Hours: 37.5 hours per week (Job share will be considered)
Contract: Fixed-term (9 months initially, subject to programme funding)
Closing Date: 20th July, if enough satisfactory candidates apply this will close early.
Job Purpose
The Single Neighbourhood Team Care Coordinator is the operational engine of the Single Neighbourhood Frailty Programme. The postholder coordinates proactive care for patients living with severe frailty, arranging Comprehensive Geriatric Assessments (CGAs), ReSPECT conversations, Structured Medication Reviews (SMRs) and NEWS2 assessments. The role maximises clinician productivity by undertaking coordination, scheduling, administration, coding and data management.
Key Responsibilities
- Identify and prioritise eligible patients.
- Coordinate appointments, home visits, care home visits and MDT clinics.
- Prepare clinicians with patient lists and documentation.
- Complete coding, update records and coordinate follow-up actions.
- Coordinate weekly care home rounds and liaise with managers.
- Organise MDT meetings and track actions.
- Maintain accurate coding and performance dashboards.
- Use EMIS, KMCR, Graphnet and Microsoft Office systems.
- Support service improvement and pathway development.
- Organise and manage Steering groups
Communication
- Work collaboratively with GPs, Nurses, Pharmacists, HCAs, care home staff, community services, patients and carers.
Person Specification
- Experience in NHS or primary care.
- Excellent organisational and IT skills.
- Knowledge of confidentiality and MDT working.
- Desirable: EMIS, care coordination, frailty or care home experience.
Key Performance Indicators
- Support achievement of Single Neighbourhood delivery targets.
- Ensure accurate coding and timely coordination of interventions.
- Maintain high-quality data and reporting.
- Contribute to effective MDT and care home working.
- Team Working
- Understand own role and scope and identify how this may develop over time
- Work as an effective and responsible team member, supporting others
- Prioritise own workload and ensure effective time-management strategies are embedded
- Work effectively with others to clearly defined values, direction and policies
- Discuss, highlight, and work with the team to create opportunities to improve patient care
- Build working relationships with all various team/roles across the organisations
Confidentiality
In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately:
- In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential
- Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.
Health & Safety
The post-holder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the practice Health & Safety Policy, the practice Health & Safety Manual, and the practice Infection Control policy and published procedures. This will include:
- Using personal security systems within the workplace according to practice guidelines.
- Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks.
- Making effective use of training to update knowledge and skills.
- Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards.
- Actively reporting of health and safety hazards and infection hazards immediately when recognise.
- Keeping own work areas and general / patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holder’s role.
- Reporting potential risks identified.
Equality and Diversity
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
- Acting in a way that recognizes the importance of people’s rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
- Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
- Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Personal/Professional Development
The post-holder will participate in any training programme implemented by the practice as part of this employment, such training to include:
- Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
- Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work
Quality
The post-holder will strive to maintain quality within the practice, and will:
- Alert other team members to issues of quality and risk
- Assess own performance and take accountability for own actions, either directly or under supervision
- Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance
- Work effectively with individuals in other agencies to meet patients’ needs
- Effectively manage own time, workload and resources
Communication
The post-holder should recognize the importance of effective communication within the team and will strive to:
- Communicate effectively with other team members
- Communicate effectively with patients and carers
- Recognize people’s needs for alternative methods of communication and respond accordingly
Pay: £13.25 per hour
Benefits:
Licence/Certification:
- Driving Licence (required)
Work Location: In person
