Healthy Ageing Coordinator

Role Definition This is a developmental role. The post holder will be supported and trained to become responsible for Healthy Ageing checks within the network and assisting qualified nursing and medical staff in carrying out assigned tasks, involving direct nursing care in support of and supervised by a Registered Nurse/ medical staff. The post holder will at all times demonstrate and behave in a manner in accordance with the hosting Practices Policies and protocols. The role is to lead on, and play a pivotal role, in managing the coordination of Healthy Ageing checks, and the delivery of appropriate interventions across a range of agencies/ partners including care plans. The post holder will be the main point of contact for professionals, patients and carers/ families if they need support/ information/ guidance/ education The post holder will ensure relevant accurate data is recorded and maintained within the designated systems and will support and help implement continuous quality
improvement activities across the primary care network (PCN). Main Responsibilities 1.Support the identification of patients who are indicated to be living with Mild/ Moderate frailty utilising a recommended toolkit (i.e eFI. Or through RWT Care of the Elderly team) 2.Undertake a Healthy Ageing check using an agreed assessment tool, such as Edmonton to determine the level of frailty the patient could be living with which will inform an appropriate intervention 3.Completing any necessary paperwork and referrals within associated Practices within the respective PCN 4.Collaborative working between multi-agencies across the city including (but not limited to) RWT Care of the Elderly Team, Virtual ward, Community Nursing, Social Care, Social Prescribers, Primary Care MDT Coordinators, and other community/ voluntary sector services. 5.Undertake BP monitoring 6.Undertake Urinalysis 7.Proactively case manage patients who are aged 65 and living with mild/ moderate frailty, and could be socially
isolated, adopting a holistic approach to review health, social and physical aspects of current daily activities, for example nutrition, hydrations, eye and oral health, physical activities. 8.To identify carers and offer appropriate support, signposting to Carers Support for assessment, voluntary services such as Age UK, handyman services, housing assistance, lunch/ social/ physical activity groups. 9.Provide lifestyle advice to patients making any necessary referrals within associated Practices within the respective PCN 10.Proactively identify patients who are at risk of a fall/ fear of falling, and refer to the community falls prevention team for primary prevention assessment and intervention 11.Undertake weight monitoring at appropriate intervals 12.Ensure specimens are labelled and bagged ready for collection with the necessary paperwork completed 13.Restocking/maintenance of equipment used 14.Restocking of clinical areas and consulting rooms This list is not exhaustive, and the post
holder may be asked to undertake other relevant tasks within their scope of practice. Before performing these tasks, appropriate, relevant training must be received and documented in the training pack. Professional /Clinical 1.Maintain high standard of personal contact and communication with patients, particularly during treatments 2.Undertake basic observations and collecting specimens as required. 3.To avoid any behaviour which discriminates against your fellow employees, or potential employees on the grounds of their sex, sexual orientation, marital status, race, religion, creed, colour, nationality, ethnic origin or disability 4.To safeguard at all times confidentiality of information relating to patients and staff in adherence with National and local Data protection and Information governance. 5.To behave in a manner that ensures the security of the Practice 6.To adhere to all relevant Practice Policies and Procedures This list is not exhaustive.
Administrative/Managerial 1.Participate in the administrative and professional responsibilities of the practice team and on behalf of the respective primary care network (PCN) 2.Ensure accurate and legible notes of all consultations and treatments are recorded in the patient notes (electronic and patient held) 3.Ensure the clinical computer system is kept up to date with accurate details recorded 4.Ensure accurate completion of all necessary documentation associated with patient health care and registration with the practice 5.Attend and participate in practice meetings as required 6.Assist in formulation of practice philosophy, strategy and policy 7.Restocking and maintenance of clinical areas and consulting rooms 8.To assist in seasonal and special projects as requested e.g., flu campaign 9.Ordering and display of Health Promotion materials This list is not exhaustive.