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Care Co-Ordinator

Stroud

Rowcroft Medical Centre is exceptionally proud of our pro-active approach to supporting our most vulnerable patients and their families. 

Based in the heart of our strong and supportive nursing team are a team of Care Co-ordinators and Health Care Assistants who case manage our most vulnerable patients. Currently we cover frail; palliative patients and those living with medical conditions which impact their ability to care and support themselves on a daily basis. 

The role will sit within our large and supportive Nursing Team.  Managed by our Lead Nurse the team works closely and co-operatively with our GPs and the broader surgery team.  In addition to this we have close links to health care professions working within other organisations in Gloucestershire, local community organisations and our Network Pharmacy and Social Prescribing Team.

This is an exciting and developing role which we believe makes a great contribution to the health and wellbeing of these important patient groups and we are very excited to welcome a new member to this valuable team.

Please click on Apply Now and email your CV and covering letter.

Care Co-ordinator Job description and person specification.

Job title Care Co-Ordinator
Line manager Nurse Manager
Accountable to Nurse Manager, Practice Manager, The Partners
Hours per week 30

Job summary

Rowcroft Medical Centre is exceptionally proud of our pro-active approach to supporting our most vulnerable patients and their families. 

Based in the heart of our strong and supportive nursing team are a team of Care Co-ordinators and Health Care Assistants who case manage our most vulnerable patients.  Currently covering both frail and palliative patients we are now looking to expand this team to include those living with medical conditions which impact their ability to care and support themselves on a daily basis.  This would include people living with learning difficulty, addiction, dementia and other mental health conditions. 

The role will sit within our Vulnerable Patients team which is embedded within our large and supportive Nursing Team.  Managed by our Lead Nurse the team works closely and co-operatively with our GPs and the broader surgery team.  In addition to this we have close links to health care professions working within other organisations in Gloucestershire, local community organisations and our Network Pharmacy and Social Prescribing Team.

Generic responsibilities

All staff have a duty to conform to the following:

Equality, Diversity and Inclusion (ED&I)

A good attitude and positive action towards Equality Diversity & Inclusion (ED&I) creates an environment where all individuals can achieve their full potential. Creating such an environment is important for three reasons – it improves operational effectiveness, it is morally the right thing to do and it is required by law.

Patients and their families have the right to be treated fairly and be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion, or belief, sex, or sexual orientation.

Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued, and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion, or belief, sex, or sexual orientation. Staff have a responsibility to ensure that they treat our patients and their colleagues with dignity and respect.

Safety, Health, Environment and Fire (SHEF)

This organisation is committed to supporting and promoting opportunities for staff to maintain their health, wellbeing, and safety.

The post holder is to manage and assess risk within the areas of responsibility, ensuring adequate measures are in place to protect staff and patients and monitor work areas and practices to ensure they are safe and free from hazards and conform to health, safety and security legislation, policies, procedures, and guidelines.

All personnel have a duty to take reasonable care of health and safety at work for themselves, their team, and others and to cooperate with employers to ensure compliance with health and safety requirements.

All personnel are to comply with the:

• Health and Safety at Work Act 1974
• Environmental Protection Act 1990
• Environment Act 1995
• Fire Precautions (workplace) Regulations 1999
• Other statutory legislation which may be brought to the post holder’s attention

Confidentiality

The organisation is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care. They do so in confidence and have a right to expect all staff will respect their privacy and maintain confidentiality.

It is essential that, if the legal requirements are to be met and the trust of our patients is to be retained, all staff must protect patient information and provide a confidential service.

Quality and Continuous Improvement (CI)

To preserve and improve the quality of this organisation’s outputs, all personnel are required to think not only of what they do but how they achieve it. By continually re-examining our processes, we will be able to develop and improve the overall effectiveness of the way we work.

The responsibility for this rests with everyone working within the organisation to look for opportunities to improve quality and share good practice and to discuss, highlight and work with the team to create opportunities to improve patient care.

At this organisation, we continually strive to improve work processes which deliver healthcare with improved results across all areas of our service provision. We promote a culture of continuous improvement where everyone counts, and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.

Staff should interpret national strategies and policies into local implementation strategies that are aligned to the values and culture of general practice.

All staff are to contribute to investigations and root cause analyses whilst participating in serious incident investigations and multidisciplinary case reviews.

Induction

We will provide a full induction programme and management will support you throughout the process.

Learning and development

The effective use of training and development is fundamental in ensuring that all staff are equipped with the appropriate skills, knowledge, attitude, and competences to perform their role. All staff will be required to partake in and complete mandatory training as directed. It is an expectation for this post holder to assess their own learning needs and undertake learning as appropriate

The post holder will undertake mentorship for team members and disseminate learning and information gained to other team members to share good practice and inform others about current and future developments (e.g., courses and conferences).

The post holder will provide an educational role to patients, carers, families, and colleagues in an environment that facilitates learning.

Collaborative working

All staff are to recognise the significance of collaborative working and understand their own role and scope and identify how this may develop over time. Staff are to prioritise their own workload and ensure effective time-management strategies are embedded within the culture of the team.

