Job summary
An exciting opportunity has arisen within our PCN for a Cancer Care Coordinator. This is a full time position ( per week), two year fixed term contract, working across 2 sites - Bransholme Health Centre and Princes Medical Centre.
We are looking for an individual who is highly motivated, organised and self-sufficient, with the ability to manage their own workload. They must be flexible and adaptable to fulfil the duties outlined within the role.
This is a new role within the PCN and the successful candidate will be working alongside colleagues to develop a "non-clinical" approach to cancer care reviews and shape how cancer support is delivered to our patients going forward. This role will also play a huge part in reaching out to those patients who are considered "hard to reach" to ensure that they are coming forward for screening and helping them to access health and social care services at a time when they need it the most.
Main duties of the job
The Cancer Care Coordinator role will support the practices across the PCN in early cancer diagnosis and quality improvement work in relation to cancer care. The role will work with the practices within the PCN to improve their processes and will support patients to help them get the right care at each stage of their journey.
This role will act as a central point of contact for both patients and practice staff in relation to cancer care and support. The cancer care coordinator will be key in identifying those patients that require additional language/communication and cultural support when attending for screening, cancer care reviews and general medical service.
This role will work alongside the Strategic Manager, Clinical Director and Lead Care Coordinator to develop a "non-clinical" approach to cancer care reviews and will support Member Practices in embedding a process, ensuring proactive monitoring and tracking of patients suspected or confirmed of having a cancer diagnosis.
About us
Marmot PCN comprises of 3 GP practices based in Hull - Dr Hendow, James Alexander Family Practice - Bransholme, and James Alexander Family Practice - Princes Avenue, operating from 2 sites - Bransholme Health Centre and Princes Medical Centre, serving a population of circa 23,000 patients. We also provide services included withing the Network Contract DES to Delta Healthcare.
As a PCN we have a well established Care Home team which supports our care home patients, their families and the staff working within the care home. We also deliver an Extended Access Service providing evening and weekend appointments for patients registered within our practices and for patients who are registered with Delta Healthcare and a Mental Health & Wellbeing team that supports our patients and staff.
Across the PCN and within our Member Practices, our main aim is to provide excellent care to our patients and to reduce health inequalities, ensuring that we have the right staff, with the right skills to achieve this, utilising a wide range of staff to achieve this. The health and wellbeing of our staff is important to us. Investing in and developing our workforce ensures that we are able to continue delivering safe, effective and accessible services.
We reserve the right to close the advert to applications early, should a high volume of applications be received.
Job description
Job responsibilities
Duties andresponsibilities:
Coordinateand integrate care
1. Act as acentral point of contact for both patients and practice staff in relation tocancer care and support.
2. Help peopletransition seamlessly between primary, secondary and community care services,supporting people to navigate through the wider health and care system.
3. Identify allof a persons care and support needs and explore options together, to meet thesewithin a single personalised care and support plan (PCSP), based on whatmatters to the person.
4. Ensure personalised care and support plans arecommunicated to the GP practice and any other professionals involved in thepatients care and uploaded to the relevant online care records, with activityrecorded using the relevant SNOMED/READ codes.
Screening
5. Develop and embed systemsacross the PCN to improve cancer screening uptake. This will include workingalongside practices to develop and embed processes to track and follow upscreening non-attenders.
6. Support practices to evaluate their screeninguptake and engage hard to reach populations to participate in screening, inorder to reduce health inequalities.
7. Work with the PCN Member practices to implementa range of activities and implement systems to improve patient uptake of cancerscreening programmes including health events, group consultations etc
8. Work collaboratively with local screening teamsand the wider support services to increase uptake and follow upnon-attenders/responders.
9. Utilise population health intelligence toproactively identify and work with a cohort of patients to deliver personalisedcare.
Hard toReach Groups
10. Engage with and form strongworking relationships with local community groups, particularly those thatsupport those patients that are considered hard to reach.
11. Support practices in identifying patients thatrequire additional language/communication/cultural support in attending forscreening, cancer care reviews or general medical services.
12. Establish relationships with the voluntarysector and local support groups to understand cultural differences within thelocal population and to break down communication barriers to enable practicesto provide further support/reassurance in relation to screening and cancersupport.
Non-ClinicalCancer Care Reviews
13. Work alongside the StrategicManager, Clinical Director, Lead Care Coordinator and Member Practices todevelop a non-clinical approach to cancer care reviews and to embed aprocess, ensuring proactive monitoring and tracking of patients suspected orconfirmed of having a cancer diagnosis.
14. Undertake non-clinical cancer care reviews,ensuring a personalised, holistic approach, tailored to the needs of thepatient and their families/carer.
15. Proactively work with other organisations,including, but not limited to, Hull PCNs, the Local Authority, MacMillan andthe Cancer Alliance to explore ways of increasing access to groups in the area,particularly those that support prehabilitation and green social prescribing.
16. Work collaboratively with the PCN Health &Wellbeing team, including the social prescribers, to support patients in beingas healthy as possible during and post treatment.
17. Work collaboratively with the PCN socialprescribing team to support patients in gaining access to social supportincluding finance, employment, housing etc.
18. Work with other CareCoordinators to develop knowledge of local services and teams, supporting andassisting each other through sharing of knowledge and good practice.
Communication
19. Recognise the roles of other colleagues withinthe organisation and their role to patient care.
20. Use appropriate communication to gain theco-operation of relevant stakeholders (including patients, senior and peercolleagues, and other professionals, other NHS/private organisations ICBs).
21. Work as a member of a team.
22. Recognise personal limitations and refer tomore appropriate colleague(s) when necessary.
23. Actively work toward developing and maintainingeffective working relationships both within and outside the practices/PCN andlocality.
24. Foster and maintain strong links with allservices across the locality.
25. Explore the potential for collaborative workingand take opportunities to initiate and sustain such relationships.
26. Liaise with stakeholders (as identified in KeyWorking Relationships) to ensure consistency of patient care and benefit.
27. Attend weekly Health & Wellbeing MDTs,actively participating and offer support/guidance.
28. Raise awareness of cancer screening programmesand the importance of cancer care reviews across the PCN and its MemberPractices
Person Specification
Qualifications
Essential
29. GCSE grade A-C (or equivalent) in Maths and English or higher level qualification
30. 2-day personalised care institue accredited care co-ordinator training or be willing to undertake as part of the role
Desirable
31. Qualified NVQ level 2 in Health and Social Care
32. European Computer Driving Licence (ECDL)
Experience
Essential
33. Experience of working in health, social care and other support roles in direct contact with people, families or carers (in a paid or voluntary capacity)
34. Experience of dealing with sensitive/confidential information
35. Experience of working within multi-professional team environments
Desirable
36. Experience of working in Primary Care
Skill and Competencies
Essential
37. Strong organisational skills including planning, prioritising, time management and record keeping.
38. Excellent IT skills, including the ability to use Microsoft office applications including Word, Excel, Powerpoint and Outlook.
39. Excellent communication skills, both written and verbal.
Desirable
40. Experience of SystmOne and EMIS clinical systems.
Qualities and Attributes
Essential
41. A commitment to continuing personal and professional development.
42. Ability to actively listen, empathise and provide personalised support in a non-judgemental way, inspiring trust, confidence and motivation.
43. Ability to work as part of a team and build working relationships.
44. Ability to deal with patients and their families sensitively.
45. Proactive and forward thinking.
46. Ability to respond to changing needs, pressure and demands and to organise and prioritise own workload.