Are you looking for a new challenge in Primary Care?
If you are interested in developing your skills in primary care and have the key attributes of being caring, dedicated, reliable and person focused, then this could be the job for you!
East Warrington Primary Care Network (PCN) is looking for a dynamic Care Coordinator to join our highly skilled and experienced team of primary care clinicians. We are looking for an individual who is confident, skilled and an effective communicator, with the ability to work independently and prioritise their workload appropriately.
The PCN is looking to grow its Care Coordinator team who already work closely with our diverse patient population and key stakeholders. This is an exciting opportunity to work innovatively with a range of partner organisations to enhance the experience of patients within the area and work collaboratively with the clinical team to help design and refine the way we improve care in a primary care setting.
If you are interested in joining our friendly and enthusiastic team of multidisciplinary healthcare professionals then we'd love to hear from you.
Main duties of the job
The post holder will work alongside clinicians and other staff across East Warrington PCN as part of a multi-disciplinary team. The role will support the PCN leadership team and GPs in coordinating all key activity including improving access to services, providing advice and information, and ensuring health and care planning is timely, efficient, and patient-centred.
Areas of focus will include (but are not limited to) working with children/young people and families, supporting their physical, mental and wellbeing needs, developing and reviewing personalised care and support plans to manage their needs and achieve better healthcare outcomes. The post holder will also support practices with cancer care coordination, helping them to deliver their quality improvement plans, personalised care and cancer care reviews.
Providing care coordination and navigation for these groups of people, working closely with social prescribing link workers, health and wellbeing coaches, and other primary care professionals; helping to ensure patients receive a joined-up service and the most appropriate support.
About us
East Warrington PCN is one of five PCNs within Warrington, Cheshire. We provide primary care services to 31,610 patients, across three GP practices: Birchwood Medical Centre, Fearnhead Cross Medical Centre and Padgate Medical Centre.
With the creation of the 2020/21 Network Direct Enhanced Services (DES) and the introduction of the NHS Additional Role Reimbursement (ARRS) to support primary care, the PCN has recruited staff under the ARRS to support and broaden our primary care team which allows us to provide better care for our patients.
These roles include:
* Paramedics
* Social Prescribing Link Worker
* Health and Wellbeing Coach
* First Contact Physiotherapists
Job responsibilities
Sometimes NHS organisations must undertake a public consultation when developing a new service, to ensure patients are consulted with; something the post holder will support the PCN management team with.
Build strong and collaborative relationships with local community and voluntary organisations, seeking new opportunities.
Run audits and searches where necessary to identify patients for review.
Serve as the point of contact for practice staff, providers, care teams, family/caregivers and community resources where indicated, responding with empathy and respect.
Help people manage their care needs by answering queries, making and managing appointments, and ensuring that people have good quality written or verbal information relating to their care.
Arrange appointments for patients as directed by clinicians, following identification of urgent and non-urgent clinical needs.
Refer patients to the appropriate team member and make referrals on behalf of the team.
Monitor referrals to ensure tasks are completed and care is delivered as planned by maintaining regular telephone contact.
Support the PCN to deliver and report on quality metrics, such as QOF, KPIs and locally commissioned enhanced services by documenting and monitoring aspects of patient coordination and service delivery.
Support the coordination and delivery of MDTs within the PCN, working as part of the wider holistic team to provide support as necessary.
Build and maintain relationships with members of the local support team including named GPs, pharmacists, community nursing teams, therapists, dementia nurses etc.
Regularly attend the PCN meetings to update the wider team on your work.
Work with clinical and digital system colleagues to implement and operate technology solutions/equipment to enable self-taking of health diagnostics.
Support the development of a PCN-wide Winter Pressure plans, including the rollout of flu and covid vaccinations.
Raise awareness within the PCN of shared decision-making and decision support tools and raise awareness of how to identify patients who may benefit from shared decision making and support PCN staff and patients to be more prepared to have shared decision-making conversations.
Supporting the PCN with delivery of the Enhanced Access service as required.
Children, Young Persons and Families Care Coordination duties and responsibilities
The PCN is currently working on an exciting project in collaboration with our secondary care mental health provider, to develop a Children and Young Persons Primary Care Mental Health Service across our three GP Practices, it is expected that this role will support delivery of this service.
Duties will include, but not be limited to:
* Support the CYPMH Pathway by identifying child and their families for the service, this will involve working closely with the primary care mental health team.
* Be the practice representative for the service, co-ordinating and liaising between the practices and the mental health teams, supporting children and their families to receive a high-standard of care.
* Working with children, their families and carers to improve their understanding of the child's needs and support them to develop and review personalised care and support plans to manage their needs and achieve better healthcare outcomes.
* Help children and their families 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 choices about their care, using tools to understand peoples level of knowledge, confidence in skills in managing their own health.
* Assist children and their families to access self-management education courses, peer support or interventions that support them in their wellbeing.
* Provide coordination and navigation for children, their families and their carers across health and care services, education and schools, working closely with the PCN team and other primary care professionals; helping to ensure patients receive a joined-up service and the most appropriate support.
* Work collaboratively with GPs and other primary care professionals within the PCN to proactively identify and manage a caseload, which may include children with long-term health problems, and where appropriate, refer to other health professionals within the PCN.
* Actively signpost children and their families to the best service that is relevant in accordance with the child's needs.
Cancer Care Coordination duties and responsibilities
Provide admin support for Gold Standard Framework (GSF) meetings and support families/carers.
* Support practices to deliver their quality improvement plans for early cancer diagnosis.
* Support practices to improve cancer screening uptake, liaising with external agencies as appropriate.
* Work off task lists to proactively identify and work with patients newly diagnosed with cancer and on the cancer register to deliver personalised care.
* Ensure patients receive a Cancer Care review in line with national defined timescales and targets.
Other - Any responsibility identified during the course of the job.
Person Specification
Personal Attributes
* Core values consistent with a patient and family centred approach to care
* Able to work under pressure and prioritise tasks to ensure work is completed on time
* Kindness - a commitment to improving care for patients and the public
* Cultural awareness and open to diverse community working
* Full driving licence and access to a reliable vehicle to travel between sites
* A willingness to engage with and undertake training programmes as identified in the workforce development framework for Care Coordinators, via the Personalised Care Institute
* Flexible and resilient
Skills and Knowledge
* Excellent IT Skills - proficient in using MS Office programs
* Ability to work independently and effectively with a high degree of motivation
* Excellent time management and organisational skills
* Strong listening and communication skills (verbal and written)
* Ability to define, collate, analyse and interpret data
* Ability to multitask
* Ability to learn quickly
* Knowledge of local health services/providers
* Understanding of NHS long term plan and priorities relevant to primary care
* Understanding of the current issues facing Primary Care team / PCNs
Experience
* Experience of working in health/social care, community or voluntary setting
* Experience of coordinating patient care
* Minimum of 2 years administration experience in any setting
* Experience of working in a team
* Demonstrate commitment to professional and personal development
* Experience of working in Primary Care Network or GP Practice
* Experience of organising successful events
* Experience of using EMIS and SystmOne (TPP) and running searches
Qualifications
* GCSE/O Level grade A to C in English and Maths.
* Qualified to NVQ level 2 in Health and Social Care
* Completion of Care Co-ordinator, personalised care, support planning or shared decision-making training
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.
£23,500 to £27,000 a year Depending on Experience (Not Agenda for Change)
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