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Care Co-ordinator

3 months ago


Preston, Lancashire, United Kingdom Lane Ends Surgery Full time

JOB DESCRIPTION JOB TITLE:
CARE CO-

ORDINATOR REPORTS TO:
GP PARTNERS &

PRACTICE MANAGER HOURS:
hours per week

SALARY:
£12.39 per hour

Job Summary:

The Care Coordinator will be part of the Greater Preston Primary Care Network (GPPCN) Multi-Disciplinary Team (MDT) who are responsible for managing the care of people registered with practices within a particular PCN.

This will involve coordinating the work of healthcare professionals and non-clinical staff including volunteers involved in the care of patients registered at GP practices within the wider PCN population.

The post holder will contribute to tackling inequalities in health and social care particularly regarding individuals with long-term conditions. An ethos of promotion of independence and partnership-working is integral to this post.

A key part of the role of a care coordinator role is in the care Homes

MDT:

improving the continuity of care by acting as a point of contact for residents, families and professionals who visit care homes, such as MDT members and in-reach specialists.

They will support the MDT with the weekly virtual home round through identification of people in need of review, or collation of information on people requiring an MDT review in addition to providing coordination, secretarial and administrative support to the MDTs.

Primary Duties and Areas of Responsibility Multi-Disciplinary Teams - Overall responsibility for arranging the weekly virtual Care Home(s) MDT and the smooth running of integrated care within the team setting.

The key role of the Care Coordinator will be to schedule the weekly MDT meetings, manage patient lists; ensuring that all new referrals are identified, and information circulated to team members.


  • Coordinate and manage the administrative functions of MDT meetings.
  • Liaise with all clinical and nonclinical members in the MDT to ensure effective MDT function.
  • Manage reporting required and associated within the DES specifications for required services. Patient Identification
  • Receive and collate information from transfers of care (including hospital admissions and discharges) plus out of hours calls and present this information to the MDT as required.
  • Liaise with service providers and clinicians to identify 'frequent flyers', and new service users utilising risk stratification tools provided and present this information to the weekly network MDT meetings.
  • Support the completion of new referrals by checking criteria, and where criteria have been met, direct referral to the MDT.
  • Signpost team members, service users and carers to relevant services Maintenance of IT based information systems and responsibility for key performance data:
  • To ensure the IT requirements for recording activity are adhered to in collaboration with other team members
  • Accurate update and maintenance of GP systems within the MDT.
  • To provide agreed performance/activity data within the MDT and PCN and wider OHP organisation.
Communication and collaborative working relationships - Demonstrates ability to work as a member of a team. - Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary. - Actively work toward developing and maintaining effective working relationships both within the practice and the PCN.

- Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to Patients GP, Nurses, other practice staff healthcare professionals including pharmacists and pharmacy technicians from provider and commissioning organisations.


  • Work with service users, PCN practices and partners e.g. Care Homes to ensure new referrals are logged and allocated
  • Develop excellent working relationships with the all partners, wider service networks including the voluntary sector, GP practices, adult social care, hospitals, community pharmacists and other members of the MDT
  • Acting as a point of contact for residents, families and professionals who visit the care home, such as MDT members and inreach specialists.
  • Provide background information about individuals for the weekly MDT meetings
  • Communicate effectively with service users and their families/carers, other staff both internal and external and members of the public
  • Manage and prioritise workload on a daily basis and deal with the competing demands of the MDT Other responsibilities
  • To act at all times in an antidiscriminatory manner
  • To be able to plan and respond to workload according to operational priorities
  • To support the delivery of these functions across wider locality areas where necessary
  • To undertake any training required in order to maintain competency including mandatory training
  • To contribute to, and work within a safe working environment.
  • The Care Coordinator must at all times carry out duties and responsibilities with due regard to the GP Practice's equal opportunity policies and procedures
  • The Care Coordinator is expected to take responsibil