PCN Health & Wellbeing Practitioner/Care Co-ordinator

at  Denton Primary Care Network

The postholder will be able to participate in positive, empathetic and responsive conversations with residents and their family and carer(s) about their needs. Support people to develop and implement personalised care plans. Review and update personalised care and support plans at regular intervals. Ensure personalised care and support plans are communicated to the GP and any other professionals involved in the persons care and uploaded to the relevant online care records, with activity recorded using the relevant SNOMED codes.
The postholder will play an important role within a PCN to proactively identify and work with people, including the frail/elderly and those with long-term conditions, to provide coordination and navigation of care and support across health and care services. They work closely with GPs and practice teams to manage a caseload of patients, acting as a central point of contact to ensure appropriate support is made available to them and their carers. The role will involve planning community events to ensure eligible patients know the importance of attendance of National Cancer Screening and to raise the uptake and liaising with local GP practices to support patient attendance at screening. The role will involve regularly liaison with the range of multidisciplinary professionals and colleagues involved in the residents care, facilitating a coordinated approach and ensuring everyone is kept up to date so that any issues or concerns can be appropriately addressed and supported.
Actively participate in multidisciplinary team meetings in the PCN as and when appropriate identify when action or additional support is needed, alerting a named clinical contact in addition to relevant professionals, and highlighting any safety concerns. Carry out and co-ordinate quality health outcomes This may include but not exclusively the following based on training and experience Blood pressure monitoring Phlebotomy taking blood tests Act as a chaperone if required. Undertake clinical activities identified by the clinical team in accordance with agreed written protocols. Understand when to report changes in a patients condition.
Make clear and accurate entries into a patients records when appropriate. Work as an effective team member. Liaise with other team members and patients

Please refer the Job description for details