Integrated Neighbourhood Team Coordinator in Health and Social Care
| Posting date: | 25 April 2024 |
|---|---|
| Salary: | £25,147 to £27,596 per year |
| Additional salary information: | £25147 - £27596 a year |
| Hours: | Full time |
| Closing date: | 08 May 2024 |
| Location: | Wakefield, WF1 4DG |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | C9377-24-0099 |
Summary
Proactively coordinating services across boundaries to ensure people are kept in the community through reducing the need for formal health and social care provision Facilitate and coordinate an integrated health and social care approach within Neighbourhood Teams, including providing administrative support for/ chairing MDT meetings for services Take ownership of the Neighbourhood Teams Anticipatory Care cohort, ensuring that: A personalised care plan is in place for each individual Responsibility to maintain and keep up to date records of individuals identified as being part of the cohort e.g care treatment and advice The Neighborhood Team has access to the appropriate services and expertise to support their Anticipatory Care cohorts. Escalating any issues to the appropriate channels. Make contact and build relationships with a wide range of local community and voluntary sector organisations in order to effectively signpost people to these organisations as the need arises Identify gaps in community provision and escalate identified gaps to the appropriate channels To champion and coordinate a personalised case management approach by accessing multiple services to ensure appropriate care packages are in place Dealing with highly complex personalised care packages. E.g Assessment of care needs with clinicians to determine the appropriate health and social care support Gather information and intelligence at the earliest opportunity and present this to clinicians to give them confidence and aid their decisions are helping prevent any unnecessary admissions to hospital Promote access to relevant services and cascade information that aids the support of person discharge as well as following this up in the community by either a phone call or face to face visit Link people directly into relevant health, social and VCSE services as well as signposting and linking people into services to support them in the community Provide people with choice and ensure people and their carers have access to the most appropriate services at the right time in the right place Monitor people and work with services to reduce the risk of deterioration and help prevent unnecessary hospital admissions Support the role of the key worker in the community and implement a monitored support plan To make recommendations regarding referrals, using triage protocols to ensure that people are seen by the most appropriate team / service at the right time to meet their needs. Whilst recognising the need to involve, or seek advice from, more experienced colleagues as necessary when the decision is of a clinical nature Responsible for the coordination and to liaise with all relevant statutory and VCSE sector services including the local authority responsible for a persons care to arrange the necessary support Responsible for tracking people through the health and social care system to ensure a smooth hand over to a named care manager / service Contribute to the integration of health and social care by maintaining up to date recording systems for all agencies within the neighbourhood team Responsible for providing information to any member of the neighbourhood team in order to ease processes and communication in agreement with data protection protocol Responsible for providing information to support overall Integrated care programme evaluation To record and maintain people interventions on relevant systems (e.g. EMIS, EPR and Liquid Logic amongst others) and contribute to report generation and analysis from the data To be customer focused when representing the service and ensuring that the reception people are given is supportive, welcoming and helpful To work within the relevant legal frameworks and have an understanding of the Data Protection Act and how this relates to the management of confidential information in accordance with health and social care policy. To independently plan and organise own work using own initiative, whilst being able to work as a valuable member of a team Able to manage own diary and workload autonomously Assist in the orientation and local inductions of new starters To undertake general administrative duties to support the role To participate in individual appraisal and supervision, contributing to the identification of training opportunities To work effectively as part of a team and to provide cover when required and to be flexible regarding working hours to meet the needs of the service To undertake supervisory responsibilities including supervision and Professional Development Reviews To use effective communication skills when liaising with professionals and members of the public over the telephone or in person To liaise with a range of professionals within community and hospital settings, including VCSE organisations. Visit service users either in a hospital in-patient setting, in the persons home environment or GP practice to gather initial information and to follow up to assess progress on intervention To work autonomously as well as part of a team, this will require lone working in both hospital and community settlings including service users home environments. To receive and deliver complex, sensitive or contentious information, where persuasive skills are required in discussing medical intervention plans.