• Job Description

  Req#: W0018-24-0015?language=en&page=757&sort=publicationDateDesc

  Job summary

  As a PCN Care Coordinator you will be part of the Primary Care Multidisciplinary Team, offering a personalised approach to caring for the social and psychological needs of identified patients on your caseload, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed.

  You will work closely with the GPs and other members of the practice and PCN teams to ensure the coordination and management of identified patients at all points of their care journey.

  Main duties of the job

  • Create a positive working environment in which equality and diversity are professionally managed, dignity at work is upheld and staff can do their best;
  • Work alongside other ARRS roles to effectively perform the role and develop throughout by attending supervision sessions, appraisal meetings and training / development days.
  • Ensure that Standard Operating Procedures (SOPs) are adhered to supporting in the delivery of service and completing reviews and updates with the PCN management team.
  • Utilise adequate level of knowledge around primary care to meet the required needs of the service.
  • Support the other ARRS staff/PCN management team to develop quality of work and keep detailed records of day-to-day tasks including managing caseloads.
  • Encourage good teamwork throughout the partnership and with each of the GP surgeries and contributing to the Enhanced Health for Care home.

  About us

  We are a Primary Care Network (PCN) of six practices working together with a range of local providers, including primary care, community services, social care, and the voluntary sector, to offer more personalized, coordinated health and social care to their local populations.

  Our PCN comprises of 49,348 patients over the six practices

  The aims of a networks are to:

  Protect, improve, and extend local General Practice through greater organisational scale to provide convenient high quality, comprehensive and integrated services.

  Enhance the skills and flexibility of the General Practice workforce to meet population and service needs with programmes of continuing professional development.

  Work and collaborate with others to innovate in service provision, building on new technologies and recognising lifestyle choices of service users in the way in which they wish to access care.

  Our PCN comprises of 49,348 patients over the six practices

  Hazelwood Group Practice

  27 Parkfield Road, Coleshill B46 3LD

  Pear Tree Surgery

  28 Meadow Close, Kingsbury, Tamworth B78 2NR

  Dordon and Polesworth Group Practice

  162 Long Street, Dordon, Tamworth B45 1QA

  Satis House Medical Practice

  10 Birmingham Road, Water Orton B46 1TH

  Chancery Lane Surgery

  Chancery Lane, Chapel End, Nuneaton CV10 0PB

  Camp Hill Surgery

  Ramsden Avenue, Nuneaton CV10 9EB

  Date posted

  01 August 2024

  Pay scheme

  Other

  Salary

  Depending on experience

  Contract

  Permanent

  Working pattern

  Full-time, Flexible working

  Reference number

  W0018-24-0015

  Job locations

  21 Church Road

  Hartshill

  Nuneaton

  Warwickshire

  CV10 0LT

  
  

  Job description

  Job responsibilities

  As a PCN Care Coordinator, you will work closely with member practices and the PCN in offering a personalised approach to caring for social and psychological needs of identified patients on your caseload, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed.

  You will also support other ARRS roles in delivering PCN DES by contributing towards projects on an ad hoc basis to support health improvements to patients registered with member practices.

  Your main duties will include:

  Receiving and actioning referrals from a wide range of agencies, working with GP practices within the Primary Care Network (PCN), pharmacies, multi-disciplinary teams, hospital discharge teams and allied health professionals (list not exhaustive);

  Utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care;

  Facilitate and ensure the effective delivery of patient-centred, personalised health and social care plans for patients, monitoring progress and reporting outcomes, contributing to patient reviews and care planning within appropriate time frames;

  Provide coordination and navigation for patients and their carers across the spectrum of services available;

  Support local Care Homes to manage patient needs, including completing/reviewing Care Home Care Plans and Dementia reviews as required, contributing to Care home ward rounds

  Complete Annual Learning Disability reviews on behalf of the practice;

  Undertake visits to see patients in their own homes, where applicable, for Blood Pressure checks, welfare checks and provide support;

  Work alongside other PCN Additional Roles staff and outside agencies to provide wrap-around support to patients;

  Make appropriate third-party referrals; and

  Complete and maintain accurate patient records.

  This job description is intended to provide an outline of the key tasks and responsibilities only. There may be other duties required of the post-holder commensurate with the position. This description will be open to regular review and may be amended to consider development within the practices. The post holder should be prepared to take on additional duties or relinquish existing duties to maintain the efficient running of the Network. This job description is intended as a basic guide to the scope and responsibilities of the post and is not exhaustive. It will be subject to regular review and amendment as necessary in consultation with the post holder.

  The roles involves travelling to PCN member practices as required for the service delivery.

