Care Coordinator

Exciting opportunity to join an enthusiastic andgood-humoured Primary Care Network Team currently looking for like-minded Care Coordinators.

Passionate about making a difference in Primary Care, you will enjoy working aspart of a multi-disciplinary team across services supporting the ongoing development and operation of our primary care services. You will coordinate our Ageing Well Care Team Service, share oversight of the Enhanced Access Service and occasionally the delivery of education events across the PCN providing comprehensive, high-quality support.

This is a unique and exciting role and you will be an integral part of our PCN team working closely with our practices and other primary care professionals within the PCN to develop and proactively support delivery of the comprehensive model of care to our patients that reflect local priorities. You will be part of an exciting and innovative quality improvement project providing support to our MDT in the beautiful rural setting of the North Cotswolds.

The role involves having a specific patient caseload to oversee and coordinate their care, bringing a different type of challenge to previous roles with increased opportunity to develop patients relationships and increase job satisfaction.

The Care Coordinator will work with a multi-disciplinary teamin our Primary Care Network based in the North Cotswolds. To provide high quality administrative support to our clinical team who are providing case management for people with frailty whomay have multiple long-term conditions and are at risk of deteriorating health that may result in declining clinical quality of life or avoidable hospital admission, or unnecessary length of hospital stay.

Coordinate our Ageing Well Care Team caseload inline with the PCN Quality Improvement project approach. Process requests and maintain accurate records utilising the two clinical systems and our monitoring tools. Support the development of using risk profiling tools to identify patients for proactive care using a quality improvement approach.

Coordinating the PCN Enhanced Access Clinics, including rota filling, coordination updating ledgers PCN Systm One hub,. Provide data collection and activity reports for the EA Clinics and coordinate any follow up actions after EA appointments.

Coordinate PCN Systm One hub management of ledgers for ARRS staff rota management ensuring a comprehensive timely appointment system.

North Cotswold Primary Care Network is an NHS collaboration between 5 GP practices, all with a CQC overall good rating:

- Chipping Campden Surgery, Cotswold Medical Practice, Mann Cottage Surgery, Stow Surgery and The White House Surgery. Our surgery teams are working closely with each other, enjoying the ability to share expertise and resources, to develop new services, serving a population of over 33, 000 patients acrossthe second most rural PCN in the country. Our vision is to continue to improve the quality of care that we provide in alignment with theneed of our patient population.

As part of a PCN we are able to take advantage of additional staff roles that are now available to support all of our patients.

Our Ageing Well Care Team is a multi-disciplinary team of ANPs, Frailty Practitioners, Clinical Pharmacists, Pharmacy Technician, Community matrons, Health and Wellbeing Coaches and Care Coordinators currently using a quality improvement approach toimprove care and services to the population on our frailty case load which includes patients both mobile and housebound across the PCN locality. Our PCN Additional Roles team also has a Mental Health Practitioner, First Contact Physiotherapist and three Social Prescribing Link Workers.

This is an exciting opportunity to join our team and support the patients in our locality, in both clinical settings and in their own homes.

The role involves working closely with our Frailty Care Practitioners, Health and Wellbeing Coaches and Frailty Matrons along GPs, Practice Managers and other primary care professionals within thePCN to support the hub and proactively support delivery of the comprehensive model of care to patients with frailty.

Coordin…