Care Coordinator

**Care Coordinator**

Reporting to: PCN Manager

**Salary**: dependent on experience

Benefits: 28 days annual holiday (pro rata for part-time staff)

Location: Huntingdon PCN

Locations: Papworth, Acorn, Hicks Group and Priory Fields

Hours of Work: 37.5 hours per week

**About West Cambs Federation**
West Cambs Federation exists to support the delivery of Primary Care across Fenland and

Huntingdonshire. Our vision is to be the at scale provider and employer of choice for

Primary Care services across our area. As an ambitious organisation, we have delivered significant growth on the last 2 years and continue to do so.

**Purpose of the role**
To work closely with PCN Practices and the multidisciplinary team in coordinating all key activities, including access to services, advice, information, and ensuring heath and care planning is timely, efficient, and patient-centered.

You will support the provision of continuity of care and act as a point of contact for families, residents, and professionals for identified patients in your caseload.

**Key responsibilities**
- Provide coordination and navigation for people and their carers across health and care services, working closely with social prescribers, other primary care professionals and third party organisations involved in the care of our patient population.
- Utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care.
- Making and managing patient appointments and recall programmes for those with chronic disease.
- 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.
- Holistically bring together all of a person’s identified care and support plan, in line with best practice, based on what matters to the person.
- Raise awareness within the PCN of shared-decision making and decision support tools, including how to identify patients who may benefit from this.
- As part of the multidisciplinary team, build relationships with staff in GP practices within the

PCN, organising and attending relevant meetings, providing information and feedback on care coordination priorities.
- Be proactive in developing strong links with local agencies, and in encouraging equality and inclusions.
- Liaise directly with care homes and other key providers to support MDT care review and compile and circulate relevant information across stakeholder groups.
- Understand and adhere to the requirements of the safeguarding protocols for vulnerable individuals as they pertain to your role.
- Capture key information to enable comprehensive and accurate records of support, inputting these into clinical systems as required and adhering to data protection legislation.

**Confidentiality**

The post holder may have access to confidential information relating to patients, their carer’s, practice staff and other healthcare workers. They may also have access to information relating to the Federation as a business organisation. 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 Federation may only be divulged to authorised persons in accordance with the Federations policies and procedures relating to confidentiality and the protection of personal and sensitive data.

**Health and Safety**
The post holder will assist in promoting and maintaining their own and other’s health, safety and security as defined in the Health & Safety Policy of the employing practice.

**Equality and Diversity**
The post holder will support the equality, diversity and rights of patients, carers and colleagues to include:

- Acting in a way that recognises the importance of people’s rights, interpreting them in a way that is consistent with the practice procedures and policies and current legislation.

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.

**This job description is not an exhaustive list and you may be required to undertake duties commensurate with your level and pay grade.**

**Person Specification - Care Coordinator**

**Qualifications Essential Desirable**

Educated to GCSE level or equivalent

Relevant NVQ Level 3 in Health and Social Care or other Relevant professional experience

Demonstrate commitment to continuous professional development.

**Experience Essential Desirable**

Experience of working with healthcare professionals and/or previous experience in the NHS or social care

Experience coordinating with multiple stakeholders or individuals to meet specified outcomes

Experience providing advice/signposting with an awareness of how and when this is the right option

Knowledge of safeguarding interventions and an awareness of the Mental Capacity Act

Skilled in the use of person-centred measuremen