Care Co-ordinator

at  Coventry And Rugby GP Alliance

Liaise with clinicians and patients ensuring well-formed relationships between a wide range of agencies to support the health and wellbeing of patients, including managing a caseload. Follow a clinicians assessment track patients health and wellbeing needs and find suitable services and other opportunities available in the community. Liaise with patients to book patients into services provided by the practice as well as in community, signposting/referring where appropriate and what matters to the person. Some of the typical services referred to are; Myton Clinics Carers Trust Arden Memory Clinic Palliative services Adult Social Care Mental Health and Learning Disability In addition there may be a need to follow up on patients not engaging with care and linking in with other services such as healthy lifestyles, stop smoking, Talking therapies services and any others as required Provide personalized support to patients, their families and carers to take control of their health and wellbeing, live independently, improve their health outcomes and maintain a healthy lifestyle signpost/refer to appropriate appointments with our clinical team or in the community.
Develop trusting relationships between the organisation and the patient by giving people time and focus on what matters to them. Attend regular Multi-disciplinary meetings and bring complex patients for discussion and help look for solutions, including weekly triage meetings with other personalized care roles. Attend training and peer support sessions relevant to the role provided through the NHS Futures Collaboration Platform, regional Personalised Care Ambassador and local agencies. Take a holistic approach, based on the patients priorities and the wider determinants of health Explore and support access to a personal health budget where appropriate Manage and prioritise their own caseload, whilst working alongside colleagues as part of a Team.
Work collaboratively with all local partners to contribute towards building good relationships and being aware where services are not yet available to meet the needs of the population. Have a role in educating non-clinical and clinical staff through verbal or written advice or guidance on what other services are available within the community and how and when patients can access them. Work in partnership with all voluntary and community organisation to maintain a comprehensive database of local resources. Ensure information on sources of voluntary and community support is always up to date to enable effective and accurate signposting and linking of individuals with services.
Provide simple monthly reports detailing the progress of the service Maintain excellent record keeping standards and adhere to confidentiality, information sharing protocols and provide monitoring information as required. Ensure understanding of, and compliance with procedures for promoting and safeguarding the welfare of children and vulnerable adults. Implement the principles of Equal Opportunities in every aspect of work and positively promote the principles of the policy amongst colleagues, service users and other members of the community. Comply with the practices Health and Safety Policy and Data Protection Policy.
Work flexibly as required by the service and to take part in PCN and other organisations meetings and events to promote, support and celebrate the work of the service and the agencies

Please refer the Job description for details