ Level 3, Advanced level or equivalent qualifications or working towards.
* Training in motivational coaching and interviewing or equivalent experience
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.
Depending on experienceFrom £26,000 pro rata, Part time 22.5-30 hours
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