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Care Co-ordinator

3 months ago

Rotherham, Rotherham, United Kingdom Magna Group Practice Full time

Job Title
Care Coordinator

Group
Wentworth 1 Primary Care Network

Salary Range
Salary to be agreed

Agenda for change band 4 equivalent

Accountable to
Practice Manager

PCN Manager

Role Overview


Wentworth 1 Primary Care Network are looking to recruit a Care Coordinator to undertake work in line with PCN Directed priorities.

The individual will Provide collaborative administrative support to practices and the PCN across specific areas of identified work and patients in line with the requirements of the DES/LES specification which will include the new Enhanced Health in Care Homes Framework.


To enhance our team, we are looking for highly motivated individual to work with a cohort of patients for example part of the Care Coordinator role would be to support the Multi-Disciplinary Teams (MDTs) within the PCN's to deliver effective, co-ordinated care for patients in care homes.


A PCN care co-ordinator will be required to proactively identify and work with a cohort of patients to support their personalised care requirements, using the available decision support aids.


The role requires you to be able to work with, and understand the roles of, a variety of different people working in the practices and across the six Practices within the PCN.

The role of Care Co-Ordinator is not a clinical role. We have 3 vacancies at present across 3 of our practices. Hours can be from We are also able to combine 2 roles to give more hours. If you are wanting more hours please let us know and do not be put off.

One practice requires 12, another 16 and another 25 so we are able to combine if needed, you would then be expected to work across more than once practice.

If you work in one practice only then you do not need to be able to drive.

Main Duties and Responsibilities
The post holder, working closely with the PCN team, care homes, GP Practices and existing community services will:

  • Work collaboratively with other teams and services to maintain an effective and efficient service.
  • Plan and organise work using own initiative, whilst being able to work as a valuable team member.
  • Be able to identify suitable patients from within cohort and make referrals to relevant service providers e.g. SPLW
  • Coordinate and where required chair MDT meetings, having proactively prepared any actions prior to the meeting and ensure all relevant clinical and nonclinical staff are present.
  • To provide and receive sensitive information about difficult or complex matters respecting confidentiality at all times.
  • Where required, be able to offer appropriate support and guidance to patients and families / carers.
  • Receive, record and collate information and maintain accurate electronic records of patient care and planned service provision, across the agreed cohort of patients including hospital admission and discharge information for Care Homes, chasing up outstanding areas here required.
  • Signpost service users and carers to relevant services ensuring that patients have good quality information.
  • Cooperate and support colleagues to share best practice, complete tasks to maximise effectiveness and team performance.
  • Take part in appropriate training and take responsibility for own personal development.
  • Contribute to the development of the role and systems, to effectively enhance the service provided and improve outcomes.
  • Create and maintain accurate records of outputs for each area of responsibility to ensure that care is provided in a timely manner
  • To support in the delivery of enhanced services and other service requirements on behalf of the PCN
  • Support delivery of QOF, incentive schemes, Quality & Outcome Audit areas, QIPP and other quality or cost effectiveness initiatives
  • Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner
  • Duties may vary from time to time without changing the general character of the post or the level of responsibility
This is a fluid role which is till developing and priorities will change as the PCN develops. They May need to react and support urgent deliverables e.g flu vaccines.

Key Areas would be support for:

  • Enhanced Health in Care Home Framework implementation and ongoing requirements e.g. Weekly MDT Meetings
  • Development of implementation of enhanced Services to Care homes working with PCN/ Practices and Care Homes re communication and delivery etc.
  • Collation of information from systems e.g. Ardens Manager/System 1 /EMIS to identify and implement actions for specific cohort of patients across Practices and PCN

For example:

  • Care Home patients
  • Case Management


 QOF Quality areas
  • Currently Learning Disabilities & Early Cancer Specification
  • Pull together information at Practice& PCN level understanding what needs to be done
  • Arrange reviews/screening etc or work with practices to put in place. Chase up non attendance.
  • Be aware and promo