Responsibilities
- Be a central co‑ordination point for the local multi‑disciplinary teams including health and social care. Facilitate and coordinate regular multi‑disciplinary meetings and ensure follow‑through on actions relating to client discussions.
- Liaise with health and social care colleagues in the local community, including voluntary sector representatives, to support the safe and independent living of complex clients.
- Work weekends on a rota basis to provide seven‑day service cover.
- Support health and social care team colleagues in using a range of case‑finding tools to identify people at risk of loss of independence, unnecessary hospital admission or a need for longer‑term care.
- Provide a high‑quality customer‑service function: record contact information, prioritize contacts, give subsequent feedback, and liaise with referrers and relevant parties.
- Maintain IT‑based information systems and produce key performance data.
- Ensure safety of team members in accordance with the lone‑worker policy.
- Communicate daily with multidisciplinary team members, ensuring relevant information is shared to manage complex clients.
- Contact clients by phone to gather or impart basic information, handling clients with varying communication difficulty and emotional states with empathy, negotiation and tact.
- Form strong links with the multidisciplinary team and outside agencies, including occupational therapists, physiotherapists, district nurses, GPs, acute hospital staff, community mental health nurses, social care workers and private providers.
- Provide medical and social information to team members via telephone, email or face‑to‑face correspondence, maintaining confidentiality and adhering to data protection and information governance policy.
- Contribute to multidisciplinary team meetings, organising home assessment visits, discharges, transport bookings and care package requests.
- Coordinate regular multidisciplinary meetings and other relevant meetings to aid management of complex clients living in the community.
- Screen and triage referrals to health and social care, obtaining further information to decide the best pathway for new referrals.
- Participate in primary care core group discussions, generating client lists, and gathering information from relevant professionals.
- Support urgent care response pathways and facilitate referrals across services.
- Follow up outstanding activities with non‑attending team members and provide feedback on cases when appropriate.
- Develop and expand good working relationships between all services.
- Coordinate short‑term intermediate care placements, completing relevant paperwork and entering information into systems and spreadsheets.
- Assist with local service development activities and implement change as necessary.
- Coordinate referral pathways for broader teams (social care, therapies, nursing).
Working for our organisation
This post is based across the South Devon localities. You will be joining a truly multi‑disciplinary team that aims to prevent hospital admissions, facilitate safe and effective discharges home, and support patients to maintain independence in their own homes. Our Health and Wellbeing Team is an integrated professional team which includes Co‑ordinators, Social Care, Community Occupational Therapy, Community Physiotherapy, Intermediate Care, Community Nursing, Pharmacy, Dietetics, Support Workers and Volunteering in Health. The team is proactive, forward‑thinking, and promotes a positive and “can‑do” attitude. The successful candidate will be dynamic and key in managing patients to remain in their own home.
Customer Service (Social care)
- Provide a client‑centred approach ensuring all clients and carers’ views and opinions are considered, and all people who are given an enquiry are treated with respect, dignity and understanding.
- Deliver a high‑quality, efficient and effective service at all times, complying with equality and diversity policies and legislation.
- Record contacts consistently, completing a contact assessment where appropriate or an “observation” record on Care First 6, including face‑to‑face office contacts and other agency contacts.
- Identify urgent assessments that require action, and liaise with local ACS practice managers, community nurse team manager or therapy manager.
- Provide effective signposting of contacts to other agencies or sources of help as appropriate.
- Provide feedback to referrers about the outcomes of contacts and assessments in accordance with agreed quality standards.
- Ensure confidential processes are followed at all times.
Information Technology and Administrative Duties
- Have excellent keyboard skills and the ability to use multiple IT systems daily, including SystmOne, Carefirst 6, Clinical Portal, Nervecentre, DATIX & IHCS.
- Have good ability to use spreadsheets and word processing packages to maintain staff training and lone‑working details.
- Have the ability to send and receive emails.
- Ensure information governance requirements for recording community health and social care activity are adhered to in collaboration with other team members.
- Accurately input data into relevant IT systems to keep statistical data up to date and accurate.
IMPORTANT INFORMATION
We reserve the right to close vacancies early if we receive a high volume of applications; therefore, apply promptly. Please read the job description carefully and tailor your application to reflect the requirements of the role. Applicants identified as part of the Armed Forces community will be guaranteed an interview, provided they meet the minimum essential criteria. Correspondence will be sent via Trac, text, and email; please check your email and Trac account regularly. Applicants with no previous NHS experience will ordinarily be appointed to the minimum band. If you have not received an invitation to interview within 28 days of the closing date, assume that your application has been unsuccessful. It is your responsibility to ensure the timely receipt of appropriate references.
Equality, Diversity, and Inclusion
The Trust is committed to preventing discrimination, valuing diversity and achieving equality of opportunity. No person (staff, patient or public) will receive less favourable treatment on the grounds of the nine protected characteristics as governed by the Equality Act 2010. If you require support you can obtain this from our Equality Business Forum which has representatives from all protected groups.
Additional Information
Work in a demanding, pressured and stressful environment with constant interruptions by telephone, colleagues and professional office visitors. Multi‑task, re‑prioritise workload at short notice, identify risks and urgent work requiring action, and demonstrate the ability to undertake duties autonomously.
About the Team
Come and join our Coastal Health and Wellbeing Team, where you'll find more than just a job – you'll discover a lifestyle, a community and a team that values you. We’re based in the picturesque coastal towns of Teignmouth and Dawlish, where rolling hills meet the sea. With great transport links and vibrant local communities, you’ll quickly feel at home.
"We love the sense of community – not just in our team, but in the people we care for. It's a great place to live and work." – Current Team Member