Care Coordinator

4 weeks ago

Birmingham, United Kingdom Our Health Partnership Full time

We are seeking a Care Coordinator to join our growing multi-disciplinary teams at Our Health Partnership, working across practices within the Weoley & Rubery Primary Care Network. (W&R PCN).

The hours required for this role are 24 - 37.5 hours per week.

Please note, our head office is based in Cotteridge, however you will be required to work across any practices within the Weoley & Rubery PCN area.

**Main duties of the job**

We are looking for individuals who will provide administrative support and coordinate the work of healthcare professionals and non-clinical staff involved in the care of patients registered at GP practices within the wider PCN population.

The Care Coordinator will be part of the Primary Care Network (PCN) Multi-Disciplinary Team (MDT) who together are responsible for managing the care of people registered with practices within the PCN.

The post holder will contribute to tackling inequalities in health and social care. An ethos of promotion of independence and partnership-working is integral to this post.

Please see attached job description and person specification for full details of the role.

**About us**

Our Health Partnership was set up by local GPs who are passionate about providing high quality primary care and using their time and skills effectively to benefit patients.

We are currently a GP partnership of 33 practices with 42 surgeries. 176 GP partners and circa 80 salaried GPs in Our Health Partnership serving around 300,000 patients in Birmingham, Sutton Coldfield, Wolverhampton, Solihull and Shropshire.

The partnership offers a shared administrative and management structure, cutting down the time doctors have to spend on admin. It opens up economies of scale to get best value from budgets. It has the resources to develop innovative services and effective partnerships with local hospitals and care services. And it can access new funding streams that are only available to large GP organisations.

**Job description**

**Job responsibilities**

**Primary Duties and Areas of Responsibility**
- Multi-Disciplinary Teams_
- Overall responsibility for arranging the weekly PCN led MDT meetings (including the weekly virtual Care Home(s) MDT) and the smooth running of integrated care within the team setting. The key role of the Care Coordinator will be to schedule the weekly MDT meetings, manage the meeting agenda items; ensuring that all new referrals are identified, and information circulated to team members in advance of the meeting.
- Coordinate and manage the administrative functions of MDT meetings.
- Liaise with all clinical and non-clinical members in the MDT to ensure effective MDT function.
- Take minutes of MDT meetings and disseminate; chase progress against actions identified in these meetings and ensure follow up where necessary.
- Manage reporting required and associated within the DES specifications for required services.
- Patient Identification_
- Receive and collate information from transfers of care (including hospital admissions and discharges) plus out of hours calls and present this information to the MDT as required.
- 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
- Signpost team members, service users and carers to relevant services
- Maintenance of IT based information systems and responsibility for key performance data:_
- To ensure the IT requirements for recording activity are adhered to in collaboration with other team members
- Accurate update and maintenance of GP systems within the MDT.
- To provide agreed performance/activity data within the MDT and PCN and wider OHP organisation.
- 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.
- Actively work toward developing and maintaining effective working relationships both within and outside the PCN or group of PCNs.
- Liaises with other stakeholders as needed for the collective benefit of patients including but not limited to Patients GP, Nurses, other practice staff and other healthcare professionals including pharmacists and pharmacy technicians from provider and commissioning organisations.
- Work with service users, PCN practices and partners e.g. Care Homes to ensure new referrals are logged and allocated
- Develop excellent working relationships with the all partners, wider service networks including the voluntary sector, GP practices, adult social care, hospitals, community pharmacists and other members of the MDT
- Acting as a point of contact for residents, families and professionals who visit the care home, such as MDT members and in-reach specialists.
- Meet

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