Care Coordinator

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

Job summary

A dynamic GP practice in Ashford is seeking a Care Coordinator to work closely with the Pharmacy Team. The role involves managing patient care and ensuring effective health management through coordinated services and support. Ideal candidates should possess experience in chronic disease management and be able to create personalized care plans.

Benefits

Opportunity to join NHS pension scheme

Qualifications

• Strong understanding of chronic disease management and decision support tools.
• Experience in patient interaction and care coordination.

Responsibilities

• Identify and manage care for registered patients.
• Coordinate healthcare needs and assessments.
• Support access to healthcare resources and personal health budgets.

Tools

EMIS Web

Docman

Job description

The role is to work closely with our Practice Pharmacy Team and the overall clinical team within the Practice to identify and manage our registered patients, ensuring that appropriate support is provided and that healthcare and disease management are effectively coordinated. This could involve support for chronic disease management, screening programs, or software systems used to support patients.

Main duties of the job

Care coordinators will:

1. Proactively identify and work with a cohort of people to support their care requirements, using available decision support aids.
2. Bring together all of a person's identified care and support needs and explore their options to meet these in a single, personalised care and support plan, in line with best practice.
3. Help people manage their needs, answer queries, and support them in making appointments.
4. Raise awareness of shared decision-making and decision support tools, assisting people to be better prepared for shared decision-making conversations.
5. Ensure people have access to high-quality information to help them make informed choices about their care.
6. Assist people in accessing self-management, peer support, or interventions that support their health and wellbeing.
7. Explore and assist people in accessing personal health budgets where appropriate.
8. Provide coordination and navigation for people and their carers across health and care services, working closely with social prescribing link workers, health and wellbeing coaches, and other primary care roles.

About us

Large, dynamic, and people-focused GP practices based in Ashford, Middlesex.

11 GPs, 3 Nurse Practitioners, 2 Paramedics, Nurses, and HCA team.

4 Pharmacists and 3 Pharmacy technicians handling patient enquiries.

• In-house Physiotherapy, Podiatry, Acupuncture, and Phlebotomy services.
• Docman team that triages letters, scans, codes, and manages MREs.
• EMIS Web clinical system, along with Front Desk for appointments and Docman for paperwork.
• Well-maintained large premises catering to 16,600 patients.
• Regular clinical and educational team meetings in protected time.

Active engagement in local ICB and GP Federation directorships.

Job responsibilities

The role involves working closely with our Practice Pharmacy Team and the clinical team within the Practice to identify and manage registered patients, ensuring appropriate support and management of healthcare and disease management. This may include support for chronic disease management, screening programs, or software systems used to support patients.

Person Specification

Qualifications

• See attached
• See attached

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975, and a Disclosure check will be required to screen for any previous criminal convictions.

Depending on experience, there is an opportunity to join the NHS pension scheme.