Care Co-ordinator (Care Homes)

Provide coordination and navigation for people and their carers across health and care services, working closely with the Care Home Lead Clinician, social prescribers, health and wellbeing coaches and other primary care professionals. Utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care Support the Care Home staff and patients to be prepared to have shared-decision making conversations including utilising decision aids and tools. Help people to manage their needs through answering queries, making and managing appointments and ensuring that people have good quality written or verbal information to help them make choices about their care Holistically bring together all of a persons identified care and support plan, in line with best practice, based on what matters to the person Support people to take up training and education courses, peer support, and/or personal health budgets where applicable. Raise awareness within the PCN of shared-decision making and decision support tools, including how to identify patients who may benefit from this As part of the multidisciplinary team, build relationships with staff in GP practices within the PCN, attending relevant meetings, providing information and feedback on care coordination priorities Be proactive in developing strong link with local agencies, and in encouraging equality and inclusions Liaise directly with Care Homes and other key providers, and compile and circulate relevant information across stakeholder groups Understand, our in place and adhere to safeguarding protocols for vulnerable individuals Capture key information to enable comprehensive and accurate records of support, inputting these into clinical systems as required and adhering to data protection legislation