Care Homes Care Coordinator - North Yorkshire, United Kingdom - North Riding Community Health PCN

Description

The North Riding Community Health Primary Care Network are seeking to recruit a Care Homes Care Coordinator who will also be located at Derwent Practice.

They will work closely with GPs and practice teams, ensuring that appropriate support is made available to people; supporting them to understand and manage their condition and ensuring their changing needs are addressed.

They will be an integral part of the practice team, ensuring patients are reviewed regularly with up to date care and supoort plans in place.

The Care Co-ordinator will work alongside GP's and other professionals to provide an all-encompassing approach to personalised care and enable people to navigate through the health and care system.

A key part of the Care Homes Care Co-ordinator role will be working with the care homes to improve the continuity of care by acting as a point of contact for residents, families and professionals who visit care homes such as MDT members and in-reach specialists.

The Care Homes Care Co-ordinator will support the weekly virtual care home round through the identification of people in need of review, or collation of information on people requiring an MDT review in addition to providing coordination, secretarial and administrative support to the MDTs.

The post holder will support the member Practices in co-ordinating all key activity including access to services, advice, and information, and ensuring health and care planning is timely, efficient, and patient-centered.

• Work within member practices to help deliver outcomes defined within the enhanced service and any additional appropriate quality improvement schemes set by the PCN
• Support the coordination and delivery of MDTs within the practices
• Support the coordination and delivery of patient health projects and programmes within the PCN.
• Coordinate care needs including organisation and documentation of multidisciplinary meetings within care homes and related followup actions; supporting the implementation of personalised care plans; logging and making referrals as required
• Offer appropriate support and guidance to care home patients and their families/carers
• Utilise Population and Clinical Reporting within the clinical system to ensure all activity is recorded accurately
• Raise awareness of health promotion and coordinating long term condition reviews and evaluate MDT treatment programmes that promote health and wellbeing
• Record patient interventions on relevant electronic database systems (e.g. SystmOne) and contribute to report generation, analysis and production
• Ensure colleagues are made aware of any service changes, offering guidance and help as required
• Ensure regular and consistent updates regarding patient progress, highlighting any complications or guidance with appropriate team members
• Work collaboratively with other teams and services to maintain an effective and efficient service.

• Qualifications and Training: _

• Educated to NVQ Level 3 or equivalent (E.g. 2 A levels) or evidence of strong relevant experience
• Experience of working with healthcare professionals and/or previous experience in the NHS or social care or relevant field

• Willingness to complete next level of qualification to further progress within the role
• Qualification in health or social care allied profession
• Knowledge of Care Home environment
• Knowledge and evidence of: _

• Understanding of working with confidential information and an understanding of service user confidentiality
• Ability to communicate confidently with staff of all seniority levels

• Understanding of basic health and social care terminology
• Working in a multidisciplinary setting
• Working with the elderly
• Understanding of the current issues facing the NHS
• Knowledge of social service structures
• Understanding of health and social care processes
• Developing relationships with a wide variety of people
• Health and social care assessments
• Ability to deliver successful outcomes within determined timeframes
• Continuous CPD and identifying opportunities for selfdevelopment
• Skills and abilities: _

• IT skills, including accurate written/electronic records and documents
• Recording and collection of data and to support clinical care and to inform decision making
• Prioritise own workload and meet required timescales
• Identify need for service development and implementation of action plans to address
• Convey sensitive information in an empathetic manner to patients/clients/client's relatives/carers and staff
• Effective written, verbal and nonverbal communication skills
• Negotiation and conflict resolution skills
• Full clean UK drivers' licence