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Care coordinator

Kingston Upon Thames
Integrated Care System
Care coordinator
Posted: 20 July
Offer description

An exciting opportunity has arisen within Primary Care to work as a Care Coordinator in our Churchill, Canbury, Orchard, and Berrylands Primary Care Network (CCOBPCN). We care for approximately 50,000 patients across four practices in the borough of Kingston.

You will need a caring and compassionate nature, excellent organisational skills, and enjoy working with people. The world of General Practice is busy and ever-changing, so an ability to learn quickly and adapt to rapid change is essential. The role requires the ability to organise and prioritise your workload, and you should be comfortable working independently and as part of a multidisciplinary team.


Main duties of the job

* Deal with incoming queries directly from patients
* Assist with signposting patients to appropriate community or local services, alongside social prescribers
* Act on communications from hospitals or community providers
* Pro-actively ensure patients are booked for chronic disease management appointments
* Assist with ensuring patients participate in screening programmes
* Promote health education, such as participation in self-care week
* Encourage vaccination opportunities like flu, shingles, or childhood immunisations
* Refer patients to in-house social prescribers
* Organise and prioritise own workload


About us

An exciting opportunity has arisen within Primary Care to work as a Care Coordinator in our Churchill, Canbury, Orchard, and Berrylands Primary Care Network (CCOBPCN). We care for approximately 50,000 patients across four practices in the borough of Kingston.

You will need a caring and compassionate nature, excellent organisational skills, and enjoy working with people. The world of General Practice is busy and ever-changing, so an ability to learn quickly and adapt to rapid change is essential. The role requires the ability to organise and prioritise your workload, and you should be comfortable working independently and as part of a multidisciplinary team.


Job responsibilities

Reports To: Practice Managers

Hours: 37.5 hours per week, part-time considered

Location: Across all CCOB PCN member practices

Date Prepared: August 2020


PURPOSE

To provide a practice point of contact for patients in coordinating their care

To ensure timely follow-up and action for patients from communications from community or secondary care

To deal with incoming queries from patients and other healthcare providers

To organise in-practice appointments, follow-ups, or other actions to help the PCN practices provide high-quality, compassionate care to our patient population


Specific job responsibilities

* Deal with incoming queries directly from patients
* Assist with signposting patients to appropriate community or local services, alongside social prescribers
* Act on communications from hospitals or community providers
* Book follow-up appointments, tests, or reviews
* Pro-actively ensure patients are booked for chronic disease management appointments
* Assist with ensuring patients participate in screening programmes
* Promote health education, such as participation in self-care week
* Encourage vaccination opportunities like flu, shingles, or childhood immunisations
* Refer patients to in-house social prescribers
* Participate in practice MDT meetings and organise actions or follow-ups
* Recognise and respond appropriately to sudden deterioration or emergency situations, alerting the team for rapid response
* Organise and prioritise own workload
* Monitor tasks to ensure completion and care delivery through regular audits
* Coordinate care with multi-agencies
* Support patients and carers, collecting feedback on their experiences
* Collaborate with other care coordinators across the PCN to share best practices
* Support practices in delivering on QOF, KPIs, and locally commissioned services
* Maintain accurate patient medication records
* Develop relationships with community, hospital, and wider health systems
* Participate in practice meetings, patient groups, and other engagement activities


Additional considerations

Confidentiality, health & safety, equality & diversity, personal and professional development, quality, communication, and contribution to service implementation are integral parts of the role, with specific policies and procedures to follow.


Person Specification


Qualifications

* GCSE maths and English or equivalent
* Commitment to professional and personal development


Experience

* Experience working with patients
* Experience in partnership working and building relationships across organisations
* Experience in general practice or NHS/social care settings


Disclosure and Barring Service Check

This post is subject to a DBS check due to the nature of the role.

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