About this role
Job summary
An exciting opportunity has arisen for a Care Coordinator to support the delivery of the Warm Homes for Lungs programme for 18 months secondment opportunity . This innovative initiative aims to address health inequalities by improving housing conditions for patients with respiratory disease, particularly those affected by fuel poverty and cold homes.
The Care Coordinator will play a key role in linking healthcare, housing, and energy services to ensure patients receive timely and appropriate support.
The JD & PS are currently under AfC review and are subject to change.
Main duties of the job
The post holder will work closely with Health & Social Care colleagues, practice teams, Community Matron's, and Community Nurses, to co-ordinate MDT Meetings and ensure on-going patient case management. Records of MDT's will be maintained, with actions completed under the direction of health and social care colleagues, sharing information across organisations and professions, in line with Trust policies and proceduresThe post holder will demonstrate an attitude which respects and values service users' and their carers'The post holder will embrace the core values of the organisation. These principles will recognise the need to:o Promote safe practiceso Value the aims of service userso Work in partnership and offer meaningful choiceo Be optimistic about the possibilities of meaningful changeo Value social inclusion
The COPD Care Co-ordinator role is pivotal to the effective delivery of care and is the key interface between patients and service users, carers, primary, secondary and community care, social care and voluntary organisations. There is a requirement that the post holder works flexibly across Wellbeing Services, Pulmonary Rehab Services, Social Services, Community Health and GP Practice's within the St Helens Borough and neighbourhood localities. Planning, organising, coordinating and feeding back in Multi-Disciplinary Team Meetings is fundamental to the role.COPD Care Coordinator
About us
Mersey and West Lancashire Teaching Hospitals NHS Trust serves a population of over 600,000 with a workforce of over 9000 dedicated and skilled staff across 21 sites.
We strongly believe that the communities we serve should all have access to Five Star Patient Care.
Our services:
Acute Care
Providing emergency and maternity services at Whiston, Southport and Ormskirk hospitals, and medical and surgical specialties across all our sites.
Primary Care
Providing primary care services at Marshalls Cross Medical Centre situated in St Helens Hospital.
Community Services
Providing adult community services for St Helens and a wheelchair service in Chorley, South Ribble, and West Lancashire. Our inpatient unit at Newton Community Hospital is where patients needing acute hospital beds can continue rehabilitation, freeing up space for more unwell patients. We also provide urgent care at our Urgent Treatment Centre located in St Helens town centre.
Specialist Regional Services
We provide the Mersey Regional Burns & Plastic Surgery Unit at Whiston Hospital and the Spinal Injuries Unit at Southport Hospital to more than 4 million people across the whole of Merseyside, West Lancashire, Cheshire, Isle of Man and North Wales.
Achievements:
Rated Outstanding by CQC Inspection August 2018 Top 100 places to work in the NHS (NHS Employers & Health Service Journal) National Preceptorship Accreditation (2023) for Nursing & AHP Preceptorship Programme
Job description Job responsibilities
Complete aspects of COPD assessment and review work, following Service standard operational procedures and processes. To include completion of duty screening calls and onward referrals following referrals received by GP/professional. Identify and use opportunities to promote healthy lifestyles e.g. diet, exercise. Have knowledge and information on local services available to patients whilst considering a range of options during ongoing patient assessments, analysing service users needs. Act as advocate and facilitator to resolve issues that may be perceived as barriers to care. Develop a partnership approach to working, in order to empower the patient and carers, in diverse situations/cases. Support people in accessing appropriate information and support, by sign-posting to a range of support services and take an approach which helps people to self-manage where appropriate. Make pre-planned outbound telephone calls to patients to assess on-going needs to enable a proactive prevention approach. To maintain accurate, clear, concise and contemporaneous records as per Trust policy and communicate information to members of the Team as necessary. Liaise and communicate with referrers, patients, relatives, carers, and other health and social care professionals to support and coordinate care. Communicate with other members of the multi-disciplinary team
Be the interface between patients and/or carers, Primary Care, Community Health and Social Care, ensuring the needs of the patient is incorporated into individual care plans. Deal in a professional, helpful and sensitive manner with patients, service users, staff and other agencies by telephone or face to face, taking messages, advising service users about visits, referring other issues as appropriate and answering routine enquiries. Act as a contact to assist with case management of patients at risk of admission, identifying sources of support in liaison with case managers e.g. Community Matron. prepare andprovide patient information and link with GP practices to help reduce A&E admissions. Coordinate and manage the administrative functions for the integrated Multi-disciplinary Team Meetings. This will include organising and adjusting meetings and tasks on behalf of a number of stakeholders, responding to urgent clinical tasks as required. Be the point of liaison for service users receiving care coordination and interface with all professionals involved in service users care including primary and secondary care, community services, carers and other relevant groups. Requirement to receive telephone calls/correspondence from partnership health professionals, relating to single point of access, where calls are received and triaged. Decisions are based on the individual service criteria as to the route the call will take, with guidance from professionals regarding clinical/non-clinical facts/situations where a suitable course of action needs to be determined. Co-ordinate the handover between other Specialist Nurses to facilitate the safe and effective transition of care between services, in order to provide seamless support for patients, their families and carers.
Liaise with medical and nursing personnel in primary, secondary and specialist centres about patients and service provision related matters including statutory and voluntary providers of care. Take responsibility for the facilitation of regular Multidisciplinary Team Meetings, which involves coordinating and organising partnership professionals. The information in relation to these meetings from a wide range of other strategies/projects is to be collated and delivered prior to the MDT. Devise and maintain efficient filing, clerical and office systems, and provide administrative support, including photocopying, and dealing with other forms as required.
Person Specification
Our Values Essential
We are Kind We are Open We are Inclusive
Qualifications Essential
NVQ3 or recognised certificate in office administration or equivalent Qualification / experience Evidence of continued role development
Experience Essential
Minimum 2 years working within Health and/or Social Care Demonstrate IT Literacy across a range of IT and administrative systems / Data management Evidence of ability to communicate at all levels across all boundaries Experience of supporting Service Improvement Experience of working within a multi-Disciplinary setting Evidence of dealing with people in highly emotive situations Ability to provide confidential administrative support within a complex service
Skills Essential
Excellent written & verbal communication skills Ability to provide & receive complex information. Ability to motivate & negotiate Ability to work independently and as part of a team Ability to prioritise own workload between competing demands Develop effective working relationship with all stakeholders Flexibility to meet the demands of the service Proactive approach with ability to use own initiative Demonstrate an ability to undertake duties with a degree of autonomy and accountability Understands own limitations Committed to developing self and others Ability to provide constructive opinions and views on ideas for service improvement Ability to work as part of a wider team, providing flexible working across localities
Other Essential
Demonstrate a commitment to respecting and displaying the Trust Values at all times Ability to travel to various Hospital, clinic and domiciliary locations by own car/assisted driver
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.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Employer details Employer name Mersey and West Lancashire Teaching Hospitals NHS Trust
Address St Helens Community Integrated Respiratory service. Lowe House
2nd floor suite 2 Crab Street
St Helens
WA10 2DJ
United Kingdom
Employer's website https://www.merseywestlancs.nhs.uk/ (Opens in a new tab)