Job Title

The PCN CareCo-ordinator plays an important role within a PCN to proactively identify andwork with people to provide coordination and navigation of care and supportacross health and care services. The postholder will deliver NHSHealth Checks in line with national guidance and provide administrativefollow-up to ensure continuity of care. They will also support general hubcoordination and front, patient navigation, and population health initiatives. The role includes participation in arota covering extended access hours to include two weekday evenings (currently Wednesday andThursday until 8 pm) andSaturdays (9am 5pm) Main duties of the jobNHS Health Check Delivery oDeliver NHS Health Checks for eligible patients,carrying our near point of care testing, including lifestyleassessments, and cardiovascular risk scoring. oProvide brief interventions and health promotionadvice tailored to individual risk profiles. oAccurately document clinical data in patientrecords using appropriate systems. Administrative Follow-Up oManage post-check communications, includingresults, follow-up bookings, and referrals. oEnsure accurate coding and data entry in linewith NHS Health Check programme requirements. oSupport reporting and audit processes tomaintain service quality Care Coordination & Hub Support oAct as first point of contact for patientsaccessing the Health & Wellbeing Hub (face-to-face, phone, email). oBook patients into appropriate services andsignpost to community resources. oPromote hub services and events, including viasocial media platforms. Teamwork & Rota Commitment oWork collaboratively within the CareCo-ordinator team, supporting shared goals and mutual learning. oParticipate in extended access rota, includingevenings and Saturdays. oEnsure consistent service delivery across allsessions. Service Development & Governance oMaintain accurate records and adhere to dataprotection and safeguarding policies. oSupport delivery of PCN Network DES, enhancedservices, and population health initiatives. About usBridgwater Bay Primary Care Network(PCN) is the largest PCN in Somerset with 9 GP practices supporting 85,000patients from a diverse population spread across town and rural locations. As a PCN we are forwardthinking, innovate and driven to deliver the best patient care for ourpopulation. This includes health population management, and this role ties inwith supporting that and tracking the improvements we can make to patientslives. The role will be based atVictoria Park Health and Wellbeing Hub which is a shared space between thePrimary Care Network and Somerset Foundation Trust. Job responsibilities1. NHS Health Check Delivery 2. Administrative Follow-Up 3. Care Coordination & HubSupport 4. Teamwork & Rota Commitment 5. Service Development &Governance Work within a clinical team point for advice andsupport. Undertake continual personal and professionaldevelopment, taking an active part in reviewing and developing the role andresponsibilities, and provide evidence of learning activity as required; Adhere to organisational policies and procedures,including confidentiality, safeguarding, lone working, information governance,equality, diversity and inclusion training and health and safety. Establish strong working relationships with GPs andpractice teams and hub teams and work collaboratively with other carecoordinators, social prescribing link workers and health and wellbeing coaches,supporting each other, respecting each others views and meeting regularly as ateam; Act as a champion for personalised care and shareddecision making within the PCN Demonstrate a flexible attitude and be prepared tocarry out other duties as may be reasonably required from time to time withinthe general character of the post or the level of responsibility of the role,ensuring that work is delivered in a timely and effective manner Identify opportunities and gaps in the service andprovide feedback to continually improve the service and contribute to serviceplanning Contribute to the development of policies and plansrelating to equality, diversity and reduction of health inequalities Work in accordance with the PCNs policies andprocedures Duties may vary from time to time without changingthe general character of the post or the level of responsibility Contribute to the wider aims and objectives of thePCN to improve and support primary care. To support in the delivery of the PCN Network DES,enhanced services and other service requirements on behalf of the PCN Person SpecificationQualificationsNVQ Level 3 in Health and Social Care or Equivalent Care Certificate Experience of health coaching or motivational interviewing High level of written and verbal communication skills Ability to use Microsoft Office applications Word, Excel, PowerPoint, Outlook ECDL or equivalent ExperienceKNOWLEDGE Knowledge and understanding of administrative elements surrounding personalised and support care planning. Understanding of, and commitment to, equality, diversity and inclusion. Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities, individuals, their families and carers. Strong organisational skills, including planning, prioritising, time management and record keeping. Knowledge of how the NHS works, including primary care and PCNs. Ability to recognise and work within limits of competence and seek advice when needed. Basic knowledge of long term conditions and the complexities involved - medical, physical, emotional and social. Knowledge of, and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety. EXPERIENCE Experience of administrative and IT systems. Experience of working within multi- professional team environments. Experience of supporting people, their families and carers in a related role. Experience of data collection and using tools to measure the impact of service. Communication and OtherCOMMUNICATION SKILLS Ability to communicate effectively, both verbally and in writing, with people, their families, carers, community groups, partner agencies and stakeholders. Ability to actively listen, empathise with people and provide personalised support in a non-judgemental way. OTHER Access to own transport. Ability to travel across the locality. Disclosure and Barring Service CheckThis post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Full-time,Part-time,Job share,Flexible working#J-18808-Ljbffr