Perioperative Care Co-ordinator

at  Dartford and Gravesham NHS Trust

Specific Responsibilities: Core tasks Contact all patients newly listed for a surgical procedure to ask them to complete a patient health form, and where required supporting them to complete the form. Collate information provided at the point of referral from primary care and in the patient health form. Triage patients and identify those likely to require targeted optimisation (for example, for a known co-morbidity) or specialised optimisation (for multi-morbidity and/or poor fitness, nutrition, etc). This triaging will be supervised by registered healthcare professionals and no clinical decision-making will be made by non-clinical staff alone.
Contact low-risk patients to inform them of the outcome of their triage assessment, and where appropriate and under the direction of senior clinical support, using approved materials to provide them with universal advice about preoperative preparation, including diet, exercise/activity and healthy living. Under the guidance of the preoperative assessment nurse and/or senior clinician, arrange an appropriate follow-up appointment for higher-risk patients. Ensure that all patients and their GP/GP practice are sent a copy of a letter outlining surgical risk and next steps. Where relevant, encourage patients to find out if their GP practice has a social prescribing link worker and/or a health coach, and how they can refer themselves.
Working with the local integrated care board or healthcare system to identify local community links that may benefit patients, for example, the Swimming.org website. Follow up on behalf of clinicians to ensure that referrals to hospital medical specialties or support in the community have been picked up and acted on by the receiving teams/services. Act as the main point of contact for the preoperative assessment team for patients, providing non-clinical advice as appropriate. Support the delivery of an agreed process for contacting all patients on an inpatient waiting list at least once every three months, and more often if clinically indicated, to find out if there has been any change in their health status or decision to proceed with the surgery.
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