Pcn Care Coordinator

6 months ago

Birmingham, United Kingdom South Doc Services Full time

This is an exciting opportunity to work for one of the largest and most innovative GP Federations in England. We support 10 Primary Care Networks covering a population of over 425,000. Historically we have set up new ways of working in areas such as Diabetes, CKD, Mental Health, Prescription Management etc. These services have received local and national recognition via Primary Care awards, HSJ award finalists and a CQC outstanding rating for one of our flagship services.

From the PCNs we support there is a growing demand for the rollout of the national PCN roles, Care Co-ordinators being one of these roles. SDSmyhealthcare is looking to recruit a team of Care Co-ordinators who will work across our Primary Care Networks.
- We have positions all across Birmingham._

**Main duties of the job**

We are seeking individuals who will co-ordinate treatment pathways with patients, with the ability to identify those who would benefit from additional support. Tackling health inequalities with a focus on local priorities is pivotal as well as providing much needed advice and guidance to a diverse population of patients.

If you meet the person specification attached and have flexibility and a can do attitude, attention to detail and the ability to work with healthcare professionals and other stakeholders involved in the patients care then we want to hear from you.
- Job Title: Care Coordinator - Primary Care Networks_
- Responsible to: Operations Manager - Primary Care Networks_
- Relationships: Primary Care Networks, Federation, GP practices, CCG, Community, Secondary Care, Mental Health and Third Sector providers._

**Job summary and purpose of the role**

This role involves supporting patients through various stages of treatment pathways. The Care Coordinator will work closely with GPs and other Primary Care professionals within the PCN to identify a caseload of identified patients, ensuring that the appropriate support is made available to them and their families.

Tackling health inequalities with a focus on local priorities is pivotal as well as providing much needed advice and guidance to a diverse population of patients.

Working within an MDT model of support, the Care Coordinator will develop in line with best practice to offer an excellent service for vulnerable patients. An ethos of promotion of independence and partnership-working is integral to this post.

COVID-19 vaccination remains the best way to protect yourself, your family, your colleagues and of course our patients from the virus when working in our healthcare settings. We do encourage our staff to get vaccinated. We will be checking the vaccination status of all new starters so that we can manage individual and environmental risks, and so that we can support those who may be undecided about vaccination. If you are unvaccinated there is helpful advice and information at birminghamandsolihullcovidvaccine.nhs.uk where you can also find out more about how to access vaccination. There is a current Government consultation underway which will determine whether some new starters may need to be vaccinated as a condition of employment, and we will inform you if this applies to you.

1. Main Responsibilities:
The postholder will be expected to:
1.1. With the use of Clinical Systems and engagement with PCNs and Practices the care coordinator will actively identify and manage a caseload of patients who are in need of a care package.

1.2. Work with a cohort of identified patients to coordinate and navigate necessary personalised care requirements in line with PCSP best practice.

1.3. Process relevant requests from hospital discharge letters, i.e. support with palliative care, safeguarding and relevant referrals.

1.4. Help patients to manage needs, answering questions, supporting to make appointments, signposting to supporting agencies, i.e. training, employment and benefits.

1.5. Ensure that patients have good quality information to help them make informed choices about their care.

1.6. Ensure excellent communication channels with the patient and wider care system regarding patient progress.

1.7. Liaise with multi agencies to coordinate pathways of patient care.

1.8. Ensure close working relationships with other PCN roles such as Social Prescribers, Health Coaches and Dieticians.

1.9. Support Quality and Outcome Frameworks and Local and National Targets. To include a focus on PCN DES Specifications, in particular supporting cancer and care home initiatives.

2. Key Working Relationships

2.1. The post holder will be required to maintain constructive relationships with a broad range of internal and external stakeholders including but not limited to the Federation, GP practices, CCG, STP, Community services, Secondary Care, Mental Health and Third Sector providers.

2.2. Participate in relevant internal and external training which will be set out by the Personalised Care Institute.

2.3. Work closely with the Operations Manager; ensuring the appropriat

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