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Care Coordinator

4 months ago

Scarborough, United Kingdom Scarborough Medical Group Full time

**Job summary**

An exciting opportunity has arisen for a Care Co-ordinators to join our expanding team within Filey and Scarborough Healthier Communities Primary Care Network (PCN).

These roles will be crucial in supporting the quality improvements of healthcare provision that we provide to our registered patient populations.

**Main duties of the job**

They will work closely with both clinical and non-clinical practice teams, making sure that appropriate support is made available to people; supporting them to understand and manage their condition and ensuring their changing needs are addressed. They will enable people to access the services and support they require to meet their health and wellbeing needs, helping to improve peoples quality of life.

They will work alongside social prescribing link workers to provide an all-encompassing approach to personalised care and enable people to navigate through the health and care system.

They will work with a diverse range of people from different cultural and social backgrounds. The ability to work confidently and effectively in a varied and sometimes challenging environment is essential.

**Overview of your organisation**

Filey and Scarborough Healthier Communities Primary Care Network is made up of four well established member practices, Filey Surgery, Hackness Road Surgery, Hunmanby Surgery and Scarborough Medical Group. Collectively we look after 32,000 patients across the Filey and Scarborough area.

Our PCN is located in the beautiful coastal town of Scarborough, in the County of North Yorkshire. Scarborough is the largest holiday resort on the Yorkshire Coast, and has both service and fishing industries.

The PCN is led by our enthusiastic and passionate Clinical Director, Dr Cath Chapman and we are well supported by Practice Managers, Care Co-ordinators, Clinical Pharmacist, Advanced Clinical Practitioner, Social Prescribers, First Contact Physiotherapists, PCN Development Manager and a Business and Operations Officer.

**CARE COORDINATOR JOB DESCRIPTION**

**Responsible To**:
Care Co-Ordinator - Team Leader and Advanced Clinical Practitioner

**Hours**:
37.5hrs per week

**Salary Range**:
£23,092 WTE

**PURPOSE OF THE ROLE**

Care coordinators play an important role within a PCN to proactively identify and work with people, including the frail, elderly, people with a learning disability and those with long-term conditions. Those with a new cancer diagnosis and those receiving end of life care to provide coordination and navigation of care and support across health and care services.

They work closely with GPs and practice teams to manage a caseload of patients, acting as a central point of contact to ensure appropriate support is made available to them and their carers; supporting them to understand and manage their condition and ensuring their changing needs are addressed.

This is achieved by bringing together all the information about a person’s identified care and support needs and exploring options to meet these within a single personalised care and support plan, based on what matters to the person.

Care coordinators, review patients’ needs and help them access the services and support they require to understand and manage their own health and wellbeing, referring to social prescribing link workers and other professionals where appropriate.

Care coordinators could potentially provide time, capacity and expertise to support people in preparing for or following-up clinical conversations they have with primary care professionals to enable them to be actively involved in managing their care and supported to make choices that are right for them. Their aim is to help people improve their quality of life.

This role will become an integral part of the PCNs multidisciplinary team, working alongside clinicians and other non-clinical colleagues to provide an all-encompassing approach to personalised care and promoting and embedding the personalised care approach across the PCN.

**KEY RESPONSIBILITIES**

Work with people, their families and carers to improve their understanding of the patients’ condition and support them to develop and review personalised care and support plans to manage their needs and achieve better healthcare outcomes.

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.

Support people to understand their level of knowledge, skills and confidence (their Activation level) when engaging with their health and wellbeing, including through the use of the ONS 4 personal wellbeing score, where this is relevant.

Assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing and increase their Activation level.

Support people to take up training and employment, and to access appropriate benefits wher