Care Coordinator in Sowerby Bridge

Calder & Ryburn Primary Care Network (PCN) consists of four GP practices and has a combined patient list of over 43,000 patients. Our practices are Bankfield Surgery, Brig Royd Surgery, Stainland Road Medical Centre, and Station Road Surgery. We have grown as a collaborative PCN over the past five years and now have over 30 members of staff working across the PCN.

Calder & Ryburn PCN is looking for a self-motivated individual to join our growing personalised care team. The team currently consists of care coordinators and social prescribing link workers who all work in GP practices across the PCN supporting patients from within the PCN footprint. This exciting role will be working within Stainland Road Medical Centre and will join the fantastic practice team and PCN colleagues.

Main duties of the job:

• Undertake work in line with PCN directed priorities.
• Proactively identify and work with a cohort of people to support their personalised care requirements, using the available decision support aids.
• Provide coordination and navigation for your caseload across health and care services, alongside working closely with other primary care roles.
• Direct liaison with multi-agencies to coordinate care for patients.
• Raise awareness of health promotion and NHS health checks in practices.
• Support national screening programmes.
• Complete a variety of administrative tasks for different pieces of work in line with PCN priorities.
• Complete and chase referrals to the appropriate roles and services.
• Support Quality and Outcome Frameworks and other DES/LES specifications.
• Maintain and develop engagement with all practice staff and encourage best practice.
• Raise awareness of shared decision-making and decision support tools and assist people to be more prepared to have a shared decision-making conversation.
• Ensure that people have good quality information to help them make choices about their care.
• Support the coordination and delivery of care home, ward rounds, and MDTs within PCNs ensuring the Enhanced Health in Care Homes model is delivered.
• Support residents in care homes/LD homes ensuring personalised care is delivered through collaborative working between health, social care, voluntary, community and social enterprise sector and care home partners.
• In the course of seeking treatment, patients entrust us with sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect staff will respect their privacy and act appropriately.
• Access to confidential information relating to patients, their carers, practice, or staff information must be regarded as strictly confidential.
• Where required, competently carry out elements of the health check and refer for further clinical advice.
• Maintain up-to-date knowledge of legislation, national and local policies and issues in relation to the specific client group, mental health, and community care delivery.
• Comply with the Professional Codes of Conduct and maintain up-to-date knowledge of all relevant legislation and local policies and procedures.
• Ensure that all duties are carried out to the highest standard and in accordance with current quality initiatives within the work area.
• Comply with all relevant organisations' policies, procedures, and guidelines, including those relating to Equal Opportunities, Health and Safety, and Confidentiality of Information.
• Comply at all times with PGPA's Information Governance related policies.

Person Specification:

Experience:

• Experience of working with healthcare professionals and/or previous experience in the NHS or social care of relevant field (including unpaid work).
• Experience of data collection and providing monitoring information to assess the impact of services.
• Experience of partnership/collaborative working and of building relationships across a variety of organisations.
• Experience of working with or in general practice.
• Working in a multi-disciplinary setting where influence and negotiation is required.
• Knowledge/familiarity with medical terminology.
• Experience of supporting people, their families, and carers in a related role (including unpaid work).
• Experience in use of databases.
• Vulnerable adults awareness.
• Experience of care of the elderly.

Qualifications:

• ECDL or equivalent Diploma/HNC level (or relevant experience).
• Demonstrable commitment to professional and personal continuous development.
• Training in motivational coaching and interviewing or equivalent.
• Knowledge of primary care IT systems.
• Qualified to NVQ Level 2 in Health and Social Care.

Skills:

• Knowledge of the personalised care approach.
• Advanced experience of using Word, Excel, and PowerPoint.
• Creative problem solver and willing to search for hard-to-find information.
• Meets DBS reference standards and has a clear criminal record in line with the law on spent convictions.
• Access to own transport and ability to travel across the locality on a regular basis.
• Continued commitment to improve skills and ability in new areas of work.
• Knowledge of general practice clinical systems, such as EMIS and SystmOne.
• Ability to read large amounts of information and extract the salient points.
• To analyse data and report on findings.

Other Requirements:

• Flexibility to work outside core office hours.
• Maintain confidentiality at all times.
• Full UK driving licence.
• 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.