Community Care Coordinator

Liaise with GPs and practice teams to identify persons who are elderly, frail or who have long term health needs and support

Arrange, coordinate and undertake initial home visits and assessments of need within a patient's own home, making relevant referrals

Undertake basic health checks such as weight, nutrition, blood pressure monitoring

Support persons within the community to be able to remain as independent as possible within their own home and reduce the risk of crisis support.

Tasks may include but not limited to assessment and provision of Iow level mobility aids, house clearance and cleaning, provision of items to meet basic needs such as emergency food parcels, supporting individuals with housing, finances, medication and follow up appointments.

Coordinate and attend PCN Frailty Clinics.

Work alongside families and a person's wider support network, ensuring their choices, needs and support within their own home are met as a long- term plan.

Helping persons to access existing groups and events taking place within their communities.

Document and monitor aspects of patient co-ordination and service delivery, supporting data collection and audit using the practices clinical system as well as organisational data Systems

Maintain an individual case load whilst working cohesively alongside other Age Well partner organisations, supporting a collaborative approach

As a Community Coordinator in one of the local Age Well Teams you will be responsible for undertaking comprehensive holistic assessments of identified frail older people, usually in their own homes, to create personalised care plans which will assist the person to live well in their own environment, manage their long-term conditions, reduce isolation and improve their general wellbeing and quality of life. Candidates therefore need a range of experience, including hands on clinical care in a health setting, as a Health Care Assistant or similar, and be passionate about providing effective support to our older population within the community. A good understanding of services available both within the community and hospital and an interest in frailty so patients can be supported is essential. As a Community Coordinator you Will co-ordinate referrals to ensure patients within the locality receive excellent and timely support. The ability to develop close working relationships with other health and social care partners is an essential aspect of this role. Every team member will have direct access to their local Befriending lead, and lead support workers for Falls and for Dementia. Through additional training if required you will identify low level equipment needs and instruct for these to be provided and identify how technology can be used to maintain independence and help self management of long term conditions and instruct for digital solutions to be provided.

NHFT is an NHS Community and Mental Health Foundation Trust, providing physical, mental health and specialty services in hospital settings and in the community. We provide over 200 services across the county - as well as some specialist services in bordering and nearby counties. We work together with our partners to ensure that everyone who comes through our doors receives compassionate, person-centred care, regardless of their background or circumstances.

NHFT promotes a culture of learning, to improve the care and safety of our patients and colleagues. We have achieved our 'outstanding' rating by encouraging opportunity, innovation, development and growth across our workforce.

At NHFT we believe that work should be rewarded in every sense which is why we are proud to an accredited living wage employer.

We aim to support financial wellbeing and create an environment where are people feel valued and able to thrive.

Experience

Essential: - Previous experience in caring role/profession

Desirable: - Experience of care coordinator role in the community

IT

Essential: - Intermediate level of IT skills, including Microsoft packages; - Electronic diary management skills

Desirable: - Enhanced IT skills with appropriate qualification to evidence; - S1 or equivalent EPR experience

Qualifcation

Essential: - GCSEs minimum 5

Desirable: - NVQ level 3 in care field; - NVQ level 4 in care field