York Road Pcn Care Coordinator Support Worker - Leeds, United Kingdom - South & East Leeds GP Group

South & East Leeds GP Group

Verified Company

Leeds, United Kingdom

2 weeks ago

Posted by:

Tom O´Connor

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Description

York Road PCN Care Coordinator Support Worker

South and East Leeds GP Group

The closing date is 27 July 2023

Job summary

An exciting opportunity has arisen for a Care Coordinator - Support worker role to support York Road Primary Care Network (PCN).

York Road PCN includes 3 practices working over 5 sites:

Shaftesbury Medical Centre, Church View Surgery, Garden Surgery, The Medical Centre (Rookwood Ave) & The Medical Centre (846 York Road) and you will be expected to provide support and care to patients registered across all the practices in the PCN, including those within our 2 Care Homes.

Main duties of the job

To support the multidisciplinary team, and proactively coordinate personalised care and support planning for the most vulnerable people in the community, including but not limited to, the frail/elderly and those with other long-term health conditions and those within our registered Care Homes.

To meet with patients, families, and carers (in the practice, in their home and in other community settings, and or Care home) to co-ordinate their care, review their needs and help them access the services and support they require, assisting them to understand and manage their own health and wellbeing referring to other professionals where appropriate.

This role will be mainly focusing on the vulnerable population who find it difficult to access services in practice. Therefore, visiting them in their own homes, to take observations and undertake other clinical procedures, within your skillset.

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.

You will use knowledge of health and social services available in the locality, including those offered by the community and voluntary sector, to link people up with these and help them overcome any barriers they might encounter.

The aim is to help people improve their quality of life and avoid unplanned hospital admissions.

About us

Dependent on experience and skills you will undertake clinical procedures to support the multi-disciplinary team in the review and overall monitoring and care of patients in the PCN e.g.

phlebotomy & Blood Pressures. This would be undertaken within locally agreed policies and procedures.

Job description

Job responsibilities

KEY WORKING REALTIONSHIPS

Patients, patients families and carers
GPs, nurses and other practice staff
PCN pharmacists, social prescribers, primary care mental health team and other PCN attached staff
Clinicians, carers and staff
Care homes managers, carers, clinicians
Community nurses and other allied health professionals

DUTIES AND AREAS OF RESPONSIBILITY:

Work with the PCN to support the personal care requirements for an identified cohort of patients, using available decision support aids.

Support the PCN in bringing together all a patients 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 patient.

Support the PCN in improving overall patient care through promotion of services available to them locally within the PCN and the wider health system

Support the practices in identifying appropriate patient cohorts for targeted intervention

Update care plan templates on patients records, using correct read codes

Attend multidisciplinary meetings across local care organisations indentifying patients in need of review and collating any information required to facilitate their review prior to the meeting.

Take minutes and coordinate.

Liaise with other key stakeholders as needed for the collective benefit of the patient including but not limited to GPs, nurses, pharmacists and other support staff from within the PCN practices or from other provider organisations

Undertake delegated clinical procedures within own skills and competence when required (depending on experience and qualifications). Supporting with

Assist patients and carers in managing their own needs, answering their queries and supporting them to address their needs

Provide accurate, impartial information, support and guidance to patients and their carers to enable them to make choices about their care

Raise awareness of shared decision making and decision support tools, and assist patients to be more prepared for shared decision making conversations

To provide coordination and navigation for patients and their carers across health and social care services, where appropriate linking with social prescribers and other patient link workers in the PCN

Work in partnership with key providers in the local community to enable improved access to services for patients

Explore and assist patients to access personal health budgets where appropriate

Support patients to understand their