QOF Care Coordinator

Integrated Care System; Bristol; On-site; GBP 30,000 - 40,000; Full time

Job summary

An established practice in North Somerset seeks a dedicated professional to manage the chronic disease register. The role involves coordinating care, promoting health clinics, and ensuring timely reviews for patients. Ideal candidates will have experience within the NHS, as well as strong communication and data handling skills.

Qualifications

• Experience within the NHS, promoting health clinics and calling patients.
• Ability to adapt to software and work independently.
• Good standard of written and spoken English.

Responsibilities

• Manage chronic disease register and promote attendance at clinics.
• Coordinate care for patients with poor disease control.
• Ensure timely reviews and follow-ups for patients.

Skills

Customer Service

Communication

Data Awareness

Teamwork

Tools

EMIS

Microsoft Word

Microsoft Outlook

Job description

Candidates will need to be a teamplayer with a passion for giving excellent customer service. This role will be managing our chronicdisease register and will require good data awareness and personal skills. A good understanding of Quality outcomeFramework (QOF) targets along with a working knowledge of EMIS is desirable. Previous experience gained within the NHS,promoting attendance at Health Promotion clinics, ensuring patients are calledfor reviews in a timely manner and carry out basic searches is preferred.

Main duties of the job

The purpose of the role is o work as part of the QOF team and support theclinicians at Tyntesfield Medical Group to achieve all QOF targets annually.

About us

Tyntesfield Medical Group in North Somerset is a 13 Partner General Practice with a patient list size currently of around 33,000 split across four sites: Tower House Medical Centre, Brockway Medical Centre, Backwell Medical Centre and Long Ashton Surgery.

We are a friendly and accessible team providing excellent healthcare in our community. We provide a professional, safe, supportive, and efficient working environment for everyone in the practice. We are a forward-thinking organisation with a strong emphasis on teamwork and patient-centred care.

Job responsibilities

Co-ordinatecare for disease prevention and actively promote attendance at Health Promotionclinics

Havea good understanding of QOF targets and ensure patients are called for reviewin a timely manner

Regularlysearch for patients with poor disease control and target them for additionalsupport, e.g., for weight loss/drug compliance/overdue blood tests or otherinvestigations

Activelysearch for patients with a high BMI or smokers to support to change

Refer signpostpatients to smoking cessation, exercise and weight loss services

Liaisewith the Social Prescribing Team (Wellbeing Team) when required

Utilisepopulation health intelligence to proactively identify and work with a cohortof patients to deliver personalised care

Helppatients to manage their needs through answering queries, making and managingappointments

Workwith the GPs and other primary care professionals to identify and manage acaseload of patients, and where required and as appropriate, refer patientsback to other health professionals

Discusspatient related concerns with a GP where required

Supportpre-diabetic patients to ensure annual HbA1c and referral to National DiabetesPrevention Programme education where necessary

Toimprove the Population Health Management within the practice to enable betterclinical outcomes

Ensurethe health promotion clinics are used efficiently and effectively by activelymanaging clinic bookings and patient recall.The support would include:

Ensure early follow up for diabeticreview if needed more frequently than annually

Ensure the patient has the mostefficient appointment if they have co-morbidities to improve engagement andcompliance

Invitepatients on the Learning Disability register for the first part of their annualreview with the QOF Team and book the second part

Sendreminders to patients overdue their cancer screening(breast, bowel, cervical, PSA)

Coordinatelong term condition monitoring for housebound patients

Createand edit EMIS searches

Claimon behalf of practice: CQRS, Local Enhanced Services, Public Health, PPAprescriptions

Person Specification

Qualifications

• Demonstrates good standard of written and spoken English

Skills and Knowledge

• Good keyboard / IT skills literate with Microsoft Word and Outlook, and able to adapt to using third-party software
• Ability to work independently, with minimal supervision, including initiating actions, implementing decisions, monitoring and reporting
• Clear understanding of data protection requirements and participant confidentiality
• Good written and verbal communication skills

Experience

• Quickly building trust and a positive dialogue with individuals who face challenges about their health
• A flexible approach and a focus on what matters for an individual
• Produce promotional material, monitoring information and producing reports
• Experience using EMIS
• Working within the health sector
• Promoting Health Promotion clinics
• Inviting patients for reviews
• Carrying out basic searches
• Good understanding of QoF

Personal Attributes

• Willingness to undertake any training as required in relation to the role
• To work as part of a team and on own using initiative
• Organise own time, manage workload & meet deadlines, working flexibly when required
• Possessing the ability to portray, by personal example, the benefits of pursing a healthier lifestyle
• Possessing a 'can do' and 'will do' attitude

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.