CARE COORDINATOR, ALBANY HOUSE MEDICAL CENTRE & IRCHESTER SURGERY

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

Job summary

A healthcare organization in Wellingborough is looking for a full-time Care Coordinator to join their team. The successful candidate will support patients with various health needs, coordinate care across services, and enhance patient well-being. This role requires teamwork, compassion, and strong organizational skills. If you are passionate about improving patient care, we want to hear from you.

Qualifications

• Experience of working within a healthcare team.
• Experience of dealing with vulnerable patients.
• Experience of working in primary care.
• Knowledge of QOF and DES/LES requirements.

Responsibilities

• Support patients with mental health needs and general wellbeing.
• Manage case loads and coordinate care across services.
• Assist with QOF and DES/LES work.
• Ensure compliance with safeguarding policies.
• Coordinate referrals and care plans.

Skills

Healthcare teamwork

Compassion

Problem-solving

Organizational skills

Knowledge of safeguarding practices

Education

GCSE grade A to C in English and Maths

Qualified to NVQ level 2 in Health and Social Care

Tools

SystmOne

Job description

CARE COORDINATOR, ALBANY HOUSE MEDICAL CENTRE & IRCHESTER SURGERY

ARRS CARE COORDINATOR - Full-Time (37.5 hours / week)

Are youpassionate about improving patient care and making a real difference inpeoples lives? We are looking for a Care Coordinator to join ourfriendly and supportive GP practice, helping patients navigate their healthcarejourney with ease.

As a key partof our multidisciplinary team, you will work closely with GPs, pharmacists,nurses, and social prescribers, Age UK, Safeguarding and Palliative Care Teams, to ensure patients receive the right care at theright time.

You will coordinate referrals, assist with care planning, andsupport patients with long-term conditions, complex health & care needs, be required to see patients face to face, reducing hospital admissions andenhancing their wellbeing.

This is an excitingopportunity to work in a fast pace patient centred environment whereyour organisational skills, compassion, and problem-solving abilities willtruly make an impact. If you thrive in a collaborative setting and want to bepart of a team that values and promotes professional growth and patient-centred care, wedlove to hear from you.

Main duties of the job

The Care Coordinator will support patients with mental health needs, dementia, learning disabilities, cancer, and general wellbeing concerns by managing caseloads and coordinating their care across Primary, Secondary, and Community services.

The role involves referring patients to appropriate health professionals, supporting external referrals, and ensuring patients benefit from available services.

Additionally, the post holder will provide administrative support, assist with QOF and DES/LES work, coordinate care plans, engage with vulnerable patient groups and their carers, and organise key meetings to facilitate effective patient care.

Fulfil other administrative duties as required to support the smooth running of the practice.

About us

ABOUT ALBANY HOUSE MEDICAL CENTRE, OUR VALUES AND BEHAVIOURS

Our purpose is to deliver the best possible care for all the people who visit our practices, either as patients, the public or as staff.

As one of the largest and busiest surgeries in Wellingborough, our vision is to move from where we are now to where we want to be, the journey from good to great.

In undertaking this role you are expected at all times to behave in accordance with our practice values which demonstrate your commitment to the delivery of high quality services to patients. This will be in accordance with agreed objectives, quality standards, and resource constraints.

Our values are:

• We treat patients, service users, and each other with kindness, dignity and respect
• Services are always designed around the Patient
• We deliver services that are well managed, efficient, convenient and accessible for patients
• We do what we say we are going to do
• We are one team and work best when we work together

Job responsibilities

Key Working Relationships

• Patients / members of the public
• GPs, Registrars and medical students
• Practice Staff
• Local Health Authorities
• District Nurses
• Health Visitors and Midwives
• Community and Practice Clinical Pharmacists
• Social Prescribers
• Age Well/Age UK and other Primary Care Networkassets
• CCG Safeguarding nurse for primarycare
• Community midwife
• MASH health
• MARAC health
• Early Help
• Acuteand community trust safeguarding leads

KEY DUTIES:

Safeguarding

Help the practiceto ensure safeguarding policies and procedures are up to date and consistentwith agreed best practice as defined by local and national guidelines.

• Safeguardingtraining

Support thepractice in developing/accessing appropriate role-based training for membersof staff. Help the practice run training events which encourage amultidisciplinary approach to safeguarding.

• Informationgovernance

Provide adviceand training on the recording and coding of safeguarding relevant informationwithin the electronic patient record. Support the preparation of timely,relevant, and proportionate safeguarding reports.

• ClinicalGovernance

Facilitate theimplementation of templates and other decision support tools to support bestpractice in safeguarding, as recommended by the Northamptonshire safeguardingteam and audit the use of same.

• Safeguarding assurance

Support thepractice in achieving CQC compliance with respect to the safeguarding ofstaff and patients.

Take a key rolein the development and running of an effective practice safeguarding MDT forchildren and vulnerable adults. Ensure that the practice has a vulnerablepatient register which is kept up to date.

• Workingtogether

Help the practicefoster effective relationships with local safeguarding partners. Ensure thetimely sharing of relevant information, both verbally and in a structuredreport, when safeguarding concerns arise in respect of both children andadults.

• Systemlearning

Support thepractice in responding to statutory requests for information required by the localauthority to carry out local child or adult safeguarding case reviews andassist the practice with section 42 enquiries. Disseminate learning andsupport the implementation of review recommendations.

• Auditsand reporting

Undertake regularaudits as requested by line manager and present at educational meetings toensure compliance and enhance education

• Referralpathways

Promote theunderstanding of local safeguarding referral pathways, including Early Helpand support services for victims of domestic abuse.

• Meetings/Training

Attend meetings and training sessions (internal and external) in regards to safeguarding matters, representing the practice and sharing knowledge and information as required.

QOF/LES/DES Reviews

• Identify patients who fall within national andpractice criteria
• Call/Recall patients in a timely manner
• Perform initial telephone/video/face to faceassessments
• Liaise with usual GP with any area of concern
• Update SystmOne care plans as appropriate
• Coordinate referrals to social prescribers
• Work with Wellingborough PCN teams forpatient care plans and reviews
• Where appropriate work with clinicians todiscuss escalation care plans and where required end of life preferences with patientsand their carers
• Coordinate any safeguarding concerns with thepractice safeguarding leads and attend internal safeguarding meetings
• Code admission and reason
• Contact the patient within 48 hours ofdischarge to offer support and discuss care needs. Signpost to services asappropriate i.e. Practice social prescriber, clinical pharmacist and localfrailty teams.
• Diarise to follow up with patient asappropriate
• Liaise with usual GP with any area of concern.
• Where appropriate liaise with hospital staffwhilst patient is an inpatient and support to enable discharge
• Set up a spreadsheet to record contacts andoutcomes
• Audit hospital admissions in 3 months toidentify any common themes, frequent flyers
• Attend meetings as and when required includingMDT, Practice meetings
• Provide a quarterly update to CCG as percontract July, October, January and April

Thislist is not exhaustive and any tasks/roles that willassist the practice may be required.

Person Specification

Experience

• - Experience of working within a healthcare team
• - Experience of dealing with vulnerable patient
• - Experience of working in primary care
• - Experience of working in a GP practice
• - Experience of utilising SystmOne
• - knowledge of QOF and DES/LES requirements

Qualifications

• - GCSE grade A to C in English and Maths
• - Qualified to NVQ level 2 in Health and Social Care

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.