Care Coordinator

An exciting opportunity has arisen for a part time Care Co-ordinator working 13 hours per week to join Surrey Heath Primary Care Network [PCN], supporting delivery of the new Network Contract Direct Enhanced Service [DES] specifications.

We are looking for a Care Co-ordinator to support our PCN, to work closely with PCN Practices and the multidisciplinary team in coordinating all key activities including access to services, advice, and information, and ensuring heath and care planning is timely, efficient, and patient-centred.

The post holder will help patients interact and engage with everyday life through activities designed to develop, maintain, or retrain skills for people with a cognitive, physical, or mental disorder, condition, or illness. You will support the provision of continuity of care and act as a point of contact for families, residents, and professionals for identified patients in your caseload.

• Provide coordination and navigation for people and their carers across health and care services, working closely with social prescribers, health and wellbeing coaches and other primary care professionals.
• Utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care
• Support PCN staff and patients to be prepared to have shared-decision making conversations including utilising decision aids and tools, and support patients to understand their level of knowledge, skills and confidence (their activation level) when engaging with their health and wellbeing including through the use of the Patient Activation Measure.
• Help people to manage their needs through answering queries, making and managing appointments and ensuring that people have food quality written or verbal information to help them make choices about their care
• Support the practice with the Patient Participation Group [PPG]
• Holistically bring together all of a persons identified care and support plan, in line with best practice, based on what matters to the person
• Support people to take up training and employment, and to access appropriate benefits, education courses, peer support, and/or personal health budgets where applicable
• Capture key information to enable comprehensive and accurate records of support,inputting these into clinical systems as required and adhering to data protectionlegislation

Please see the job description for the full scope of duties

We are Surrey Heath Community Providers Limited, which is a federation of 7 GP practices across 10 sites, covering a population of over 100,000 patients across Surrey Heath. Webegan in 2016 and now employ around 200 members of staff across our clinical and corporatesupport teams. Our services include Surrey Heath Primary Care Network, PRIMACY workflow management and Upper Gordon Road Surgery.

As a GP Federation and Primary Care Network, we are proud to represent our memberpractices and to champion primary care by working with local general practice and system partners, in the provision of community based healthcare services. We are dedicated to providing safe and compassionate care to our patients across our range of primary care services in Surrey Heath and believe in continuous commitment to quality service delivery and positive patient outcomes.

Patients are at the heart of everything we do, and we pride ourselves in ensuring our patients feel safe, supported, communicated with and respected, at a time when theymay be feeling vulnerable.

Our vision is to provide high quality, seamless health care that enables people to lead healthier lives, whilst feeling supported and cared for.

Please see Supporting Documents for full Job Description, Person Specification and list of responsibilities

• Experience of working with healthcare professionals and/or previous experience in the NHS or social care.
• Experience coordinating with multiple stakeholder or individuals to meet specified outcomes.
• Experience providing advice/signposting.
• Experience using a patient clinical system such as EMIS.
• Awareness of how and when to signpost.
• Knowledge of safeguarding interventions…