PCN Cancer Care Coordinator inWorkington inWorkington PUBLISHED 1 NOV 2024

The cancer care coordinator plays a vital role in ensuring that patients receive comprehensive and effective care. This position involves coordinating various aspects of patient care, liaising with healthcare providers and supporting patients with cancer and their families throughout their healthcare journey

You will work closely with GPs and other colleagues in the practice and PCN to identify and manage a caseload of patients, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed.

You will be expected to help to deliver many of the objectives expected of primary care for cancer patients. In addition help reduce the workload for other members of the practice team

About us

• Supporting the practice by maintaining a register of cancer patients and ensure patients receive a Cancer Care review in line with national defined timescales and targets.
• Support the practice in conducting peer to peer learning events that look at data and trends in diagnosis, including cases where patients presented repeatedly before referral and late diagnoses.
• Holistically bring together all of a persons identified care and support needs, and explore options to meet these within a single personalised care and support plan.
• Where possible be the first point of contact for patients during their cancer journey and 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.
• Attend the practice weekly Primary Healthcare Team meeting to discuss and update on patients
• Work with the GPs and other primary care professionals to identify and manage a caseload of patients
• Engage and support disadvantaged patients with FIT testing
• Use of the relevant practice templates to ensure correct clinical coding enabling the practice to reach targets and provide effective and holistic care to the patient
• Maintain clear, accurate, legible, timely written documentation in patient notes providing a record of care delivered
• Ability to work without direct supervision and determine own workload and priorities
• Ability to extract and analyse data practice and PCN data to inform achievements again practice QOF and PCN targets
• Support and manage palliative and end of life patients and attend the palliative care meetings.

Prevention

• Identify at risk populations through Quality Outcomes Framework register including obesity and smoking
• Lead on advertising preventative advise within the practice, social media and website
• Signpost patients to services and help them navigate the system

Screening

• Identify low screening rates, non-responders and low participation groups
• Make contact with to provide information and support to encourage uptake
• Support the practice to improve uptake of the National Cancer Screening Programmes, understanding practice data for uptake and how screening is carried out
• Safety netting and checking that patients referred with a suspected diagnosis of cancer have received an appointment with secondary care in an appropriate timeframe.
• Follow up patients who have not responded to their screening appointments

Safety Netting

• Arrange GP follow up appointments. Providing information and leaflets to patients
• Follow up patients groups that may not attend appointments
• Regular monitoring the completion of FIT
• Undertake regular audits on the PCN Safety Netting process
• Improve the referral processes for suspected cancer, with a focus on safety netting, ensuring that all patients receive information of their referral, including why they are being referred, the importance of attending appointments and there they can access further support.

Early

Diagnosis

• Promote the use of digital tools to aid decision making and safety netting
• Monitor fast track urgent suspected cancer referrals and escalate breaches
• Care navigation
• Develop patient education around FIT and safety netting approaches to follow up with those who have not returned their FIT test

Personalised Care:

• Coordinate care for anyone diagnosed with cancer in the practice, signposting to internal and external services at any point in the pathway
• Prepare patients for cancer care reviews and support cancer care review delivery
• Help maintaining the practice palliative care register

Confidentiality

In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately. In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, Practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential. Information relating to patients, carers, colleagues, other healthcare workers or the business of the Practice may only be divulged to authorised persons in accordance with the Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

Information Governance

The post holder must keep up to date with the requirements of information governance; undertake mandatory training and follow NCPC policies and procedures to ensure that NCPC information is dealt with legally, securely, efficiently and effectively.

It is important that the post holder processes personal identifiable information only in accordance with the NCPC Data Protection Act notification to the Information Commissioner. The post holder must check with the Data Protection Officer before creating new systems to process person identifiable information to ensure that this is carried out within the scope of the Data Protection Act 2notification.

The post holder must manage the records they create or hold during the course of their employment with NCPC in an appropriate way, making the records available for sharing in a controlled manner subject to statutory requirements and agreed security and confidentiality policies, procedures and guidelines e.g. Data Protection Act 2, Freedom of Information Act 2000, General Data Protection Regulations, Caldicott Guidelines NHS Confidentiality Code of Conduct 2003, and professional codes of conduct on confidentiality.

The post holder must maintain the confidentiality of information about service user staff and organisational business in accordance with the new Data Protection Act 2and Caldicott principles.

It is likely that the post holder will be in contact at some time with a form of information system, and therefore is responsible for implementing and maintaining data quality. The post holder, when making entries into records, must ensure that these are legible and attributable and that the record keeping is contemporaneous. It is essential that information recorded within records either on paper, in an electronic format or both paper and electronic is accurate, complete and relevant.

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, the practice Health & Safety manual, and the practice Infection Control policy and published procedures. This will includes:

• 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
• Actively reporting of health and safety hazards and infection hazards immediately when recognised
• Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role
• Undertaking periodic infection control training (minimum annually)
• Reporting potential risks identified

Risk Management

All staff have a responsibility to report all clinical and non-clinical accidents, incidents or near-misses promptly and when requested to co-operate with any investigations undertaken.

Equality and Diversity

The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include acting in a way that recognizes 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. Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and right.

Personal/Professional Development

The post-holder will participate in any training programme implemented by the Practice as part of this employment, such training to include participation in an annual individual performance review. Taking responsibility for own development, learning and performance and

demonstrating skills and activities to others who are undertaking similar work.

Quality

The post-holder will strive to maintain quality within the Practice, and will assess own performance and take accountability for own actions, either directly or under supervision. Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance. Work effectively with individuals in other agencies to meet patients needs. Effectively manage own time, workload and resources.

Communication

The post-holder should recognise the importance of effective communication within the team and will strive to communicate effectively with other team members, communicate effectively with patients and carers and recognise peoples needs for alternative methods of communication and respond accordingly.

The duties and responsibilities shown above are not exhaustive but should merely be regarded as a guide.