West Mendip Primary Care Network Care Co-ordinator

NHS; Street; On-site; GBP 60,000 - 80,000; Full time

Job summary

Join the NHS as a Care Co-ordinator and play a vital role in supporting the health and wellbeing of the West Mendip community. You will work closely with health professionals to connect individuals to the right services, enhance their understanding of care options, and ensure personalized support is provided. Ideal candidates will have experience in health or social care, excellent communication skills, and be committed to promoting shared decision-making.

Qualifications

• Experience in health, social care, or related support roles.
• Experience working directly with people and families.
• Experience of data collection and using measurement tools.

Responsibilities

• Facilitate access to personalized care and support.
• Co-ordinate and integrate care across multidisciplinary teams.
• Maintain accurate records and ensure effective communication.

Skills

Empathy

Communication

Record Keeping

Education

5 GCSEs including English and Maths

Job description

West Mendip Primary Care Network Care Co-ordinator

This non-clinical role is an integral part of our Primary Care Networks multidisciplinary team, working alongside social prescribing link workers and health and wellbeing coaches to provide an all-encompassing approach to personalised care. Our Care Co-ordinators are the first point of contact for our community, offering direct support via the telephone, emails and EMIS tasks. There is also scope for some work to be carried out at community events.

Working with GPs and practice teams, our Care Co-ordinators facilitate additional support for the residents of West Mendip from within the wider PCN team or external organisations, helping them to understand and manage their own care requirements and ensure changing needs are addressed. Promoting shared decision-making, they ensure people are able to access suitable guidance and gain confidence to make informed decisions about their health and wellbeing.

They liaise with neighbourhood teams from across health, social, and wellbeing sectors, to streamline care, collating information about a persons identified care and support needs and exploring options to meet these.

Additionally, our Care Co-ordinators proactively identify people in the community who would benefit from support, and connect them with appropriate care, services and resources.

Our Care Co-ordinators work under delegation of a registered health professional.

Main duties of the job

The main duties of this role are clearly defined within the attached job description. If you have any specific questions please contact us.

About us

One of 13 PCNs in Somerset, we are a collaboration of five GP practices in West Mendip: Glastonbury Health Centre, Glastonbury Surgery, Wells City Practice, Wells Health Centre and Vine Surgery Partnership (Street).

Our purpose, values and vision underpin our beliefs on the necessities of a healthcare service, and what we aim to achieve, both now and in the future. They guide the actions and decisions made by our whole team, ensuring they align with our commitment to prioritise personalised care for the people of West Mendip.

Job responsibilities

1. ENABLE ACCESS TO PERSONALISED CARE AND SUPPORT

Take referrals or proactively identify people who could benefit from support through care co-ordination.

Have a positive, empathetic and responsive conversations with people and their families and carer(s), about their needs.

Increasing patients understanding of how to manage and improve health and wellbeing by offering advice and guidance.

Develop an in-depth knowledge of the local health and care infrastructure and know how and when to enable people to access support and services that are right for them.

Use tools to measure peoples levels of knowledge, skills and confidence in managing their health and tailor support to them accordingly.

Ensure personalised care and support plans are communicated to the GP and any other professionals involved in the persons care and uploaded to the relevant online care records, with activity recorded using the relevant SNOMED codes.

2. CO-ORDINATE ANDINTEGRATE CARE

Help people transition seamlessly between secondary and community care services, supporting people to navigate through the wider health and care system.

Refer onwards to social prescribing link workers and health and wellbeing coaches where required and to clinical colleagues where there is an unaddressed clinical need.

Regularly liaise with the range of multidisciplinary professionals and colleagues involved in the persons care, facilitating a co-ordinated approach and ensuring everyone is kept up to date so that any issues or concerns can be appropriately addressed and supported.

Actively participate in multidisciplinary team meetings in the PCN.

Identify when action or additional support is needed, alerting a named clinical contact in addition to relevant professionals, and highlighting any safety concerns.

Record what interventions are used to support people, and how people are developing on their health and care journey.

Keep accurate and up-to-date records of contacts, appropriately using GP and other records systems relevant to the role, adhering to information governance and data protection legislation.

Work sensitively with people, their families and carers to capture key information, while tracking of the impact of care co-ordination on their health and wellbeing.

Encourage people, their families and carers to provide feedback and to share their stories about the impact of care co-ordination on their lives.

Record and collate information according to agreed protocols and contribute to evaluation reports required for the monitoring and quality improvement of the service.

3. SUPERVISION/PROFESSIONAL DEVELOPMENT

Work with a named clinical point of contact for advice and support. Undertake continual personal and professional development, taking an active part in reviewing and developing the role and responsibilities, and provide evidence of learning activity as required.

Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, equality, diversity and inclusion training and health and safety.

Access relevant GPs to discuss patient related concerns, and be supported to follow appropriate safeguarding procedures.

4. MISCELLANEOUS

Establish strong working relationships with GPs and practice teams and work collaboratively with other care co-ordinators, social prescribing link workers and health and wellbeing coaches, supporting each other, respecting each others views and meeting regularly as a team.

Act as a champion for personalised care and shared decision making within the PCN.

Demonstrate a flexible attitude and be prepared to carry out other duties as may be reasonably required from time to time within the general character of the post or the level of responsibility of the role, ensuring that work is delivered in a timely and effective manner.

Identify opportunities and gaps in the service and provide feedback to continually improve the service and contribute to business planning.

Contribute to the development of policies and plans relating to equality, diversity and reduction of health inequalities.

Work in accordance with the practices and PCNs policies and procedures.

Contribute to the wider aims and objectives of the PCN to improve and support primary care.

Person Specification

Experience

• Experience of working in health, social care and other support roles in direct contact with people, families or carers (in a paid or voluntary capacity)
• Experience of working within multi-professional
• Experience of supporting people, their
• families and carers in a related role
• Experience of working directly in a
• care co-ordinator role, adult health and
• social care, learning support or public
• health / health improvement
• Experience of data collection and using
• tools to measure the impact of services
• Experience of working with elderly
• or vulnerable people, complying with
• best practice and relevant legislation

Qualifications

• 5 GCSEs or equivalent, to include English and Maths: A*- C or 9 - 4
• grade

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.

£12.21 to £13 an hourDependent on experience