Care Coordinator - Beckenham Primary Care Network
Care coordinators play an important role within Beckenham PCN to proactively identify and work with people, to provide coordination and navigation of care and support across health and care services.
They work closely with practice teams to ensure that patients have appropriate support to understand and manage their own conditions. This could include but is not limited to sending targeted invitations for appointments, signposting patients via a range of methods and ensuring those patients who have appointments are appropriately managed. Some patients may require one-to-one communication to help coordinate their care. Beckenham PCN also hosts a wellbeing café once a month which is managed and attended by PCN care coordinators, offering residents of Beckenham the opportunity to discuss their care or simply learn the range of services available to them within Beckenham PCN and other local healthcare providers.
Care coordinators could potentially provide time, capacity and expertise to support people in preparing for or following-up clinical conversations they have with primary care professionals to enable them to be actively involved in managing their care and supported to make choices that are right for them. Their aim is to help people improve their quality of life.
Main duties of the job
1. Support the coordination and delivery of multidisciplinary teams within Beckenham PCN.
2. Assist with the coordination of home visits including making appointments, planning routes and collating and actioning feedback from home visiting clinician, onward referrals etc.
3. Help patients 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.
4. Assist people to access self-management education courses, peer support, health coaching and other interventions that support them in their health and well being, and increase their levels of knowledge, skills and confidence in managing their health by way of promoting access during wellbeing café events, targeted text messages, promotion via website, social media etc. or on a one-to-one basis if required.
5. Provide coordination and navigation for people and their carers across health and care services, 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.
6. Support the enhanced access service; rota management to ensure patient appointments are available, patient referrals, monitoring of appointments.
7. Work with commissioners, integrated locality teams and other agencies to support and further develop the role.
About us
Beckenham Primary Care Network is a GP-led organisation. Our purpose is to provide dedicated support to our PCN practices through both Clinical and Non-Clinical support to achieve national requirements, growing and evolving existing services, tailored for our Beckenham patients.
Its shareholders are 6 GP practices across Beckenham, covering over 61,000 patients across the Bromley Borough. As well as providing a unified voice for General Practice, we play an active role within the Integrated Care System (ICS). The NHS Long Term Plan describes the prominent role Primary Care Networks play in delivering proactive, personalised and more integrated health and social care for their local populations. This will require collaborative working between organisations including GP practices, acute and community health, social care organisations and the voluntary and community sector.
Job responsibilities
Organisational Values / Objectives
Beckenham Primary Care Network is a GP-led organisation. Our purpose is to provide dedicated support to our PCN practices through both Clinical and Non-Clinical support to achieve national requirements, growing and evolving existing services, tailored for our Beckenham patients.
Its shareholders are 6 GP practices across Beckenham, covering over 61,000 patients across the Bromley Borough. As well as providing a unified voice for General Practice, we play an active role within the Integrated Care System (ICS). The NHS Long Term Plan describes the prominent role Primary Care Networks play in delivering proactive, personalised and more integrated health and social care for their local populations. This will require collaborative working between organisations including GP practices, acute and community health, social care organisations and the voluntary and community sector.
Key Relationships
PCN Management team, General Practitioners and other staff within Beckenham PCN practices, Other Bromley health and care organisations, Patients, family members and carers.
Job Summary
Care coordinators play an important role within Beckenham PCN to proactively identify and work with people, to provide coordination and navigation of care and support across health and care services.
They work closely with practice teams to ensure that patients have appropriate support to understand and manage their own conditions. This could include but is not limited to sending targeted invitations for appointments, signposting patients via a range of methods and ensuring those patients who have appointments are appropriately managed. Some patients may require one-to-one communication to help coordinate their care. Beckenham PCN also hosts a wellbeing café once a month which is managed and attended by PCN care coordinators, offering residents of Beckenham the opportunity to discuss their care or simply learn the range of services available to them within Beckenham PCN and other local healthcare providers.
The Beckenham PCN Care Coordinator will work closely with the PCN Management team, PCN Clinical Directors and Beckenham PCN's 6 practices, which include:
* Elm House Surgery
* Cator Medical Centre
* St James Practice
* Manor Road Surgery
Care coordinators could potentially provide time, capacity and expertise to support people in preparing for or following-up clinical conversations they have with primary care professionals to enable them to be actively involved in managing their care and supported to make choices that are right for them. Their aim is to help people improve their quality of life.
Duties and Responsibilities
1. Support the coordination and delivery of multidisciplinary teams within Beckenham PCN.
2. Support with the Beckenham PCN wellbeing café.
3. Support PCN paediatric triage meetings, to take note of actions, test requests and make follow-up appointments.
4. Assist with the coordination of home visits including making appointments, planning routes and collating and actioning feedback from home visiting clinician, onward referrals etc.
5. Help patients 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.
6. Assist people to access self-management education courses, peer support, health coaching and other interventions that support them in their health and well being, and increase their levels of knowledge, skills and confidence in managing their health by way of promoting access during wellbeing café events, targeted text messages, promotion via website, social media etc. or on a one-to-one basis if required.
7. Provide coordination and navigation for people and their carers across health and care services, 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.
8. Support practices to keep care records up-to-date by identifying and updating missing or out-of-date information about the person's circumstances.
9. Support the enhanced access service; rota management to ensure patient appointments are available, patient referrals, monitoring of appointments.
10. Sending targeted appointment invites and or information to identified cohorts of patients who have specific appointment requirements.
11. Promote the use of the NHS app to patients in order that they can self-manage.
12. Work with commissioners, integrated locality teams and other agencies to support and further develop the role.
13. PCN email inbox management (shared across team).
Person Specification
Experience
* Knowledge of Primary Care/General Practice.
* Experience of working with a framework of confidentiality.
* Experience of dealing with a range of difficult or challenging situations both on the telephone and in person.
* Experience of working in an NHS environment, ideally in a GP setting.
Qualifications
* Good knowledge and use of the English language.
* Excellent grammar, spelling and punctuation.
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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