Pcn Care Coordinator

3 months ago

Littlehampton, United Kingdom Arun Integrated Care, Primary Care Network Full time

Cancer Care Ensure that all patients are signposted to, or receive information on their referral including why they are being referred, the importance of attending appointments and where they can access further support. Be available for patients with cancer, or their relatives, to ask questions and deal with problems that arise, linking in or signposting to services such as the hospital team, district nursing or Macmillan services, benefits agency as appropriate. Review patients and follow up each patient for a period of time after cancer diagnosis, covering topics such as benefits, support groups, offering support to relatives. Be a point of contact for survivors of cancer, or bereaved relatives who need support, signpost to support groups available locally or Support the practices in your PCN in improving local uptake of National Cancer Screening Programmes, such as cervical, bowel and breast, understand the practices data for uptake on screening and understand how the practice can carry out the screening.

Support the practices in your PCN in conducting peer to peer learning events that look at data and trends in diagnosis across the PCN, including cases where patients presented repeatedly before referral and late diagnoses. Support with the education for practice teams and patients and coordinate screening promotion events with the practices across the PCN. Support the practices in your PCN to engage with local system partners, including Patient Participation Groups, secondary care, the relevant Cancer Alliance and Public Health Commissioning teams. Link in with and build relationships with the wider PCN team, Social Prescribers, Pharmacist, Health and Wellbeing Coach and other clinical/non-clinical partners involved in the patients care.

Holistically bring together all of a persons identified care and support needs, and explore options to help them achieve their needs. 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. 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 professionals. The post holder will be required to work within clearly defined organisational protocols, policies and procedures Childrens and Adolescent Safeguarding To oversee the workflow of safeguarding reports and documents and ensure they are circulated to appropriate clinicians in line with practice safeguarding polices.

To summarise and code documents into the relevant specific templates, highlighting to patients registered GPs anything significant. To maintain a register of children on Child Protection Plans, Child in Need plans and those children deemed to cause for concern. To ensure the correct coding is added to patient records to aid clinicians in identifying those children and adults who are cause for concern. To add alerts to parent records, those who have a child on a safeguarding plan.

To contribute to data collection and audit in relation to safeguarding practice across the PCN. To prioritise and respond to strategy meeting invitations as advised by the practices safeguarding lead. To respond to child protection meetings as advised by the practice safeguarding lead, preparing appropriate documentation, and sending apologies as necessary. To monitor DNAs for children in regard to missed clinical appointments and refer to appropriate clinician for follow up (e.g.

Practice Nurse, usual GP, Safeguarding Lead) in line with practice safeguarding policies. To follow up on those children who have not had their routine immunisation, as identified by administration with appropriate clinician (e.g. Practice Nurse) in line with practice safeguarding policies. To support safeguarding lead in co-ordinating communication and meetings with third parties e.g.

Health Visitors, MASH, CCG Safeguarding Leads and Social Workers. This includes taking minutes and updating the patient record in accordance with agreed actions. To redact and update the Systm1 record as per practice safeguarding protocols when a patient reaches 18 years of age. To update alerts and warnings in the Systm1 record according to practice safeguarding protocols when safeguarding concerns are recorded.

Please note that the role of a care coordinator is not a clinical role. This job is a new and emerging PCN role and is likely to change, grow and develop over time as the needs of the PCN changes and therefore this Job Description will change and develop similarly.

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