York Road PCN Care Coordinator
| Dyddiad hysbysebu: | 25 Tachwedd 2025 |
|---|---|
| Cyflog: | Heb ei nodi |
| Gwybodaeth ychwanegol am y cyflog: | Negotiable |
| Oriau: | Llawn Amser |
| Dyddiad cau: | 07 Rhagfyr 2025 |
| Lleoliad: | Leeds, LS14 1HX |
| Cwmni: | NHS Jobs |
| Math o swydd: | Cytundeb |
| Cyfeirnod swydd: | U0053-25-0049 |
Crynodeb
Duties & Responsibilities (Including Wider PCN & Community Support) Primary Care-Home Responsibilities Lead and organise weekly GP ward rounds in each care home, ensuring residents due for review are prepared and all follow-up actions are recorded and communicated. Support and/or complete dementia reviews, gathering information, engaging with families and care-home staff, and updating clinical records. Coordinate, prepare for and minute weekly MDT meetings for each care home, ensuring high-quality communication across the multidisciplinary team. Develop and maintain Personalised Care and Support Plans (PCSPs) for care-home residents, ensuring a holistic, person-centred approach. Proactively identify residents at risk of deterioration, escalating appropriately to prevent unplanned hospital admissions. Wider PCN & Community Care Responsibilities Support the PCN team in coordinating personalised care for vulnerable patients living in the community, including frail/elderly individuals and those with multiple long-term conditions. Meet with people, families and carers in practices, in their homes, in community locations or in care homes to review needs, co-ordinate care and help them access appropriate services. Assist patients and families in understanding their health conditions, navigating support options and managing their own wellbeing. Refer patients to primary care, social care, community and voluntary-sector services where appropriate. Work jointly with PCN staff including social prescribers, pharmacists, mental health teams and community services to ensure high-quality joined-up care. Clinical & Monitoring Tasks (if trained/competent) Undertake delegated tasks such as phlebotomy, blood pressure checks, observations and health checks within care homes and the wider community. Support clinicians by preparing information for reviews and completing agreed follow-up actions. Communication & Coordination Act as a central point of contact for residents, patients, families, care-home staff and PCN colleagues. Communicate sensitively using language appropriate to the patient or carers level of understanding. Promote shared decision-making and help individuals prepare for clinical conversations. Administration, Record Keeping & Data Prepare documentation for ward-rounds, dementia reviews and MDT meetings. Update care plans and patient records accurately, using appropriate coding. Analyse data to identify priority residents or patient groups requiring targeted intervention. Maintain strict confidentiality in line with GDPR and organisational policies. Safeguarding Identify safeguarding concerns and escalate in line with local policy. Support safeguarding processes and investigations when required. Partnership Working Build strong working relationships with care-home teams, community health professionals, social care and voluntary-sector organisations. Improve access to support services for both care-home residents and vulnerable community patients. Contribute to PCN initiatives and public health campaigns, including vaccinations and screening.