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The main purpose of the Macmillan Cancer Care Co-ordinator is to work as part of the Primary Care Network (PCN) teams to proactively identify and work with people with cancer to provide co-ordination and navigation of care. A key element of this role will be to support the holistic needs assessments/cancer care reviews of patients, compiling care plans and administrating the ongoing referrals to different primary, community, and specialist teams.
The post holder will be committed to providing high quality compassionate care to all patients in a sensitive and empathic manner both directly and indirectly. Therefore, excellent communication skills, and a good understanding of cancer pathways and knowledge and skills to navigate patients through the health and social care systems are essential.
You will act as a single point of contact for cancer patients across the PCNs, and with the secondary care sector; and collaborate with key stakeholders (e.g., health, social care, welfare and benefits and voluntary organisations).
Main duties of the job
The job is split into areas of duties and responsibilities which can be found below:
1. Communication and Patient Support
2. Administration
3. Data Management
4. Education, Training and Audit
Job responsibilities
DUTIES & AREAS OF RESPONSIBILITY
Communication and Patient Support
1. Provide support to people affected by cancer, often dealing with highly emotional and sensitive issues and have an ability to manage individual situations effectively.
2. Holistically complete a Concerns Checklists, Needs Assessments and Care Planning document with patients at 3 and 12-month schedules using the Macmillan EHNA tool.
3. Help people to manage their needs through answering queries, making, and managing appointments, and ensuring that people have good quality written or verbal information to help them make informed choices about their care.
4. Communicating effectively (face-to-face, telephone and digitally) with a range of individuals on various levels, e.g., patients, relatives, carers, other health / social care professionals and community workers.
5. Single point of contact for patients during their cancer journey, or their relatives, to answer questions and deal with problems that arise, linking in or signposting to services such as the hospital team, district nursing or Macmillan services, benefits agency as appropriate.
6. Triage and deal with telephone enquiries from patients and their relatives/carers in a caring and professional manner using tact and diplomacy, ensuring that any matters that cannot be dealt with are escalated without delay.
7. Provide practical support for rapid re-entry into the system for those people identified as having urgent or specialist needs.
8. Promote healthy lifestyle choices and risk stratified supported self-management as part of consistent and planned aftercare pathways.
9. Support patients to prepare for shared decision-making conversations with their healthcare professionals.
10. Closely liaise with the Primary Care Network leads for cancer, the practice clinical leads and cancer champions, maintaining effective working relationships.
11. Supporting general practices to incorporate use of Ardens templates and standardised coding to maintain accurate registers.
12. Act as point of contact for local hospice(s) and liaising with hospice(s) as required to ensure care planning in place.
13. Liaise with other stakeholders as required for the collective benefit of patients including but not limited to patients GPs, nurses, the wider practice team, social prescribers, care coordinators, health and wellbeing coaches, pharmacists and pharmacy technicians.
14. Demonstrate an ability to work as a member of a multi-disciplinary team.
15. Can recognise personal limitations and refer to more appropriate colleague(s) when necessary.
16. Liaising with the Macmillan Information Centre to support people to take up community support opportunities, and access appropriate benefits advice where eligible.
17. Provide cross cover for colleagues and coordination of leave in line with Federations guidelines.
18. Supporting referrals to the Macmillan Allied Health Professionals team including physiotherapy, speech and language therapy, dietetics and occupational health.
Administration
1. Manage a caseload of patients with a cancer diagnosis in each general practice within the PCNs.
2. Ensuring that Cancer Care Reviews have been undertaken with all patients within 12 months of diagnosis and recorded appropriately on practice systems.
3. Arranging the set-up of Health and Wellbeing events and assisting with running the events on the day, also having a presence at any other Federation events if appropriate.
4. Support practice staff in the upkeep of palliative care registers.
5. Working with our data quality team, analyse and interpret information and be able to present it in different ways so it can be easily understood at a wide range of levels.
6. Comply with the Data Protection Act and Caldicott Principles when dealing with patient identifiable data.
7. Manage and prioritise personal workload daily and deal with the competing demands.
8. Set up systems to monitor data quality, highlighting errors, and reporting this where necessary.
9. Participate in wider data entry and recording tasks to support other health care professionals where appropriate.
10. Analyse and interpret information and be able to present it in different ways so it can be easily understood at a wide range of levels.
Education, Training and Audit
1. Support the practices in your PCNs in conducting peer to peer learning events that look at data and trends in diagnosis across the PCNs, including cases where patients presented repeatedly before referral and late diagnoses.
2. Work alongside secondary care to assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing.
3. Support the design and delivery of patient and carer training and education programmes.
4. Support and contribute to audit processes, governance, research, clinical research trials, benchmarking activities, and service development, including using findings and recommendations to change practice/systems.
5. Attend relevant training and education events that support the delivery of duties aligned with the role.
6. Participate in regular review sessions with the management team in order to feedback successes and challenges associated with the role.
Person Specification
Qualifications
* A minimum of 4 GCSEs or equivalent including Maths and English of grade C or above
* Experience of working in a health care setting
* Understanding of cancer pathways
* Ability, knowledge & skills on navigating patients appropriately
* Sound Knowledge of Microsoft Outlook
* Experience of Teams video conferencing or other similar products
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.
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