Job Description

We are a friendly, 3-site dispensing Practice in Buckinghamshire with Surgeries in Wing, Whitchurch, and Winslow. The Practice has 7 GP Partners, together with salaried GPs and ANPs. They are supported by a full complement of Nurses, HCAs, a clinical pharmacist and provide care for 20,000 patients. We are a proactive and forward-thinking Practice dedicated to providing quality patient care.

The Care Coordinator will play an important role within 3W Health to proactively coordinate care activities and provide administrative support for the delivery of patient care. In particular they will coordinate the Long-Term Condition Reviews. The ideal candidate must be self-motivated and able to work independently demonstrating strong organisational skills, communication skills and a methodical approach to work.

The ideal candidates must be able to work 09:00 to 13:00 and/or 14:00 to 18:00.

Aim of the post:

Patient support and coordination:

Act as a central point of contact for patients with chronic diseases, ensuring continuity and coordination of care. Coordinate recall and review processes for long-term condition clinics, ensuring patients are invited and followed up as per local and national guidance. Monitor and track patients progress, following up on test results, reviews and action plans. Running patient searches to identify cohorts for recall. To record patient interventions on relevant electronic database systems (e.g. EMIS) and contribute to report generation, analysis and production Send personalised invitations to each patient, detailing the purpose of the appointment and any necessary instructions. To undertake general office duties to support the role Always maintain confidentiality.

Clinical and Administrative support:

Work closely with the chronic disease nursing team and lead nurse to support the delivery of chronic disease management plans Maintain accurate and up to date records using the clinical system (EMIS) Support the implementation of Quality and Outcomes Framework (QOF) targets and practice level improvement initiatives Assist in identifying and managing patients at risk of poor disease control or hospital admissions.

Policy Development and service improvement:

Contribute to the writing, formatiting and implementation of policies and standard operating procedures. Participate in continuous quality improvement initiatives, analysing service, delivery and identifying opportunities to enhance patient outcome and operational efficiency Work collaboratively with clinical and management teams to implement process changes that improve service quality and streamline care delivery

Communication and Collaboration:

Liaise effectively with community and secondary care providers as well as other external agencies involved in patient care Complete referrals to outside agencies to improve patient care. Develop and maintain positive relationships with patients, careers and colleagues. To use a range of verbal and non-verbal communication tools to communicate effectively with patients, carers and families and colleagues To follow up with patients via telephone to ensure seamless scheduling and address any concerns or queries they may have. To be customer (patient, carer, GP) focused when representing the service To work collaboratively with other teams and services to maintain an effective and efficient service.

Service development and innovation:

Support and promote health promotion and prevention initiatives aligned with local population health priorities. Contribute ideas and feedback to drive innovation in service delivery and patient engagement. Ensure all aspects of service delivery reflect the principles of safety, effectiveness, efficiency and patient safety. To use clinical systems to complete audits. To participate in any relevant training/courses/conferences and complete mandatory training To carry out any other reasonable duties as requested by a manager to ensure quality of service

Qualifications

GCSE Maths and English (or equivalent) UK Driving Licence (as travelling between sites will be required)

Experience

Good experience of IT systems and packages Experience of data collection and reporting Experience of working within a patient-facing role Experience of collaborative working and building relationships across varied organisations Confident and courteous telephone manner

Skills

Demonstrable commitment to professional and personal development Ability to organise and prioritise workload effectively Excellent administration skills to include record keeping, communication (written, verbal & listening skills) Ability to work automatously as well as within a team Computer literate - excellent IT skills in Microsoft Outlook, Word, Excel & PowerPoint and the internet and intranet Non-judgemental & compassionate approach to people Knowledge of QOF and NHS framework for chronic disease management.
Job Types: Part-time, Permanent

Expected hours: 20 per week

Benefits:

Company pension Employee discount Free parking On-site parking Private medical insurance
Work Location: In person