Person Specification

Skills and Attributes
Essential
Proven record of excellent written and verbal communication skills and interpersonal skills
Evidence of excellent knowledge of Microsoft Office
Able to deal with service users sensitively
Able to work as part of a team
Able to prioritise and manage own workload
Excellent motivational and influencing skills
Excellent negotiating skills
Car user (to travel between more than one GP practice)
Excellent interpersonal skills
Strong analytical and judgement skills
Ability to analyse and interpret information and present results in a clear and concise manner
Excellent organisational and administration skills
Experience providing advice/signposting to customers or patients
Desirable
Able to use NHS Choices website effectively
Experience
Essential
Experience of working in an administrative capacity, supporting customers or patients and/or previous experience in the NHS or social care or relevant field
Experience in use of databases
Experience of administrative duties
Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality
Working in a busy and demanding environment whilst delivering in a timely manner
Desirable
Working in a multi-disciplinary setting where influence and negotiation is required
Knowledge/familiarity with medical terminology
Understanding of current issues facing the NHS
Understanding of health and social care processes
Qualifications
Essential
5 GCSEs grade C/4 or above/Diploma/ HNC level (or relevant experience)
Disclosure and Barring Service Check
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 (formerly known as CRB) to check for any previous criminal convictions.

Employer details
Employer name
Glenroyd Medical Practice

Address
Moor Park Health and Leisure Centre

Bristol Avenue

Bispham, Blackpool

FY2 0JG


Employer's website
https://www.glenroydmedical.co.uk/ (Opens in a new tab)

Vacancy Details

APPLY HERE: https://beta.jobs.nhs.uk/candidate/jobadvert/A2372-23-4665

Are you wanting to be part of an ever-growing, innovative team? Are you a person who can care for others, ultimately changing the lives of patients with your support?

This is an exciting opportunity to join Blackpool North PCN as a PCN Care co-ordinator in a newly established role within Primary Care which allows for a more joined-up and coordinated care journey for patients. The role essentially breaks down barriers between health and care organisations, to support the increasing number of patients with long-term health conditions. At the same time, the aim would be to reduce health inequalities within our patient population and to provide solutions to ensure equity of health care is delivered.

Care co-ordinators play an important role within a PCN, working as part of a primary care team that links with outside organisations such as social prescribing link workers, wellbeing coaches etc.

Care co-ordinators make a massive difference in General Practice and this will provide clear benefits for both patients and clinicians.

Main duties of the job
As a PCN Care Co-ordinator, you will work as part of a multidisciplinary team within Blackpool North PCN to identify patients in need of proactive support.

You will work with patients, building trusting relationships and listening closely to what matters to them to develop a personalised care and support plan.

Another part of the role would be to provide support for people who are preparing for clinical conversations with healthcare professionals or following up on these conversations to ensure they can be actively involved in managing their care.

The successful applicant will work closely with GP’s and both practice teams to help manage caseloads. You will act as a central point of contact so that appropriate support can be made available to individual patients and their carers which help them manage their conditions and address their needs.

About us
Blackpool North PCN consists of Glenroyd Medical and North Shore Surgery. As a PCN we work closely, to support both our patients in streamlining and creating proactive and personalised care, serving a population of approximately 28,000.

Working for our PCN, means your time will be split between the two Surgeries, further enhancing your skills and knowledge.

We continually aim to improve the way we work to be able to offer the best service possible to our patients.

You will support a highly skilled clinical team consisting of Advanced Clinical Practitioners, Clinical Pharmacists, First Contact Practitioners and designated Visiting Team.

Job description
Job responsibilities
Job Summary:

Care Coordinators play an important role in working with people who have been identified as complex or vulnerable, including the frail/elderly and those with long-term conditions, to provide coordination and navigation across health and care services. They work closely with GPs and Practice Teams, acting as a central point of contact to ensure appropriate support is made available to the patient and their carers. This role requires strong organisational and communication skills. Has some clinical patient assessment aspects (phlebotomy, bp, etc training can be provided)

Care Coordinators bring together all the information about a patients care and support needs and helps to create a personalised care and support plan based on what matters to the patient. They help patients to access services, referring to Social Prescribing Link Workers, Health and Wellbeing Coaches and other roles in our Wellbeing Hub.

A key responsibility of the role is to provide strong administration support to the weekly Care Home Multi Disciplinary Team (MDT) meetings: setting up meetings, minuting and following up on actions and acting as the liaison between MDT members and Care Home staff, community team, Enhanced Health Checks

Job responsibilities:

Direct patient facing work

Work collaboratively with staff across the PCN to proactively identify and support patients; working with those patients, their families and carers, to provide coordination and navigation across health and care services.

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), based on what matters to the person. This will be done in liaison with clincial staff and Social Prescriber Link Workers who can advise on community services.

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.

Receive and collate information from transfers of care (including hospital admissions and discharges), out of hours calls, DNARs etc and follow up with the patient to identify their needs.

Collaborative working relationships

Collaboratively work with other Care Coordintors, managing the workload as a team and covering duties for other Care Coordinator absences.

Work as a cohesive team with the other staff in the Wellbeng Hub, receiving referrals and identifying which Wellbeing Hub roles could best support the patient. This might include for example, working with the Social Prescribing Link Workers to support people in to training and/or work, support people to understand their level of knowledge, skills and confidence (their Activation level), support people to access personal health budgets and support PCN staff and patients to be more prepared to have shared decision-making conversations.

Actively work toward developing and maintaining effective working relationships both within and outside the PCN, communicating effectively with service users and their families/carers, building networks with GP practices, adult social care, hospitals, community pharmacists etc.

Supporting Care Delivery

Follow through actions identified by Clinical Staff or Care Home MDTs, including arranging tests, referrals, signposting etc.

Follow up with service users and others involved to ensure all services and care arrangements are in place.

Utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care.

Keep care records up-to-date as activities arise, uploading care plans to EMIS, identifying and updating missing or out-of-date information about a persons circumstances etc.

Contribute to risk and impact assessments, monitoring and evaluations of the Care Coordinator role and the Wellbeing Hub.

Confidentiality

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential
Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data
Information Technology

Work closely with the PCN manager and the team to ensure that PCN documentation and other important documentation is maintained on the Document Management System – Teams

Work closely with Practice Managers to manage Data collection, record appropriate coding, analyse reports etc to enable informed decision making and continuous quality improvement.

Manage reporting requirements for the Care Home MDT.

*** Please note, salary quoted is approximate and is dependant on experience.