Practice Care Coordinator

We are seeking someone to work 18 hours per week, over three days, Wednesday, Thursday. Friday.

Job Summary

The Care Coordinator will be employed by Harborough Field Surgery, but also be part of the Primary Care Network (PCN) Multi-Disciplinary Team (MDT) who are responsible for managing the care of people registered with practices within a particular PCN.

A key part of the role of a care coordinator is acting as a conduit between the G.P. Practice and the PCN.

The role will be to support the PCN and Practice priorities and may include reviewing and updating patients records, running reports from clinical systems, having input to other clinical meetings (for example palliative care). Other clinical responsibilities may be developed over time based on the needs of practices and the PCN. A degree of flexibility is essential for this role.

Primary Duties and Areas of Responsibility

PCN Duties

· To work with the PCN Manager to ensure good communication links are established and maintained between the PCN and Practice staff.

· To ensure that care records are coded to optimize practice income (e.g. Learning Disability Checks, CVD reviews, Flu Vaccinations, Ethnicity recording etc.)

· To use Arden’s reports to identify patients who need to be seen to meet the IIF targets (e.g LD Health checks/ethnicity/BP monitoring etc.)

· To work with the PCN manager to support implementation of the DES/IIF and to agree a workplan on the areas the practice needs to develop.

· Liaise with Community Workers at PCN level to ensure that their services are known to the practice and patients are getting the benefit of those services

· Liaise with service providers and clinicians to identify ‘frequent flyers’, and new service users utilising risk stratification tools provided and present this information to the weekly MDT meetings.

· Support the completion of new referrals by checking criteria, and where criteria have been met, direct referral to the MDT.

Practice Duties

Key Duties:

· Support the Practice Manager to ensure that all Direct Enhanced Services (DES) are delivered and compliant with DES guidance.

· Support Senior Practice Managers with ensuring that Vaccinations, boosters and Immunisations are followed up for those who do not book or do not attend.

· Support Practice Staff with Early diagnosis of preventable cancers, encouraging people to attend bowel & breast screening and smear tests.

· Serve as the primary point of contact for patients and their families regarding care plans and services.

· Coordinate and schedule appointments, treatments, and follow-ups with healthcare providers.

· Work with Compliance Manager to undertake audits on the workflow and coding of the correspondence to ensure actioned correctly

· Work with Compliance Manager to update Practice Policies and Procedures (e.g. Health & Safety, Information Governance, COSH, Legionella etc)

· Support the introduction of Patients accessing their records, and undertake any actions to develop this service.

· Provide education and guidance to patients and caregivers regarding treatment options and health management. E.g facilitating coffee mornings

· Maintain accurate and up-to-date patient records in compliance with regulations.

· Develop and maintain staff rotas, ensuring all shifts are adequately covered.

· Monitor and adjust schedules to accommodate staff absences, leave requests, and unforeseen circumstances.

· Coordinate medical student and GP registrar placements such as induction, timetables and accommodation bookings.

· Communicate rota updates to relevant team members in a timely manner.

· Collaborate with department heads to ensure staffing levels meet operational needs.

· Assist the Research Lead with project planning and execution.

When Required:

Undertake Practice administrative tasks such as, patient deductions, record updating and scanning of patient documentation in accordance with the Practice policies and procedures