Care Coordinator

St Helens North Primary Care Network are looking to recruit to a Care Coordinator post. Youwill work within our Primary Care Network multidisciplinary healthcare team.

You will be part of a team of three Care Coordinators who will be working together and in partnership with the six practices that make up the Primary Care Network, the staff within the Network and partner organisations to support the care of patients with long term conditions, frail patients and those incare homes. They will be involved in helping to redesign and refine the way wecare for these patients.

Please note we areunable to sponsor overseas applications.

If enough applications are received prior to the closing date, this advert may closeearly.

No agencies please.

The Care Coordinators role will support other ARRS roles, the PCN leadership team andGPs in coordinating all key activity including improving access to services,providing advice and information, and ensuring health and care planning istimely, efficient, and patient-centred. The successful candidate will beexpected to contact patients directly regarding their care, build relationships and carry out home visits when required.

The role will include supporting digital initiatives and includes responsibilities for theco-ordination of the patients journey through primary care. This may include supporting with patients who have recently been discharged from hospital,contacting patients with a recent cancer diagnosis or supporting patients whohave diabetes.

The role will generally involve working within core hours 8-6:30but may involve supporting patients outside these times as required on a caseby case basis.

The post holder will be working as part of the St Helens North Primary Care Network. We are a team of 6 Practices including Garswood Surgery, Windermere MC, Bethany MC, Kenneth Macrae MC, Rainford HC &Billinge MC - with a combined list size of just approx. 30,000 patients. It isa friendly and close knit team and our work ethic is that of motivation,productivity, respect and innovation.

This is an exciting opportunity to be a part of an expanding and diverse Primary Care Network team, improving patient care and all whilstdeveloping your knowledge and skills.

Our mission is to provide pro-active care to patients toimprove their health and wellbeing and to make a positive impact to their lives, with respect and compassion. Working in partnership with local people,health and social care, voluntary sectors, community groups and colleagues tobring communities together and helping to reduce health inequalities.

The Care Coordinator will liaise with GPs, practice teamsand Network staff to:

Identify patients who are elderly, frail or who have longterm health needs and support.

Support patients to access personalised care and support plans, in line with best practice.

Be involved and when appropriate organise care homes and practice MDTs

Ensure regular and consistent communication with carehomes regarding patient progress and any complications, including supporting the coordination of ward rounds

Work with Network pharmacists to arrange SMRs and support work towards PCN DES

Liaise with primary, secondary and specialist care services as required

Work with the multi-disciplinary team to help identifypeople at risk of loss of independence or admission to hospital as a result ofinadequate social support

Provide these cohorts of people signposting to identifiedservices in order to maintain their independence and improve their health andwell being

Support patient access to cancer screening and preventionservices

Visit patients in community, home or care home settings toassess and discuss their care needs involving carers as appropriate.

Work with Social Prescribing Link Workers to assist with personal care plans for individual patients, ensuring preventative actions are detailed to support the appropriate use of services.

Work with Frailty Practitioners to coordinate care offrail patients in own homes

The successful candidate will have great negotiation and communication skills and will have an understanding of primary care services& community health services.

The post holder will work across six practices in St Helens North PCN and will be required to travel from practice to practice and to other venues during fulfilment of their duties, therefore a full clean driving license is essential, plus access to a reliable vehicle.

Please see JD attached for full details.

• Experience of working with the general public
• Experience of working or volunteering in a healthcare or care sector setting
• Experience of preparing minutes, plans and reports
• Experience of organising recurring events or meetings
• Experience of using tools to create individualised plans

• Excellent communication skills (written and oral)
• Clear, polite telephone manner
• Competent in the use of Office and Outlook
• Effective time management (planning and organising)
• Ability to work as a team member and…