Job Description

JOB SUMMARY This is a key administrative role, working in a GP Practice to support patients with long-term medical conditions or complex health care needs. The Care Coordinator will work closely with clinicians to develop care plans and coordinate and monitor a range of patient services. It is essential that the person has a positive and compassionate nature and can provide exceptional customer service. This role requires sensitivity and an understanding that patients with any medical needs, complex or general, should be treated with respect.



The Care Coordinator will deliver a high-quality service for patients in a safe and effective working environment, whilst maintaining the highest standards of confidentiality. They will be a motivated person with good initiative and organisational skills, and have excellent interpersonal and teamwork skills. DUTIES AND RESPONSIBILITIES OF THE POST Undertake extensive work to manage and coordinate appointments and reviews for patients with long-term and/or multiple conditions. Work with clinicians to minimise the number and maximise the effectiveness of appointments and home visits.



Proactively monitor the effectiveness of appointments and the reasons for non-attendance. Act as a point of contact between clinicians and patients to meet both general and complex health needs. Send out and obtain information, especially to help empower patients to optimise self-care Promptly refer any patient concerns to a clinician, and act on responses. Respond to enquiries and requests from patients, their carers and external health and social agencies.



Liaise with third-party service providers, such as social care and community agencies, and social prescribers. Provide extensive assistance in arranging correct clinical pathways for care, and producing and reviewing personalised annual care plans. Help to ensure patient medical conditions are being well managed and share care plans with other clinicians or third parties where relevant. Monitor patient information relating to (for example) A&E attendance, hospital admission and medications.



Manage and maintain registers of LTC patients and DHCs clinical systems, ensuring IT security and IG compliance at all times and adding read codes to medical records to assist with reporting. Undertake work in other areas, such as Learning Disability, Palliative Care, Mental Health and Cervical Screening. This will include: Participating in local training and meetings (including taking minutes); maintaining registers; coordinating reviews; booking home visits; arranging tests; ensuring appropriate methods of communication; overseeing clinics. Keep up to date with Safeguarding by: participating in training and meetings; maintaining registers; liaising with the safeguarding lead; and ensuring that reports are completed in time.



Take responsibility for own personal development by fully participating in a yearly appraisal, assessing own educational/training needs, exploring all opportunities for maintaining and updating own professional knowledge and skills, and attending training. Keep up to date with policies and procedures and ensure that these are adhered to at all times. ORGANISATIONAL POSITION The Care Coordinator role works within the GP Practices and reports on a day-to-day basis to the relevant Practice Manager. INDIVIDUAL RESPONSIBILITIES Adhere to DHC policies and procedures and relevant legislation, including the requirements of any professional bodies and undertake mandatory and other training as identified by DHC.



Be particularly aware of the importance of Equality and Diversity, ensuring that all colleagues, patients, clients and visitors are dealt with in line with DHC policy. Take reasonable care of health and safety at work for you and others, and to cooperate with the employer and with local practice to ensure compliance with health and safety requirements Participate in reflection, self-evaluation and continuous professional development, including performance review. Ensure mandatory training is up-to-date at all times. Strive to communicate effectively with patients, carers and team members whilst recognising peoples needs for alternative methods of communication and respond accordingly.



Contribute to ongoing projects as required. This job description represents an outline of the responsibilities of the post and is not intended to be an exhaustive list of duties or tasks. It will change and develop in line with organisational needs and may be amended following agreement with the post-holder. CONFIDENTIALITY The post holder must maintain the confidentiality of information about patients, clients, staff and DHC business in accordance with the Data Protection Act 2018 and Caldicott Principles.



WORK SETTING AND REVIEW This job description represents an outline of the responsibilities of the post and is not intended to be an exhaustive list of duties or tasks. It will change and develop in line with organisational needs and may be amended following agreement with the post-holder.