TLCP Care Coordinator Apprentice Honor Oak Group Practice
The Care Coordinator, working closely with care homes managers, staff, GPs and health and social care workers will support multidisciplinary team-work and service integration around older people's care, with the aim of transforming the care provided either to care-homes' residents or patients trying to remain in their own homes.
Closing date: 31 May 2022
£270.00 - £337.50
Total hours per week: 37.50
Possible start date
10 Jun 2022
26 Jan 2022
Level 3 (A level)
The following are the core responsibilities of the care coordinator. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels:
- Support Quality and Outcome Frameworks,PCN and other LES and DES specifications
- Maintain and develop engagement with appropriate TLCP colleagues and encourage ‘best practice’
- Act as the first port of call for patients, in their caseload in relation to their care.
- Bring together all of a person’s identified care and support needs, and explore their options to meet these into a single personalised care and support plan (PCSP)
- Working across TLCP to manage the needs of patients in Care Homes, supported accommodation or trying to remain living at home, taking into consideration all aspects of those needs to include: - NHS national care homes direct enhanced service specification – Enhanced Care in Care Homes https://www.england.nhs.uk/publication/enhanced-health-in-care-homes-framework/
- Performance targets - Ensure all patients receive enhanced care in a timely fashion and any other aspect of managing the patient facing service. The post holder will work with Care Homes Managers to ensure timely care and optimal management for all patients referred to the service. The post holder will be responsible for the day to day supervision of service quality and escalate any concerns or issues to their line manager It is essential that the post holder exercise initiative and that patient confidentiality is maintained at all times.
- Support with the performance dashboards.
- Support with any admin related task to the central team
- To work as part of a multi-disciplinary team in a patient facing role to assess and respond to patients and colleagues using their expert knowledge
- To be responsible for arranging assessment of new patients with subsequent production and completion of individual care plans by appropriate clinicians
- To provide personalised support to individuals, their families and carers to ensure that they are active participants in their own healthcare and to empower them to take more control in managing their own health and well-being, to live independently and to improve their health outcomes Undertake work in line with PCN directed priorities.
- Proactively identify and work with a cohort of people to support their personalised care requirements, using the available decision support aids
- Ensure regular and consistent communication with the referrer regarding patient progress and any complications or guidance
- Support national screening and immunisation programmes and NHS health checks
- Monitor referrals to ensure tasks are completed and care delivered by keeping in regular telephone contact
- Direct liaison with multiple agencies to coordinate care for patients
- Refer to PCN social prescribing link workers or health coaches were a patient is identified as potentially benefitting from this service
- To support patient/carer contact roles, and collate patient and carer feedback on their experiences
- Raise awareness of shared decision-making and decision support tools, and assist people to be more prepared to have a shared decision-making conversation
- Ensure that people have good quality information to help them make choices about their care
- Support people to understand their level of knowledge, skills and confidence – their “Activation “level – when engaging with their health and wellbeing, including using the Patient Activation Measure
- Assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing
- Explore and assist people to access personal health budgets where appropriate.
- Provide coordination and navigation for people and their carers across health and care services, alongside working closely with social prescribing link workers and other primary care roles.
- Support the coordination and delivery of MDTs for their patient cohort
Requirements and prospects
- Written and verbal communication
- Customer service
Person Specification (Essential)
- Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
- Able to work as part of a team
- Able to support people in a way that inspires trust and confidence, motivating others to reach their potential
- Ability to communicate effectively, both verbally and in writing, with people, their families, carers, partner agencies and stakeholders.
- Ability to identify risk and assess/manage risk when working with individuals
- Excellent negotiating skills
- Ability to maintain effective working relationships and to promote collaborative practice with all colleagues in PGPA, PCN and the wider system
- Demonstrates personal accountability, emotional resilience and works well under pressure
- Experience of data collection and providing monitoring information to assess the impact of services
- Experience of partnership/collaborative working and of building relationships across a variety of organisations
- Working in a multi-disciplinary setting where influence and negotiation is required
- Knowledge of the personalised care approach
- Advanced experience of using word, excel and PowerPoint including ability to use word processing skills, emails and the internet to create simple plans and reports
- Creative problem solver and willing to search for hard-to-find information
- Meets DBS reference standards and has a clear criminal record, in line with the law on spent convictions
- Continued commitment to improve skills and ability in new areas of work
Person Specification (Desirable)
- Demonstrable commitment to professional and personal
- Training in motivational coaching and interviewing or equivalent
- Experience in use of databases
- Experience of working with or in general practice
- Knowledge/familiarity with medical terminology
- Vulnerable adults’ awareness
- Experience of care of the elderly
- Knowledge of general practice clinical systems, such as, EMIS ,docman, accurx
- Ability to read large amounts of information and extract the salient points, to analyse data and report on findings
NVQ Level 2 Business Administration (or relevant experience)
Opportunity to become a full time employee
About the employer
The Lewisham Care Partnership was formed on 1st June 2017. It represents the joining of 5 local GP Partnerships delivering Primary Care Services from 6 sites in the centre of Lewisham. SE London (See list of Partners and the sites they work from).
The aim of the merger is to deliver sustainable general practices services to a population of nearly 60k patients.
Applications for this apprenticeship are being processed by Southwark College
Giuseppe Arcuri +44 20 3757 3558 firstname.lastname@example.org
The apprentice will attend Southwark College every Monday and work other 4 days in the employer's workplace.
Induction Training: As part of the TLCP, all personnel are to complete a induction programme; this is managed by the Manager.
Learning and Development: The effective use of training and development is fundamental in ensuring that all staffs are equipped with the appropriate skills, knowledge, attitude and competences to perform their role. All staff will be required to partake and complete mandatory training as directed by the training coordinator, as well as participating in the TLCP training programme. Staff will also be permitted (subject to approval) to undertake external training courses which will enhance their knowledge and skills, progress their career and ultimately, enable them to improve processes and service delivery.
Collaborative Working: All staffs are to recognise the significance of collaborative working. Teamwork is essential in multidisciplinary environments. Effective communication is essential and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner.
Service Delivery: Staff at The Lewisham Care Partnership must adhere to the information contained with the policies and regional directives, ensuring protocols are adhered to at all times. Staff will be given detailed information during the induction process regarding policy and procedure.
Level 3 (A level)
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