Patient Care Co-ordinator

5 days ago

Bury St Edmunds, United Kingdom Bury St Edmunds PCN Full time
About the Role Bury St Edmunds PCN has an opportunity for care coordinator(s) to join our primary care network (PCN), to support two of our five GP practices across the Bury area. The role is offered on a full-time basis, hours per week over 5 days per week, primarily Monday and Friday between the hours of 0830 and 1800hrs, with some weekend hours required subject to demand. The role involves working very closely with the practice and the multidisciplinary team (MDT) and also within the wider PCN. The role is pivotal in ensuring that all patients receive the best possible care and service, working on requirements for the PCN Direct Enhanced Service Contract (DES). Our care coordinators play an important role within a PCN to proactively identify and work with people, including the frail/elderly and those with long-term conditions, to provide coordination and navigation of care and support across health and care services. They work closely with GPs and practice teams to manage a caseload of patients, acting as a central point of contact to ensure appropriate support is made available; supporting them to understand and manage their condition and ensuring their changing needs are addressed. This is achieved by bringing together all the information about a person’s identified care and support needs and exploring options to meet these within a single personalised care and support plan, based on what matters to the person. Care coordinators review patients’ needs and help them access the services and support they require to understand and manage their own health and wellbeing, referring to social prescribing link workers, health and wellbeing coaches, and other professionals where appropriate. Care coordinators could potentially provide time, capacity and expertise to support people in preparing for or following-up clinical conversations they have with primary care professionals to enable them to be actively involved in managing their care and supported to make choices that are right for them. They may be given a caseload of identified patients and be required to ensure that their changing needs are addressed by considering local priorities, health inequalities and/or population health management risk stratification. Primary responsibilities of the role: Work with people, their families and carers to improve their understanding of the patients’ condition and support them to develop and review personalised care and support plans to manage their needs and achieve better healthcare outcomes; Help people to manage their needs through answering queries, making and managing appointments, and ensuring that people have good quality written or verbal information to help them make choices about their care; Work collaboratively with GPs and other primary care professionals within the PCN to proactively identify and manage a caseload, which may include patients with long-term health conditions, and where appropriate, refer back to other health professionals within the PCN;  Support the coordination and delivery of multidisciplinary teams with the PCN;  Raise awareness of how to identify patients who may benefit from shared decision making and support PCN staff and patients to be more prepared to have shared decision-making conversations; Support PCNs in developing communication channels between GPs, people and their families and carers and other agencies; Maintain records of referrals and interventions to enable monitoring and evaluation of the service; Support practices to keep care records up-to-date by identifying and updating missing or out-of-date information about the person’s circumstances; Contribute to risk and impact assessments, monitoring and evaluations of the service; Work with commissioners, integrated locality teams and other agencies to support and further develop the role. Please see the attached job description for further information. About the Candidate If you have experience of care planning, with strong communication skills and excellent organisational experience, then we would love to hear from you. The ideal applicant will ideally have the following skills, experience and qualifications: Experience of working within healthcare, the voluntary or community sector, to support vulnerable groups; Strong listening and communication skills; Familiar with local resources and services, including how to access them; Motivated by helping people, with care and empathy; Able to deliver person-centred support in a non-judgmental way; Excellent organisational skills with attention to detail; Working within a team environment; Respect patient confidentiality at all times; Experience of working in an administration role; Flexible and cooperative attitude to the needs of the practice and developing needs of primary care; Effective time management; Ability to use own initiative, discretion and sensitivity. About Us Bury St Edmunds Primary Care Network consists of five surgeries and serves some 66,000 patients from the town and surrounding villages. Our vision is to deliver the highest standards of care, with equality, dignity and respect, to our patient population. Our aim is to create a system where member practices work closely together in collaboration with health and social care, voluntary sector, community groups and local people, to deliver inclusive and personalised care. Bury St Edmunds Primary Care Network is a growing PCN with already existing roles including, care coordinators, social prescribers, clinical pharmacists, paramedics, health and wellbeing coaches and pharmacist technicians that support GPs and other clinical teams to enhance patient services in the local community. We can offer you: NHS pension scheme: The NHS pension scheme is a defined benefits scheme - 20% employer contribution; Eye-care vouchers; Health service discounts; Annual Leave: minimum 33 days FTE, with enhancements for long service.

Disclosure and Barring Service Check

Please note this post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.

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