Clinical Integrated Care Team Coordinator - Southport, United Kingdom - Mersey Care NHS Foundation Trust

Tom O´Connor

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Tom O´Connor

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Description

As a result of the post-holder being effective in their role, The Trust would expect to see the following outcomes for the Trust, service users and the wider community: Mersey Care NHS Foundation Trust as a leading provider of community services, mental health care, physical health, addiction services and learning disability care.

Service users receiving a high quality service and one which is free from stigma, discrimination, and harm. Staff engaged with the delivery, innovation, and continuous improvement of services to benefit service users.

Visible and responsive leadership, setting the standard for others and role-modelled throughout the division for all managers The Trust values of Continuous Improvement, Accountability, Respectfulness, Enthusiasm and Support will be embedded across the division for all staff and evident to service users.


Job Purpose:

The post holder will work as part of a dynamic multi-agency integrated team assessing referrals regarding integrated care requirements for patients from across North Sefton.

Ensure due regard to patient confidentiality the coordinator needs to interpret and share the information that is necessary to promote integrated care across organisations.

The post holder will be responsible for co-ordinating integrated care delivered through the Integrated Care Team (ICT). The post holder will support the delivery of Integrated Care and influence service development.


The post holder must have an ability to operate within complex health and social Care system, across Health and Social Care and third sector providers.

The post holder provides leadership within Integrated Care services.

The post holder will teach and present to groups of staff, changes in both integrated care provision and direction and ensure change in policy is implemented across the whole system.

Coordination of interventions for patients, communication with GP practices and collaboration with staff inside and outside the Integrated Care Team (ICT).

Take ownership on behalf of the Integrated Care Team (ICT) for continuous quality improvement, innovation and integration.

Contribute to the development and take responsibility for the delivery of the quality strategy within the designated area incorporating establishment of systems and processes.

Complete holistic assessment of patient with complex needs from a biopsychosocial perspective.


Principal Responsibilities:
To ensure smooth running and flow through put of all correspondence within the Integrated Care Team (ICT).

To clinically review, coordinate and distribute referrals, directing staff accordingly. To manage Integrated Care (MDT) meetings, associated preparation and facilitation. Coordination of Health Professionals outside of the core/ specialist services for input into patient care or attendance of MDT. Management of incidents and complaints.


To ensure the interface between the acute hospitals, primary care, community health services, social care, housing, the independent sector, voluntary sector are robust at all times.

To maximise the use of Integrated Care services. To ensure that integrated care services are responsive to the needs of local population.

To engage with other health and social care systems around good practice for integrated care and research models of service.

Ensure Integrated Care providers provide high quality care appropriate to client needs.

To ensure effective use of Integrated Care services across the Whole Systems by:
Facilitate quality improvement and service development. Monitoring of measurements/activity against expected outcomes. Monitor capacity and demand.

Facilitating timely patient journey through Integrated Care. To support analysts in reporting of data, identifying information gaps and pressures within the whole integrated system. To ensure the standards of service are delivered in line with local and national guidelines across all professional groups. Line management and authorised signatory of accountable staff.

Oversee rests of change and coach staff through new ways of working.

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