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PCN-Healthcare Assistant and Care Co-ordinator
2 months ago
Job summary
Are you enthusiastic about providing holistic carefor housebound patients
Chesterfield and Dronfield PCN are looking for aHealthcare Assistant and Care Co-ordinator to work alongside Community GPs,Advanced Clinical Practitioners, and other members of a multi-disciplinary teamto provide healthcare to our housebound and care home patients across the PCNfootprint. You will also contribute tothe development of Team Up & the Home Visiting service working with otherclinicians.
This is an exciting opportunity to be at the forefront of the deliveryof our new Ageing Well model of care Team Up Derbyshire. The role transcends the traditional healthand social care organisational boundaries.It will involve true MDT working, building relationships with GPpractices, Community Rapid Response services and Falls services, to helpclinically deliver the service on a day-to-day basis.
You will be partof a team that leads on medical models of care across primary andcommunity-based settings, in collaboration with multi-professional andmulti-organisational colleagues. You will also play a crucial role in step up,step down and anticipatory care through timely assessment, referral, responsiveintervention, and care planning.
We are not an agenda for change organisation- Previous applicants do not need to reapply.
Main duties of the job
Work as part of Team Ups MDT to provide and monitor care, under direct or indirect supervision.
Implement and evaluate individual care plans, utilising practical and theoretical knowledge under the direction of a registered practitioner.
To work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients and where appropriate, refer people back to other health professionals within the PCN; Be responsible for co-ordinating all of the elements involved in running a successful MDT meeting Co carry out environmental assessments and consider need for equipment, including onward referral to appropriate MDT members and ensuring safe use. Improve safety and quality of care at every opportunity.
About us
Arc Primary Care is the umbrella organisation ofthe Primary Care Network (PCN) in Chesterfield and Dronfield. Arc Primary Careis an alliance of GP Practices.
Our members consist of 10 GP practices which covera population of over 100,000 patients. At Arc we are committed to ensuring thesustainability of General Practice (and the time honoured valued of list-basedgeneral practice model) and realising the benefits of working together.
We deliver enhanced services within the PCNdesigned to support and enhance the services offered by our member GP Practiceswithin Chesterfield. We do this byemploying staff to work through the Additional Roles Reimbursement Scheme andfinding innovative and sustainable solutions to the changing needs of thePractices; we bid for contracts to help tackle health inequalities and drive upstandards of care within the Chesterfield and Dronfield locality.
Job description
Job responsibilities
Key duties and responsibilities (Clinical)
Work as part of Team Ups MDT to provide and monitor care, under direct or indirect supervision. Implement and evaluate individual care plans, utilising practical and theoretical knowledge under the direction of a registered practitioner. To work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients and where appropriate, refer people back to other health professionals within the PCN; Be responsible for co-ordinating all of the elements involved in running a successful MDT meeting Co carry out environmental assessments and consider need for equipment, including onward referral to appropriate MDT members and ensuring safe use. Improve safety and quality of care at every opportunity. Perform area specific clinical responsibilities such as:o Monitoring of physical observations
o Venepuncture
o Long Term Condition Monitoring
o Blood Glucose Monitoring
o Administration of treatment , nebulisers, oral medication.
o Diabetic Foot Checks
Use appropriate risk assessments, such as NEWS2, in the assessment of patients, to identify patients at risk of deterioration of those that are acutely unwell and require further intervention, , sepsis. Undertake assessments and reviews, and care for individuals with dementia, mental health conditions, and learning disabilities. Ability to makes judgements which require assessment of facts, , escalating abnormal clinical observations, contraindications, emergency situations, wound care, and deciding on implementation of care programmes where there are a number of options. Ensure appropriate escalation to maintain patient safety at all times. On the direction of a registered practitioner, refer patients to relevant professionals for specific treatment, advice or support. Act as a role model by upholding and implementing good practice in the workplace, always ensuring the highest standards of evidence-based care. Ensure correct procedures are followed in the event of an incident or accident involving patients, families or members of staff. Demonstrate competency of clinical skills evidenced within policies and procedures. Participate in clinical supervision. Recognise own responsibilities within delegated scope of practice and to refer to others when beyond own scope or competency. Provide support and supervision to training nursing associates, healthcare assistants, students, apprentices, and those on learning assignments/placements as required including delegation of tasks suitable to their role. Undertake daily risk assessment of clinical situations and completion of incident reports as necessary in accordance with policies. Record all interventions and maintain accurate and contemporaneous patient health records in a timely manner.KEY DUTIES AND RESPONSIBILITIES (Other)
Participate in quality improvements and innovations, , audits, significant events analysis and development of protocols and new services; To offer appropriate support and guidance to patients and their families / carers, utilising decision making aids in preparation for a shared decision-making conversation; Holistically bring together all of a persons identified care and support needs, and explore options to meet these within a single personalised care and support plan (PCSP), in line with PCSP best practice, based on what matters to the person; To provide coordination and navigation for people and their carers across health and care services, working closely with social prescribing link workers and other primary care professionals; To undertake general administrative duties to support the role and any other reasonable duties as requested by a manager to ensure quality of service Support the work of the registered practitioners in the Team Up team to enable them to focus on the more complex clinical care. Support the delivery of services to enhance care to care homes, the housebound and frailty population through virtual, telephone, face to face and home visit reviews. Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to personalised care colleagues and local community and voluntary sector services. Exhibit and maintain a high personal standard of expertise, competence, attitude and behaviour at all times, observing the rules of confidentiality and respecting the patients rights. Develop relationships across the PCN to support integration of the role across health and social care including primary care, secondary care, and mental health, and contribute to the delivery of integrated care. Maintain excellent communication with patients, relatives, care/residential home staff, and members of the team demonstrating a variety in communication skills in accordance with patient needs. Adapt communication style to meet the needs of the individual and breakdown any existing barriers to communication therefore using appropriate means to convey messages and support the expression of thoughts and ideas. Communicate proactively and effectively with all Team Up MDT colleagues, attending and contributing to meetings as required. Promote health and well-being to all patients, for example undertaking the NHS health checks. Contribute to public health campaigns (, COVID-19 or flu clinics) through advice or direct care. Ability to plan and organise own workload for home visits and audits. Chaperone patients when required. Contribute to and embrace the spectrum of clinical governance. Maintain responsibility for the identification of continuing educational needs and development and maintain appropriate levels of competency under the supervision of the clinicians. Actively participate in the annual appraisal process and formulate a personal development plan. Undertake all mandatory training and induction programs, and any relevant courses associated with the role. Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner. This is an evolving role, and the duties and responsibilities may change in accordance with the developing service and needs for the patients. Person Specification
Personal Qualities
Essential
Flexibility and adaptability within the role Holds current UK driving licence with vehicle to use for work purposes Ability to work under pressure and timescales Enthusiasm for participating in innovation and service developments Strong commitment to working as part of a team Ability to work in an environment of change to meet the needs of primary care
Experience
Essential
Experience of working in a Primary Care/ community setting. Extensive experience in supporting staff Ability to work without direct supervision Effective organisational skills Excellent communication skills Experience of working in teams under appropriate supervision as part of a multidisciplinary team Experience in a health care setting Experience of working in accordance with policy and procedures Experience of working with unwell patients and have knowledge of long-term conditions IT literacy skills
Desirable
Awareness of local and national NHS initiatives and strategy Good IT skills including knowledge of Microsoft Office, Outlook Experience using SystmOne
Qualifications
Essential
GCSE Maths and English (Grade C/4) NVQ Level 3 in relevant topic