Personalised Care Co-ordinator

4 weeks ago


StocktononTees, United Kingdom North Tees and Hartlepool NHS Foundation Trust Full time

The NHS Long Term Plan calls for health care to make personalised care business as usual across the health and care system as one of the five major, practical changes needed to achieve the new NHS service model. Personalised care means people have more choice and control over the way their care is planned and delivered based on ‘what matters to them’ and their individual diverse strengths, needs and preferences.

**This post holder will**:

- Empower patients to live well through better conversations, self-management education, care coordination and facilitating peer support
- Influence staff to embed personalised care planning and shared decision making in practice
- Plan and organise a broad range of complex programmes and contribute to the sustainability long term
- Contribute to the development of the personalised care strategy for the Trust
- Gather data and analyse benchmarking information for personalised care trends and identify opportunities for transformation
- Undertake observations of clinical services and pathways to identify opportunities for transformation/improvement
- Facilitate the implementation of transformation and pathway re-design identified through improvement activity and feedback
- To support operational teams with the implementation of the comprehensive model of personalised care as per the NHS Long Term plan.
- To embed the Personalised Care Operating Model across the trust, building on existing Trust activity to develop both universal and targeted approaches to support and empower people to manage their health and wellbeing.
- To support clinical work streams and other key stakeholders to identify opportunities for personalised care transformation.
- To engender culture change across the organisation, promoting the key components of personalised care i.e. supported self-management, social prescribing, personalised care planning, shared decision-making, and patient choice.
- To work with partners across the local health system to develop the personalised care offer at place-based level.
- To assess training needs across the Trust to implement the comprehensive model of personalised care
- To support the rollout of patient activation measures (PAMs) across clinical service lines
- To foster good working relationships with Primary Care Social Prescribers/Provider organisations to ensure strong inter-organisational working for the benefit of patients
- To support the rollout of Making Every Contact Count (MECC) as an approach to influencing behaviour change and population health.

At North Tees & Hartlepool NHS Foundation Trust our main priority is, and always will be, to provide safe and high quality care to our patients every day; the kind of care we would want for ourselves and our loved ones.

We want the best staff working in our organisation to ensure that we deliver exceptional patient care and experience. We want the right staff, in the right roles at the right time and we want our organisation to be
the best place to work.

We will support staff through providing an inclusive and supportive workplace with health and well-being initiatives, staff benefits and opportunities for personal and professional development.

We provide a range of benefits and schemes to support staff health, well-being and inclusive engagement. Staff recognition is very important to us; as well as performance reviews and appraisals, we recognise staff through Star and Team of the month, colleague recognition - a note of
thanks, Managers Awards, Shining Stars and Service Awards.

We actively encourage staff involvement with staff networking events and staff survey

We actively promote Making Every Contact Count (MECC) to influence behaviour change and improve healthy decisions through better conversations about health and wellbeing. We Make Every Contact Count to improve the health of our communities.

“Together we are North Tees & Hartlepool”
- Foster and maintain excellent working relationships with clinical teams and key stakeholders to support the delivery of sustainable change
- Employ effective communication, negotiation and influencing skills to enable effective change management in providing and receiving complex information
- Prepare and facilitate training sessions and other workshops around personalised care
- Work to tight deadlines and facilitate delivery of multiple projects to agreed quality standards/outcomes
- Present and deliver feedback on the progress of the implementation and roll-out of personalised care
- Demonstrate effective time management skills to enable the roll out to be delivered at the required pace



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