Multiple Sclerosis Care Co-ordinator

at  Frimley Health NHS Foundation Trust

Facilitate and co-ordinate the care pathway of patients on disease modifying treatment (DMT) by: Ensure relevant investigations (e.g. MRI, CSF, blood results) are available to Consultant Neurologists and nurses in the DMT clinic to enable comprehensive assessment and initiation of most appropriate DMT. Complete high-cost drug notification forms as required. Establish and ensure the continuation of effective communication between the MDT team, external homecare delivery companies, injection support nurses, regional neurologists, regional MS nurses, GPs and the patient to enable seamless provision of DMTs.
Preparing the list of prescriptions sent in by homecare companies and obtaining recent blood results from GP surgeries if they are not on EPIC and uploading. Monitoring patients attendance, following up as appropriate, particularly treatment-nave patients and those taking DMT and ensuring 6 monthly reviews with clinicians. Telephoning patients with identified cognitive difficulties to remind them of OPAs thus reducing DNAs. Printing and sending patient DMT letters Ensuring patients attend relevant investigations as required to ensure safe monitoring of treatment.
Attendance at the DMT MDT to and follow up on tasks from this meeting Booking patients into the MDT meeting To support the ongoing development of research within the service and undertake appropriate tasks within research Tasks and activities that support the MS team and enable effective delivery of care to MS and neurology patients commensurate with the position

Please refer the Job description for details