Care Co-ordinator

**POST**:PCN Care Coordinator

**SALARY**:Agenda for Change Band 4 (£23,949- £26,282)

**HOURS**:37.5 hours per week

**BASE**: Arnold and Calverton PCN

**CONTRACT**:Permanent

**ABOUT THE ROLE**

Arnold and Calverton PCN is seeking a Care Coordinator to work 30 or 37.5 hours per week to provide coordination, administration and support to their Clinical Teams and other members of the PCN.

You will work closely with Care Homes, General Practices and existing services to support the coordination and delivery of the multidisciplinary team meetings for care home residents.

You will achieve this by proactively identifying residents in care homes who require a personalised care and support plan.

Arnold and Calverton Primary Care Network Covers:

- Stenhouse Medical Centre, NG5 7BP
- The Calverton Practice, NG14 6FP
- Highcroft Surgery, NG5 7BQ

**KEY RESPONSIBILITIES**
- Coordinate Multi-Disciplinary Team meetings for people living in care homes
- Utilise Population Health Intelligence to proactively identify care home residents and work with the PCN team to enable the PCN team to deliver personalised care
- Utilise Population Health Intelligence tools where needed to support other patients in the PCN.

**KEY REQUIREMENTS**
- A-level/NVQ Level 3 or equivalent experience in admin/business/marketing/customer service environment
- Experience of office procedures working at a high level as part of an administration team
- Experience of setting up and implementing internal processes and procedures

**JOB PURPOSE**
- The post holder will work within the PCN Team, providing coordination, administrative and support to the Clinical teams and other members of the PCN.
- The post holder will work closely with Care Homes, General Practices and existing services to support the coordination and delivery of multidisciplinary team meetings for care home residents.
- The post holder will support the PCN to proactively identify residents in care homes who require a personalised care and support plan.

KEY RESPONSIBILITIES

Objectives

The post holder, working closely with the PCN team, Care Home, GP’s and existing community services will:

- Coordinate Multi-Disciplinary Team meetings for people living in care homes
- Utilise Population Health Intelligence to proactively identify care home residents and work with the PCN team to enable the PCN team to deliver personalised care
- Utilise Population Health Intelligence tools where needed to support other patients in the PCN.

Role Responsibilities
- Be responsible for daily updating of patients on e-HealthScope Workflow to identify care residents to support the PCN team with identifying community pathways that might prevent hospital admission and for identifying potential gaps in care
- Be responsible for arranging, attending and minuting Care home Multi-Disciplinary Team Meetings
- Proactively prepare any actions prior to the MDT ensuring all relevant clinicians are present
- To record patient interventions on relevant electronic database systems (e.g. SystmOne) and contribute to report generation, analysis and production
- Follow up on all forward actions resulting from MDT discussions
- Be responsible for logging and making referrals
- To contribute to the integration of health and social care by maintaining up to date recording systems for all agencies within the PCN Team and providing information to any member of the PCN Team in order to ease processes and communication in agreement with data protection protocol
- To be responsible for recording, reporting and producing evaluation reports which will include evaluation detailing effectiveness outcomes of new roles.
- To be customer (patient, carer, GP) focused when representing the service
- To work collaboratively with other teams and services to maintain an effective and efficient service
- To offer appropriate support and guidance to patients and their families/carers
- To plan / organise work using own initiative, whilst being able to work as a valuable member of a team
- To have excellent IT skills, to include Microsoft Office, Outlook and Excel
- To undertake general office duties to support the role
- To work effectively as part of a team to provide cover for Care Coordination Teams when required and to be flexible regarding working hours to meet the needs of the service
- To ensure all electronic records are updated and complete within the agreed time-scales
- To use a range of verbal and non-verbal communication tools to communicate effectively with patients, carers and families and colleague
- Provide coordination of and participate in relevant internal and external working groups and provide project advice, expertise and support where requested
- Work with key personnel in the PCN to develop & support collective general practice projects including areas of federated working
- Work towards completing the appropriate training to deliver and support the Comprehensive Model for Personalised Care
- Work closely and