Cancer Care Coordinator

Support practices to deliver their quality improvement plans for early cancer diagnosis. Develop and embed systems across the network to improve cancer screening uptake, liaising with external agencies as appropriate Utilise population health intelligence to proactively identify and work with patients newly diagnosed with cancer and on the cancer register to deliver personalised care; Ensure patients receive a Cancer Care review in line with national defined timescales and targets. Support patients to utilise decision aids in preparation for a shared decision-making conversation; Holistically bring together all of a persons identified care and support needs, and explore options to meet these within a single personalized care and support plan (PCSP), in line with PCSP best practice, based on what matters to the person; 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; Support people to take up training and employment, and to access appropriate benefits where eligible; Support people to understand their level of knowledge, skills and confidence (their Activation level) when engaging with their health and wellbeing, including through the use of the Patient Activation Measure; Assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing and increase their activation level; Explore and assist people to access personal health budgets where appropriate; Provide coordination and navigation for people and their carers across health and care services, working closely with social prescribing link workers, health and wellbeing coaches, and other primary care professionals; Support the coordination and delivery of MDTs within the PCN. Work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients, and where required and as appropriate, refer people back to other health professionals within the PCN; Raise awareness within the PCN of shared-decision making and decision support tools; Raise awareness of how to identify patients who may benefit from shared decision making and support PCN staff and patients to be more prepared to have shared decision-making conversations.

Safeguard patients by ensuring organisations and groups to whom its Care Coordinator directs patients have basic safeguarding processes in place for vulnerable individuals and provide opportunities for the patient to develop friendships and a sense of belonging, as well as to build knowledge, skills and confidence. Duties will vary from time to time under the direction of the Primary Care Manager and Practice Manager dependent on current and evolving PCN workload and staffing levels.