Primary Care Network Care Coordinator

3 weeks ago

Bridgwater, United Kingdom Bridgwater Bay Primary Care Network Full time

Coordinate and integrate care Help patients transition seamlessly between services and support them to navigate through the health and care system. Refer onwards to Health visitors, mental health workers, prevention care, voluntary sector workers and health and wellbeing coaches where required. Actively participate in multidisciplinary team meetings in the PCN and individual practices as and when appropriate. Identify when action or additional support is needed, alerting a named clinical contact in addition to relevant professionals, and highlighting any safety concerns.

Keep accurate and up-to-date records of contacts, appropriately using GP and other records systems relevant to the role, adhering to information governance and data protection legislation; Work sensitively with patients to capture key information, while tracking of the impact of care coordination on their health and wellbeing; Record and collate information according to agreed protocols and contribute to evaluation reports required for the monitoring and quality improvement of the service. This role will involve working closely with our Somerset NHS Foundation Trust partners. Professional development Work within a clinical team point for advice and support. Undertake continual personal and professional development, taking an active part in reviewing and developing the role and responsibilities, and provide evidence of learning activity as required; Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, equality, diversity and inclusion training and health and safety.

Miscellaneous Establish strong working relationships with GPs and practice teams and hub teams and work collaboratively with other care coordinators, social prescribing link workers and health and wellbeing coaches, supporting each other, respecting each others views and meeting regularly as a team; Act as a champion for personalised care and shared decision making within the PCN; Demonstrate a flexible attitude and be prepared to carry out other duties as may be reasonably required from time to time within the general character of the post or the level of responsibility of the role, ensuring that work is delivered in a timely and effective manner; Identify opportunities and gaps in the service and provide feedback to continually improve the service and contribute to service planning; Contribute to the development of policies and plans relating to equality, diversity and reduction of health inequalities; Work in accordance with the PCNs policies and procedures Duties may vary from time to time without changing the general character of the post or the level of responsibility Contribute to the wider aims and objectives of the PCN to improve and support primary care. To support in the delivery of the PCN Network DES, enhanced services and other service requirements on behalf of the PCN

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