Qof Care Co-ordinator

2 months ago


Bristol, United Kingdom Tyntesfield Medical Group Full time

Co-ordinate care for disease prevention and actively promote attendance at Health Promotion clinics Have a good understanding of QOF targets and ensure patients are called for review in a timely manner Regularly search for patients with poor disease control and target them for additional support, e.g., for weight loss/drug compliance Actively search for patients with a high BMI or smokers to support to change Refer/signpost patients top smoking cessation, exercise and weight loss services Accept referrals from clinicians for support with health promotion Provide care for pre-diabetic patients to ensure annual HbA1c and referral to National Diabetes Prevention Programme education where necessary Be involved in organising and delivering group education clinics for health promotion To improve the Population Health Management within the practice to enable better clinical outcomes Ensure the health promotion clinics are used efficiently and effectively by actively managing clinic bookings and patient recall. The support would include: Ensuring patients have had the correct preparation for their appointment and are followed up if they DNA by means of a telephone call, to encourage patients to attend and improve their understanding and realise the importance of the review Ensure early follow up for diabetic review if needed more frequently than annually Ensure the patient has the most efficient appointment if they have co-morbidities to improve engagement and compliance


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