PCN - Care Coordinator

Integrated Care System; London; On-site; GBP 33,000; Full time

Job summary

An exciting opportunity as a Care Coordinator has opened in a leading healthcare organization in London. The role requires coordination among various healthcare services to ensure excellent patient care. Candidates should have EMIS experience and relevant qualifications in health or social care. Full-time availability is essential for this collaborative position within primary care networks.

Qualifications

• Experience as a Care Coordinator with EMIS.
• Relevant degree or equivalent level of training.
• Ability to work full-time in a practice-based role.

Responsibilities

• Maintain patient care plans and facilitate discharge between care settings.
• Liaise with service users and clinical staff to ensure smooth patient pathways.
• Coordinate meetings and manage operational processes among care providers.

Skills

Communication

Co-ordination

Problem Solving

Education

Relevant degree or equivalent training

Qualification in health or social care

Tools

EMIS

Job description

An exciting opportunity has arisen for an experienced Care Coordinator in the organisation, who must be available to work on a full-time 5 day per week basis with flexibility when required to work across sites within PCNs. You should be able to use EMIS, have previous work experience in a practice or healthcare organisation. Practices across Waltham Forest have come to work collaboratively as Primary Care Networks (PCNs), pooling their resources and workforce to provide improved and integrated services for their patients. PCNs typically consist of 30,000-50,000 patients.

Main duties of the job

Work withinour network of GP Practices to provide a central co-ordination role for patientcare planning. The role will be GP facing, with the core responsibility beingexcellent patient care.

Co-ordinatecare packages for patients as identified by the GP across health, social careand mental health as appropriate, providing a single-point of access for staff& service users, actively managing patients care plan delivery

Facilitatesmooth and planned discharge and handover between care settings across thehealth and social care system, including GP, acute, community, and beresponsible for facilitating inter-agency communication and support

Identifyand work with a list of named patients with the aim of encouragingindependence, enabling people to remain at home, reducing unnecessaryadmissions to hospitals and supporting early discharge from hospital, improvingthe quality of care.

About us

FEDNET WTE CIC consists of 36 GP Practices in Waltham Forest. We are a private limited company who provides NHS Services based in Primary Care, pooling the skills and resources of local GPs to provide large scale services as part of the local NHS Strategy to bring more services into the Community to help people stay well and at home

Job responsibilities

Job responsibilities

1.Facilitate and ensure the effective delivery of patient-centred,personalised health and social care plans for patients, monitoring progress andreporting outcomes, contributing to patient reviews and care planning withinappropriate time frames. You should have previous experience of working as a care coordinator, and have EMIS experience.

2.Explain the management of a patients pathway to clinical staff,liaising between services and service users, contacting services using theappropriate procedures/referral mechanisms

3.Workclosely with all relevant care agencies (primary care, secondary care, communityservices, Mental Health, Social Services, Ambulance Service, Voluntary servicesand other relevant service providers) to ensure a coordinated and of thepatients care plan, without requiring a further referral from the GP.

4.Maintain accurate records and statistical returns as required bythe CCG, including providing patient-related information for entering intoClinical Reporting Systems, within the required time frame.

5.Ensure that a proper handover of care between different settingshas taken place, including mutual transfer of all organisations communications& patient notes and ensuring care packages are set up

6.Collect data on patients/carers for recognised outcome measure anddocument for service interpretation. Ensure all patient notes are updated toreflect any changes, including details on plans

7.Managing operational meeting processes, identifying patients fordiscussion and working closely with clinicians to define and lead the meetings.Organise and attend relevant meetings when required including Integrated Caremeetings, ensure a programme of regular meetings is established, ensuring thatall necessary documentation is circulated in advance

8.Ensure that meeting actions are recorded, disseminated andfollowed up in a timely way; ensure relevant practitioners are aware of meetingdecisions and actions / outcomes, and chase for action resolution and update.

9.Network and develop strong relationships with all levels of theNHSs key local players including the CCG, GPs and other primary carecontractors, Social Services, Mental Health Trusts, Community Trusts, and otherproviders including the voluntary sector

Be a contact point for GPs / practices and establish systems andprocesses which will ensure a timely and appropriate response to queries fromclinicians and other stakeholders

Person Specification

Qualifications

• Previous experience as a Care Coordinator
• EMIS Experience
• Relevant degree or equivalent level of training and experience
• Evidence of a consistent pattern of learning from education, training and experience
• Able to work full time - 5 days per week - this is an practice based role
• Qualification in health or social care allied profession

Experience

• Previous experience as a Care Coordinator
• EMIS experience
• Experience of working in Primary care or GP Practice

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.

£32,199 a yearSalary includes High cost area supplements (HCAS)