Care Co-Ordinator
| Posting date: | 21 May 2025 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | Negotiable |
| Hours: | Full time |
| Closing date: | 13 June 2025 |
| Location: | Birmingham, B21 9RY |
| Company: | NHS Jobs |
| Job type: | Contract |
| Job reference: | A5274-25-0007 |
Summary
The post holder will be employed by i3 Primary Care Network Limited but will be primarily based at Soho Primary Care Centre and Hockley Medical Practice, with the flexibility to support other locations within the network as required. 1. Patient Identification and Engagement Proactively identify patients who would benefit from personalised care, including those with long-term conditions, multiple health needs, or who are frequent users of services. Serve as a first point of contact for patients, providing them with information, support, and navigation across primary, community, and social care services. Conduct patient assessments and gather relevant information to support care planning. 2. Personalised Care and Support Planning (Aligned with DES) Develop, review, and maintain personalised care and support plans (PCSPs) in collaboration with patients, carers, and the multidisciplinary team (MDT). Ensure that PCSPs are person-centred, addressing the patients goals, preferences, and health needs. Regularly review PCSPs to ensure they reflect the patient's changing needs and are shared appropriately with relevant professionals. 3. Coordination and Navigation of Care Act as a central point of contact for patients and carers, supporting them to navigate complex health and care systems. Work closely with general practice teams, social prescribing link workers, health and wellbeing coaches, and other PCN roles to ensure seamless patient care. Facilitate referrals and signpost patients to appropriate community, voluntary, and statutory services. 4. Multidisciplinary Team (MDT) Support Coordinate and participate in MDT meetings, providing patient updates, and supporting shared decision-making. Collaborate with GPs, practice nurses, pharmacists, mental health practitioners, and other professionals to deliver integrated care. Monitor patient progress against care plans and escalate concerns to the relevant clinician when necessary. 5. Health Coaching and Self-Management Support Support patients in developing self-management skills for their health conditions, promoting healthy lifestyle choices and preventive care. Provide information and support to patients on managing long-term conditions, including access to education, exercise, and support groups. Encourage patient activation and engagement in their own care, using motivational interviewing techniques. 6. Data Management and Reporting (DES Compliance) Maintain accurate and up-to-date patient records on the clinical system (e.g., EMIS, SystmOne), ensuring that all patient interactions and PCSPs are recorded. Provide data and reports as required for the PCN DES specification, including monitoring the impact of care coordination. Ensure compliance with data protection regulations and maintain patient confidentiality. 7. Administrative and Practice Support (General Practice Integration) Support general practice teams with administrative tasks as needed to ensure the smooth operation of patient services. Be prepared to provide reception support if necessary, including patient check-in, appointment booking, and answering general queries. Work flexibly to support general practice teams during peak periods or staff absences.