Care Coordinator Burnley West PCN

NHS; Burnley; On-site; GBP 25,000 - 30,000; Full time

Job summary

A national healthcare provider in Burnley is seeking a Care Coordinator to manage patient caseloads, ensuring access to personalized care and support. Ideal candidates should have experience in health or social care, excellent communication skills, and a commitment to improving community health outcomes. This role promotes collaboration with healthcare professionals and supports individuals in managing their health effectively.

Qualifications

• Experience working directly in health or social care roles with families or carers.
• Ability to communicate effectively with diverse communities.
• Knowledge of health policies, confidentiality, and safeguarding.

Responsibilities

• Coordinate care for individuals with long-term health conditions.
• Develop and update personalized care plans.
• Support patients and families in understanding health management.

Skills

Written and verbal communication skills

Organisational skills

Time management skills

Empathy

Ability to motivate others

Education

Experience in a care coordinator role, public health, or social care

Tools

MS Office

Job description

They work closely with GPs and practice teams to manage a caseload of patients, acting as a central point of contact to ensure appropriate support is made available to them and their carers; supporting them to understand and manage their condition and ensuring their changing needs are addressed.

They will be caring, dedicated, reliable and person-focussed and enjoy working with a wide range of people. They will have good written and verbal communication skills and strong organisational and time management skills. They will be highly motivated and proactive with a flexible attitude, keen to work and learn as part of a team and committed to providing people, their families and carers with high quality support.

Main duties of the job

Work collaboratively with GPs and other primary care professionals within the PCN to proactively identify and manage a caseload, which may include patients with long-term health conditions, and where appropriate, refer to other health professionals within the PCN.

Support the coordination and delivery of multidisciplinary teams with the PCN.

Raise awareness of how to identify patients who may benefit from shared decision making and support PCN staff and patients to be more prepared to have shared decision-making conversations.

Work with people, their families, carers and healthcare team members to encourage effective help-seeking behaviours

Support PCNs in developing communication channels between GPs, people and their families and carers and other agencies

Identify unpaid carers and help them access services to support them

Conduct follow-ups on communications from out of hospital and in-patient services

Maintain records of referrals and interventions to enable monitoring and evaluation of the service;

Work with people, their families and carers to improve their understanding of the patients condition and support them to develop and review personalised care and support plans to manage their needs and achieve better healthcare outcomes

Help people to manage their needs through answering queries, making and managing appointments, and ensuring that people have good quality written or verbal information to help them make choices about their care

About us

The East Lancashire Alliance is a network of 9 PCNs covering 48 GP practices covering a population of over 390,000 patients across East Lancashire. Patients are at the heart of everything we do and we pride ourselves in ensuring our patients feel safe, supported, communicated with and respected at a time when they may be feeling vulnerable. The Alliance are proud to represent our member practices and to champion our Primary Care Partners, by working with local general practice, and other system partners in the provision of patient centred, local healthcare services.

Each practice has a close-knit team of staff who collectively seek to improve the health of their patient populations.

East Lancashire is one of the world\'s most innovative, original and exciting places to live and work. From the beauty of the surrounding countryside, to the heart of the vibrant inner Towns and Villages with great shopping, entertainment and dining options. Wherever you go you will experience a great northern welcome with people famed for their warmth, humour and generosity.

Job responsibilities

They work closely with GPs and practice teams to manage a caseload of patients, acting as a central point of contact to ensure appropriate support is made available to them and their carers; supporting them to understand and manage their condition and ensuring their changing needs are addressed.

This is achieved by bringing together all the information about a person\'s identified care and support needs and exploring options to meet these within a single personalised care and support plan, based on what matters to the person.

Care coordinators review patients\' needs and help them access the services and support they require to understand and manage their own health and wellbeing, referring to social prescribing link workers, health and wellbeing coaches, and other professionals where appropriate.

Care coordinators could potentially provide time, capacity and expertise to support people in preparing for or following-up clinical conversations they have with primary care professionals to enable them to be actively involved in managing their care and supported to make choices that are right for them. Their aim is to help people improve their quality of life.

They will be caring, dedicated, reliable and person-focussed and enjoy working with a wide range of people. They will have good written and verbal communication skills and strong organisational and time management skills. They will be highly motivated and proactive with a flexible attitude, keen to work and learn as part of a team and committed to providing people, their families and carers with high quality support.

This role is intended to become an integral part of the PCN\'s multidisciplinary team, working alongside social prescribing link workers and health and wellbeing coaches to provide an all-encompassing approach to personalised care and promoting and embedding the personalised care approach across the PCN.

Please note that the role of a care coordinator is not a clinical role

Some of the key tasks will include the following

1. Enable access to personalised care and support

1. Take referrals for individuals or proactively identify people who could benefit from support through care coordination;
2. Have a positive, empathetic and responsive conversation with the person and their family and carer(s) about their needs;
3. Work towards increasing patients understanding of how to manage and develop health and wellbeing through offering advice and guidance;
4. Develop an in-depth knowledge of the local health and care infrastructure and know how and when to enable people to access support and services that are right for them;
5. Use tools to measure people\'s levels of knowledge, skills and confidence in managing their health and to tailor support to them accordingly.
6. Work with the wider PCN, MDTs to look at how carers can support people - this could include the initial identification of carers onto the carer register
7. Review and update personalised care and support plans at regular intervals
8. Ensure personalised care and support plans are communicated to the GP and any other professionals involved in the person\'s care and uploaded to the relevant online care records

For further information, please refer to the Job description found in the \"Supporting Documents\" section.

Person Specification

Qualifications

• Proficient in MS Office and web -based services
• Experience of working directly in a care coordinator role, adult health and social care, learning support or public health / health improvement
• Experience of working in health, social care and other support roles in direct contact with people, families or carers
• Experience of working within multi - professional team environments
• Experience of supporting people, their families and carers in a related role
• Experience of working with elderly or vulnerable people, complying with best practice and relevant legislation

Personal qualities and attributes

• Personal qualities and attributes
• Ability to actively listen, empathise with people and provide personalised support in a non-judgemental way
• Ability to provide a culturally sensitive service supporting people from all backgrounds and communities, respecting lifestyles and diversity
• Commitment to reducing health inequalities and proactively working to reach people from diverse communities
• Ability to support people in a way that inspires trust and confidence, motivating others to reach their potential
• Ability to communicate effectively, both verbally and in writing, with people, their families, carers, community groups, partner agencies and stakeholders
• Ability to identify risk and assess / manage risk when working with individuals
• Have a 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 care coordinator role e.g. when there is a mental health need requiring a qualified practitioner
• Ability to work from an asset-based approach, building on existing community and personal assets
• Ability to maintain effective working relationships and to promote collaborative practice with all colleagues
• Ability to demonstrate personal accountability, emotional resilience and work well under pressure
• Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
• High level of written and verbal communication skills
• Ability to work flexibly and enthusiastically within a team or on own initiative
• Knowledge of, and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety
• Ability to provide motivational coaching to support peoples behaviour change

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.