Mental Health Care Coordinator

3 weeks ago

Leeds, United Kingdom South & East Leeds GP Group Full time

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We are looking for a highly motivated team player to work alongside other clinicians, in both BHR PCN and Chapeltown PCN Network’s. This role will provide support to practices within the PCNs to manage, identify and provide coordination of care for the mental health population. The approach ensures that a role is focused on proactively seeking frameworks and models of care for these priority patients within the PCNs and its local context.

If you are enthusiasm, team player with a professional approach to your work, we'd love to hear from you.

**Mental Health Care Coordinator Job Description**

**Responsible to**:PCN management team (specify for each PCN)

**Accountable to**:HATCH executive board and Clinical Directors, Clinical Lead for mental health in each PCN.

**Salary**:£23,949-£26,282

**Job Summary**

The Care Coordinator will be part BHR PCN and Chapeltown PCN Network’s (PCNs) Multi-Disciplinary Teams (MDTs) who are responsible for managing the care of people registered with practices within BHR PCN and Chapeltown PCN.

The care coordinator will provide support to practices within the PCNs to manage, identify and provide coordination of care for the PCN mental health population. The approach ensures that a role is focused on proactively seeking frameworks and models of care for these priority patients within the PCNs and its local context.

The Care Coordinator will support the PCNs approach to health population management by coordinating routine care by prioritising patients in highest risk group, delivering strategies that engage wider workforce and digital/tech to optimise self-care and remote care.

The Care Coordinator will also be central to developing solutions to unplanned care by understanding what factors are driving poor outcomes in different population groups. Ensuring the PCNs are designing and planning models of care which will improve health and wellbeing today and in the future.

This will involve coordinating the work of healthcare professionals and non-clinical staff including volunteers involved in the care of patients registered at GP practices within the wider PCNs population.

The post holder will contribute to tackling inequalities in health and social care particularly regarding individuals with SMI. An ethos of promotion of independence and partnership-working is integral to this post.

**Primary Duties and Areas of Responsibility**
- Holistically supports patients with SMI and their carers within the community.
- Ensure patients care plans are agreed and personalised.
- The role provides an accessible point of contact for guidance, support and navigation whilst working closely with health, social care, and voluntary agencies.
- Liaise with all clinical and non-clinical members in the MDT.
- Support reporting to strategic team any systematic trends of potential threats and their implications or opportunities and likely future developments.
- Be organised in performing administrative tasks (including patient registers, patient appointments and referrals to other services.

**Patient Identification**
- Receive and collate information from clinical systems to understand what factors are driving poor outcomes in different population groups.
- Use search tools for risk stratify patients.
- Review end of year PQI data for the PCN.

**Maintenance of IT based information systems and responsibility for key performance data**:

- To ensure the IT requirements for recording activity are adhered to in collaboration with other team members
- Accurate update and maintenance of GP systems within the MDT.
- To provide agreed performance/activity data within the MDT and PCN and wider BHR PCN.

**Communication and collaborative working relationships**
- Demonstrates ability to work as a member of a team.
- Is able to recognise personal limitations and refer to more appropriate colleague(s) when necessary.
- Actively work toward developing and maintaining effective working relationships both within and outside the PCN or group of PCNs.
- Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to Patients GP, Nurses, other practice staff and other healthcare professionals including pharmacists and pharmacy technicians from provider and commissioning organisations.
- Work with service users, PCN practices and partners
- Develop excellent working relationships with the all partners, wider service networks including the voluntary sector, GP practices, adult social care, hospitals, community pharmacists and other members of the MDT
- Meet regularly with the clinical lead and review prioritisation’s.
- Keep the MDT and BHR PCN abreast of ‘good news’ stories.
- Manage and prioritise workload on a daily basis and deal with the competing demands

**Other responsibilities**
- To act at all times in an anti-discriminatory manner
- To be able to plan and respond to workload according to operational priorities
- To support the deliver

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