About this role
Job summary
An exciting opportunity has arisen for an experienced HCA / Clinical Care Coordinator to join the award winning TWNS Health and Wellbeing Team as an expansion to our hugely successful team. This multi-disciplinary team is focused on proactive care and making a real difference for the lives of our patient family across our PCN. Focused on frailty, dementia and patients with newly diagnosed cancer, the team have been asked to showcase their work locally, regionally, nationally and internationally.
The TWNS Health and Wellbeing Team, led by our highly experienced and talented Lead Nurse, also includes two Health and Wellbeing Coaches, another Clinical Care Coordinator and a team administrator and is well supported by all our practices. The team was first established in January 2022 and has evidenced significant benefits for our patients and are thrilled to be able to expand further.
The team was created specifically by the TWNS PCN to recognise the needs of the local population and the scope for transforming services to provide personalised care and we'd love you to be part of this journey.
Main duties of the job
Please note this job may close early, should sufficient applicants have been received.
We're looking for an experienced HCA or Clinical Care Coordinator to support the team across all aspects of the team's work, undertaking functions such as:
Regular and frequent face-to-face and telephone conversations completing assessments with patients, under the direction of the Lead Nurse:
Utilising and establishing systems to coordinate patient access to services;
Enabling smooth and planned transfer between care settings;
Providing advice, information and signposting to services;
Oversee safeguarding administration and communication with partner organisations where required;
Ensuring personalised health and care planning is proactive, supportive and patient-centred.
Successful candidates will be adept at using clinical systems (such as SystmOne), able to vaccinate and take bloods, are caring, dedicated, reliable, person-focussed and enjoy working with a wide range of people.
They will have good written and verbal communication skills and strong organisational and time management skills.
They will be highly motivated and proactive with a flexible attitude, keen to work and learn as part of a team and committed to providing people, their families and carers with high quality support.
The Clinical Care Coordinator will have a key role in a dynamic and vibrant, team, supporting delivery of excellent proactive care.
About us
TWNS PCN supports over 50,000 patients registered at one of our five practices: Church Street, Mythe Medical, Newent, Staunton & Corse and West Cheltenham Medical.
The team are embedded at the heart of our five practices, building longstanding relationships with the local diverse community and provide lifelong care across this broad geographical community.
The TWNS PCN team is committed to understanding and responding proactively to the needs of the most vulnerable patients, supporting them to enjoy good health and independence and for as long as possible.
Come and work with us and be part of this innovative, award-winning and dynamic team, working in partnership with patients and enabling excellent care.
Job description Job responsibilities
This Clinical Care Coordinator position is a critical post in the continued success of the award winning TWNS PCNs Health and Wellbeing Team. The team are embedded at the heart of our five practices, building longstanding relationships with our local diverse community and provide lifelong care across this broad geographical community. The team are committed to understanding and responding proactively to the needs of our most vulnerable patients, supporting them to enjoy good health and independence and for as long as possible.
This clinical role is an integral part of the PCNs multidisciplinary team, working under the Lead Nurse and alongside our other team members, to provide an all-encompassing approach to personalised care; promoting and embedding the proactive personalised care approach across the PCN.
The role provides a central coordination function for patient care planning: undertaking both face-to-face and telephone appointments with patients, performing routine clinical tasks such as phlebotomy, BP monitoring, and supporting some of our associated patient groups, as required. In addition, the role oversees safeguarding administration, document handling, record management and communication with partner organisations across health and social care.
Main Responsibilities
1. Facilitate and ensure the effective delivery of proactive, patient-centred, personalised care for identified cohorts of patients across the breadth of the work of the Health and Wellbeing Team, inclusive of frailty, dementia and cancer. This will involve monitoring progress and reporting outcomes, contributing to patient reviews and care planning within appropriate timeframes.
2. Explain the management of a patients pathway, liaising between services and service users, contacting services using the appropriate procedures/referral mechanisms.
3. Work closely with all relevant care agencies (primary care, secondary care, community services, voluntary services and other relevant service providers) to ensure coordinated delivery of the patients care plan, without requiring a further referral from the GP.
4. Maintain accurate records and statistical returns as determined by the Lead Nurse, including providing patient-related information for entering into SystmOne, within the required timeframe.
5. Adhere to infection prevention control policies
6. Collect data on patients/carers for recognised outcome measure and document for service interpretation. Ensure all patient notes are updated to reflect any changes, including details on plans.
7. Organise and attend relevant meetings when required including supervision, PCN meetings, multi-disciplinary team meetings etc, ensuring that any necessary documentation is circulated in advance.
8. Contribute to audits and data collection to aid evaluations of the PCN services will be needed.
9. Advise patients on diet, lifestyle as well as physical and mental wellbeing, along with signposting to local services and funding they may be eligible to access.
10. Be a contact point for the TWNS PCNs practices and establish systems and processes which will ensure a timely and appropriate response to queries from clinicians and other stakeholders.
Person Specification
Experience Essential
Experience of working with the general public. Experience of working in a healthcare setting, such as primary or community care, at a HCA level.
Desirable
Has worked in a general practice environment. Understanding of infection prevention and control measures. Experience of working with elderly or vulnerable people, complying with best practice and relevant legislation.
Qualifications Essential
Has completed the Care Certificate or equivalent qualification and as detailed within CQCs GP mythbuster 57: Health Care Assistants in General Practice. Enrolled in (or willing to), undertaking or qualified from appropriate training for Care Coordinators, as set out by the Personalised Care Institute. Clinical skills and qualification at HCA level (minimum level 2) or able to demonstrate experience to equivalent level. GCSE English and Mathematics (or equivalent level).
Other Essential Information Essential
Ability to undertake vaccinations. Understanding of the principles of ECGs. Wound care/removal of sutures and staples. Ability to undertake patient medicals, including height, weight, BP, pulse and BMI etc. Ability to work within own scope of practice and understanding when to refer to colleagues. Clinical IT system user skills and the ability to record accurate clinical notes. Understanding of safeguarding adults and children. Understand the requirement for PSDs and associated policy. Ability to follow legal, ethical and clinical policy and procedure. Knowledge of and ability to work to key policies and procedures. Competent in the use of MS Office and Outlook. Ability to use own initiative, discretion, and sensitivity. Problem solver with the ability to process information accurately and effectively, interpreting data as required. Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity. Ability to work as a team member and autonomously. Excellent communication skills and effective in communicating and understanding patient needs. Good organisational skills. Sensitive and empathetic in distressing situations. Commitment to ongoing professional development. Punctual and committed to supporting the team effort. High levels of integrity and loyalty. Clear, polite telephone manner. Flexible and cooperative. Motivated. Meets DBS reference standards and criminal record checks. Willingness to work flexible hours when required to meet work demands. Access to own transport with ability to travel across the PCN as required. Commitment to reducing health inequalities and proactively working to reach people from diverse communities. Ability to support people in a way that inspires trust and confidence, motivating others to reach their potential. Ability to communicate effectively, both verbally and in writing, with people, their families, carers, community groups, partner agencies and stakeholders. Ability to identify risk and assess / manage risk when working with individuals.
Desirable
Able to perform venepuncture. Broad knowledge of clinical governance. Chaperone procedure. Demonstrate personal accountability, emotional resilience and work well under pressure. Problem solver with the ability to process information accurately and effectively, interpreting data as required. Effectively utilise resources.
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 TWNS PCN
Address TWNS PCN
1st Floor, The Devereux Centre
Barton Road
Tewkesbury
Gloucestershire
GL20 5GJ
United Kingdom
Employer's website https://www.mythemedical.co.uk/ (Opens in a new tab)