Care Home Care Coordinator

6 months ago


SouthendonSea, United Kingdom Southend East Primary Care Network Full time

Job Summary The post holder is a member of the Primary Care Network (PCN) providing Care Coordination support, by doing a number of tasks including clinical audit to the network member practices. The post holder will provide support in monitoring the progress of Enhanced Care in Care Homes as part of the Investment and Impact Fund, this will require strong clinical audit knowledge. The role will also require strong database and spreadsheet knowledge, and will be able to set them up in order to collect audit data for other contracts given to the PCN. The successful applicant will be required to have strong IT skills and attention to detail for the data collection.

The data provided to the PCN team will be used to contribute to written reports by the Primary Care Network Operations Manager. Additional training can be given on the clinical audit work. The post holder will also, as required, provide data collection to help the wider PCN team achieve other key quality improvement, patient safety initiatives and work programmes. Main Duties and Responsibilities To obtain data and information for the PCN to: Increase the health and wellbeing of the frail and care home patients Assess the Extended PACT model made by the PCN, and be able fully utilize the model to reduce hospital admissions.

Contribute as a team member to supporting other staff employed in the PCN to carry out the delivery of the objectives using data. The Care coordinator will work with the Primary Care Network Operations Manager/Clinical Director, Public Health Teams and CCG to obtain the PCN baseline measures for the identified specialties. Manage the Enhanced Care in Care Homes section of the Network Contract DES, and be able to help the member practices achieve QOF targets, using data audit and proactively inviting patients in for their reviews. Attend monthly MDT meetings on behalf of the surgeries to discuss and coordinate care for vulnerable patients.

Data Collection Set up and run SystmOne searches, under the instruction of the Primary Care Network Operations Manager, Public Health and the Clinical Directors, to identify the PCN needs and also to monitor progress against indicators. Collect audit data by interviewing patients and/or staff as required. Retrieve data from information systems and clinical documentation for the purpose of undertaking clinical audit (consistent with the audit measures and data collection instructions) or support clinical staff carrying out these functions directly. Set up databases and spreadsheets for the collection of audit data and enter audit data as required, such as using a spreadsheet for current PCN projects the DMARD project.

Check the accuracy, completeness and timeliness of data entered in to a database or spreadsheet for a clinical audit and advise relevant people of missing or inaccurate data or an impending deadline for submission of complete and accurate data. Analyse or assist clinical staff in analysing audit data appropriately so that the level of compliance with best practice can be determined and the results used to prompt changes in practice as necessary. Contributing to carrying out work needed to ensure that the PCN meets external requirements related to clinical audit. Maintain documentation related to clinical audit consistent with approved policies, the Data Protection Action, General Protection Data Regulations (GDPR) and Human Rights Act and ensure that the information is available for reporting purposes.

Record progress of clinical audit activity on the PCN database systems ensuring that there is a detailed, timely and accurate record of all allocated projects. This will include evidence of improvements achieved through clinical audit. Work with the PCN operations manager for monthly and quarterly claims, relating to the DES or other NHS initiatives (such as the Winter Access Fund) Contribute to supporting the smooth running of the Primary Care Network. Attend meetings as required and any other local or regional audit meetings pertaining to Population Health or Health Inequalities as requested by the PCN Manager or Clinical Director.

Attend meetings with the other PCN Clinical Audit Team for the purpose of reviewing the departmental activity and sharing general information. Communication Communicate effectively with other team members; Communicate effectively with patients and carers, recognising their needs for alternative methods of communication; Enthusiastic about health promotion and lifestyle change. Personal and people development Take responsibility for own developmental learning and performance, including participating in supervision; Take responsibility for maintaining a record of own personal development; Work with management on any new training requirements; To recognise and understand the roles and responsibilities of individuals working in the primary health care team. Health, safety and security Use the personal security systems within the workplace according to


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