BRUNEL PCN - Care Coordinator

NHS Jobs; Portsmouth; On-site; GBP 25,000 - 35,000; Full time

Job summary

NHS Jobs in Portsmouth is seeking an administrative coordinator to support the Integrated Neighbourhood Team with proactive patient care. You will help manage registers, coordinate appointments, and liaise with patients, carers, and clinicians to ensure continuity of care.

You will assist with LTC management, arrange GSF meetings, collate data from SystmOne, maintain records, and ensure information governance.

Qualifications

• Maintain and manage registers of patients identified as being at increased risk, ensuring information is accurate and up to date.
• Support the Integrated Neighbourhood Team in identifying patients requiring proactive follow-up and coordinating their care.
• Provide administrative and coordination support to ensure effective delivery of proactive and responsive care.
• Liaise with patients, carers, practice teams and wider healthcare professionals to support continuity of care.
• Support the coordination of care for frail, housebound, palliative and clinically vulnerable patients.
• Support appointment management, particularly for the Same Day Acute Visiting Service, ensuring appointments are coordinated efficiently.
• Contact patients and carers by telephone to arrange appointments, home visits and follow-up care.
• Assist with the organisation and coordination of clinical activity to ensure effective use of available appointments and resources.
• Support communication between clinicians, practices and patients to facilitate timely care.
• Support the organisation and coordination of Long-Term Condition (LTC) management, including assisting with patient lists, recalls, appointments and monitoring activity.
• Coordinate and arrange Gold Standards Framework (GSF) meetings, including scheduling meetings, preparing patient lists and ensuring relevant information is available to the clinical team.
• Support the recording and follow-up of actions arising from GSF and multidisciplinary team meetings.
• Assist with maintaining accurate patient registers to support proactive care planning and clinical reviews.
• Assist with the collection, extraction and collation of clinical and service data to support reporting, monitoring and service development.
• Support accurate clinical coding and record keeping on SystmOne, ensuring patient care and interventions are appropriately documented.
• Assist with monitoring activity and maintaining accurate records to support service delivery and reporting requirements.
• Maintain confidentiality and ensure all patient information is handled in accordance with information governance requirements.
• Provide general administrative and organisational support to the Integrated Neighbourhood Team as required.

Responsibilities

• Maintain and manage registers of patients identified as being at increased risk, ensuring information is accurate and up to date.
• Support the Integrated Neighbourhood Team in identifying patients requiring proactive follow-up and coordinating their care.
• Provide administrative and coordination support to ensure effective delivery of proactive and responsive care.
• Liaise with patients, carers, practice teams and wider healthcare professionals to support continuity of care.
• Support the coordination of care for frail, housebound, palliative and clinically vulnerable patients.
• Support appointment management, particularly for the Same Day Acute Visiting Service, ensuring appointments are coordinated efficiently.
• Contact patients and carers by telephone to arrange appointments, home visits and follow-up care.
• Assist with the organisation and coordination of clinical activity to ensure effective use of available appointments and resources.
• Support communication between clinicians, practices and patients to facilitate timely care.
• Support the organisation and coordination of Long-Term Condition (LTC) management, including assisting with patient lists, recalls, appointments and monitoring activity.
• Coordinate and arrange Gold Standards Framework (GSF) meetings, including scheduling meetings, preparing patient lists and ensuring relevant information is available to the clinical team.
• Support the recording and follow-up of actions arising from GSF and multidisciplinary team meetings.
• Assist with maintaining accurate patient registers to support proactive care planning and clinical reviews.
• Assist with the collection, extraction and collation of clinical and service data to support reporting, monitoring and service development.
• Support accurate clinical coding and record keeping on SystmOne, ensuring patient care and interventions are appropriately documented.
• Assist with monitoring activity and maintaining accurate records to support service delivery and reporting requirements.
• Maintain confidentiality and ensure all patient information is handled in accordance with information governance requirements.
• Provide general administrative and organisational support to the Integrated Neighbourhood Team as required.

Job description

Key Responsibilities

• Patient Coordination and Proactive Care
  • Maintain and manage registers of patients identified as being at increased risk, ensuring information is accurate and up to date.
  • Support the Integrated Neighbourhood Team in identifying patients requiring proactive follow-up and coordinating their care.
  • Provide administrative and coordination support to ensure effective delivery of proactive and responsive care.
  • Liaise with patients, carers, practice teams and wider healthcare professionals to support continuity of care.
  • Support the coordination of care for frail, housebound, palliative and clinically vulnerable patients.
• Appointment and Service Coordination
  • Support appointment management, particularly for the Same Day Acute Visiting Service, ensuring appointments are coordinated efficiently.
  • Contact patients and carers by telephone to arrange appointments, home visits and follow-up care.
  • Assist with the organisation and coordination of clinical activity to ensure effective use of available appointments and resources.
  • Support communication between clinicians, practices and patients to facilitate timely care.
• Long-Term Condition and GSF Management
  • Support the organisation and coordination of Long-Term Condition (LTC) management, including assisting with patient lists, recalls, appointments and monitoring activity.
  • Coordinate and arrange Gold Standards Framework (GSF) meetings, including scheduling meetings, preparing patient lists and ensuring relevant information is available to the clinical team.
  • Support the recording and follow-up of actions arising from GSF and multidisciplinary team meetings.
  • Assist with maintaining accurate patient registers to support proactive care planning and clinical reviews.
• Data, SystmOne and Administration
  • Assist with the collection, extraction and collation of clinical and service data to support reporting, monitoring and service development.
  • Support accurate clinical coding and record keeping on SystmOne, ensuring patient care and interventions are appropriately documented.
  • Assist with monitoring activity and maintaining accurate records to support service delivery and reporting requirements.
  • Maintain confidentiality and ensure all patient information is handled in accordance with information governance requirements.
  • Provide general administrative and organisational support to the Integrated Neighbourhood Team as required.