Frailty Care Coordinator in Cornwall

Arbennek PCN is looking for an innovative and highly motivated person to join its team as a Frailty Care Coordinator. The Frailty Care Coordinator role is seen as a critical and evolving post to support the development of a proactive frailty service operating at Integrated Neighbourhood Team (INT) level.

Main duties of the job:

• Proactively identify and work with a cohort of patients to support their personalised care requirements.
• Provide coordination and navigation support using digital tools to help patients access appropriate services.
• Develop and maintain personalised care and support plans based on an individual's needs and what matters to them.
• Promote preventative health care and continuity of care.

About us:

Arbennek PCN works with the ANP/GP to identify sources of support in liaison with case managers. Responsibilities include accurately reading codes and updating/maintaining patient records for anticipatory care, updating care plan templates within Systm1 ensuring accuracy with read codes used, maintaining an accurate record of two-week wait referrals for practice audits, providing support with safeguarding admin (adults and child), and assisting with the discharge process under the guidance of case managers to reduce length of stay in the acute/community hospital setting.

Workforce Responsibility:

The post holder must remain up to date with mandatory training as required. The post holder will be required to drive and may be required to undertake duties at any location in the community to meet service needs. Concentration is required for data analysis, tracking patients and meetings, with frequent interruptions requiring attention and re-prioritisation of work.

Confidentiality:

All employees are required to observe the strictest confidence regarding any patient/client information that they may have access to or accidentally gain knowledge of during their duties. Employees must not disclose any confidential information either during or after employment with Arbennek Healthcare, other than in accordance with the relevant professional codes.

Data Protection:

All employees must adhere to the Arbennek Healthcare Policy on the Protection and use of Personal Information, which provides guidance on the use and disclosure of information.

Health and Safety:

Arbennek Healthcare expects all staff to promote and maintain a safe and healthy environment and be responsible for their own and others' welfare. Staff are responsible for adopting the risk management culture and ensuring that they identify and assess all risks to their systems, processes, and environment.

Other duties:

The above job description is designed to give an overview of the tasks and responsibilities for this position; it is not intended to be exhaustive. The Strategic Manager will meet annually with the post holder to review and ensure that this position remains relevant and in accordance with the evolving needs of the PCN.

Person Specification:

• Qualifications: Qualified NVQ level 2 (or equivalent) Health and Social Care; Qualified NVQ level 3 (or equivalent) Health and Social Care.
• Minimum of 2 years experience of working with healthcare professionals and/or previous experience in the NHS or social care or relevant field.
• Experience of administrative duties.
• Computer literate and proficient in the use of Microsoft packages and other software.
• Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality.
• Able to prioritise and manage own workload.
• Excellent verbal and written communication skills.
• Experience of taking patient observations e.g. blood pressure, venepuncture, body temperature, respiratory rate, and oxygen saturation.
• Able to deal with service users sensitively.
• Able to work as part of a team.
• Strong analytical and judgement skills.
• Experience providing signposting and advice.
• Conscientious, hardworking, and self-motivated to work with minimal supervision.
• Professional attitude and assertive approach.
• Committed to development both personally and for the organisation.
• Ability to meet deadlines and work under pressure.
• Experience of developing and supporting PCSPs, TEPs, and ACPs.
• Experience of arranging meetings/minute taking.
• Understanding of health and social care processes.
• Experience of working with a trauma-led approach.

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.