Frailty Care Co-Ordinator

Maple View Medical Practice; Redditch; On-site; GBP 25,000 - 35,000; Full time

Job summary

A healthcare provider in Redditch is seeking a Care Coordinator to support the Frailty Team. The role involves coordination of patient care across multiple services, focusing on personalized care for frail populations. Ideal candidates will have strong communication and organizational skills, experience in healthcare, and relevant qualifications. This position offers an opportunity to work closely with multidisciplinary teams to enhance patient care.

Qualifications

• Ability to organise and prioritise workload effectively.
• Ability to exercise sound judgements.
• Sound IT knowledge and record-keeping.

Responsibilities

• Provide coordination for patients across health services.
• Support MDTs and care coordination for frail populations.
• Liaise with multi-agencies to coordinate patient care.

Skills

Excellent communication

Organisational skills

Administration skills

Interpersonal skills

Negotiation skills

Education

ECDL or equivalent

NVQ Level 2 Business Administration

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Kingfisher PCN Additional Roles Team is viewed as a significant opportunity. The role involves working across the PCN and the wider multidisciplinary teams (MDT) and is a pivotal role in ensuring all patients receive the best possible care and services available. The Care Coordinator role will support the Frailty Team in the coordination and delivery of key PCN priorities including the coordination of the Frailty cohort of patients, patients living within Care Homes and within the community. The role will include responsibilities for the co-ordination of the patients journey through Primary Care and the seamless transfer of care across the system.

Main duties of the job

Excellent communication, organisational and administration skills are key to the success of the role. The Care Coordinator will:

• provide coordination and navigation for people and their carers across health and care services, alongside Social Prescribing link workers and other primary care roles;
• lead the coordination and navigation of care for a defined frail population across the PCN proactively supporting and managing patients to remain within their own homes wherever possible working closely with the wider community team;
• focus upon patients and provide support necessary fulfil effective personalised care requirements;
• liaise with multi agencies to coordinate pathways of care for patients;
• provide coordination and navigation for people and their carers across health and care services.

About us

Kingfisher Primary Care Network (PCN) is a collaboration between 5 GP practices across 6 sites in Redditch Town with a shared population of 58,955. Kingfisher PCN has a strategic ambition to introduce a Community Health Hub in the medium term in order to innovate general practice locally and build a sustainable model for general practice for the future. Kingfisher PCN practices have a mature relationship and a proven track record of effectively working together over many years. The opportunity to introduce additional roles to complement the existing primary care workforce has been embraced and recent recruitment has resulted in appointments to the Additional Roles Team including Clinical Pharmacist, FCPs and Care Coordinator's alongside already established Social Prescribers.

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Job responsibilities

Care Coordinators will:

• Provide coordination and navigation for people and their carers across health and care services, alongside Social Prescribing link workers and other primary care roles;
• Support the coordination and delivery of MDTs within PCNs as required;
• Support the coordination of a dedicated multidisciplinary team looking after Care Homes within the PCN area;
• Lead the coordination and navigation of care for a defined frail population across the PCN proactively supporting and managing patients to remain within their own homes wherever possible working closely with the wider community team;
• Focus upon patients and provide support necessary fulfil effective personalised care requirements;
• Help patients to manage their needs, answering their queries and supporting them to make appointments with a focus upon promoting patient independence and autonomy wherever possible;
• Coordination of key meetings (including Care Home residents and frail/vulnerable people living within their own homes). Ensure good communication between professionals and be available as a point of contact between partners;
• Liaise with multi agencies to coordinate pathways of care for patients;
• Provide coordination and navigation for people and their carers across health and care services;
• Support Quality and Outcome Frameworks and other National and Local targets as required.

Person Specification

Management and Administrative Experience

• Ability to organise and prioritise workload effectively.
• Ability to exercise sound judgements when faced with conflicting pressures.
• Sound IT knowledge, including internet, Outlook, Word, Excel. Able to keep accurate, legible and timely records.

Personal Attributes

• Ability to work flexibly to meet the needs of patients and PCN.
• Understand limitations.
• Energy and enthusiasm and the ability to work under pressure.
• Caring attitude to patients.
• Ability to communicate effectively in a multi-disciplinary team environment to provide an integrated service.
• Excellent interpersonal influencing and negotiating skills.
• Excellent written and verbal communication skills.
• Understands self (strengths and weaknesses) and impact of behavior on others.

Qualifications

• ECDL or equivalent.
• NVQ Level 2 Business Administration (or relevant experience). Demonstrable commitment to professional and personal development.

Experience

• Experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field (including unpaid work).
• Experience of data collection and providing monitoring information to assess the impact of services. Experience of partnership/collaborative working and of building relationships across a variety of organisations. Experience of working with or in general practice.
• Working in a multi-disciplinary setting where influence and negotiation is required.
• Knowledge/familiarity with medical terminology.
• Experience of supporting people, their families and carers in a related role (including unpaid work).
• Experience in use of databases.
• Vulnerable adults awareness.
• Experience of care of the elderly.

Professional and Multi-disciplinary team working

• Ability to work collaboratively within a multi-disciplinary environment. Participate in significant event analysis reviews and reflection.
• Attend and contribute to team meetings.

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.