Care Coordinator - London, United Kingdom - City & Hackney Office of PCN's Ltd

City & Hackney Office of PCN's Ltd
City & Hackney Office of PCN's Ltd
Verified Company
London, United Kingdom

4 weeks ago

Tom O´Connor

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Tom O´Connor

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Description

JOB DESCRIPTION

Care Coordinator - Learning Disability




CONTRACT:
12 month contract

37.5 hours per week




SALARY:
£24,000 - £29,000




REPORTS TO:
Clinical Supervisor




ACCOUNTABLE TO:
Clinical Director

JOB SUMMARY
An exciting opportunity has arisen to join Shoreditch Park & City PCN as a Learning Disability Care Coordinator.

If you are a dynamic individual who is passionate about tackling health inequalities, and interested in developing your career in primary care, then we would love to hear from you.


Groups of GP Practices in City and Hackney have recently come together to form 8 Primary Care Networks (PCNS) each covering a total population of between 30, ,000.

The purpose of these PCNs is to enable GP practices to work together in a collaborative way to develop and deliver network-based services that respond to the needs of the local population.


About Shoreditch Park & City PCN:

Working closely with GPs and other primary care professionals within the PCN, you will identify and manage a caseload of identified patients, making sure that appropriate support is made available to them, whilst ensuring that their changing needs are addressed.

Knowledge on the Care Act, Mental Capacity Act, safeguarding and other relevant national and local guidelines would be beneficial.

You will be working closely with the local Learning Disabilities service, and other charities, and social care organisations, in support of these patients care and wellbeing.


You will focus delivery of the Comprehensive Model for Personalised Care to reflect local priorities, health inequalities and population health management risk stratification.

As a care coordinator, you will provide expertise to support patients in preparing for or in following-up clinical conversations they have with primary care professionals.

You will be the point of liaison for patients and interface with all health and social care professionals, including keeping everyone informed and updated.

The post holder will work as part of a multi
- disciplinary team in a patient-facing role.

The postholder will work with a diverse range of people from different cultural and social backgrounds. The ability to work confidently and effectively in a varied, and sometimes challenging environment is essential.

The ability to work confidently and effectively in a varied, and sometimes challenging environment is essential. Specific training will be provided where required.


Key Responsibilities


As a PCN Learning Disabilities Care Coordinator, you will play a vital role in helping individuals with a learning disability regain stability and improve their quality of life.


Your main and overall responsibilities will include:

Assessment and Planning:
Conduct assessments of patients' needs and develop 'Personalised Care Support Plans' (PCSPs).


Needs Assistance:
Ensure patients are getting their annual health checks completed, supported in participation of national vaccination and cancer screening programmes, and assisted in accessing any other services that they may need


Advocacy:
Advocate on behalf of patients to access essential services, benefits, and housing opportunities. This includes supporting them to feel comfortable in attending their appointments & making reasonable adjustments.


Referral Services:
Connect patients to relevant community resources, such as the local learning disability service, working with learning disability liaison nurses, and other healthcare & mental health services


Documentation:
Maintain accurate and up-to-date patient records and progress reports.


The Care Coordinator responsibilities include but are not limited to the following:

  • To work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients
  • In collaboration with clinicians, administrative and reception team colleagues, to help patients with complex needs navigate the health and care system. This includes helping them 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.
  • Support patients to utilise decision aids, help create single personalised care and support plans, in line with best practice.
  • Holistically bring together all of a person's 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 person.
  • Support people to understand their level of knowledge, skills and confidence (their "Activation" level) when engaging with their health and wellbeing, including through the use of the Patient Activation Measure (PAM)
  • Provide coordination and navigation for people and their carers across health and care services, including the use of digital tools.
  • Support people to t
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