About this role
Job summary
Due to staff development, The County Practice is looking to recruit a Care Co-Ordinator focusing on our frail and elderly patients. In this role you will be working closing with our Practice team to support patients with dementia, multiple long-term conditions and patients that are increasingly frail.
This role is now an integral part of the practice and provides a holistic, person centred approach for some of our most vulnerable patients. It focuses on supporting people beyond their clinical treatment, helping to ensure their wider emotional, practical and social needs are identified and met.
You will be part of a team working with our GPs, Primary care network colleagues, adult social care, care homes and most importantly, our patients.
Main duties of the job
About the role
Working closely with our GPs to coordinate and attend the weekly ward rounds at our care homes.
Working collaboratively with all teams across the practice.
Acting as the main point of contact for the care homes
Discussing and generating Personalised care and support plans alongside ReSPECT forms for patients that are living with multiple long-term conditions or are increasingly frail
Conducting annual dementia reviews to support our patients and carers that are living with Alzheimers or dementia
Coordinate the monthly Gold Standards framework MDT team meeting.
Organising and where possible, carrying out housebound patients and care home residents annual long-term condition reviews
Coordinating and where skills and training allow, administering annual covid and flu vaccines for our housebound patients and anyone in a care home
Utilising SystmOne including system reports to manage data for this group of patients, which includes QOF.
About you
We are looking for someone who:
Is organised, proactive and empathic to the needs of this group of patients.
Is confident in having difficult conversations with patients
Ability to work amongst a multi-disciplinary team
HCA experience but not essential.
Experience of building and maintaining networks and relationships
Previous use of SystmOne (essential)
About us
About us
Approx 13k patients
Strong focus on excellent patient care , reflected in positive feedback
Good CQC rating and consistently high QOF achievement
5 GP partners, 2 salaried GPs, and experienced nursing, management and admin teams
Training practice for GP registrars and nursing students
Supportive, teambased culture with opportunities for development in all roles
Active member of the Melton, Syston and Vale PCN , benefiting from collaborative working
What we offer
NHS Pension Scheme
27 days annual leave plus bank holidays (pro rata), rising with service
Onsite parking
Development opportunities within the role
Job description Job responsibilities
Care Co-Ordinator Job Description
Please see attachment for further details
a) Proactively identify and work with a cohort of patients classed as vulnerable. This will include those living in Care and Nursing homes.
b) Acting as the main point of contact for the care homes.
c) Working closely with our GPs to coordinate and attend the weekly ward rounds at our care homes.
d) Discussing and generating a Personalized care and support plan along ReSPECT forms for patients that are living with multiple long term condition or who are increasingly frail.
e) Conducting annual dementia reviews to support our patients and ceres that are living with Alzheimers or dementia.
f) Working collaboratively with all teams across the practice to support these patients..
g) Assist with scheduling clinics and rotas to enhance care options for patients.
h) Help people to manage their needs, answering their queries and supporting them to make appointments.
i) Support the coordination and delivery of MDTs within PCNs.
j) Organizing and if possible, carrying out housebound patients and care home resident annual long term condition reviews.
k) Liaise with external organizations where necessary.
l) General administration and note taking as appropriate
Person Specification
Qualifications Essential
A good standard of education with an expectation of having both GCSE Maths and English at Grade C or above.
Desirable
NVQ Level 2 in Health and Social Care
Experience Essential
Confidence in having difficult conversations with patients Ability to work amongst a multi-disciplinary team maintaining and building relationships. Experience of health or social care.
Desirable
Experience of health and social care assessments Demonstrated successful outcomes delivery within determined timeframes
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 The County Practice
Address Syston Health Centre
1130 Melton Road
Syston
Leicestershire
LE7 2EQ
United Kingdom
Employer's website https://www.countypracticesyston.nhs.uk/ (Opens in a new tab)