Care Co-ordinator

**CARE CO-ORDINATOR / ADMINISTRATOR**

**SITES**:
To be based at South Cave but will need to be available to travel to all other sites within The Ridings Medical Group.

**RESPONSIBLE TO**:
Service Manager

**RESPONSIBLE FOR**:
Not applicable

**JOB PURPOSE**:
To provide support to the Service Manager and the Practice Team.

**MAIN DUTIES AND RESPONSIBILITIES**

**1.**

To gain an understanding of the various roles within the practice workflows which often span across multiple teams. The workflow understanding is important in a care coordinator role to ensure processes align.

**2.**

**Care Home Support Work**

To support the Care Home team with a range of duties.

Ward Rounds
- To book all patients on the care home ward round list into an appointment on the specified ledgers ahead of the visit.
- Action any ward round requests that are admin related and do not require clinical input i.e., chasing a referral.
- Book patients into the acute care home slot on none ward round days, if it can’t wait until the next ward round.

New Patient Registrations
- To register any new care home patients (both temporary and permanent)
- Liaise with the care homes to obtain any MAR charts and discharge letters.
- To coordinate the completion of all elements included within a new patient check.

District Nurse Referrals
- To organise any DN referrals requested from the care home team including bloods and injections following the correct pathway.

Respect Forms/ Lasting Power of Attorney

Long Term Condition Review (LTC) / Structured Medication Review (SMR)/ Personalised Care and Support Plan (PCSP)
- Coordinate the care home teams ledger identifying who needs visiting and notifying the care home of the visit date and requirements.
- Organising any bloods required in advance of the visit.

**3.**

To chair the monthly multi-disciplinary meeting (on rotation). Minuting and circulating the minutes to the team in a timely manner. To update the records of any patients discussed during the meeting as per The Gold Standard Framework.

**4.**

**5.**

To monitor and action all tasks within your personal box and Care Coordinator group task box on SystmOne.

**6.**

**Clinical Workflows**

Spirometry and Feno Appointments
- To monitor the Spirometry and Feno waiting list, making appointments following the protocol and informing the Rota Coordinator if appointments won’t be filled.

Learning Disability Reviews
- Ensure all patients with a Learning Disability have an annual review using the recall system.

Chronic Disease Reviews
- Support the contracts team with booking any outstanding chronic disease reviews.

Overdue Cervical Smears
- Identify patients overdue cervical screening and follow contact these patients as per the protocol.

Overdue Bowel Screening
- To contact the patients who have not completed a FIT test to encourage uptake.

Blood Pressure Protocol
- To monitor the BP loan machine waiting lists for all sites. Actively loaning out machines and chasing when not back within scheduled timeframe.
- To manage both the Florey’s and scanned on results and action as per protocol.
- Helping patients with any queries they may have and supporting them in making appointments.
- Contacting the patient on behalf of the GPs guidance regarding medication changes.

Baby Vaccines
- Using the data provided from the child health team at Humber checking our clinical system to see who overdue vaccine is. Updating the document for the team at Humber and actively contacting those overdue patients to make an appointment.

Above are the main clinical workflows currently aligned to the team however throughout the year more may be identified which could require the support from the Care Coordinator team.

**7.**

To support the practice with rearranging clinics at short notice due to staff absence.

**8.**

To support the Pharmacy team with any audit and review work as and when required.

**9.**

To monitor the incoming e-consultations submitted by patients online. This workflow will include booking appropriate appointments into the AccuRx slots, responding to patient’s admin queries, tasking pharmacists/dispensary for medication matters, signposting to pharmacies if appropriate.

**10.**

Managing all incoming results by assigning them to the correct clinician based on the daily rota planner and the guidance document created by our rota coordinator.

**11.**

To action all aligned batch reports weekly.

**12.**

Support the Acute GP with daily appointment allocation and coordinating patient care.

**13.**

Flu and Covid Vaccine Workload:

- To provide support with organising clinics and booking appointments for the Covid and Flu Vaccination Programme as and when required.
- Coordinating the role out to housebound and care home patients including route planning.
- Ensuring all care home consent forms are correctly completed, patients list are up to date along with supporting the team to administer vaccines.
- Help in clinics when needed.
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