Dementia and Frailty Care Co-ordinator

7 days ago

Stockport, Stockport, United Kingdom Viaduct Care Full time

Main Roles & Responsibilities:

To work with the GPs and other primary care professionals within the PCN to proactively identify and support patients requiring additional input due to their presentation.

Be responsible for running weekly EMIS searches, contacting patients to arrange appointments, whether in their own homes or bringing them into clinic.

Data collection and submission, filing, general admin etc.

Bring together all a persons identified care and support needs and what matters to them; explore the options to address these in a single personalised care and support plan.


Raise awareness of shared decision-making and decision support tools and assist people to be more prepared to have a shared decision-making conversation.

Ensure that people have high-quality health information to help them make choices about their care.

Assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing; explore and assist people to access personal health budgets where appropriate.

Support the coordination and delivery of multidisciplinary teams within PCN.

Contribute to increasing uptake of national screening programmes throughout the PCN.

Provide coordination and navigation for individuals and their carers across health and care services, working closely with social prescribing link workers and other primary care roles.

To help patients to manage their needs through answering queries, making, and managing appointments.

Assist and coordinate practices in meeting PCN Des and Impact and Investment Fund (IIF) targets, and practice Quality Outcomes Framework (QoF) targets.

Responsible for coordinating any joint projects, e.g. vaccination and any associated administration.

To support with venepuncture and NHS Health Checks (pulse measurement, blood pressure monitoring, height and weight measurement and waist measurement) where necessary.

Co-ordinating information across the network to be shared by the PCN practices on their websites and social media regarding health campaigns that are applicable to this cohort of patients.


Confidentiality and Compliance with the Data Protection Act 2018 The post holder must maintain confidentiality regarding information about patients, staff and other Viaduct Care business in accordance with the Data Protection Act 2018.

All employees of Viaduct Care must not, without prior permission, disclose any information regarding patients or staff.

In circumstances where it is known that a member of staff has communicated information to an unauthorised person, those staff will be liable to dismissal.

Moreover, the Data Protection Act 2018 also renders an individual liable to prosecution in the event of unauthorised disclosure of information.


Health and Safety All employees must be aware of the responsibilities placed on them under the Health and Safety at Work Act 1974 to ensure that the agreed safety procedures are carried out to maintain a safe working environment for patients, visitors and employees.

Review and ensure systems are in place for the proactive management of risk registers.

Infection Control All employees of Viaduct Care are required to contribute to the management of infection control and be proactive in awareness raising and prevention.

Ensure that all guidelines, protocols and procedures undertaken within the service are in line with evidence based practice for infection control.


Safeguarding Children and Adults All staff are required to act in such a way that at all times safeguards and promotes the health and well-being of children and vulnerable adults.

Familiarisation with and adherence to the policies and procedures of the Local Safeguarding Boards (Children and Adults) and those of Viaduct Care is an essential requirement of all staff as is participation in mandatory safeguarding training in accordance with individual roles and responsibilities.

Equality and Diversity Employees should promote diversity and equality of opportunity within Viaduct Care. Build a culture where everyone is valued and equipped to do their job.


All employees must carry out all duties and responsibilities of the post in accordance with Viaduct Cares Equality, Diversity and Human Rights policies, avoiding unlawful discriminatory behaviour and actions when dealing with colleagues, service users, members of the public and other stakeholders.

Sustainability All employees of Viaduct Care have a responsibility for working in a low carbon environment, where energy is used wisely and not wasted.

Environmental impact should be reduced by recycling where possible, switching off lights, computers, monitors and equipment when not in use, minimising water usage and reporting faults promptly.

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