Teamwork is essential in multidisciplinary environments and the post holder is to work as an effective and responsible team member, supporting others and exploring the mechanisms to develop new ways of working and work effectively with others to clearly define values, direction and policies impacting upon care delivery

Effective communication is essential, and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner.

All staff should delegate clearly and appropriately, adopting the principles of safe practice and assessment of competence.

Plans and outcomes by which to measure success should be agreed.

Managing information

All staff should use technology and appropriate software as an aid to management in the planning, implementation and monitoring of care and presenting and communicating information.

Data should be reviewed and processed using accurate SNOMED/read codes to ensure easy and accurate information retrieval for monitoring and audit processes.

Service delivery

Staff will be given detailed information during the induction process regarding policy and procedure.   

The post holder must adhere to the information contained within the organisation’s policies and regional directives, ensuring protocols are always adhered to.

Professional conduct

All staff are required to dress appropriately for their role.

Primary key responsibilities

The following are the core responsibilities of the Care Co-Ordinator. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels.

a. Undertaking new patient health checks

b. Facilitating routine and 24-hour BP monitoring, advising patients accordingly

c. Acting as a chaperone as required

d. Conducting ECGs as requested

e. Proactively identify and work with a caseload of people to support their personalised care needs.
f. Work closely with lead GPs and Nurses to ensure vulnerable groups, where necessary, receive annual health and Long-Term Condition checks.
g. Where appropriate and necessary deliver care at a person’s home to include the taking of blood and other health checks.
h. Finding out what matters to each, pull together a plan for their health and care needs and explore options to address these in a single personalised care plan.
i. Help people manage their needs, answering queries and providing them support by linking with other health professionals who are best able to help them.
j. Ensure people have high quality health information both for themselves and within the surgery and broader health organisations to better co-ordinate their care and reduce anxiety caused by the complications of navigating health care.
k. Stay up to date with the needs of the cohort, proactively contacting them when the need arrives.
l. Focus care and support on limiting the risk of a crisis and frustrating which could lead to a reduction of people’s health and wellbeing.
m. Enter information into patient records and into other systems used by the Vulnerable Patients Team to ensure information is kept fully up to date and shared with the team.
n. Supporting the Nursing Team with wound care and immunisations (including flu vaccinations)

o. Undertaking all mandatory training and induction programmes

p. Attending a formal appraisal with their manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed.

q. Contributing to public health campaigns (e.g., flu clinics) through advice or direct care, including opportunistic health promotional programmes

r. To always maintain a clean, tidy, and effective working area

Secondary key responsibilities

In addition to the primary responsibilities, the Care Co-Ordinator may be requested to:

a. Demonstrate the ownership of responsibility for personal development, learning and performance.

b. Demonstrate performance of skills and activities to others undertaking similar work

c. Attend relevant annual updates and shared practice learning.

d. Participate in practice audit as directed by the audit lead.

e. Participate in local initiatives to enhance service delivery and patient care.

f. Support and participate in shared learning throughout the PCN.

g. Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner.

Duties may vary from time to time without changing the general character of the post or the level of responsibility.

Person Specification – Care Co-Ordinator
Qualifications Essential / Desirable

Healthcare qualification (level 3 or 4) or working towards gaining equivalent level  D
Phlebotomy certification  D
Vaccination certification  D

Experience Essential / Desirable

Experience of working in a primary care environment  D
Experience of working with the general public E
Experience of working in a healthcare setting E

Clinical knowledge and skills Essential / Desirable

Wound care/removal of sutures and staples  D
ECGs E
Venepuncture E
New patient medicals, including height, weight, BP, pulse E
Chaperone procedure E
Ability to record accurate clinical notes E

Skills Essential / Desirable

Excellent communication skills (written and oral) E
Strong IT skills E
Clear, polite telephone manner E
Competent in the use of MS Office applications  D
Clinical IT system user skills  D
Effective time management (planning and organising) E
Ability to work as a team member and autonomously E
Good interpersonal skills E
Ability to follow clinical policy and procedure E

Personal qualities Essential / Desirable

Polite and confident E
Flexible and cooperative E
Motivated E
Problem-solver with the ability to process information accurately and effectively, interpreting data as required E
High levels of integrity and loyalty E
Sensitive and empathetic in distressing situations E
Ability to work under pressure/in stressful situations E
Able to communicate effectively and understand the needs of the patient E
Commitment to ongoing professional development E
Effectively utilise resources E
Punctual and committed to supporting the team effort E

Other requirements Essential / Desirable

Flexibility to work outside core office hours  D
Disclosure Barring Service (DBS) check E
Occupational Health clearance E

Notes:

The job description and person specification may be amended following consultation with the post holder to facilitate the development of the role, the organisation and the individual.

All personnel should be prepared to accept additional, or surrender existing duties, to enable the efficient running of the organisation.

Closing date for applications: 21st March 2025

Salary: DOE

Hours Per Week: 30 per week to include an 8pm finish on a Monday evening.

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