Job description

Job responsibilities

Care coordinators will:

• Pro-actively identify and work with a cohort of patients to support their personalised care requirements, using the available decision support aids. For example, those patients with a Learning Disability, Mental Health, Dementia and vulnerable/frail patients.
• Bring together all of a patients identified care and support needs and explore their options to meet these into a single personalised care and support plan (PCSP) based on what matters to the patient, ensuring dignity, choice, respect, independence and rights are upheld at all times.

• Help patients to manage their needs, answer their queries and support them to make appointments, and ensure patients have good quality written or verbal information to help them make choices about their care.

• Identify barriers to or issues preventing greater engagement and/or uptake by patients actively participate in developing solutions for patients and service providers.
• Support patients to take up training and employment, and to access appropriate benefits where eligible.
• Raise awareness of shared decision making and decision support tools and assist patients to be more prepared to have a shared decision-making conversation.
• Ensure that patients have good quality information to help them make choices about their care, e.g. Support patients to understand their level of knowledge, skills and confidence when engaging with their health and wellbeing.
• Assist patients to access self-management education courses, peer support or interventions that support them in their health and wellbeing.
• Act as a chaperone to provide support to patients when appropriate or requested.
• Provide co-ordination and navigation for patients and their carers across health and care services, alongside working closely with social prescribing link workers, health and wellbeing coaches and other primary care professionals.
• Support the co-ordination and delivery of Multi-Disciplinary Team (MDT) meetings within practice.
• Provide referral support for our clinical teams by utilising various clinical pathways to ensure efficient and co-ordinated patient care
• Support patients with poor attendance records in vulnerable patient groups.
• Any other duties as requested by the practice management.

Person Specification

Qualifications

Essential

• Demonstrable commitment to professional development

Experience

Essential

• Demonstrable experience of working in a public environment; Demonstrable experience of working with an integrated multi-skilled team;
• Demonstrable experience of working as part of a team

Desirable

• Experience of working in a GP surgery or in a health care environment

Personal Qualities and Attributes

Essential

• An understanding, acceptable and adherence to the need for strict confidentiality;
• Ability to work without direct supervision and determine own workload priorities and those of others in the team;
• Ability to use own judgement, resourcefulness and common sense;
• Pleasant and articulate;
• Able to work under pressure;
• Ability to multi-task, especially under pressure;
• Ability to stay calm in all circumstances;
• Able to work in a constantly changing environment

Skills and Abilities

Essential

• Excellent communication and interpersonal skills;
• Good personal organisation skills;
• Ability to prioritise;
• Ability to support members of the team when required

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

Downend Health Group

Address

The Willow Surgery

Hill House Road, Downend

Bristol

BS16 5FJ

United Kingdom

Employer's website

https://www.downendhealthgroup.com (Opens in a new tab)