PCN Care Coordinator

This role requires the post holder to work on-site with no home working.

The job location listed on this vacancy is the company address of The Confederation Hillingdon CIC.

An exciting opportunity has arisen within Primary Care for a Care Coordinator at The Confederation, Hillingdon CIC based at our Colne Union PCN in Yiewsley / West Drayton.

We have 1 full-time vacancy available on a permanent contract.

The practices that this PCN covers include:

• The Green Medical Centre
• The High Street Practice
• Yiewsley Family Practice
• Otterfield Medical Centre
• Oakland Medical Centre

Care Coordinators playan important role within a PCN to proactively identify and work with people,including the frail/elderly and those with long-term conditions, to providecoordination and navigation of care and support across health and care services.

They work closely with

GPs and practice teams to manage a caseload of patients, acting as a centralpoint of contact to ensure appropriate support is made available to people andtheir carers; supporting them to understand and manage their condition and ensuringtheir changing needs are addressed.

This is achieved by bringing together all the information about a persons identified care and support needs and exploring options to meet these within a single personalisedcare and support plan, based on what matters to the person.

We recognise the value that a PCN Care Coordinator can bring to our practices and our aim is to provide exemplary patient care; finding innovative solutions in general practice to deliver the best outcomes to our patients. Weare seeking an enthusiastic and forward-thinking PCN Care Coordinator to jointhe ever growing team .

The role will be to work within our network of GP Practices to providea central co-ordination role for patient care planning.

The Confederation, Hillingdon

CIC works with General Practice and other healthcare providers to deliver itsvision for Hillingdon to deliver the best primary care outcomes for patients in the whole of London. We are a not for profit community interest company. The Confederation works to develop and support individual GP practices, PCNs and Neighbourhoods and their changing needs. We deliver excellent clinical services ourselves both at scale and complementary to General Practice.

We are the provider representative voice for local

General Practice into the wider NHS and other Partners. We are of theNHS but independent, innovative and transformational.

The Confederation determines to develop as an attractive place to work, providing rewarding roles and opportunities to grow in order to attract and retain great staff that in turn delivers our vision.

Our Values:

• We work together to make a difference for patients
• We care enough to go the extra mile
• We support, trust, and empower
• We sincerely value each other
• We support Primary Care to own its destiny

• Workwith people, their families and carers, to improve their understanding of theircondition.
• Supportpeople to develop and review personalised care and support plans to managetheir needs and achieve better healthcare outcomes.
• Helppeople to manage their needs by providing a contact to answer queries, make andmanage appointments, and ensure that people have good quality written or verbalinformation to help them make choices about their care.
• Assistpeople to access self-management education courses, peer support, health coaching and other interventions that support them in their health andwellbeing, and increase their levels of knowledge, skills and confidence in managing their health.
• Providecoordination and navigation for people and their carers across health and care services. Helping to ensure patients receive a joined-up service and the appropriate support from the right person at the right time.
• Work collaboratively with GPs and other primary care professionals within the PCN to proactively identify and manage a caseload, which may include patients withlong-term health conditions, and where appropriate, refer back to other health professionals within the PCN.
• Support the coordination and delivery of multidisciplinary teams with the PCN.
• Raiseawareness of how to identify patients who may benefit from shared decision making and support PCN staff and people to be more prepared to have shareddecision-making conversations.
• Take referrals orproactively identify people who could benefit from support through care coordination.
• Have positive, empatheticand responsive conversations with people and their families and carer(s), about their needs.
• Increasing patientsunderstanding of how to manage and improve health and wellbeing by offering advice and guidance.
• Develop an in-depthknowledge of the local health and care infrastructure and know how and when toenable people to access support and services that are right for them.
• Use tools to measurepeoples levels of knowledge, skills and confidence in managing their healthand tailor support to them accordingly.
• Support people to develop and implement personalised…