PCN Clinical Care Coordinator

Our Care Coordinators play an importantrole within the PCN to reduce health inequalities and support meetingour PCN and practice targets. They work closelywith practice and PCN staff to identify,engage with and coordinate personalised care and supportplanning for the most vulnerable peoplein our community, including the frail/elderly, patientswith dementia and their carers,patients diagnosed withcancer, care home residents and those with long-term health conditions.As well as being linked with individual practices they will worktogether as a team. This includes sharing learning and best practice bothwithin the team and across the PCN.Our Care Coordinators support Clinical Leads and theMulti-Disciplinary team in the organisation and facilitation of MDT meetingsincluding weekly Care homes meetings.They run reportsto proactively identifyeligible patients and work to increase uptakeof health checks,cancer screening, vaccinations and other services includingself-management services. Support with patient engagement, which includesensuring that information is accessible for all and having conversations withpatients and carers to increase understanding, alleviate concerns and increaseengagement and self-management.Find more information attached.Main duties of the jobCoordinate multidisciplinary meetingsacross local care organisations including identifying patients in need of review and collating any information required tofacilitate their review prior to the meeting.Provide admin supportto multidisciplinary meetingsincluding taking minutes.Utilise GP Practiceclinical systems (SystmOne) and population healthdata to proactively identify relevantcohorts of patients to deliver personalised careSupport patients withinthese cohorts to access healthchecks and other health services including conducting blood pressure (BP)checks and phlebotomy (blood sample collection) where appropriate.Assist with the collection of clinical observations such as BP, pulse, oxygen saturation, and other basic healthindicators to support patientmonitoring.Find more information attached.About usYork Road Primary Care Network includes 3 practices working across 5sites:The PCN has a patient population of approx. 33,000 includingpatients living across 2 care homes.We believe in providing a holistic approach to managing patient careand supporting individuals to meet their own needs and aspirations. You will be part of an organisation whose leadership team are supportive and innovative, focusedon change and transforming services.Our teamcurrently includes ANP, Occupational Therapist, Care Coordinators, SocialPrescribers, Physiotherapists and Pharmacists. , with the aim of supporting our practices and improvinghealth outcomes for our patients. We do this through the integration of PCNteams and services with our practices, continuous evaluation, and ongoing developmentof our services and projects, looking for opportunities for innovation andtransformation and sharing best practice.To addressthe healthcare needs of our local population we are hopingto employ a clinicalcare coordinatorto join our PCN team.Job responsibilitiesOur Care Coordinators play an importantrole within the PCN to reduce health inequalities and support meetingour PCN and practice targets. They work closelywith practice and PCN staff to identify,engage with and coordinate personalised care and supportplanning for the most vulnerable peoplein our community, including the frail/elderly, patientswith dementia and their carers,patients diagnosed withcancer, care home residents and those with long-term health conditions.Find more information attachedPerson SpecificationExperienceExperience of working in health, social care or other support roles which are in direct contact with people, families or carersExperience of working in a primary care settingUse of clinical systemsExperience of working with people who may face health inequalities e.g. living with frailty, people with living with learning disabilities or severe mentalillness, and/or carersQualificationsGCSE grade A-C in Maths and English or skills level 2 in Maths and English (or equivalent)NVQ level 3 in healthcareECDL or other equivalent IT qualificationPersonal QualitiesFlexibility and adaptability to develop the role within PCN business needs.Demonstrate the ability to value othersPunctual and reliableHighly motivated and enthusiasticHigh levels of integrity and loyaltyTeam playerAbility to work under pressure and timescalesAbility to work in an environment of change to meet the needs of primary careKnowledge and SkillsAdministrative duties including preparing for meetings and writing minutesHas attention to details, able to work accurately, identifying errors quickly andeasilyHas a planned and organised approach with an ability to priority their own workload to meet strict deadlinesExcellent communication skills, verbal and written, with the ability to adjustcommunication style and content to suit the audienceAn excellent understanding of data protection and confidentiality issuesSelf-motivated, pro-active and able to work independentlyContinued commitment to improve skills and abilities in new areas of workAble to undertake the demands of the post with reasonable adjustment if requiredAble to access transport to work across the practices within the PCN and attend meetings in other locationsExcellent time keeping and prioritisation skillsProfessional attributes and appearanceExcellent IT skills and the ability to run reports and interpret / analyse and present dataUnderstanding of medical technology around frailty, population health management and long term conditionsPerform venepuncturePerform basic physiological observations including BP, Pulse checks, Sats, respiration and Peak Flow ReadingsOther RequirementsFlexibility to work outside of core office hours including extended hours servicesHold a Valid UK Driving Licence and have access to own transport with business insurance and ability to travel across the locality on a regular basis, including visiting people in their own home or care home.Disclosure and Barring Service CheckThis post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. #J-18808-Ljbffr