Care Coordinator

6 months ago

Sunderland, United Kingdom Sunderland GP Alliance Full time

Main Duties and Responsibilities Utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care. Support patients to utilise decision aids in preparation for a shared decision-making conversation. Holistically bring together all a persons identified care and support needs and explore options to meet these within a single personalised care and support plan (PCSP), in line with PCSP best practice, based on what matters to the person. Help people 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, using tools to understand people's level of knowledge, confidence in skills in managing their own health.

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. Support the coordination and delivery of MDTs. Scheduling patient treatments and co-ordinating the initial visit and follow-up visits Co-ordination of reminder procedures. Diary management in liaison with practice staff.

Setting up of specialist appointments, including letters and records, and follow-up on care and outcomes Preparation of treatment plan and explanation of treatment plans to patients, and dealing with patient questions Following up patient decisions on treatments where these are not initially taken up. Participating in the administrative responsibilities of the practice team i.e., DES, QOF IIF targets Ensuring accurate and legible notes of all consultations and treatments are recorded in patients and accurate completion of all necessary documentation associated with patient health care. Attending and participating in meetings as required i.e., MDTs, practice meeting (DES, QOF and IIF target meetings) Providing services for the PCN Safeguarding To comply with local safeguarding processes for children and vulnerable individuals. Health and Safety To comply with the Health and Safety at Work etc Act 1974 To take responsibility for his/her own health and safety and that of other persons who may be affected by his/her own acts or omissions.

Making effective use of training to update knowledge and skills. Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards. Reporting potential risks identified. Equality and diversity The post-holder will support the equality, diversity and rights of patients, carers, and colleagues by: Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures, policies, and current legislation.

Respecting the privacy, dignity, needs and beliefs of patients, carers, and colleagues. Behaving in a manner which is welcoming. Behaving in a manner that is non-judgmental and respects circumstances, feelings, priorities, and rights Risk Management and Clinical Governance To work within the Clinical Governance Framework of the GP Practice, incorporating Risk Management and all other quality initiatives General To undertake any other duties commensurate with the role, within the bounds of his/her own competence The post holder is expected to be flexible and accommodating, following consultation, in terms of any changes in the future. CONFIDENTIALITY In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers.

All such information from any source is to be regarded as strictly confidential. Information relating to patients, carers, colleagues, other healthcare workers or the business of the Alliance may only be divulged to authorized persons in accordance with the Alliances policies and procedures relating to confidentiality, and the protection of personal and sensitive data. Quality The post-holder will strive to maintain quality within the Alliance, and will: Alert other team members to issues of quality and risk. Assess own performance and take accountability for own actions, either directly or under supervision.

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhanced the teams performance. Work effectively with individuals in other agencies to meet patients needs. Effectively manage own time, workload, and resources. Communication The post-holder should recognize the importance of effective communication within the team and will strive to: Communicate effectively with other team members.

Communicate effectively with patients and carers. Recognise peoples needs for alternative methods of communication and respond accordingly. Other Undertake any tasks consistent with the level of the post and th

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