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Care coordinator

Redruth
NHS
Care coordinator
Posted: 16h ago
Offer description

North KerrierEast Primary Care Network (PCN)

Care Coordinator - upto 32 hours per week, part-time

Would you like to be part ofan inclusive, supportive, and innovative team, that is co-located and where itis essential to enjoy daily coffee with your colleagues? good beans provided! If you thinkyou would be interested in joining our Health and wellbeing team then readon.

The CareCoordinator is an integral part of the PCN Health and Well-being team and is akey contact to support people navigate and signpost to other key services.

To apply, please completed the attached application form in the additional documents section and email to the PCN Business Manager.


Main duties of the job

The CareCoordinator will be involved in supporting clinical teams to proactivelyidentify and work with people, including the frail/elderly and those withlong-term conditions, eg diabetes, cancer, mental health and COPD, to provideproactive, person-centred care planning, helping coordinate care, by bringingtogether the different specialists whose help that individual might need. Thismight involve a wide range of services, such as hospital care, community care,social care, housing and the voluntary care sector. In addition, working with practices to coordinate and complete their vaccination programmes.

Therole will support the delivery of better outcomes for people living withmultiple long-term conditions, to help them improve the quality of their life,fostering self-care, independence and choice.


About us

North Kerrier EastPrimary Care Network (Leatside HealthCentre and Veor Surgery) is part of North Kerrier Neighbourhood Health,working across Camborne, Pool, Redruth and Illogan. We are a forward thinking group of GPpractices serving a population of just over 70,000, who provide services andsupport to people living in the towns of Redruth and Camborne, as well assurrounding villages. We have a strong focus on health promotion andpersonalised care, supporting people to make informed decisions about theirhealth and social care.


Job responsibilities

* Work as part of the PCN health and wellbeing team, coordinating carebetween GPs, practice nurses, community matrons, volunteer teams, physiotherapists, mentalhealth practitioners, and health and well-being coaches;
* Record all patient contacts and work on the clinical system against the patientrecord;
* Work withindividual patients, their families and carers, using a holistic approach, to identifytheir goals for care, and agree a personalised care and support plan for theircare or support with signposting to other services;
* Supportdelivery of care plans by co-coordinating input from arange of different professionals and services, and helping patients and theircarers/family to navigate across health and social care services;
* Helppatients to manage their needs through answering queries, being a first pointof contact across the PCN, and by making and managing appointments;
* Support patients to utilise decision aids inpreparation for a shared decision-making conversationand ensure that they, and their carers/family, have access to good qualitywritten and verbal information to help them make choices about their care;
* Make use of tools such as patient health questionnaires when engagingwith patients;
* Help patients to access self-management education courses, peer supportor other interventions that support them in improving their health and wellbeing.
* Undertake regular reviews of the personalised care and support plansdeveloped with patients;
* Work inline with national best practice when developing personalised care and supportplans;
* Work with patients over the phone, in person inthe practice or for those who are housebound where necessary carry out homevisits.
* As directed, use practice level reports to identify suitable cohortsof patients to deliver personalised care, supporting with specialist clinics;
* Provide accurate and timely data to support audit andmonitoring of the service, and any data returns as required by the West IntegratedCare Area;
* Keep accurate and up to date records of contacts with patients andtheir carers families in clinical systems and in their care plan;
* Follow up documentation required for care planning from otherorganisations, making use of Local Care Record where useful;
* Ensurethat a proper handover of care between different settings has taken place, includingmutual transfer of all organisations communications and patient notes andensuring care packages are set up;
* Manageany necessary meetings to support care planning, identifying patients fordiscussion, organising the meeting and circulating required informationbeforehand as necessary
* Ensurethat meeting actions are recorded, disseminated and followed up in a timelyway; so relevant practitioners are aware of meeting decisions and actions /outcomes, and chase for action resolution and update;
* Networkand develop strong relationships with key organisations involved in the patientscare planning;
* General administration duties to support the PrimaryCare Network Business Manager and team.
* Please note this is not a clinical role.


Person Specification


Qualifications

* Good level of education.
* Proficient in the use of technology, supported with relevant qualifications and proven experience.
* Higher level qualification such as NVQ in health and social care Level 3.
* Qualification relevant to health or social care or children.


Experience

* Experience of working in health, social care, third sector or information and support services with direct contact with people, families, and professionals.
* Customer care experience.
* Significant proven experience in organisation, planning and coordinating skills.
* Ability to prioritise own workload, use initiative and meet deadlines.
* Able to extract, analyse and interpret data.
* Excellent communication skills, verbal and written, with the ability to adjust communication style and content to suit the audience.
* Proven experience in using computers with an ability to use Microsoft office packages and IT systems.
* Driving license and access to transport.
* Experience of working in health services.
* Experience of working as a care coordinator or social prescriber.
* Experience or training in personalised care and support planning.
* Experience of working with elderly, children or vulnerable people, complying with best practice and relevant legislation.


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 experienceup to £27,485 depending on experience

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