Care Coordinator

the

development of digital solutions across the health centre supporting access

needs of patients;

care

navigation of patients via our online consultation platform, Ask My GP

supporting

the nurse administrator of personalised annual recall invites for patients with

long term conditions;

Engaging

with and developing processes in support of localised, agreed, access

processes.

Facilitating enhanced processes to support the care

coordination of patients with complex need.

The post holder will

undertake work in line with BRHC directed priorities. (Full job description available on request)

Proactively identifying and

working with a cohort of people to support their personalised care

Requirements. This could include

development of digital solutions across the health centre supporting access

needs of patients;

navigation of patients via our online consultation platform, Ask My GP

the nurse administrator of personalised annual recall invites for patients with

long term conditions;

with and developing processes in support of localised, agreed, access

processes.

-

Facilitating enhanced processes to support the care

coordination of patients with complex need.

-

Where possible, utilise population health

intelligence to proactively identify and work with a cohort of patients to

deliver personalised care;

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Where possible, support patients to utilise

decision aids in preparation for a shared decision-making conversation;

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Where possible; holistically bring together all

of a persons identified care and support needs, and explore options to meet

these within a single personalised care and support plan (PCSP), in line with

PCSP best practice, based on what matters to the person;

-

Help people to manage their needs through

answering queries, making and managing appointments, and ensuring that people

have good quality written or verbal information to help them make choices about

their care, using tools to understand peoples level of knowledge, confidence in

skills in managing their own health;

-

Support people to take up training and

employment, and to access appropriate benefits where eligible for example,

through referral to social prescribing link workers;

-

Resolving

any queries in relation to these workstreams and ensuring all parties are kept

informed of progress towards resolution.

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Supporting

Quality and Outcome Frameworks and other DES specifications.

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Help

people to manage their needs through answering queries, making and managing

appointments and ensuring that people have good quality written or verbal

information to help them make choices about their care

-

Providing

coordination and navigation for patients/carers across health and care

services, alongside working closely with social prescribing link workers and

other primary care roles.

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Supporting

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.

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At

times you will be required to support adult patients and assist them through

the healthcare system by acting as a patient advocate and navigator, empowering

them, and educating them to promote and support their independence.

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Be

proactive in developing strong link with local agencies, and in encouraging

equality and inclusions.

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Any

other duties relevant to this role.

-

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Works closely and in partnership with the Social

Prescribing Link Worker(s) or social prescribing service provider and Health

and Wellbeing Coach(es), in order to deliver the key responsibilities;

-

Develop

strong working relationships with GPs, practice teams and other health care

col-leagues to optimise the timely and good quality delivery of services to

patients and to support the working lives of colleagues.

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Work collaboratively with neighbourhood colleagues to share

best practises.

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Ensure

that all relevant professionals are kept up-to-date so that any issues or

concerns can be appropriately addressed and supported.

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Keep

accurate, up-to-date, contemporaneous and appropriately Snomed coded

consultation records of patient contacts, appropriately using EMIS software and

other record, referral and messaging systems relevant to the role, adhering to

information governance and data protection legislation.

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Maintain

records of interventions to enable monitoring and evaluation of the service.

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Provide

regular feedback to relevant stakeholders about service progress.

Needs to

safeguarding processes in place for vulnerable individuals; and

the patient to develop friendships and a sense of belonging, as well as to

build knowledge, skills and confidence.

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Administration

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To

have a thorough knowledge of all Practice procedures

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To

work in accordance with written protocols

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Generate

patient prescriptions manually and electronically

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Photocopy,

scan and e-mail documents as requested by colleagues or required by practice

procedure

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Process,

file and allocate electronic consultation requests.

-

Process

queries from the local care home and arrange clinical intervention where

required.

-

Process

changes in patient contact details in line with practice policy

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Complete

any other administrative tasks as requested by the Reception Lead or the

partners

Bodmin Road Health Centre [BRHC] is a Primary Care provider based in Sale, Manchester and is part of the Sale Central Primary Care Network. Our services are diverse, and forward-thinking enabling us to deliver patient care to meet local priorities in relation to chronic disease, improved access and general care management.

We provide high quality general medical care to a registered list of over 9,000 patients, through our dedicated team of clinical, administrative and management professionals.

Experience

Skills and General