Job Description

Locality Co-ordinator Role - Coastal Locality 37.5 Hours



Are you looking for a work opportunity with sea views and supportive colleagues?



Come and join our Coastal Health and Wellbeing Team, where you'll find more than just a job -- you'll discover a lifestyle, a community and a team that values you.



We're looking for a dynamic Co-ordinator to join our friendly, supportive team. This is an exciting opportunity to work in a forward-thinking environment where you can make a real difference to peoples' lives.



We're based in the picturesque coastal towns of Teignmouth and Dawlish, where rolling hills meet the sea. Whether you're a fan of watersports, coastal walks, or cosy cafes with sea views, you'll find it here. With great transport links and vibrant local communities, you'll quickly feel at home.



"We love the sense of community -- not just in our team, but in the people we care for. It's a great place to live and work." - Current Team Member



To be a central co-ordination point for the local multi-disciplinary teams including both health and social care. Facilitation and coordination of regular multi-disciplinary meetings and ensure follow through any actions relating to client discussion. Liaise with health and social care colleagues in the local community including voluntary sector representatives to try to aid the safe and independent living of complex clients in the community

Work weekends on a rota basis to provide seven day service cover



To support health and social care team colleagues in the utilisation of a range of 'case finding tools. These tools will help identify people at risk of loss of independence, potential risk of unnecessary admission to hospital or who have the need for longer-term care



To be responsible for a high-quality customer service function in recording contact information, supporting the initial prioritisation of contacts, subsequent feedback and on-going liaison with referrers and relevant others



To maintain IT based information systems and take a key responsibility for the production of key performance data



Ensure safety of team members in accordance with the lone worker policy.



This post is based across the South Devon localities.



You will be joining a truly multi-disciplinary team which aims to prevent hospital admissions, facilitate safe and effective discharges home and support patients to maintain independence in their own homes.



Our Health and Wellbeing Team is an integrated professional team which includes Co-ordinators, Social Care, Community Occupational Therapy, Community Physiotherapy, Intermediate Care, Community Nursing, Pharmacy, Dietetics, Support Workers and Volunteering in Health.



The team are proactive and have a forward-thinking core that promote a positive and a 'can do' attitude. The successful candidate will be dynamic and key in managing patients to remain in their own home.



Communication and Working Relationships



On a daily basis communicate with colleagues from the Health and Social care team and ensure that relevant information is shared between professionals to aid management of complex clients in the community.



Contact clients on the phone to gather or impart basic information; this may include people with varying degrees of communication difficulty for example dysphasia, sensory impairment or mental health issues. Ensure empathy, negotiation, tact in these situations and also ensure the ability to manage clients who may be low in mood, lacking in motivation, or angry/upset about their current circumstances.



To liaise, work closely and form strong links with all members of the Multidisciplinary team and work closely with outside agencies on a regular basis. For example, communicate the need to regularly communicate with occupational therapists, physiotherapists, district nurses, GPs, staff in acute hospital setting, community mental health nurses, social care workers and private providers of care.



On a daily basis communicate medical and social information to the above via various sources including telephone, email or face to face correspondence. This information is always confidential, frequently sensitive and can be contentious and as a result needs to be provided in a professional, appropriate and polite manner in line with data protection and information governance policy.



To contribute to multi-disciplinary team meetings in relation to current caseloads and implementation of actions required for example organising of home assessment visits, discharges, transport bookings and requesting packages of care.



Planning and Organisation



To be able to work in a demanding, pressured and stressful environment with constant interruptions by telephone, colleagues and professional office visitors, all relating to current cases or new enquiries.



To be able to multi-task, re-prioritise your workload at short notice and identify risks and urgent work that requires action.



Demonstrate the ability to undertake duties in an autonomous manner.

Coordination for Community teams:

primarily intermediate care, also to include as required: nursing, therapies + social care and occasionally related out of hours support.



Co-ordination of the regular multi-disciplinary meetings, and other relevant meetings designed to aid management of complex clients living in the community.



With assistance from professional colleagues, screen and triage referrals to health and social care and obtain further info where required so a decision can be made about the best pathway for new referrals.



Awareness and involvement in primary care core group discussions designed to support those clients who are the most vulnerable people living in the community. This may include generating lists of clients to be discussed and gathering information updates from any relevant professionals.



Awareness of urgent care response pathways, supporting with relevant referrals across services.



Follow up outstanding activities with non-attending team members and feedback on cases where appropriate.



As a member of the multi-disciplinary team continue developing and expanding on the good working relationships that exist between all services.



To coordinate short term intermediate care placements (following the local procedure) including the completion of relevant paperwork and entering of this information onto relevant systems and spreadsheets.



To participate in local service development activities and help implement change as and when required



To support with co-ordinating referral pathways for the wider teams: social care, therapies and nursing as required.



Customer Service (Social care)



To provide a client centred approach to ensure all clients and carer's views and opinions are considered and all people who are who are given an enquiry are given respect, dignity and understanding. Delivering a high quality, efficient and effective service at all times complying with equality and diversity policies and legislation.



The recording of contacts in a consistent manner by completion of a contact assessment where appropriate , or an 'observation' record on Care first 6 . This may involve face to face contact at the office and taking contacts from other agencies.



Identify urgent assessments that need action, alert and liaise with local ACS practice managers / community nurse team manager or therapy manager .



The effective signposting of contacts to other agencies or sources of help as appropriate .



To provide feedback to referrers about the outcomes of contacts and assessments in accordance with the agreed quality standards.



To ensure confidentiality process is followed at all times.



Information Technology and Administrative Duties



The post holder must have excellent keyboard skills and ability to use multiple IT systems on a daily basis to obtain & record information- systems used include Systmone, Carefirst 6, Clinical Portal, Nervecentre, DATIX & IHCS.



To have good ability to use spreadsheets and word processing packages, e.g. to maintain staff training & lone working details.



To have the ability to send and receive emails.



To ensure the information governance requirements for recording community health and social care activity are adhered to in collaboration with other team members.



Accurate inputting onto relevant IT systems to ensure any statistical data is up to date and accurate.