Please be advised that we are expecting a very high number of applicants for this vacancy.
Key Responsibilities:
1. Patient Care Coordination (Primary Responsibility) - Develop and review personalised care and support plans with patients, families, and carers.
- Proactively identify patients needing coordination, especially those with complex health needs, ensuring they receive appropriate support.
- Manage appointments, address queries, and provide information to help patients make informed choices.
- Collaborate with GPs, social prescribing link workers, health and wellbeing coaches, and other professionals to ensure cohesive care.
- Facilitate communication and follow-ups between providers to support smooth transitions between care services.
2. Multidisciplinary Team (MDT) Support (Primary Responsibility) - Participate in MDT meetings to coordinate care for vulnerable adults and those at risk of emergency hospital admissions.
- Serve as a central contact, ensuring care plans are communicated to all relevant professionals.
- Refer patients to social prescribing services and other healthcare professionals as needed.
3. Administrative Support (Secondary Responsibility) - Perform general administrative tasks as assigned by the PCN Manager to support PCN operations.
- Record meeting minutes, capturing key discussions, decisions, and action points for timely distribution.
- Manage patient records with attention to accuracy, confidentiality, and data protection compliance.
- Organise meetings, prepare agendas, and coordinate with multiple stakeholders.
4. Patient Support and Advocacy - Support patients in understanding and managing their conditions through tailored information and guidance.
- Help patients access self-management education, peer support, and personal health budgets where applicable.
- Encourage shared decision-making and help patients prepare for clinical discussions.
- Monitor patient progress and outcomes, maintaining accurate records of interventions and their impacts.
5. Administrative and Professional Development - Maintain up-to-date care records using SystmOne and other health platforms.
- Engage in ongoing professional development, including role-specific training.
- Collaborate with other care coordinators, GPs, and practice staff to advance the PCNs personalised care approach.
6. Key Skills and Competencies - Strong written and verbal communication skills for engaging with diverse individuals.
- Excellent organisational and time-management abilities.
- Empathetic, patient-centred approach to care.
- Accurate recording of meeting minutes with attention to detail.
- Ability to work independently and collaboratively within an MDT.
- Proficiency in handling administrative tasks and flexibility for a proactive approach.
7. Confidentiality - Uphold patient confidentiality and ensure all information is managed in line with policies and data protection regulations.
8. Equality, Diversity, and Inclusion - Promote the rights of patients, carers, and colleagues with a respectful, non-judgemental approach.
9. Health and Safety - Follow health and safety policies, report incidents or concerns, and maintain a safe working environment.
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