Havering Health Ltd rVeqlaeH
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The Care Coordinator is an important non-clinical role within the South Havering Primary Care Network working closely with the Personalised Care Team comprising of Social Prescribers, Health and Well-being Coaches as well as the PCNs full ARRS (Additional Roles Reimbursement Scheme) Team, and working directly with GPs and the practice colleagues to manage a caseload of patients, often living with or at risk of frailty and those with long-term conditions. The Care Coordinator is a crucial role within the MDT by championing a proactive approach to patients care and is a single point of contact for patients and teams, including clinical and non-clinical staff in primary care, care homes, local authority, community services, secondary care and the voluntary sector.
The Care Coordinator is an important non-clinical role within the North Havering Primary Care Network working closely with the Personalised Care Team comprising of Social Prescribers, Health and Well-being Coaches as well as the PCNs full ARRS (Additional Roles Reimbursement Scheme) Team, and working directly with GPs and the practice colleagues to manage a caseload of patients, often living with or at risk of frailty and those with long-term conditions.
1. To work with the GPs and other primary care professionals within the Primary Care Network (PCN) to identify and manage a caseload of patients who would benefit from support through care coordination
2. To work closely and in partnership with the Social Prescribing Link Worker and Health and Well-being Coaches to assist people to access self-management education courses, peer support, health coaching and other interventions that support them in their health and wellbeing, and increase their levels of knowledge, skills and confidence in managing their health.
3. Work with patients, their families and carers to improve their understanding of the patients condition and support them to develop and review personalised care and support plans
4. Identify unpaid carers and help them access services to support them and place them on the carers register
5. To support patients to utilise decision aids, help create single personalised care and support plans, in line with best practice
6. To support the PCN in the delivery of the DES specifications, such as tackling health inequalities through targeted work with specific groups identified
7. To help people to manage their needs through answering queries, making, and managing appointments and ensuring that people have good quality written or verbal information
8. To provide coordination and navigation with the aid of digital tools
9. To support the coordination and delivery of MDTs within the PCN
The Care Coordinator is an important non-clinical role within the South Havering Primary Care Network working closely with the Personalised Care Team comprising of Social Prescribers, Health and Well-being Coaches as well as the PCNs full ARRS (Additional Roles Reimbursement Scheme) Team, and working directly with GPs and the practice colleagues to manage a caseload of patients, often living with or at risk of frailty and those with long-term conditions. The Care Coordinator is a crucial role within the MDT by championing a proactive approach to patients care and is a single point of contact for patients and teams, including clinical and non-clinical staff in primary care, care homes, local authority, community services, secondary care and the voluntary sector.
The Care Coordinator is an important non-clinical role within the North Havering Primary Care Network working closely with the Personalised Care Team comprising of Social Prescribers, Health and Well-being Coaches as well as the PCNs full ARRS (Additional Roles Reimbursement Scheme) Team, and working directly with GPs and the practice colleagues to manage a caseload of patients, often living with or at risk of frailty and those with long-term conditions.
1. To work with the GPs and other primary care professionals within the Primary Care Network (PCN) to identify and manage a caseload of patients who would benefit from support through care coordination
2. To work closely and in partnership with the Social Prescribing Link Worker and Health and Well-being Coaches to assist people to access self-management education courses, peer support, health coaching and other interventions that support them in their health and wellbeing, and increase their levels of knowledge, skills and confidence in managing their health.
3. Work with patients, their families and carers to improve their understanding of the patients condition and support them to develop and review personalised care and support plans
4. Identify unpaid carers and help them access services to support them and place them on the carers register
5. To support patients to utilise decision aids, help create single personalised care and support plans, in line with best practice
6. To support the PCN in the delivery of the DES specifications, such as tackling health inequalities through targeted work with specific groups identified
7. To help people to manage their needs through answering queries, making, and managing appointments and ensuring that people have good quality written or verbal information
8. To provide coordination and navigation with the aid of digital tools
9. To support the coordination and delivery of MDTs within the PCN
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