Job summary

This role is to support the smooth co-ordination of patient careacross the Primary Care Network for the benefit of our patients.

Hours: Full time / Part time considered

Base: Will work across the two networkpractices as detailed below as well as time dedicated to training andnetworking. Main practice base to be confirmed on appointment.

Main duties of the job

The CareCoordinator will be responsible for consulting with patients and determiningtheir needs, developing care plans, coordinating patient-care services,educating them about their condition, empowering them to be independent wheneverpossible and working with the care team to evaluate interventions.

About us

Alliance for Better Care CIC is a GP Federation that unites 47 NHS GP practices across 12 Primary Care Networks in Sussex and Surrey. We support our Primary Care colleagues as well as their patients, to transform how healthcare is managed within the community.

As a membership organisation, our focus is to work in partnership with our members and help them to improve the provision of General Practices in the local area.

We work with and listen to our GP Practices, PCNs, Hospitals, Community Organisations and the Third Sector. These vital partnerships ensure that, together, we deliver a truly integrated approach that offers the support and expertise needed to effectively serve our communities.

Date posted

08 February 2023

Pay scheme

Other

Salary

£22,607.47 to £25,459.68 a year

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

B0141-23-4333

Job locations

Dolphins Surgery

Butlers Green Road

Haywards Heath

West Sussex

RH16 4BN

Newtons Practice

Heath Road

Haywards Heath

West Sussex

RH16 3BB

Job description

Job responsibilities

Key Responsibilities and Duties

To work across a Primary Care Network.

Tosupport adult patients and assist them through the healthcare system by actingas a patient advocate and navigator, empowering them and educating them topromote and support their independence.

To talkto patients, and where appropriate their families and/or carers, on thepractice premises, remotely by telephone or video, or in the patients home ifneeded.

Liaise with Care Homes as necessary.

MDTCoordination

Overallresponsibility for arranging MDT meetings and the smooth running of integratedcare within the medical centre. A key role of the Care Coordinator will be toschedule the MDT meetings and manage the meeting agenda items, ensuring thatall new referrals are identified, and information is circulated to team membersin advance of the meeting.

Identifypatients to discuss at PCN level MDTs with a view to reducing unplannedadmissions and exacerbation of conditions.

Please see full Job Description for further information.

Job description

Job responsibilities

Key Responsibilities and Duties

To work across a Primary Care Network.

Tosupport adult patients and assist them through the healthcare system by actingas a patient advocate and navigator, empowering them and educating them topromote and support their independence.

To talkto patients, and where appropriate their families and/or carers, on thepractice premises, remotely by telephone or video, or in the patients home ifneeded.

Liaise with Care Homes as necessary.

MDTCoordination

Overallresponsibility for arranging MDT meetings and the smooth running of integratedcare within the medical centre. A key role of the Care Coordinator will be toschedule the MDT meetings and manage the meeting agenda items, ensuring thatall new referrals are identified, and information is circulated to team membersin advance of the meeting.

Identifypatients to discuss at PCN level MDTs with a view to reducing unplannedadmissions and exacerbation of conditions.

Please see full Job Description for further information.

Person Specification

Experience

Desirable

  • Experience of working directly in either the NHS or Adult Social Care

Personal Qualities & Attributes

Essential

  • Able to listen, empathise with people and provide person centred support in a non-judgemental way.
  • Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity.
  • Committed to reducing health inequalities and proactively working to reach people from all communities.
  • Able to support people in a way that inspires trust and confidence, motivating others to reach their potential.
  • Able to communicate effectively, both verbally and in writing, with people, their families, carers, community groups, partner agencies and stakeholders
  • Able to identify risk and assess/manage risk when working with individuals
  • Have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the link worker role e.g. when there is a mental health need requiring a qualified practitioner
  • Able to provide leadership and to finish work tasks
  • Able to maintain effective working relationships and to promote collaborative practice with all colleagues
  • Demonstrates personal accountability, emotional resilience and works well under pressure
  • Able to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
  • High level of written and oral communication skills
  • Able to work flexibly and enthusiastically within a team or on own initiative
  • Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety

Desirable

  • Excellent IT skills including Excel as well as knowledge of GP clinical systems, experience of data entry and coding.

Qualifications

Essential

  • Demonstrable commitment to professional and personal development with a can do attitude.

Desirable

  • NVQ Level 3, Advanced level or equivalent qualifications or working towards.
  • Training in motivational coaching and interviewing or equivalent experience.
Person Specification

Experience

Desirable

  • Experience of working directly in either the NHS or Adult Social Care

Personal Qualities & Attributes

Essential

  • Able to listen, empathise with people and provide person centred support in a non-judgemental way.
  • Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity.
  • Committed to reducing health inequalities and proactively working to reach people from all communities.
  • Able to support people in a way that inspires trust and confidence, motivating others to reach their potential.
  • Able to communicate effectively, both verbally and in writing, with people, their families, carers, community groups, partner agencies and stakeholders
  • Able to identify risk and assess/manage risk when working with individuals
  • Have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the link worker role e.g. when there is a mental health need requiring a qualified practitioner
  • Able to provide leadership and to finish work tasks
  • Able to maintain effective working relationships and to promote collaborative practice with all colleagues
  • Demonstrates personal accountability, emotional resilience and works well under pressure
  • Able to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
  • High level of written and oral communication skills
  • Able to work flexibly and enthusiastically within a team or on own initiative
  • Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety

Desirable

  • Excellent IT skills including Excel as well as knowledge of GP clinical systems, experience of data entry and coding.

Qualifications

Essential

  • Demonstrable commitment to professional and personal development with a can do attitude.

Desirable

  • NVQ Level 3, Advanced level or equivalent qualifications or working towards.
  • Training in motivational coaching and interviewing or equivalent experience.

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.