Care Co-ordinator

7 months ago


ClactononSea, United Kingdom East Lynne Medical Centre Full time

Job Summary The Care Coordinator will be employed by East Lynne Medical Centre, 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 Clacton PCN comprising of Harewood, Fronks Road and Thorpe Surgeries which form one geographical unit, North Clacton Medical Group, Old Road and East Lynne Surgeries which form another geographical unit. A key part of the role of a care coordinator is acting as a conduit between the G.P Practices and the Clacton 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 Clacton PCN.

A degree of flexibility is essential for this role. Primary Duties and Areas of Responsibility PCN Duties To work with the PCN Operations 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 PCN & Practice income (e.g. Learning Disability Checks, CVD reviews, Flu Vaccinations, Ethnicity recording etc.) To use Ardens reports to identify patients who need to be seen to meet the IIF targets (e.g LD Health checks/ethnicity/BP monitoringetc.) To work with the PCN management team and Practice management to support implementation of the DES/IIF and to agree a workplan on the areas the individual PCN practices above that need to develop.

Liaise with Community Workers and other care co-ordinators 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 utilizing 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. Work with other MDT to ensure proactive care and personalised care plans are implemented as per contract specification. Work with other team members to actively improve health inequalities work and support projects across PCN.

**Key Duties**: Support the Practice Manager to ensure that all Direct Enhanced Services (DES) are delivered and compliant with DES guidance. Work with PCN members to support Personalised and Proactive care as part of required contracts. Work closely with Social prescribers to support patients to access voluntary services to improve their mental, physical and social health. 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 Primary care team with physical health checks such as obtaining Blood pressure, taking bloods, basic wound care to support right care at the right time and right person approach. Support 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



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