Care Co-ordinator

**THE BLACKMORE VALE PARTNERSHIP**

**Job Title**

Care Co-Ordinator

**Reports to**

Clinical Director

**Location**:
The Blackmore Vale Partnership surgeries

**Contract Type**:
Permanent

**Hours per week**

Full time

**Pay Scale**

Band 4 £22,422.50 - £24,690.61 pro rata depending on experience

**Job Summary**

The Care Coordinator will support the practice to prioritise keeping people living safely in their own homes by empowering them to live well through personalised care. The role will work with the practice staff, multi-disciplinary team (MDT) and wider health and social care colleagues in the co-ordination of multiple services around the person both administratively and with direct contact.

The Care Coordinator will provide capacity and expertise to support people in preparing for clinical conversations they have with primary care professionals to free up time for the clinician, highlight any issues or blocks to continuing health at an early stage and act as a link between the person, the clinician and any outside or partner agency. The role will also include consulting with people to determine their needs and to develop individualised care plan.

The role will require someone with a compassionate nature, be knowledgeable about health care practices and provide exceptional customer service to assist patients in handling their illness.

**Job Duties & Responsibilities**
- Proactively identify and work with a cohort of people to support their personalised care requirements.
- Bring together all of a person’s identified care and support needs and what matters to them; explore the options to address these in a single personalised care and support plan.
- Help people to manage their needs, answering their queries and supporting them to make appointments.
- Support people to take up training or employment and access appropriate benefits where eligible.
- Raise awareness of shared decision-making and decision support tools and assist people to be more prepared to have a shared decision-making conversation.
- Ensure that people have high-quality health information to help them make choices about their care.
- Assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing; explore and assist people to access personal health budgets where appropriate.
- Provide coordination and navigation for individuals and their carers across health and care services, working closely with social prescribing link workers, health and wellbeing coaches and other primary care roles to identify and support people, offering support to carers ensuring that their changing needs are addressed.
- Be familiar with **the six components of the universal model for personalised care with a specific focus on**:
Support for self-management, Personalised care and support planning, Shared decision making, Social prescribing, Personal Health Budgets
- Support the booking of appointments, setting up of group consultations, administration of clinics and the management of population health initiatives.
- Act as a liaison between the clinician, administration team and the person.
- Provide support to people with long term conditions who are known to our Frailty service or Nursing teams to gain appointments both administratively and practically.
- Support the Patient Services Care Coordinators to understand the different role of the Care Coordinator by providing on-site support and guidance
- Work in collaboration with the digital care coordinator having an understand of the digital health pathways adopted by the practice
- Support clinicians and administrative staff with the tracking of people’s needs, troubleshooting, fact-finding, and signposting by setting up a Patient Advice & Liaison Service to be utilised by clinicians and practice staff.
- Lead and support the needs of carers across the practice through the development of carers’ groups and clinics
- Develop and provide support and resources for carers
- Plan, support, and manage where appropriate any tasks associated with the practice, NHSE, or CCG initiatives such as the CCLIP, Population Health Management or PCN DES activities.
- Additional work delegated by the Clinical Director or Practice Manager

**COLLABORATIVE** **WORKING** **RELATIONSHIPS**

The successful applicant will be able to recognises the roles of other colleagues within the organisation and their role to the care of people registered with the practice. They will be able to demonstrate use of appropriate communication to gain the co-operation of relevant stakeholders (including other people registered at the practice, senior and peer colleagues, and other

professionals, other NHS/private organisations and the third sector. They will also demonstrate the flexibility and ability to work as a member of a wider team. They will be able to recognise personal limitations and refer to more appropriate colleague(s) when necessary whilst liaising