About this role
Job summary
We are looking for an enthusiastic, flexible and innovative candidate who would enjoy the challenge of developing this role with us as a Primary Care Network. The aim is to enhance the care of some of our most vulnerable patients, both in Care Homes and their own homes.
The role will provide opportunities for developing leadership and some basic clinical skills, as well as face to face (and telephone/remote) communication with patients and their families/carers. The best candidates will be excellent communicators verbal and written have strong organisational and time management skills, experience of working in health or social care and the ability to work alongside a variety of professionals and services.
Main duties of the job
The Care Coordinator will manage a caseload of identified patients, making sure that appropriate support is made available to them and their carers/families and assessing their changing needs. The successful candidate will adopt the principles associated with the delivery of the Comprehensive Model for Personalised Care to improve patients health and wellbeing whilst bringing efficiencies to the delivery of general practice.
The PCN looks after seven care homes (mostly residential but some nursing) : the Care Coordinator will be a consistent link between them and the practices, also acting as a conduit between the homes and community services (MDT), family/advocates and secondary care.
There will be opportunities to work with the GPs and Practice Managers in distinct areas of the PCN DES such as Learning Disability, Cancer screening (encouraging uptake in poor responders), Structured Medication Reviews (helping pharmacy team organise) and Enhanced Health in Care Homes.
As a single point of access for patients, their carers/families and other professionals, you will lead on coordinating, preparing and recording related Multi-disciplinary Teams (MDTs) activities, ensuring that actions are completed.
About us
Windrush surgery is a partner led gp practice of 9000 patients situated just off the main town centre.
Our catchment areas all overlap and are the market town of Banbury and surrounding villages. We are situated within 1.6 miles of one another. Banbury is a fast expanding area, currently undergoing an ambitious town-centre, canalside development. It has excellent sporting and cultural facilities, transport links and schools (state and independent) and yet sits in an area of stunning, accessible countryside.
We are team-orientated, patient-focused, learning-centred practices and are both excited and challenged by the opportunity to expand our multi-disciplinary teams, to include members working across practices within the PCN. We hope you will be too.
Job description Job responsibilities
actions are completed.
Main Duties of the RoleThe following criteria identify the core components, responsibilities and accountabilities of the role. Integral to all of these is the ability to communicate effectively, with sensitivity and compassion, and to manage relationships with people, making reasonable adjustments where necessary.
Support and become an integral member of the general practice teams
Coordinate the care home Multidisciplinary Team (MDT)
Relationship building with member practices, care homes and community providers to ensure a smooth care planning process for patients
Support the Care Home Lead GPs in their work with the homes, including smooth running of the ward rounds and rationalise home contacts with the practices.
Engage in training and skills development to become a competent vaccinator for e.g. flu vaccinations and phlebotomist and possibly do basic diabetic foot health checks.
Coordination of care via an MDT for housebound patients (including monitoring DN caseload list and co-ordination of annual reviews to re-assess needs).
Review hospital discharge lists for each practice and ensure follow-up arrangements are in place (e.g. DN, blood tests, medication reviews, social care)
Support housebound and vulnerable patients alongside the social prescribers, to engage in interventions that will improve their wellbeing and focus on those who need, but refuse, care.
With time, the role may include becoming a contact point within the PCN for patients who are
Complex or frail
Frequent attenders for GP appointments
Person Specification
Qualifications Essential
GCSE grade A to C in english and maths driving licence and own transport
Desirable
Knowledge of using computers and typing skill care coordintor certificate or care certificate phlebotomy previous care work experience
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 Windrush Surgery
Address Windrush Surgery
21 West Bar Street
Banbury
Oxfordshire
OX16 9SA
Employer's website https://www.windrushsurgery.co.uk/ (Opens in a new tab)