Care Coordinator GP Practice

Job description

Job responsibilities

• Undertake extensive work to manage and co-ordinate appointments and reviews for patients with long-term and/or multiple conditions
• Work with clinicians to minimise the number, and maximise the effectiveness, of appointments and home visits
• Pro-actively monitor the effectiveness of appointments and the reasons for non-attendance
• Act as a point of contact between clinicians and patients to meet both general and complex health needs
• Send out and obtain information, especially to help empower patients to optimise self-care
• Promptly refer any patient concerns to a clinician, and act on responses
• Respond to enquiries and requests from patients, their carers and external health and social agencies.
• Liaise with third party service providers, such as social care and community agencies, and social prescribers.
• Provide extensive assistance in arranging correct clinical pathways for care, and producing and reviewing personalised annual care plans.
• Help to ensure patient medical conditions are being well managed, and share care plans with other clinicians or third parties where relevant.
• Monitor patient information relating to (for example), A&E attendance, hospital admission and medications.
• Manage and maintain registers of LTC patients and The Leith Hill Practices clinical systems, ensuring IT security and IG compliance at all times and adding read codes to medical records to assist with reporting.
• Undertake work in other areas, such as Learning Disability, Palliative Care, Mental Health and Cervical Screening. This will include:
• Participating in local training and meetings including taking minutes); maintaining registers; coordinating reviews; booking home visits; arranging tests; ensuring appropriate methods of communication.
• Keep up to date with Safeguarding by: participating in training and meetings; maintaining registers; liaising with safeguarding lead; and ensuring that reports are completed in time.
• Take responsibility for own personal development by fully participating in a yearly appraisal, assessing own educational/training needs, exploring all opportunities for maintaining and updating own professional knowledge and skills, and attending training.
• Keep up to date with policies and procedures and ensure that these are adhered to at all times.

• Adhere to The Leith Hill Practice policies and procedures and relevant legislation including the requirements of any professional bodies and undertake mandatory and other training as identified by The Leith Hill Practice. Be particularly aware of the importance of Equality and Diversity, ensuring that all colleagues, patients, clients and visitors are dealt with in line with The Leith Hill Practice policy.
• Take reasonable care of health and safety at work for you and others, and to cooperate with the employer and with local practice to ensure compliance with health and safety requirements
• Participate in reflection, self-evaluation and continuous professional development including performance review. Ensure mandatory training is up-to-date at all times.
• Strive to communicate effectively with patients, carers and team members whilst recognising peoples needs for alternative methods of communication and respond accordingly.
• Contribute to ongoing projects as required.
• This job description represents an outline of the responsibilities of the post and is not intended to be an exhaustive list of duties or tasks. It will change and develop in line with organisational needs and may be amended following agreement with the post-holder.

Person Specification

Experience

• Good standard of education with excellent literacy and numeracy skills.
• Experience working with the general public in a similar role.
• Experience managing a complex administrative role.
• Excellent written and verbal communication skills, including active listening.
• Strong and confident IT skills.
• Excellent administrative skills with the ability to work on own initiative.
• Effective time management skills, often in a fast-paced environment.
• Proven problem-solving and analytical skills.
• Ability to adapt to changing situations and the changing needs of the service.
• Excellent customer care skills.
• Motivated to achieve good outcomes for patients.
• Able to follow policies and procedures effectively.
• Able to maintain confidentiality at all times.
• Polite and confident with good customer care skills, remaining calm under pressure.
• Caring, sensitive and empathetic, with an understanding of patients' life stages, concerns and problems.
• Self-motivated, reliable and dedicated.
• Excellent interpersonal skills.
• Motivated and proactive.
• Ability to use initiative and judgement.
• High levels of integrity and loyalty.
• Ability to work under pressure.
• Confident, assertive and resilient.
• Disclosure and Barring Service (DBS) check.
• Current UK driving licence.
• Willingness to travel to other sites and locations for meetings and training events.

• Experience working in a healthcare setting.
• Experience working within the NHS or a Primary Care General Practice setting.
• Understanding of community services and personalised care.
• Knowledge of the GP clinical system TPP Systmone.

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 Leith Hill Practice

Address

The Old Forge Surgery

168 The Street

Capel

Surrey

RH5 5EN

United Kingdom

Employer's website

https://www.leithhillpractice.nhs.uk