Care Coordinator- Dashwood Primary Care NetworkinHigh WycombeinHigh WycombePUBLISHED MON 11 NOV 2024

Dashwood Primary Care Network

Base: High Wycombe

Salary: From £22,500 to £24,150 WTE dependant on experience

Working hours: 37.5 hours per week

NHS Pension

33 days annual leave inclusive of bank holidays

Employee Assistance Programme 24/7 Support

Do you love working with the wider community? Passionate about the services and treatment customers/patients receive? Working in a customer/ patient facing role and looking to to take the next step in your career in developing your skills and experiences in working within GP Practices.

An exciting opportunity has arisen for a care coordinator to join an already established, growing and committed team in providing additional care and services across PCN patient populations, including the provision of support and enhanced care to vulnerable patients and patients in residential and nursing home settings.

You will be joining a thriving existing PCN team of care coordinators, social prescribers and be an integral part of the team when it comes to delivering the best patient care.

The Care Coordinator will work as a key part of the Primary Care Network (PCN) multi-disciplinary (MDT) team.

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

We are looking for a compassionate, collaborative and motivated coordinator to support the delivery of care to vulnerable patients and care homes, coordinating the work of healthcare professionals and non-clinical staff involved in the care of patients.

The successful candidate will possess strong administrative skills with the ability to multi task and ability to communicate well with the patients and wider external agencies. Excellent administration experience, keen eye for detail and sound IT skill are essential for this role such as Microsoft Office, Excel, PowerPoint, Microsoft Teams with the ability to analyse and report data.

Often being the first point of contact for our patients must be able to communicate and listen to patients clearly and effectively, demonstrate empathy putting our patients at ease.

About us

Primary Duties and Areas of Responsibility

utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care.

serve as the contact point, advocate and informational resource for patients, care teams, family /caregivers and community resources, responding with empathy and respect and signposting where appropriate.

ensure regular and consistent communication with care homes regarding patient progress.

support patients to utilise decision aids in preparation for a shared decision-making conversation.

acknowledge patients rights on confidential issues; maintain patient confidentiality at all times.

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 (PCSP), in line with PCSP best practice, based on what matters to the person.

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.

visit patients in community, home or care home setting to assess and discuss their care needs involving carers as appropriate.

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 with the identification of high risk patients and keep a register of the teams workload.

assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing and increase their activation level.

undertake visits or arrange appointments at their Practice for patients on the PCNs case load or otherwise as directed by the Duty Doctor following identification of urgent and non-urgent clinical need to assess, diagnose, treat, prescribe and refer appropriately according to the patients health needs and acting within the PCNs clinical skill set.

explore and assist people to access personal health budgets where appropriate.

provide coordination and navigation for people and their carers across health and care services, working closely with social prescribing link workers, health and wellbeing coaches, and other primary care professionals.

refer through to the appropriate member of the team, and/or make referrals on behalf of the team.

support the coordination and delivery of multidisciplinary teams (MDTs) within the PCN, to include management of the team diaries and arrangement/planning of team meetings and producing reports as requested.

liaise with members across all practices within the PCN, supporting good communication.