Care Co-Ordinator

The introduction of Care Co-ordinators within the Wyre Bridge PCN is a significant opportunity. This is a role which will evolve along with new functions but will involve working with our practice team and wider multidisciplinary teams as a pivotal role in ensuring all patients receive the best possible care and services available.

You will be responsible for helping to plan and co-ordinate the care needs of our most complex patients.

This role will support the practice in the coordination and delivery of key PCN DES delivery and supporting digital initiatives and responsibilities for ensuring the patient journey through primary care and care transfer across the health system is seamless.

Main Duties and Responsibilities

Act as the first port of call for patients in relation

To their care who are

frail or have specific needs

appointment attendees

discharged from hospital

signposting

Liaise

with multi-disciplinary agencies and secondary care providers to coordinate

pathways of care for patients.

To utilise the

e-referral system for appointments, bookings and admissions as required.

provide an efficient audio, copy typing and word processing service for GPs and

health professionals as required. This includes typing letters, reports,

patient referrals, minutes, emails etc. in an accurate and quality manner.

provide cover for members of the administration team during periods of sickness

and annual leave.

Implementing new referral pathways and training/updating

other staff members accordingly

Provide extensive assistance in arranging correct

clinical pathways for care.

Monitor patient information relating to (for

example), A&E attendance, hospital admission and medications.

with service providers and clinicians to identify frequent flyers, and new

service users utilising risk stratification tools provided and present this

information to the network MDT meetings.

Offer personalised support to patients

and their carers to manage and co-ordinate their ongoing care. Discuss needs with identified

patients and refer where relevant to the PCN social prescribing link worker

service.

Identify patients to discuss at practice and PCN

level with a view to reducing unplanned admissions and exacerbation of

conditions.

Support Quality and Outcome Frameworks and other

National and local targets as required.

Raise awareness of health promotion and NHS health

checks in practice.

Support immunisation programmes

Great Eccleston health Centre is a rural GP practice with an excellent reputation for patient care and service provision.

The Practice is part of a two Practice Primary Care Network with Over Wyre Medical Centre known as Wyre Bridge PCN.

The Practice serves a community of 7900 patients

The Practice is forward thinking and recognises the skills and interests of all our team member

Qualifications

Essential: - GCSE Grade A to C in English Language and Maths

Desirable: - Evidence of further qualifications e.g. NVQ Level 2-3

Experience

Essential: - Experience of working within a fast-paced responsive environment. Competent in the use of IT systems

Desirable: - Experience of working in Primary Care; - Experience in a health-care related environment; - Experience of Emis Web Clinical system