Care Coordinator - Marshall PCN

1.

Works within the primary care

team, contributing to leadership of service evaluation and research to promote

quality improvement activity.

2.

Works with the Practices

Patient Participation Group to support communication with the wider patient

community.

3.

Collaborates with other members

of the team, patients and their carers when managing and coordinating care.

4.

Uses healthcare technologies to

optimise service delivery, patients access, and continuity of care

The Care Coordinator

responsibilities include but are not limited to the following:

1.

Support

our network of four GP practices in achieving clinical quality and population

health management targets, such as chronic disease management, mental health

care, long-term condition reviews, and preventative screening programs. This

includes coordinating patient follow-up appointments, providing information and

guidance by telephone, and distributing relevant health resources, all via our clinical

health records system: EMIS.

2.Plan,

organise and facilitate educational group sessions for targeted patient

populations, helping to improve health literacy, encourage self-management, and

promote proactive wellbeing. Topics include weight management, menopause, men's

health and wellbeing, and pre-diabetes.

3.Build

and maintain strong relationships with social care providers, community organisations,

voluntary sector partners, and local services to strengthen neighbourhood

healthcare initiatives and support the delivery of patient wellbeing events.

Conduct

proactive telephone assessments with frequent healthcare service users and

individuals absent from work due to illness or disability, identifying barriers

to recovery and connecting patients with appropriate health, wellbeing, and

community support services.

4.Support

the delivery of COVID-19 vaccination and Point of Care Testing programmes

through stock and inventory management, including receiving deliveries,

maintaining accurate records, and assisting practice managers with operational

5.Provide

reception and administrative support, including welcoming and checking in

patients attending ARRS services such as Physiotherapy, Dietician, Social

Prescribing, and Clinical Pharmacy. Respond to patient enquiries and coordinate

follow-up appointments to ensure a positive patient experience and continuity

of care.

Havering Marshalls PCN consists of four GP practices in Romford,

totaling approximately 50,000 patients

North Street Medical Care, Romford

The New Medical Centre, Heath Park

Western Road Medical Centre, Romford

St. Edwards Medical Centre, Romford

Through the Additional Role Reimbursement

Scheme (ARRS) the PCN has expanded traditional GP services by employing individuals

to undertake various roles in order to provide more proactive, personalised and

integrated care for patients registered at the four practices. Our ARRS team

consists of Care Coordinators, Physiotherapists, Dietitian, Pharmacists,

Pharmacy Technicians and Social Prescribers, as well as our leadership team

which includes two Clinical Directors, PCN Manager, and Digitial & Transformation

Lead.

Experience

Qualifications