PCN and Care Homes Care Co-ordinator

Job description

Job responsibilities

Dacorum Healthcare Providers Limited (DHPL) is the provider arm of the Dacorum GP Federation. The Network Contract Directed Enhanced Service 2022/2023 and Enhanced Health in Care Homes Framework recommend the value of a Care Coordinator as part of the MDT to help support and deliver on the care home DES.

Job Summary

As PCN Care Coordinator you will work as a key part of the primary care network (PCN) multi-disciplinary team. You will ensure care is seamless and that everyone involved is working together. You will provide the capacity and expertise to support patients in preparing for or in following-up clinical conversations they have with PCN primary care professionals.

Operational

· Proactively engage with care homes under the DHPL model.

· Liaise with care home staff to ensure each resident has a personalised care plan.

· Work closely with clinicians from the DHPL care home team to review patients.

· Organise and co-ordinate referrals as appropriate, generate ICE forms as requested by clinicians.

· Liaise with other teams within the wider system as appropriate to ensure holistic care is provided to all patients.

Communication

• Be a good communicator, establish and maintain good working relationships internally and externally.
• Ensure practices, care home staff and clinical teams receive prompt communication regarding engagement with their patients.
• Promote a positive image of the service, both internally and externally.
• Participate in and contribute to service development initiatives, as appropriate or as directed.
• Ensure timely and accurate information reporting to management on agreed areas of work.
• Can communicate effectively to all relevant parties involved with the patient's care.

Planning and Organising

• Supporting in the planning and monitoring of the care home service within DHPL
• Planning and organising team meetings when requested.
• Independent and effective management of own workload.

Information and Data Co-ordination

· To maintain accurate databases and spreadsheets in order to provide up to date information about individual care homes that fall under the service.

• Collect and cascade information for the care home service as requested.
• To understand and work with electronic data systems across General Practice, updating and disseminating information as requested.

Care Home Care Co-ordination

• To promote integrated project working within the service.

• To refer to other agencies or individuals for those whose needs might appropriately be met elsewhere.
• To act as a resource person and assist other staff with information on available resources, relevant organisations to be approached.
• To provide and receive sensitive information about difficult or complex matters respecting confidentiality at all times.

• To manage and prioritise own workload without direct supervision.

• To organise administrative work; maintenance of files, electronic document management systems.

Key Working Relationships

The post holder is expected to develop and maintain effective working relationships with a range of stakeholders, both internal and external to DHPL practices. The stakeholders include, but are not limited to:

• Senior Services Manager
• Pharmacy Service Manager
• Senior care home pharmacist
• PCN pharmacists
• Lead care home GP
• GPs and Practice Staff
• Community, Health & Social Care Colleagues
• PCN Staff
• Clinical directors

Freedom to Act

• Work within the boundaries of organisational policy
• Take action and own initiative
• Work autonomously on own areas of work seeking support from colleagues where expertise is required and escalating issues and concerns as necessary.
• To undertake statutory and mandatory training and other training as and when required.
• The job description and person specification are an outline of main tasks, responsibilities and requirements of the role.
• The post holder will carry out other duties as may reasonably be required.
• The job description and person specification may be reviewed on an on-going basis in accordance with the changing needs of DHPL

Person Specification

Qualifications

• See attached Person Specification for full essential criteria.
• Please note that you must have a current driving licence and access to own transport for this role.

• See attached Person Specification for desirable criteria.

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

Dacorum Healthcare Providers Ltd

Address

Imex

Maxted Road

Hemel Hempstead Industrial Estate

Hemel Hempstead

Hertfordshire

HP2 7DX

https://www.dhpltd.net/