  Job description

  Job responsibilities

  As a PCN Care Coordinator, you will work closely with member practices and the PCN in offering a personalised approach to caring for social and psychological needs of identified patients on your caseload, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed.

  You will also support other ARRS roles in delivering PCN DES by contributing towards projects on an ad hoc basis to support health improvements to patients registered with member practices.

  Your main duties will include:

  Receiving and actioning referrals from a wide range of agencies, working with GP practices within the Primary Care Network (PCN), pharmacies, multi-disciplinary teams, hospital discharge teams and allied health professionals (list not exhaustive);

  Utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care;

  Facilitate and ensure the effective delivery of patient-centred, personalised health and social care plans for patients, monitoring progress and reporting outcomes, contributing to patient reviews and care planning within appropriate time frames;

  Provide coordination and navigation for patients and their carers across the spectrum of services available;

  Support local Care Homes to manage patient needs, including completing/reviewing Care Home Care Plans and Dementia reviews as required, contributing to Care home ward rounds

  Complete Annual Learning Disability reviews on behalf of the practice;

  Undertake visits to see patients in their own homes, where applicable, for Blood Pressure checks, welfare checks and provide support;

  Work alongside other PCN Additional Roles staff and outside agencies to provide wrap-around support to patients;

  Make appropriate third-party referrals; and

  Complete and maintain accurate patient records.

  This job description is intended to provide an outline of the key tasks and responsibilities only. There may be other duties required of the post-holder commensurate with the position. This description will be open to regular review and may be amended to consider development within the practices. The post holder should be prepared to take on additional duties or relinquish existing duties to maintain the efficient running of the Network. This job description is intended as a basic guide to the scope and responsibilities of the post and is not exhaustive. It will be subject to regular review and amendment as necessary in consultation with the post holder.

  The roles involves travelling to PCN member practices as required for the service delivery.

  Person Specification

  Experience

  Essential

  • 1.Ability to manage and prioritise a caseload
  • 2.Ability to work flexibly and enthusiastically within a team or on own initiative
  • 3.Good communication skills, both written and verbal
  • 4.Ability to build relationships with patients, their families and carers
  • 5.Ability to provide personalised support to individuals, their families and carers
  • 6.Ability to listen and empathise with people in a non-judgmental way
  • 7.Able to provide leadership and complete tasks in a timely manner
  • 8.Able to maintain effective working relationships and promote collaborative working
  • 9.Ability to communicate difficult messages to patients and families

  Desirable

  • Experience of using clinical systems such as EMIS Web

  Qualifications

  Essential

  • GCSE Grade C or above in Maths and English, or equivalent qualification

  Desirable

  • NVQ Level 3, Advanced Level or equivalent or working towards and a commitment to professional and personal development

  Personal Qualities

  Essential

  • Full UK driving licence and access to a car
  • The post-holder is required to travel independently between practice sites (where applicable) and to attend meetings hosted by other agencies.

  Person Specification

  Experience

  Essential

  • 1.Ability to manage and prioritise a caseload
  • 2.Ability to work flexibly and enthusiastically within a team or on own initiative
  • 3.Good communication skills, both written and verbal
  • 4.Ability to build relationships with patients, their families and carers
  • 5.Ability to provide personalised support to individuals, their families and carers
  • 6.Ability to listen and empathise with people in a non-judgmental way
  • 7.Able to provide leadership and complete tasks in a timely manner
  • 8.Able to maintain effective working relationships and promote collaborative working
  • 9.Ability to communicate difficult messages to patients and families

  Desirable

  • Experience of using clinical systems such as EMIS Web

  Qualifications

  Essential

  • GCSE Grade C or above in Maths and English, or equivalent qualification

  Desirable

  • NVQ Level 3, Advanced Level or equivalent or working towards and a commitment to professional and personal development

  Personal Qualities

  Essential

  • Full UK driving licence and access to a car
  • The post-holder is required to travel independently between practice sites (where applicable) and to attend meetings hosted by other agencies.

  Disclosure and Barring Service Check

  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.

  Employer details

  Employer name

  Rural Warwickshire North PCN

  Address

  21 Church Road

  Hartshill

  Nuneaton

  Warwickshire

  CV10 0LT

  
  

  Employer's website

  https://www.hazelwoodgrouppractice.co.uk/ (Opens in a new tab)

  Employer details

  Employer name

  Rural Warwickshire North PCN

  Address

  21 Church Road

  Hartshill

  Nuneaton

  Warwickshire

  CV10 0LT

  
  

  Employer's website

  https://www.hazelwoodgrouppractice.co.uk/ (Opens in a new tab)

• About the company

  National Health Service (NHS) is the umbrella term for the publicly-funded healthcare systems of the United Kingdom (UK). The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom apart from dental treatment and optical care.

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