Care Co-Ordinator (PCN SPINE)

NHS; Slough; On-site; GBP 26,000 - 32,000; Full time

Job summary

An NHS general practice in Slough seeks a motivated Care Co-ordinator to join their team. The role involves supporting patients in managing their health and well-being, collaborating with healthcare professionals, and developing personalized support plans. With a focus on community health improvement, the position offers a range of responsibilities and opportunities for personal growth in a dynamic environment.

Qualifications

• Experience working directly in a community context.
• Managing a caseload and record keeping.
• Working with individuals and groups to achieve goals.

Responsibilities

• Provide personalized support to patients and their families.
• Assist with managing prescription services.
• Work closely with GPs and multidisciplinary teams.

Skills

Community Development

Health Improvement

Communication

Relationship Building

Education

Level 5 qualification

Job description

Would you like to join our friendly and resoluteteam of clinicians and non-clinicians at a large NHS general practice based inSlough, Berkshire?

We are seeking to appoint one motivated and enthusiastic Care Co-ordinator to join our Clinical and ClinicalAdministration team within the practice. Care Co-Ordinators reportdirectly to the Clinical Pharmacist Partner. Weoffer, plus your salary good benefits package, as well as the opportunity towork in a supportive and collaborative environment with a diverse committed workforcefrom different ethnic backgrounds ensuring the quality of our services to ourpatients are to a high standard.

Main duties of the job

You will be part of ateam of five Care Coordinators (Farnham Road Medical Group & Primary Care Network) supporting the delivery of careto the highest quality and safety. As part of the team, you will providepersonalised support to our patients, their families, and carers to takecontrol of their wellbeing, live independently and improve their health andquality of life. You would be based at Farnham Road Practice but would be expected totravel to our other three sites based within Slough and our PCN SPINE partner (Kumar Medical Centre) within Slough, to manage and prioritise your own caseload, inaccordance with the needs, priorities, and any urgent support required by ourpatients. The benefit package summary for the role is attached.

About us

Farnham RoadMedical Group (FRMG) started as one Practice with two sites and has grown overthe years into an outstanding group of three training GP practices that areapproved by Health Education England. With four clinical sites based in Slough,we now have a team of over 100 staff looking after 38,000 patients. Thepractice are committed to innovation in providing high-qualityhealth care for our patients and a protected working and learning environmentfor our staff. Our team includes pharmacists, nurses, physician associates,paramedics, MSK practitioners, Mental Health Practitioners, managers, socialprescribers, and care coordinators as well as GPs and a large Patient Servicesteam. This resolute team provides an evolving healthcare and medical service tomeet the varying needs of our patients and, in turn, provides what we believeis a sustainable model of modern General Practice. We have expanded ourexpertise and have transformed how we provide medical services to try to ensurewe meet the demands of Sloughs diverse population.

Our vision is simple: Putting Patients First and providing servicesthat tailor to their needs, which we strive to achieve through brilliantleadership, mentoring, teamwork, communication, problem sharing and solving,support, integrity, fun, training, education, and continued development.

Job responsibilities

• Work with GPs and MDT team within practices of FRMG toassist in the ongoing care of special groups of patients i.e, LearningDisabilities, End-of-life and Anticipatory Care Planning and signpost patientsto relevant organisations for support.
• Providepersonalised support to individuals, their families and carers to take controlof their wellbeing, live independently and improve their health outcomes.Develop trusting relationships by giving people time and focus on what mattersto me. Take a holistic approach, based on the persons priorities and the widerdeterminants of health. Co-produce a personalised support plan to improvehealth and wellbeing, introducing or reconnecting people to community groupsand statutory services. Choose an item on the caseload. It is vital that you have 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 link worker role - e.g. when there is a mental health need requiring a qualified practitioner.
• Take active part in clinical administration of ChildhoodImmunisations and Vaccination programs across the FRMG.
• Assist the Prescription team in managing prescriptionservice.
• Assist the Reception team in navigating patients intodifferent clinical services.
• Assist the Docman Workflow pathway.
• Assist the Blood pressure and health checks insurgeries within the FRMG.
• Work closely Clinical Pharmacist team in optimisingPrescribing indicators along with achieving Quality prescribing.
• Assist the Multi-disciplinary team in clinicalinventory check and stock ordering.
• Build relationships with key staff in GP practiceswithin the local FRMG attending relevant meetings, becoming part of the widernetwork team, giving information and feedback on social prescribing.
• Be part of the practice teams for anticipatory careplanning and attend Integrated care team meetings as part of the regularcluster catch ups within the network.
• Be proactive in developing strong links with alllocal agencies to encourage referrals, recognising what they need to beconfident in the service to make appropriate referrals.
• Work in partnership with all local agencies to raiseawareness of social prescribing and how partnership working can reduce pressureon statutory services, improve health outcomes and enable a holistic approachto care.
• Seek regular feedback about the quality of serviceand impact of social prescribing on referral agencies.
• Be proactive in encouraging self-referrals andconnecting with all local communities, particularly those communities thatstatutory agencies may find hard to reach.
• To work as part of thepractice Multi-Disciplinary Team and receive and share information within thatteam to safeguard individuals and support them to work towards their goals andaspirations.
• To maintain accurateinformation systems of records and activities, complete data sheets andmonitoring and evaluating data.
• To organise andfacilitate group-based workshops and activities, ensuring self-help and peersupport groups cover a flexible timetable.
• To support servicedesign, co-production, development and improvement ensuring quality ismaintained throughout.
• To manage a caseload ofindividuals with complex needs.
• Assist with referrals andE-consults admin once trained.
• Assist with Docman pathwayafter being trained.
• To develop appropriateresources and materials for the service.
• To assist in call handlingin Telephony Hub as part of the care navigation and to help reception cover.
• To assist in health careassistant type of functions along with phlebotomy and covid/flu vaccinationsonce trained.
• To assist in the adminfunctions of Rota and appointment books.

Person Specification

Experience

• Experience of working directly in a community development context, adult health and social care, learning support or public health/health improvement (including unpaid work).
• Experience of managing a caseload of clients and keeping up to date records using a database.
• Experience of working with individuals (1-2-1) and groups of people in different settings to help them achieve their goals.
• Experience of working with a range of agencies and organisations to develop effective working relationships.
• Experience working with people with multiple needs.

Qualifications

• Level 5 qualification (i.e. Diploma of higher education Diploma of further education Foundation degree HND or equivalent professional experience)

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.