Care Coordinator

PURPOSE

To provide a practice point of contact for patients in coordinating their care To ensure timely follow up and action for patients from communications from community or secondary care To deal with incoming queries from patients and other healthcare providers To organise in-practice appointments, follow ups or other actions to help the PCN practices provide high quality, compassionate care to our patient population.

• Administration duties- scanning and filing incoming post as well as electronic clinical letters.
• Deal with incoming practice email queries directly from hospitals or care agencies.
• Manage any admin requests through ANIMA (Triage system) such as medical letters and report requests.
• Assist with signposting patients to appropriate community or local services, alongside social prescribers.
• Act on communications from hospitals or community providers.
• Action and follow death protocol procedure allowing a smooth process for families or close relatives.
• Review any new cancer diagnosis patients and consult with our in-house social prescriber for cancer care review.
• Manage incoming medical reports and SAR requests (medical record requests) from patients and third parties.
• Assist with and ensure patients participate in local or national screening programmes.
• Promote health education to our patient population, such as through participation in self-care week.
• Pro-actively ensure patients participate in vaccination opportunities such as flu, shingles, or childhood immunisations.
• Organise and prioritise own workload.
• Monitor tasks to ensure they are completed and care delivered through regular audit of the clinical system.
• Directly liaise with multi-agencies to coordinate care for patients.
• Support patients and carers and collect feedback on their experiences.
• Support the PCN practices to deliver on QOF, KPIs and locally commissioned enhanced services.
• To update and maintain accurate patient medication records on the practice clinical computer system, including advice given and action taken.
• Participate in practice meetings, patient participation groups and other meetings to improve engagement with the role.