Care Coordinator

at  Kingswood Health Centre

Supporting People with Learning Disabilities You will liaise with practice teams to ensure there is a proactive call and recall system for patients 14 years of age and over with learning disabilities, booking and completing their annual health check, including taking any blood tests, blood pressure checks, height and weight measurements as required. Also providing information to help them get the most from their review. You will proactively engage with these patients, carers and the practices to ensure maximum uptake of these reviews, and follow up any patients who fail to attend their appointments You will ensure that contacts with the patient are recorded appropriately and that checks are coded and recorded accurately You will act as a link between Support Workers, the GP and any PCN, primary, community or secondary care colleagues, supporting any onward referrals, care planning or administrative planning needs as appropriate. Serious Mental Illness Reviews You will liaise with practice teams to ensure there is a proactive call and recall system for patients with Severe Mental Illness, booking and completing their mental health review, including taking any blood tests, blood pressure checks, height and weight measurements as required You will proactively engage with these patients, carers and the practices to ensure maximum uptake of these reviews, and follow up any patients who fail to attend their appointments You will ensure that contacts with the patient are recorded appropriately and that checks are coded and recorded accurately You will act as a link between Support Workers, the GP and any PCN, primary, community or secondary care colleagues, supporting any onward referrals, care planning or administrative planning needs as appropriate.
Administration of Weight Management Services You will be the PCN administrative lead for these services, identifying suitable patients and making contact in the first instance You will be involved in discussions with patients to determine how motivated they are to engage with services You will book appointments and make referrals as appropriate, and may be required to gather baseline information (such as height, weight etc) as per the protocols for these services You will ensure that contacts with patient are recorded appropriately and that checks are coded and recorded accurately. General Duties You will ensure safeguarding issues or patient related concerns are raised appropriately to a suitable individual You will help administratively with any auditing or searching of GP clinical systems. This job description is only a brief summary of what a Care Coordinators job will entail, and the role will expand and change over time as the needs of the PCN changes, the requirement of the Network DES expands, and the priorities of the population evolve. Any changes will be discussed with the postholder in advance and the job description will be reviewed annually during appraisal.
This list of duties is not intended to be exhaustive but indicates the main areas of work and may be subject to change to meet the changing needs of the service. Supervision Received The postholder will be operationally line managed by the PCN Operations Manager, with feedback and support received from the PCN Manager, Clinical Director, and other members of the PCN board. Supervision Exercised The postholder will not have any operational line management responsibility. Disclosure and Barring Service Check The post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Enhanced Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions

Please refer the Job description for details