Care Coordinator

6 months ago

Gravesend, United Kingdom DGS Health LTD Full time

The Care Coordinator will 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. This will involve coordinating the work of healthcare professionals and non-clinical staff including volunteers involved in the care of patients registered at GP practices within the wider PCN population. Working closely with the GPs and other primary care professionals within the PCN to identify and manage a caseload of identified patients, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed. Key role requirements To work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients.

To work closely and in partnership with the Social Prescribing Link Workers (SPLWs) and Health and Wellbeing Coach(es). To support patients to utilise decision aids, help create single personalised care and support plans, in line with best practice. To support the Clinical directors in the delivery of the DES specifications. To help people to manage their needs through answering queries, making and managing appointments.

To provide coordination and navigation with the aid of digital tools for people and their carers across health and care services. To support the coordination and delivery of MDTs within the PCN Key Duties & Responsibilities: The Care Coordinator responsibilities include but are not limited to the following: 1. To work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients 2. To work closely and in partnership with the Social Prescribing Link Workers and Health and Wellbeing Coach(es) 3.

To support patients to utilise decision aids, help create single personalised care and support plans, in line with best practice 4. To support the Clinical directors in the delivery of the DES specifications 5. To help people to manage their needs through answering queries, making, and managing appointments 6. To provide coordination and navigation with the aid of digital tools for people and their carers across health and care services 7.

To support the coordination and delivery of MDTs within the PCN COLLABORATIVE WORKING RELATIONSHIPS: 1. Works within the primary care team, contributing to leadership of service evaluation and research to promote quality improvement activity. 2. Collaborates with other members of the MDT, patients and their carers when managing and coordinating care.

3. Uses healthcare technologies to optimise service delivery, patients access, and continuity of care MANAGEMENT: 1. Demonstrates understanding of the implications of national priorities for the team and/or service. 2.

Uses resources effectively to manage patient treatment in line with local guidance and makes recommendations for change where improvements can be made. 3. Follows professional and organisational policies EDUCATION, LEARNING AND DEVELOPMENT: It is the responsibility of the employee to comply with all organisational and statutory requirements (e.g. health and safety, infection control, equality and diversity, confidentiality, safeguarding adults and children, information governance).

1. Engages in annual appraisal, developing objectives to inform a Personal Development Plan, which may include 360-degree appraisal and use of patient feedback. 2. Participate in teaching and training of medical, nursing, and all other practice staff.

3. Supports the practice staff and responds to requests for advice and assistance. 4. Complete all mandatory and statutory training required by the role.

5. Takes responsibility for personal development, learning and performance and maintain education through attendance on any courses and/or study days necessary to ensure that professional development requirements are met. 6. Undertakes additional training where necessary to provide enhanced services and participate in training programmes implemented by the PCN/practices as part of this employment.

7. Understands and demonstrates the characteristics of a role model to members in the team and/or service. 8. Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice.

QUALITY Under supervision and support of GPs in the practice, the post-holder will strive to maintain quality within the practices, and will: 1. Participate in clinical governance activity and contribute to the improvement in quality of health outcomes through audit, risk management and Quality Improvement 2. Alerts other team members to concerns about risk, quality, and safety 3. Participates in investigation of incidents and events as required 4.

Identifies, applies, and disseminates research findings relating to own practice 5. Collects data for audit purposes and uses clinical audit to monitor quality in the

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