PCN Care Coordinator in Bristol

£26,000 to £30,000 per year

Contract Type: Contract

Hours: Full time

Disability Confident: No

PRIMARY DUTIES AND AREAS OF RESPONSIBILITY:

• To assist the PCN and its network Practices in delivering improvements to the services we provide to our patients in relation to participation in national cancer screening programmes.
• To support our patients accessing screening programmes and addressing any necessary barriers or inequalities to access as able.
• Ensuring robust and supportive referral practices are in place for patients suspected of having cancer; including use of guidelines, professional development, and safety netting of those referred.
• To offer personalised care and support to patients on their cancer journey as needed.
• Ensure FIT testing/full results for suspected gastrointestinal cancer referrals are completed.
• In support of collaborative working the post holder will form productive and supportive relationships with PCN staff who have the skills, knowledge, and remit to contribute to this work.
• Take forward proactive monitoring and tracking of patients suspected or confirmed of having a cancer diagnosis ensuring that their journey is processed in a timely and efficient manner, in line with Cancer Waiting Time Targets and provide adequate safety netting.
• To support cancer care reviews, prepare patients if needed and signpost to other services within the practice or PCN as needed to patients e.g. Macmillan.
• Provide advice and support to practices on cancer audit/referral review of cancer diagnoses.
• To work with practices to collate the learning from case reviews to identify any trends or learning.
• This may include coordinating practice cancer meetings, attendance, minutes and sharing learning/outcomes.
• Provide the practice with support to host peer-to-peer learning events that look at data and trends in diagnosis and screening across a Network.
• Create or update a Library of data packs and other resources, to support the delivery of information to patients in a wide variety of formats to meet the needs of all patient groups, including those with Learning Disabilities, and people for whom English is not a first language.
• Review practice coding for report building and templates to ensure consistency across the PCN and accuracy of data.
• Identify coding anomalies and liaise with Ardens (template and reports used by all member practices).
• Provide administrative support for project evaluation and feedback.
• To coordinate projects and project manage programmes that will support our patients in relation to participation in national cancer screening or any new SWAG projects or new workstreams.
• Support calls to patients with appropriate information so they are aware of what to expect when referred.
• Follow up on watch and wait scenarios when patients' symptoms do not meet the criteria for referral.
• This could be very beneficial in vulnerable patient groups e.g. learning disability/Dementia/mental health.
• Project support Current projects support practices in uptake/DNA reviews for all screening programmes breast/bowel/cervical/lung.
• Suggest run searches monthly and initiate process for recall/offering of these programmes in the most appropriate format for patients.
• This should have a focus on inequalities for access e.g. language barriers, digital exclusion, easy read formats, disabilities.
• Community engagement events working with our CIL to support the cancer/health promotion elements, liaising with VSOs, health promotion, stop smoking just as examples.
• 26/27 QOF/DES/LES contractual elements (awaiting full clarification).
• DES 26/27 states Cancer and non-cancer screening o Requirements to improve cancer referrals, early diagnosis and screening uptake, including expectations on referral quality, stronger safety netting and clearer responsibilities for supporting eligible patients have been included.
• This will provide operational clarity and support consistent, effective delivery across PCNs.
• LOGISTICS
• Run Ardens searches twice weekly for new cancer diagnoses and 2ww referrals for all 5 practices (unless a practice prefers in house).
• Offer support or review to new diagnoses method tailored to individual/practice preferences.
• Coordinate and compile patient review lists for clinicians to review for 3 month cancer review meetings in all 5 practices, diarise and minute.
• Disseminate anonymised learning to teams if required.
• Search and review potential missed 2ww referrals in all 5 practices and advise practice team accordingly.
• Flag DNAs or significant delays.
• Ensure robust safety netting processes are in place for all practices.
• Identify vulnerable/health inequalities in our cancer referrals and those at high risk (LD, SMI, drugs and alcohol) and offer support with various aspects which could include attendance and appropriate information in a format suitable to them.
• If appropriate to involve colleagues e.g. social prescribers, transport support to enable attendance.
• As above but for attendance to their cancer care reviews/appointments in practices.
• Coordinate the quarterly cancer care leads clinicians meeting, minute and disseminate learning/outcomes to practices.
• Reports/queries to the cancer leads in practice and PCN Cancer lead; informal supervision also provided via this route.