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    Primary Care Network Care Coordinator - Liverpool, United Kingdom - Childwall and Wavertree Primary Care Network

    Childwall and Wavertree Primary Care Network
    Childwall and Wavertree Primary Care Network Liverpool, United Kingdom

    1 week ago

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    Permanent
    Description

    Job summary

    A new and exciting opportunity has arisen for a Care Coordinator to join our already existing team of 2 care coordinators as part of the Childwall and Wavertree Primary Care Network (PCN).

    The post will be employed through the Network Contract DES. The post holder will be required to travel from practice to practice and to other venues during fulfilment of their duties.

    Main duties of the job

    The role of care coordinator is varied and the focus can change to suit the variety of services and projects that the network develops and supports. This post will focus on:

  • supporting the PCN and its member practices to effectively use a variety of communication channels to improve navigation of care, increase access to support across health and care services, and decrease barriers to accessing care for patients facing health inequalities. This will include use of websites, social media, and texting as well as organising the PCN Patient Participation Group.
  • Act as a central point of contact for the proactive care service providing coordination and navigation of care and support across health and care services for persons with long term conditions and the frail/elderly who are unable to leave their home
  • Increasing connections between the public and general practice through patient outreach events

    • The successful candidate will be caring, dedicated, reliable and person-focussed and enjoy working with a wide range of people. They will have excellent written and verbal communication skills, a passion for creating online media content and strong organisational and time management skills. They will be highly motivated and proactive with a flexible attitude, keen to work and learn as part of a team and committed to building communities and providing people, their families and carers with high quality support.

    About us

    Childwall and Wavertree Network is a Primary Care Network (PCN) of 7 practices in Liverpool. Our network operates across the Childwall Wavertree neighbourhood which includes Valley Medical Centre, Rutherford Road Surgery, Penny Lane Surgery, Greenbank Road Surgery, Greenbank Drive Surgery, Lance Lane Medical Centre, and Beacon Health at Mossley Hill.

    Our combined patient population is approximately 43,000. Our network works very closely with our community team and other local Healthcare providers. The network adopts new methods of working via an extended clinical workforce which includes Salaried GP's, Advanced Clinical Practitioners, Clinical Pharmacists, Pharmacy Technicians, Practice Nurses, Nurse Associates, Social Prescribers, Health and Wellbeing Coaches, Mental Health Practitioners, First Contact Physiotherapist and Physicians Associates.

    Job description

    Job responsibilities

    Coordinate patient communication and outreach

  • Support the network in developing communication channels betweenGPs, people and their families and carers and other agencies.
  • Manage the PCNs social media channels and websites
  • Coordinate the PCN Patient Participation Group
  • Coordinate events focussed on improving health and access tohealth and care that brings together patients, community assets and the network
  • Develop and implement interventions to decrease barriers toaccessing primary care services for people facing health inequalities
  • Support the wider work of the PCN and understand the variousworkstreams taking place across the network
    • Coordinate and integrate care for an identified cohort of patients
  • Work with the lead of the proactive care team, GPs and otherprimary care professionals within the PCN to identify and manage a caseload ofpatients, and where required and as appropriate, refer people back to otherhealth professionals within the PCN.This patient population includes but is not limited to persons who areunable to leave their homes or require significant assistance to leave thehouse due to illness, frailty, surgery, mental ill health or nearing end oflife.
  • Organise and actively participate in multidisciplinary meetings ofthe proactive care team
  • Utilise population health intelligence to proactively identify andwork with a cohort of patients to deliver personalised care
  • Support patients to utilise decision aids in preparation for ashared decision-making conversation
  • Holistically bring together all of a persons identified care andsupport needs, and explore options to meet these within a single personalisedcare and support plan (PCSP), in line with PCSP best practice, based on whatmatters to the person
  • Help people to manage their needs through answering queries,making and managing appointments, and ensuring that people have good qualitywritten or verbal information to help them make choices about their care, usingtools to understand peoples level of knowledge, confidence in skills inmanaging their own health
  • Identify when action or additional support is needed, alerting anamed clinical contact in addition to relevant professionals, and highlightingany safety concerns
  • Support practices to keep care records up-to-date by identifyingand updating missing or out-of-date information about the personscircumstances

