Neighbourhood Co-ordinator

**About Us**:
Boston Primary Care Network (PCN) is made up of the six practices situated across Boston, Lincolnshire. With four town and two out of town practices, the PCN serves a population of approximately 78,000 patients.

Boston PCN is a forward thinking organisation that understands the importance of trusted relationships to provide a platform for communication with all parties to ensure the safe, efficient and effective delivery of care to the population.

**Our Vision**:Our vision is a community where everyone feels valued, has a sense of belonging and can achieve what is important to them.

**Our Mission**:Our mission is to join up our practices with other health and care providers, charities and community groups, so that everyone in our community receives the level of support they need, when they need it, close to their home.

**Our Values**:

- We put people at the centre of all that we do
- We are united in purpose standing together; one team, one voice, one heart
- We build trust and are honest, acting with integrity and compassion
- We are inclusive, valuing and championing diversity
- We are brave to positively challenge the status quo to bring innovation and real change for a better future
- We are responsible, using our existing strengths and assets effectively and bringing new resources to level up our community

**Job Purpose**

Neighbourhood Working describes an integrated approach to managing patients, through a blended workforce that encompasses both health and social care; to include acute, voluntary and community sectors where barriers to working are negated, the health and wellbeing needs of the individual are at the centre of decision-making, care is proactive and not reactive, and services are provided in a timely manner.

Key outcomes of neighbourhood working have been identified as:

- Enabling people to remain in, or close to, their own home, whenever possible
- Proactive care provision
- Improving pathways between services, reducing inefficiencies, fragmentation, and duplication of care
- Improved communication and working relationships between individuals and providers
- Improving access to, and information about services
- Continuity of care
- Increasing out of hospital care provision

The Neighbourhood Coordinator will provide a crucial interface between all staff groups that contribute to Neighbourhood Working. The Neighbourhood Coordinator will have overall responsibility for the co
- ordination of the regular Multi-Disciplinary meetings, and, where appropriate, and be responsible for care planning and tracking patient caseloads. They will support a “system” approach, providing a responsive element to the “front door” of all Lincolnshire East Neighbourhoods.

As part of the drive to improve care for service users and patients, there is a requirement for the post holder to work flexible hours. It is expected that cover will be provided across the working week (Monday to Friday) and during leave of absence by other post-holders in Lincolnshire East.

**The Role**

The Neighbourhood Coordinator will work with the Neighbourhood team, member practices and key local operational stakeholders to support coordination of care for patients through a multidisciplinary team meeting approach, stakeholder signposting and supporting the “front door” across the whole Lincolnshire East footprint.

This will involve the following:

- Act as a liaison and link between members of the Neighbourhood to enable co-ordinated patient care and facilitate improved outcomes for service users and patients in line with their identified needs by supporting the links between health, social and third sector providers.
- To support efficient use of services across all organisations and that ensure care is person
- centred
- To be a central point of navigation, and resource knowledge point, where local care navigators and operational teams have identified the need for greater co-ordination/support.
- Development of Neighbourhood network
- Public engagement events
- Support delivery of projects that are identified by the Neighbourhood, working closely with the project support officer
- Support delivery of projects identified by the locality member practices which are part of the General Practice Forward View (GPFV) and the Lincolnshire Sustainability and Transformational Plan (STP)

**Main Duties**

Below is a list of the main duties of the role, these are not exhaustive, and you make be expected to take on more depending on the needs of the organisation:

- Coordinate and manage the administrative functions for the Neighbourhood. This will include ensuring that meetings are organised, where appropriate / relevant.
- Work closely, and communicate effectively with, the local clinical leads and Neighbourhood lead.
- Supporting both complicated and complex patients, with identification of patients through population segmentation techniques to support proactive management in the community and pro-acti