Woodsley and Holt Park Pcn Care Coordinator - Leeds, United Kingdom - South & East Leeds GP Group

Tom O´Connor

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Description

PCN Care Coordinator

South and East Leeds GP Group

The closing date is 13 January 2023

Job summary
We are looking to recruit to the post of care coordinator, to work within our Primary Care Network multidisciplinary healthcare team


Care co-ordinators provide extra time, capacity, and expertise to support patients in preparing for or in following-up clinical conversations they have with primary care professionals.

- disciplinary team.


Main duties of the job


You will work closely with the GPs and other primary care professionals within the PCN to identify and manage a caseload of identified patients, making sure that appropriate support to deliver personalised care is made available.

While working within the practices you will work under the direct supervision of the Practice Nurse Team & General Practitioners.

You will work strictly in accordance with specific practice guidelines and protocols.


The role will predominately include providing healthcare duties to the practices, coordination of clinics, inputting of clinical data and direct patient contact to encourage uptake of services.

The Care Coordinator will support the coordination and delivery of MDTs within PCNs; ensure close working relationships with other PCN roles

Support Quality and Outcome Frameworks and Local and National Targets.


About us


We are a dynamic, forward thinking PCN team who are passionate about developing and delivering excellent quality local services to meet the needs of our patients.

We are very excited to be recruiting a Care Coordinator to join our PCN team.


Job description

Job responsibilities

Job responsibilities
Work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients, be involved in co-ordination of care, and where required and as appropriate, refer people back to other health professionals within the PCN

Phlebotomy

Blood pressure monitoring

Height and weight monitoring

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

Bring together a persons identified care and support needs and explore their options to meet these into a single personalised care and support plan, in line with person-centred service plan (PCSP) best practice

Help people to manage their needs, answering their queries and supporting them to make appointments

Support people to take up training and employment, and to access appropriate benefits where eligible

Raise awareness of shared decision making and decision support tools and assist people to more prepared to have a shared decision-making conversation

Ensure that people have good quality information to help them make choices about their care

Support people to understand their level of knowledge, skills and confidence when engaging with their health and wellbeing, including through use of the patient activation measure

Assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing

Explore and assist people to access personal health budgets where appropriate

Provide coordination and navigation for people and their carers across health and care services, alongside working closely with social prescribing link workers, health and wellbeing coaches and other primary care roles

Support the coordination and delivery of MDTs within PCNs

Support the Covid vaccination services and help and support patients to understand the COVID-19 vaccination process and support patients with booking vaccination appointments

Provide support in setting out rotas and setting up clinics


Support Quality and Outcome Frameworks and Local and National Targets, to include a focus on PCN DES Specifications, in particular supporting cancer, diabetes, and care home initiatives.

Contribute to effective information management within the team including collation, analysis and reporting of data to support PCN DES targets in a timely fashion


Person Specification

Qualifications

Essential

  • NVQ 3 in adult care or working towards
  • Meet DBS standards
  • Willingness to work flexible hours
  • Ability to use Microsoft office and word
  • Understanding of safeguarding policies for children and vulnerable adults
  • Ability to recognise and work within limits of competence and seek advice when needed
  • Experience of working in health and social care and other support roles in direct contact with people
  • High level of written and verbal communications skills
  • Knowledge of and ability to work to policies and procedures

Desirable

  • Ability to travel across locality on regular basis
  • Own transport and valid driving license
  • Experience of working with elderly or vulnerable people
  • Experience of working directly in a care coordinator role, adult health, and social care
  • Phlebotomy

Skills and Competencies

Essential

  • Knowledge and experience in using System O

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