care coordinator

This role will be working autonomously but will have the support of a multi-professional primary care team made up of doctors, nurses, and clinical pharmacists. We are looking for a proactive individual who is passionate about improving patient care who will be covering the PCN which is made up of the following practices:

• Audley Mills Surgery
• Church View Surgery and Jones Family Practice
• Downhall Park Surgery
• Greensward Surgery
• Riverside Medical Centre
• William Harvey Surgery
The care coordinator works closely with all relevant care agencies within the integrated neighbourhood team (primary care, secondary care, community services, mental health, social services, voluntary services and other relevant service providers) to ensure coordinated patient care plans, without requiring a further referral from the GP. This includes:
• Supporting the coordination and delivery of MDTs within the PCN and ensure that actions points identified are recorded and followed up.
• Promoting the role and MDT with the PCN.
• Supporting the PCN to deliver effective, coordinated care to the care homes in their locality, working with the clinical team and other partners.
• Liaising with other clinical and non-clinical professionals within the team and other partners involved in patient care locally to holistically bring together all of a persons identified care and support needs, and explore options to meet these.
• Utilising population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care.
• Raising aware of health promotion and importance of NHS health checks.
• Establishing processes for patients to be reviewed during care home/sheltered housing ward round sessions.
• Scoping and arranging outreach sessions with the PCN team.
• Helping people transition seamlessly between services and support them to navigate through the health and care system.
• Exploring and assisting people to access personal health budgets where appropriate.
• Supporting the PCNs Patient Participation Group (PPG) with taking minutes, following up actions, distributing meeting papers and working with the team to create a forward planner of agenda items for discussion.
• Supporting delivery of the PCN engagement workstream with the local population by initiating contacts and developing/managing relationships across the network.
  
  If you are a skilled care co-ordinator, with excellent person-centred planning experience and strong local knowledge for accessing key support, then we would love to hear from you.
The ideal applicant will have the following skills, experience and qualifications:
• Educated to GCSE level or equivalent.
• Experience of working within healthcare or social care environment.
• Experience of working with patients/clients.
• Knowledge of the needs of vulnerable adults, safeguarding and the associated legislative framework.
• Strong listening and communication skills.
• Familiar with local resources and services, including how to access them.
• Motivated by helping people, with care and empathy.
• Experience of having to prioritise caseloads and manage time effectively.
• Able to deliver person-centred support in a non-judgmental way.
• The ideal applicant will need to be able to attend external meetings/community outreach therefore must hold a full driving licence as an essential requirement.
Desirable:
• NVQ Level 3 or equivalent in Health and Social Care.
• Experience of working in primary care.
• Experience of using GP clinical systems.
  
  Rayleigh and District Primary Care Network (PCN) is made up of six GP surgeries covering a population of approximately 56,000 from the Rayleigh, Hullbridge and Hockley areas. Our PCN serves an area with an interesting population with a varied case mix. Our vision is to work in partnership with our colleagues and patients to provide the best primary care services in the community.
The successful candidate will join an enthusiastic team who is passionate about training and development of the future workforce in Primary Care. As a PCN we hold monthly protected time for learning with CPD points as well as having access to local universities for career development. Our diverse clinical team includes a variety of different professionals who offer peer support and shared learning. This role will work as part of this large team that includes:
• Advanced nurse practitioners / advanced clinical practitioners
• Paramedics
• First contact practitioners
• Mental health practitioners
• Social prescribers
• Pharmacists and pharmacy technicians
• Nurse practitioners and healthcare assistants
Disclosure and Barring Service Check Please note 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 to check for any previous criminal convictions.