Care Coordinator - Swindon, United Kingdom - Kingswood Medical Group

Description

KINGSWOOD MEDICAL GROUP

JOB DESCRIPTION

Job Title:
Care Co-ordinator

Reports to:
Operations Manager

Hours:
negotiable hours/week

Location:
Kingswood and Carfax

Job Summary

Working as an integral member of the practice team to support individuals to develop and implement a self-healthcare plan to make positive changes to improve their health and wellbeing.

The Care Coordinator role provides encouragement and information to address patient healthcare needs.

This may be on an individual basis or the role holder may coordinate peer support groups, working collaboratively with the practice team.

Where appropriate, the Care Coordinator directs patients to more specialised organisations and resources to support the individual.

We are looking to expand our Care Co-ordinators team and seeking a proactive person to join our friendly practice.


Main Duties
Responsible for supporting the practice in delivering excellent patient care by effectively co
- ordinating different elements of care from the practice's multi-disciplinary team.

Care Coordinators take an approach that considers the 'whole person' in addressing existing issues and encourages the individual to make positive changes to their lifestyle to improve their existing health and proactively prevent new illnesses.

You will use the "whole person" (holistic) approach to promote lifestyle changes, through talking to patients to identify what support they require to address their existing health needs and improve their wellbeing.

As part of this approach, the Care Coordinator will be integral to the practice team and proactively develop links with support organisations outside of the practice, that have relevant knowledge and resources to provide additional support to patients.

You will provide support to patients seeking to improve their self-healthcare, through different methods: a) one-to-one support
- working with individuals to identify their needs and goals to develop self healthcare plans and meet to encourage and support the implementation of the self healthcare plan. b) group-based support
- working collaboratively with colleagues. You will be integral in identifying opportunities for group work
- for example: pre-diabetes group, stop smoking etc. Your role will be to coordinate this and work collaboratively with the practice team with management support, to empower you to deliver this. c) signpost patients (provide information and encouragement) to organisations that have more specialised skills, knowledge and resources to support the individual. a) One to one patient support

Responsible for the assessment of new patients (referred by practice colleagues), to identify the individual's health care support needs and goals, with the subsequent production and completion of personalised health and care plans, based on what is important to the patient.

Coach and motivate patients through multiple sessions to address their needs, and support them to implement their personalised health and care plan.

Provide personalised support to:

individuals, (where appropriate, their families and carers), to ensure that they are active participants in their own personalised healthcare plan and to empower them to take more control in manging their own health and well-being, to live independently and to improve their health outcomes.

The post holder will act within their professional boundaries to support people with lower levels of patient activation to develop the knowledge, skills, and confidence to manage their health and wellbeing, through the following:

• Work with patients to understand their level of knowledge, skills and confidence when engaging with their health and well-being
• Help patients to manage their needs through answering queries, ensuring that people have good quality written or verbal information to help them make choices about their care.
• Provide intervention information, such as: selfmanagement, education and peer support
• Work with the social prescribing services and organisations to connect patients to communitybased activities which support them with their personalised healthcare plan.

The Care Coordinator will be aware of limitations and, as required, be responsible for the referral of patients who require the intervention of other healthcare professionals or support from organisations outside of the practice.

b) Developing a group approach (peer support)

Some of the challenges that people face are quite common. For some patients, peer group support may be a more effective method to make positive lifestyle changes.

The Care Coordinator, with support from the practice, will proactively use population health intelligence, to identify suitable patients for group support, for example, pre-diabetes, stop smoking etc.

You will coordinate patients and work collaboratively with the team to develop group support opportunities offered to patients.

For group support held outside of