Care Coordinator

Part Time, 20 hours per week, Permanent

IntraHealth is one of the UK’s leading provider of NHS Primary and Community Care services. We serve a range of patients across our three divisions of Primary Care (general practice), Pharmacy and Clinical Services which includes anticoagulation monitoring, patient medication reviews and childhood immunisation programmes.

We also provide management and clinical support to other GP practices and NHS bodies. We are a well-established organisation having provided NHS services since the company was founded in 1999. Our team is made up of GPs, Advanced Nurse Practitioners (ANPs), Nurses, Pharmacists, Pharmacy Technicians, Health Care Assistants (HCAs) and local administration teams supported by a centralised back office function; providing finance, HR, administration and data analysis support.

We operate NHS services across the North East, North West and Yorkshire.

IntraHealth are looking to recruit to the post of Care Coordinator, to work across our Castle Health Centre and within our Primary Care Network multidisciplinary healthcare team.

The successful candidate will play a key role in proactively identifying and working with people, including the frail/elderly and those with long-term conditions, to provide coordination and navigation of care and support across health and care services.

They will work closely with GPs and practice teams, making sure that appropriate support is made available to people.

They will work alongside social prescribing link workers and health and Wellbeing for Life to provide an all-encompassing approach to personalised care and enable people navigate through the health and care system.

The post holder will work with a diverse range of people from different cultural and social backgrounds. The ability to work confidently and effectively in a varied and sometimes challenging environment is essential.

The successful candidate will have excellent interpersonal and communication skills, and be organised, patient and empathetic. They will have experience of working in health, social care or other support roles including direct contact with people, families or carers.

Care coordinators play an important role within a practice and the PCN to proactively identify and work with people, including the frail/elderly and those with long-term conditions, to provide coordination and navigation of care and support across health and care services.

Care coordinators help patients negotiate their way through the NHS and so can help them organise secondary care follow up or appointments within the wider NHS.  They will also coordinate community care of complex patients after their admission to hospital. Their aim is to help people access the healthcare they need across all settings.

Care coordinators play a pivotal role within practices to coordinate the call and recall system of people with long-term conditions to ensure people attend vital follow up within the practice and the PCN.

Care coordinators will attend multidisciplinary team meetings within the practice and the wider PCN and will have a central role in organising those meetings with the clinicians and ensure appropriate follow up for patients occur.

The successful candidate will be based at our Castle Health Centre, but may need to work across a local cluster of General Practices as part of the Primary Care Network (PCN).

They will be caring, dedicated, reliable and person-focussed and enjoy working with a wide range of people. They will have good written and verbal communication skills and strong organisational and time management skills. They will be highly motivated and proactive with a flexible attitude, keen to work and learn as part of a team and committed to providing people, their families and carers with high quality support.

This role is intended to become an integral part of the PCN’s multidisciplinary team, working alongside social prescribing link workers, primary mental health workers and Wellbeing for Life to provide an all-encompassing approach to coordinating healthcare within the practice.

Please note that the role of a care coordinator is not a clinical role.

The successful candidate will play a key role in proactively identifying and working with various cohorts of patients, including patients with Severe Mental Illness, Learning Disabilities, Cancer patients, to provide coordination and navigation of care and support across health and care services.

The successful candidate will be based at Castle Health Centre but will work across a local cluster of 4 General Practices of the SCORE Primary Care Network (PCN).

Primary duties and responsibilities

As a Care Coordinator, the postholder will:

Support the patient journey directly by:

• Working with patients, their families, and their wider support networks to improve the understanding of the patients' conditions and pathways across the PCN.
• Providing coordination and navigation across the health and care system for patients, through answering patient queries and making and managing appointments.
• Assisting people to access personal health budgets and benefits where appropriate.
• Measuring the impact of your work through patient reporting to identify areas where your role can be developed to improve outcomes across the PCN.

Help people to support themselves through:

• Improving their knowledge, skills, and confidence in engaging with their health and wellbeing, including through use of the patient activation measures.
• Enabling them to take up training and employment and accessing benefits where appropriate.
• Assisting people to access self-management education courses, peer support or interventions that support them in their health and wellbeing.
• Raising awareness of shared decision making and decision support tools to help enable positive conversations between patients and healthcare services.

Work alongside a multi-disciplinary team to:

• Manage a caseload of projects across the PCN.
• Promote the benefits of personalised care to colleagues and improve their understanding of services available to patients.
• Identify patients that would benefit from additional support across the system.
• Improve any processes that act as barriers to effective care.

Proactively work as part of the PCN team to:

• Improve the population health by getting involved in PCN wide projects around health inequalities.
• Increase the number of people attending cancer screening appointments.
• Improve the health outcomes of populations experiencing health inequalities within our PCN, working both internally and with external organisations.
• Identify and support underrepresented groups such to access resources and services that will benefit them.

Additional responsibilities

As a member of the PCN, the postholder will:

Build working relationships by:

• Working as a flexible member of the PCN providing support to other team members when necessary
• Encourage supporting staff to collaborate through sharing information and intelligence across different activities.

Participate in any training and development implemented by the PCN as part of this employment, including but not limited to:

• Maintaining a record of own personal and/or professional development

• Taking responsibility for own development, learning and performance and demonstrating skill and activities to others who are undertaking similar work.
• Keeping abreast of national and local guidance on PCNs

Strive to maintain high quality and governance within the PCN, by:

• Alerting other team members to issues of quality and risk.
• Assessing own performance and taking accountability for own actions, either directly or under supervision.
• Working effectively with individuals in other agencies.
• Effectively managing own time, workload, and resources.

Ensuring patient confidentiality by:

• Respecting that patients entrust us with sensitive information in relation to both their health and other matters in the confidence that it will be used appropriately.
• Divulging information relating to patients, carers, colleagues, and other healthcare workers only to authorised persons in accordance with policies and procedures relating to confidentiality and data protection.
• Seeking advice and guidance when needed to ensure the correct action is taken in any issues relating to patient confidentiality.

Promote and maintain their own and others’ health, safety and security through:

• Using personal security systems within the workplace according to 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.
• Reporting potential risks identified.

Support the equality, diversity and rights of patients, carers, and colleagues, to include:

• Acting in a way that recognises the importance of people’s rights, interpreting them in a way that is consistent with 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 rights.

The above are not an exhaustive list of responsibilities and requirements, you will be expected to perform tasks as needed by your changing role within, and the overall aims of, the PCN. Discussions on any major changes will be held with the postholder.

No experience is required as training will be given.

PCN Overview

Lawrence House Medical Centre - Haxby, Brook Square Surgery, Eastfield Medical Centre & Castle Health Centre form our Primary Care Network (Scarborough CORE), which works collaboratively to ensure high quality, equitable, and sustainable care. We work together to represent over 53,000 patients and strive to provide outstanding patient service. Our work remains rooted in the local communities that we serve.

Application and referees by CV to:-- Natalie Coils, HR Administrator, 1^st floor , William Brown Centre, Manor Way, Peterlee, Co Durham, SR8 5TW or email to recruitment@intrahealth.co.uk

Job Description

Care Coordinator - Job Description

Location