Care Coordinator

Responsible to: Practice Manager

Accountable to: Practice Manager

**Salary**: Band 4 equivalent £22,548 pro-rata and dependent on experience

Job Summary

The Care Coordinator will be employed by Marshalls Road Practice, but also be part of the Primary Care Network (PCN) Multi-Disciplinary Team (MDT) who are responsible for managing the care of people registered with practices within a particular PCN.

A key part of the role of a care coordinator is acting as a conduit between the G.P. Practice and the PCN.

The role will be to support the PCN and Practice priorities and may include reviewing and updating patients records, running reports from clinical systems, having input to other clinical meetings (for example palliative care). Other clinical responsibilities may be developed over time based on the needs of practices and the PCN. A degree of flexibility is essential for this role.

Primary Duties and Areas of Responsibility

PCN Duties
- To work with the PCN Manager to ensure good communication links are established and maintained between the PCN and Practice staff.
- To ensure that care records are coded to optimize practice income (e.g. Learning Disability Checks, CVD reviews, Flu Vaccinations, Ethnicity recording etc.)
- To use Arden’s reports to identify patients who need to be seen to meet the IIF targets (e.g LD Health checks/ethnicity/BP monitoring etc.)
- To work with the PCN manager to support implementation of the DES/IIF and to agree a workplan on the areas the practice needs to develop.
- Liaise with Community Workers at PCN level to ensure that their services are known to the practice and patients are getting the benefit of those services
- Liaise with service providers and clinicians to identify ‘frequent flyers’, and new service users utilising risk stratification tools provided and present this information to the weekly MDT meetings.
- Support the completion of new referrals by checking criteria, and where criteria have been met, direct referral to the MDT.

Practice Duties

Key Duties:

- Support the Practice Manager to ensure that all Direct Enhanced Services (DES) are delivered and compliant with DES guidance.
- To support the Practice Manager with ensuring Good Infection Control measures are in place. Ensuring good cleaning standards are being adhered to. When required undertake Infection Control Audits
- Support Senior Practice Managers with ensuring that Vaccinations, boosters and Immunisations are followed up for those who do not book or do not attend.
- Support Practice Staff with Early diagnosis of preventable cancers, encouraging people to attend bowel & breast screening and smear tests.
- Work with Compliance Manager to undertake audits on the workflow and coding of the correspondence to ensure actioned correctly
- Work with Compliance Manager to update Practice Policies and Procedures (e.g. Health & Safety, Information Governance, COSH, Legionella etc)
- Support the introduction of Patients accessing their records, and undertake any actions to develop this service.

When Required:

- Undertake Practice administrative tasks such as, patient deductions, record updating and scanning of patient documentation in accordance with the Practice policies and procedures

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.
- Liaises with others, as needed for the collective benefit of patients, including but not limited to Patients GP, Nurses, other practice staff, care home managers and other healthcare professionals including pharmacists and pharmacy technicians from provider and commissioning organisations.
- Works to support Practice colleagues, maintaining excellent working relationships.
- Liaises with PCN staff as required for the benefit of patients

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 undertake any training required in order to maintain competency including mandatory training
- To contribute to, and work within a safe working environment.
- The Care Coordinator must at all times carry out duties and responsibilities with due regard to the GP Practice’s equal opportunity policies and procedures
- The Care Coordinator is expected to take responsibility for self-development on a continuous basis, undertaking on-the-job training as required
- The Care Coordinator must be aware of individual responsibilities under the Health and Safety at Work Act, and identify and report as necessary any untoward accident, incident or potentially hazardous environment.

Patient Care
- Communicate effectively and sensitively and use language appropriate to a patient and Carer/relative’s condition and level of understanding
- Effectively use all methods of communication and be aware of and manage barriers to