Care Navigator – Integrated Primary Care & Coordination in City of Westminster

Fixed Term contract for 12 months

Salary: £31,750 per annum

Hours: 37.5 hours per week

Responsible to: Operations Manager

Key Relationships: General Practice, Healthcare LTD, One Westminster, Central and North West London NHS Foundation Trust (CNWL), Central London Community Healthcare NHS Trust (CLCH).

Central London Healthcare CiC is the GP Federation owned by our 30 General Practices covering the Central London (Westminster) area. The organisation supports 4 Primary Care Networks (PCNs). We operate several NHS contracts on behalf of our PCNs including a Community Dermatology Service; Community Cardiology Service and a Secondary Care Referral Service and an out-of-hospitals provision which is sub-contracted to our 33 General Practices.

Care Navigators (CN) will be responsible for supporting GPs through providing care coordination for the most vulnerable and complex patients. This includes, for example, being responsible for intelligent tasking and patient referrals, completing Care Plans and delivering targeted public health messages to patients.

In addition, CNs will work collaboratively with colleagues across health, social care and the third sector to provide patient-centred care. They ensure coordinated and effective delivery of the patient’s Care Plan for those patients identified through risk stratification by the GP.

Main Duties of the Job:

• Use SystmOne to record all patient interactions, using appropriate templates and in accordance with GDPR regulations.
• Maintain up to date and accurate records.
• Effective and timely response to ‘tasks’ sent assigned to the CN.
• Support patients via Surgery Connect telephony system and email.
• Knowledge and understanding of the local 3rd sector organisations, services and pathways.
• Support patients to develop and review Care Plans in line with a personalised care approach, to manage their needs and achieve better healthcare outcomes.
• Chair and participate in regular MDTs and ICTs as required.
• Provide coordination and navigation for people and their carers across health and care services.
• Refer onwards to other health, social care and the third sector providers where required.
• Proactively identify when action or additional support is needed, alerting relevant professionals, and highlighting any safety concerns.
• Work collaboratively with the Care Navigator team to meet organisation and personal targets.

Equality and Diversity:

The post-holder will 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.
• 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.

Criteria:

• GSCE Passes at Grade C or above or equivalent experience.
• An excellent standard of written and verbal English and numeracy.
• Good administrative and organisational skills.
• IT literate.
• Educated to degree level in relevant subject.
• Experience using SystmOne.
• Good knowledge of the Health & Social Care system.
• Flexible and adaptable - able to work according to changing need.
• Commitment to personal development.
• Able to work at the desired times - Flexibility to cover annual leave and sickness.