Frailty Care Coordinator

Job summary

The Apollo Primary Care Network is in search of a compassionate and committed Frailty Specialist Care Coordinator to join our rapidly expanding team. In this role, the Frailty Care Coordinator will play a crucial administrative role, collaborating with practice's and the broader community care team to ensure that frail patients receive appropriate interventions, aimed at assisting them in maintaining as much independence as possible.

This entails coordinating various clinical and social care services, as well as assisting individual patients in identifying and accessing support services provided by the voluntary sector or healthcare providers.

Main duties of the job

Reviewing the Frailty ANP's home visits to try to proactively identify frailty and intervene before crisis. Arrange multidisciplinary teams between Primary & Secondary Care, Hospice and Care Home staff etc to collaborate and optimise patient care. Liaise with the frailty nurses to identify issues and barriers, being the main point of contact. Support discharges from hospital, ultimately creating robust processes and pathways between Primary, Secondary and Community Care. Improve data quality coding of frail and housebound patients in the GP medical system. Liaise with all 4 GP practices within the PCN to assist in standardising patient care. Work closely with the Clinical Leads to ensure smooth working and training between the Care Homes and themselves. Facilitate referrals to healthcare services, being the main point of contact. Help improve patient access to GP's.

About us

Apollo Primary Care Network is a PCN which covers 4 GP surgeries: Beacon Medical, Raj Medical, Core Care Family Practice and Healing Partnership. The network team works closely with each of the constituent practices to provide collaborative services, resolve shared problems and explore shared opportunities. The PCN team includes a dedicated infrastructure of Clinical Directors, Practice Representatives, Operational and Financial Management and Clinical and Non-Clinical Service teams including Clinical Pharmacy, First Contact Physiotherapy, Social Prescribing and Occupational Therapy.

Job description

Job responsibilities

The Apollo Primary Care Network is in search of a compassionate and committed Frailty Specialist Care Coordinator to join our rapidly expanding team. In this role, the Frailty Care Coordinator will play a crucial administrative role, collaborating with practice's and the broader community care team to ensure that frail patients receive appropriate interventions, aimed at assisting them in maintaining as much independence as possible.

This entails coordinating various clinical and social care services, as well as assisting individual patients in identifying and accessing support services provided by the voluntary sector or healthcare providers.

This is a position for 30 hours per week.

Person Specification

Experience

Essential

Strong interpersonal and communication skills to engage effectively with patients, families, and healthcare teams. Excellent organisational skills with the ability to manage multiple tasks and prioritise effectively. Proficiency in using electronic medical record systems and other relevant software (training available). Compassionate and empathetic approach towards patients and their families. Ability to work independently and as part of a collaborative team with the ability to work under time pressure. Proactive work style, must be able to solve problems autonomously. Must be able to take responsibility for the remit of tasks and progress, unsupported or proactively seek support from the available resources whenever necessary. Manage and prioritise multiple tasks.

Desirable

Experience working in primary care/ GP practice. Experience using systmone. An understanding of frailty and the issues involved. Experience in care coordination.

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