Primary Care Network Care Coordinator

Integrated Care System; Dover; On-site; GBP 25,000 - 35,000; Full time

Job summary

A healthcare organization in Dover is looking for a dedicated professional to support the delivery of primary health care within the PCN. The role involves coordinating with clinical directors, engaging with patients, and helping them navigate their care and support needs effectively. Ideal candidates will have experience in working within health or social care settings and possess strong communication skills.

Qualifications

• Experience in health or social care settings.
• Demonstrable experience of planning and delivering targets.
• Ability to work with diverse health and social care needs.

Responsibilities

• Support PCN Clinical Directors and coordinate activities.
• Work with patients to improve their health and well-being.
• Assist in training and managing care teams.

Skills

Communication skills

Organisational skills

Empathy

Technical literacy in Microsoft Applications

Ability to motivate others

Education

GCSE or equivalent

NVQ 3 or equivalent

Tools

SystmOne

EMIS

Job description

The post-holder will play a pivotal role in the delivery of high quality primary health care within the Dover Town Primary Care Network (PCN)

Main duties of the job

• To support the PCN Clinical Directors in achieving the DES specifications.
• To work closely with PCN Practices and the multidisciplinary team.
• Support Clinical Directors in coordinating all key activities including access to services, advice and information, and ensuring health and care planning is timely, efficient and patient-centred.
• The post holder will help patients interact and engage in everyday life. You will do this through activities designed to develop, maintain or retrain skills for people with a disorder, condition or illness (whether that be cognitive, physical or mental).
• To support and develop the care team in all aspects of their role.
• To work within the company's policies and procedures and guidelines.
• To support the PCN in delivering its education remit as part of the Community Education Framework. This will entail supporting clinicians, students and practice administration staff in organising and communicating education events.

About us

Primary Care Networks are a key vehicle for delivering many of the commitments in the long-term health of the nation plan and providing a wider range of services to patients. They are providing services such as structured medication reviews, enhanced health care in care homes, supporting early cancer diagnosis and understanding local health needs in order to tackle local inequalities.

They work with their partners to provide a wider range of primary care services to patients, involving a wider set of staff roles than might be feasible in individual practices, for example, first contact physiotherapy, extended access and social prescribing.

Networks are also the footprint for deciding which integrated community-based teams will develop, and community and mental health services will be expected to configure their services around PCN boundaries. These teams will provide services to people with more complex needs, providing proactive and anticipatory care.

Job responsibilities

Key Duties

• Utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care.
• Support patients to utilise decision aids in preparation for a shared decision-making conversation.
• Holistically bring together all of a persons identified care and support needs, and explore options to meet these within a personalised care and support plan (PCSP).
• 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.
• Support people to take up training and employment, and to access appropriate benefits where eligible.
• Support people to understand their level of knowledge, skills and confidence (their Activation level) when engaging with their health and wellbeing, including through the use of the Patient Activation Measure.
• Assist patients to access self-management education courses, peer support or interventions that support them in their health and wellbeing and increase their activation level.
• Explore and assist patients to access personal health budgets where appropriate.
• Provide coordination and navigation for patients and their carers across health and care services, working closely with social prescribing link workers, health and wellbeing coaches, and other primary care professionals.
• Support the coordination and delivery of MDTs within the PCN.
• Work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients, and where required and as appropriate, refer people back to other health professionals within the PCN.
• Raise awareness within the PCN of shared-decision making and decision support tools; and 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.

Safeguarding

• Have basic safeguarding processes in place for vulnerable individuals.
• Provide opportunities for the patient to develop friendships and a sense of belonging, as well as to build knowledge, skills and confidence.

Health & Safety

The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health & Safety Policy, including:

• Using personal security systems within the workplace according to practice guidelines.
• Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.
• Making effective use of training to update knowledge and skills.
• Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards.

Equality and Diversity

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, including:

• Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation.
• Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues.

Person Specification

Experience

• Experience in working within a social care and/or health setting, working with multi-disciplinary teams.
• Demonstrable experience of effective planning and organisational skills to deliver targets to deadlines
• Experience of working with people with diverse health and social care needs
• Patient clinical system knowledge
• Experience of using recognised assessment tools
• Experience of mental health either as a service user, carer, worker or volunteer
• Experience of multi-agency working and signposting to appropriate support

Qualifications

• Educated to GCSE or equivalent
• NVQ 3 of equivalent and/or relevant basic/first level professional qualification

Knowledge and Skills

• Excellent verbal communication skills with the ability to communicate effectively at all levels inc. customers, patients and carers, specialist services, GPs and colleagues. Listening skills, displaying empathy.
• Good technical literacy of Microsoft Applications e.g. Word, Excel, and Access etc.
• A Creative, flexible and imaginative approach to working with people with diverse support needs
• Understanding of barriers people face to accessing services and how to overcome them
• Ability to support and motivate people to make sustained changes in their lives
• Able to work independently & prioritise own workload
• Ability to reflect on and share practice with peers
• Have access to a car and being in possession of a full current driving license and business insurance
• Experience using clinical systems:- SytmOne and/or EMIS
• Knowledge of a range of community groups and services which support wellbeing
• Awareness of relevant Health and Social Care legislation and a developed knowledge of crisis intervention
• Knowledge of the safeguarding interventions and awareness of the Mental Capacity Act
• Awareness of data protection and confidentiality issues

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.