Patient Care Facilitator

Create and maintain a patient register Invite patient cohorts for a health check in their home, at the surgery, by telephone or by video Undertake health checks in order to identify assistance that could be offered to avoid hospital admission Liaise with appropriate organisations and following up referrals i.e. social services, OT, Social Prescribers, DWP, Fire Service, GPs, nurses, district nurses, pharmacies etc Show compassion and understanding to patients and their families Demonstrate knowledge of Power Of Attorney and ensure/ check that consent is in place for family, should the need arise to contact family members. Ensure all the leaflets in the information packs are up to date and correct at the time of distribution Demonstrate knowledge of what to do in an emergency during a home visit Keep up to date with benefits (e.g. pension credit, carers allowance, attendance allowance) Liaise with other members of staff to gain knowledge which may help to understand patient situations or medical problems Ensure information in consultations is correct and a true reflection of the home visit or phone call Collate feedback questionnaires to inform service design Contact patients or relatives to arrange appointments Create and provide information packs to the patients that will inform them of local services, support groups etc.

including sourcing leaflets for new services Discuss at clinical meetings on a regular basis any recent assessments, outcomes or feedback received from patients Attend any training courses that are suitable for the role Arrange follow-up, referrals to secondary services, GP appts or other appropriate clinical staff and follow up the patients post referral Ensure that you keep in touch with the Practice while out on calls and to remain safe at all times To meet or discuss any issues regarding patients or the scheme with a GP/NP or PM if required Create a robust patient recall process tailored to the individual patients needs Create care plans when appropriate for patients Confidentiality In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately. In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation.

All such information from any source is to be regarded as strictly confidential. Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data. Health & Safety The applicant will implement their own health and safety and infection control as defined in the Practice Health & Safety Policy, the Practice Health & Safety Manual, and the Practice Infection Control policy and published procedures. This will include (but will not be limited to): Using personal security systems within the workplace according to practice guidelines Awareness of national standards of infection control and cleanliness and regulatory / contractual / professional requirements, and good practice guidelines Actively identifying, reporting, and correction of health and safety hazards and infection hazards immediately when recognised Keeping own work areas and general/ patient areas generally clean, sterile, identifying issues and hazards/ risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other sector managers Equality and Diversity The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognizes the importance of people's rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights Personal/ Professional Development The post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/ or professional development Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are