    • Enable access to personalised care and support

  • Develop an in-depth knowledge of the local health and careinfrastructure and know how and when to enable people to access support andservices that are right for them
  • Assist people to access self-management education courses, peersupport or interventions that support them to take more control of their healthand wellbeing
  • Explore and assist people to access personal health budgets whereappropriate
  • Support people to take up training and employment, and to accessappropriate benefits where eligible for example, through referral to socialprescribing link workers
  • Provide coordination and navigation for people and their carersacross health and care services, working closely with social prescribing linkworkers, health and wellbeing coaches, and other primary care professionals
  • Raise awareness within the PCN of shared decision-making anddecision support tools; and
  • Raise awareness of how to identify patients who may benefit fromshared decision making and support PCN staff and patients to be more preparedto have shared decision-making conversations.
    • Professional development
  • Undertake continual personal and professional development, takingan active part in reviewing and developing the role and responsibilities, andprovide evidence of learning activity as required
  • Adhere to organisational policies and procedures, includingconfidentiality, safeguarding, lone working, information governance, equality,diversity and inclusion training and health and safety

    • Miscellaneous

  • Establish strong working relationships with GPs and practice teamsand work collaboratively with other care coordinators, social prescribing linkworkers and health and wellbeing coaches, supporting each other, respectingeach others views and meeting regularly as a team
  • Demonstrate a flexible attitude and be prepared to carry out otherduties as may be reasonably required from time to time within the generalcharacter of the post or the level of responsibility of the role, ensuring thatwork is delivered in a timely and effective manner
  • Identify opportunities and gaps in the service and providefeedback to continually improve the service and contribute to business planning
  • Contribute to the development of policies and plans relating toequality, diversity and reduction of health inequalities
  • Contribute to the wider aims and objectives of the PCN to improveand support primary care
  • Aid implementation of the seasonal vaccination programmes such asCOVID-19 and influenza
    • Person Specification

    Qualifications

    Essential

  • Willingness to undertake, undertaking or qualified from appropriate training as set out in Workforce Development Framework for Care Coordinators by the Personalised Care Institute
  • Educated to GCSE or A Level Standard in English and Maths
  • Proficient in MS Office and web-based services

    • Desirable

  • Qualified to NVQ Level 3 in Health and Social Care

    • Experience

    Essential

  • Experience of communications and content creation
  • Experience of working within multi-professional team environments
  • Experience of data collection and using tools to measure the impact of services

    • Desirable

  • Experience of working in health, social care and other support roles in direct contact with people, families or carers (in a paid or voluntary capacity)
  • Experience in coordination and planning of events
  • Experience or training in personalised care
  • and support planning
  • Experience of working with elderly or vulnerable people, complying with best practice and relevant legislation

    • Personal Qualities and Attributes

    Essential

  • Ability to actively listen, empathize with people and provide personalized support in a non-judgmental way
  • Ability to provide a culturally sensitive service supporting people from all backgrounds and communities, respecting lifestyles and diversity
  • Commitment to reducing health inequalities and proactively working to reach people from diverse communities
  • Ability to communicate effectively, both verbally and in writing, with people, their families, carers, community groups, partner agencies and stakeholders
  • Ability to identify risk and assess / manage risk when working with individuals
  • Have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the care coordinator role when there is a mental health need requiring a qualified practitioner
  • Ability to work from an asset-based approach, building on existing community and personal assets
  • Ability to maintain effective working relationships and to promote collaborative practice with all colleagues
  • Ability to demonstrate personal accountability, emotional resilience and work well under pressure
  • Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
  • Ability to work flexibly and enthusiastically within a team or on own initiative
  • Knowledge of, and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety

    • Skills and Knowledge

    Essential

  • Ability to communicate effectively and professionally with colleagues and patients from a wide variety of healthcare professions, backgrounds and diverse groups
  • In depth knowledge of social media platforms such as Facebook, Instagram and X
  • Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities, individuals, their families and carers
  • Understanding of, and commitment to, equality, diversity and inclusion
  • Strong organisational skills, including planning, prioritising, time management and record keeping
  • Ability to recognise and work within limits of competence and seek advice when needed

    • Desirable

  • Effective use of social media platforms such as Facebook, Instagram and X to communicate messages on behalf of an organisation
  • Knowledge of the personalised care approach
  • Knowledge of how the NHS works, including primary care and PCNs
  • Knowledge of Safeguarding Children and Vulnerable Adults policies and processes
  • Understanding of the needs of older people / adults with disabilities / long term conditions particularly in relation to promoting their independence
  • Basic knowledge of long-term conditions and the complexities involved: medical, physical, emotional and social
  • Familiarity with EMIS clinical software

    • Other

    Essential

  • Meets DBS reference standards and criminal record checks
  • Willingness to work flexible hours when required to meet work demands
  • Ability to travel across the locality on a regular basis

    • Desirable

  • Access to own transport
  • Proficient speaker of another language to aid communication with people in a community for whom English is a second language
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