Care Coordinator

9 months ago


Wigan, United Kingdom Garswood Surgery Full time

The Care Coordinator will liaise with GPs, practice teams and Network staff to: Identify patients who are elderly, frail or who have long term health needs and support. Support patients to access personalised care and support plans, in line with best practice. Be involved and when appropriate organise care homes and practice MDTs Ensure regular and consistent communication with care homes regarding patient progress and any complications, including supporting the coordination of ward rounds Work with Network pharmacists to arrange SMRs and support work towards PCN DES Liaise with primary, secondary and specialist care services as required Work with the multi-disciplinary team to help identify people at risk of loss of independence or admission to hospital as a result of inadequate social support Provide these cohorts of people signposting to identified services in order to maintain their independence and improve their health and well being Support patient access to cancer screening and prevention services Visit patients in community, home or care home settings to assess and discuss their care needs involving carers as appropriate. Work with Social Prescribing Link Workers to assist with personal care plans for individual patients, ensuring preventative actions are detailed to support the appropriate use of services.


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