Clinical Care Coordinator - Ramsbury, United Kingdom - East Kennet Primary Care Network

East Kennet Primary Care Network

Verified Company

Ramsbury, United Kingdom

3 weeks ago

Posted by:

Tom O´Connor

beBee Recruiter

Description

You must be caring, dedicated, reliable, patient focused and enjoy working with a wide range of people. Good written and verbal communication skills along with strong organisational and time management skills are essential.

You will be required to be highly motivated and proactive with a flexible attitude, keen to work and learn as part of a team and committed to providing people, their families and carers with high quality support.

This role has a key focus to support the Investment & Improvement Fund indicators and delivery of the PCN Contract.

There may be a need to work remotely depending on the requirements of the role.

Key Responsibilities Work with people, their families and carers to improve the understanding of their condition and support them to develop and review personalised care and support plans to manage their needs and achieve better healthcare outcomes Help people manage their health conditions through undertaking routine screening and annual clinical reviews Assist people to access self-management education courses, peer support, health coaching and other interventions that support them in their health and wellbeing, and increase their levels of knowledge, skills and confidence in managing their health Support the coordination and delivery of multidisciplinary teams with the PCN Raise awareness of how to identify patients who may benefit from shared decision making and support PCN staff and patients to be more prepared to have shared decision-making conversations Work with people, their families, carers, and healthcare team members to encourage effective help-seeking behaviors Identify unpaid carers and help them access services to support them Key Tasks Phlebotomy Blood pressure monitoring NHS Healthchecks Vaccinations (Flu, Pneumococcal etc) Urinalysis Chaperoning Work towards increasing patients understanding of how to manage and develop health and wellbeing through offering advice and guidance Work with the wider PCN, MDTs, and the social prescribing service to look at how carers can support people - this could include the initial identification of carers onto the carer register Work with the Nursing Team to support health promotions Maintain a professional attitude to patients and display a caring, positive attitude at all times Work strictly within guidelines and policies which are set Coordinate and Integrate Care Prepare patients for their annual long term condition reviews by undertaking routine screening tests Refer onwards to social prescribing link workers and health and wellbeing coaches where required Regularly liaise with the range of multidisciplinary professionals and colleagues involved in the persons care, facilitating a coordinated approach and ensuring everyone is kept up to date so that any issues or concerns can be appropriately addressed and supported Actively participate in multidisciplinary team meetings in the PCN as and when appropriate Regularly review Practice performance of the IIF indicators and target cohorts Identify when action or additional support is needed, alerting a named clinical contact in addition to relevant professionals, and highlighting any safety concerns Information accuracy, storage and transmitting Keep accurate and up-to-date records of contacts, appropriately using GP and other records systems relevant to the role, adhering to information governance and data protection legislation Work sensitively with people, their families and carers to capture key information, while tracking of the impact of care coordination on their health and wellbeing Record and collate information according to agreed protocols and contribute to evaluation reports required for the monitoring and quality improvement of the service.

Professional Development Work alongside the wider team, to gain advice and support Undertake continual personal and professional development, taking an active part in reviewing and developing the role and responsibilities, and provide evidence of learning activity as required Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, equality & diversity and health & safety Establish strong working relationships with GPs and Practice Teams and work collaboratively with other care coordinators, social prescribing link workers and health and wellbeing coaches, supporting each other, respecting each others views and meeting regularly as a team.