Long Term Conditions Care Co-ordinator

6 months ago

Wisbech, United Kingdom Upwell Health Centre Full time

**Long Term Conditions Care Co-Ordinator**
**Job description**

**Job Summary**

This role is an administrative role.

Working hours are 37.5 per week over 5 days Monday to Friday. Working times are 10.30am - 6.30pm.

This role will play an important part within the surgery to proactively identify and work with patients with Long Term Conditions to co-ordinate their required medical reviews.

The role will consist of liaising with patients, booking appointments, ensuring that patients arrive for their appointments and also signposting them to other available services.

This role will also support the patient journey team and any other duties deemed appropriate.

Long Term conditions Care co-ordinators will work closely with GPs and the practice team to assist in the management of patients, sometimes acting as a central point of contact to ensure appropriate support is made available to them, supporting them to understand and manage their condition.

**Responsibilities**:
Contact and coordinate appointments for patients that require a medical review in that month.

Ensure patients understand the importance of the review and that patients arrive for their appointments.

Help people to manage their needs through answering queries, arranging and managing their appointments.

Provide coordination and navigation for people and their carers across health and care services, working closely with social prescribing link workers and other primary care professionals; helping to ensure patients receive a joined up service and the most appropriate support.

Have a positive, empathetic and responsive conversation with the person and their family and carer(s) about their needs.

Ensure medical records are updated appropriately and coded with the relevant SNOMED codes.

Refer onwards to social prescribing link workers where required.

Work with the clinical team to obtain advice and support

Demonstrate a flexible attitude and be prepared to carry out other duties as may be reasonably required from time to time within the general character of the post, ensuring that work is delivered in a timely and effective manner.

Identify opportunities and gaps in the service and provide feedback to continually improve the service.

Work sensitively with people, their families and carers to capture key information, while tracking of the impact of care coordination on their health and wellbeing.

Support the Patient Journey Team when required, answering the incoming calls, Reception cover.

Working with and liaising with the Patient Journey Team, keeping them informed of any changes, updates to processes.

Assisting with booking varied appointments for other services as and when required.

**General Responsibilities**

All staff at Upwell Health Centre have a duty to conform to the following:
**Equality, Diversity & Inclusion (ED&I)**

A good attitude and positive action towards ED&I creates an environment where all individuals are able to achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness, it is morally the right thing to do, and it is required by law.

**Safety, Health, Environment and Fire**

This practice is committed to supporting and promoting opportunities to for staff to maintain their health, well-being and safety. You have a duty to take reasonable care of health and safety at work for you, your team and others, and to cooperate with employers to ensure compliance with health and safety requirements. All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990, Environment Act 1995, Fire Precautions (workplace) Regulations 1999 and other statutory legislation.

**Confidentiality**

This practice is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters, pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality at all times. It is essential that if, the legal requirements are to be met and the trust of our patients is to be retained that all staff protect patient information and provide a confidential service.

**Quality & Continuous Improvement (CI)**

To preserve and improve the quality of our output, all personnel are required to think not only of what they do, but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work. The responsibility for this rests with everyone working within the practice to look for opportunities to improve quality and share good practice.

This practice continually strives to improve work processes which deliver health care with improved results across all areas of our service provision. We promote a culture of continuous improvement, where everyone counts and staff are permitted

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