Current Vacancies

Your New Health and Social Care Coordinator Role:

As a Health and Social Care Coordinator your multi-faceted role within this small, but dedicated team is vital in supporting the Multi-Disciplinary Teams in the Christchurch PCN to deliver effective, co-ordinated care for vulnerable and frail adults, particularly the elderly and those at high risk of a hospital emergency admission, ED attendances or out of hours care. One of the main aims of thisjob is to bridge the gap that exists between health and social care, to provide our patients with a holistic and wrap around approach to their needs.

As a Health and Social Care Coordinator you would work closely with:

· Practice teams, especially frailty colleagues, to help create and get agreement on a long term plan for the structure and processes to support the multi-disciplinary team (MDT) meetings and the ongoing patient case management.

· The GPs/Frailty Team in effectively managing care to frail elderly patients.

· Those involved in MDT meetings: GPs, Community Matrons, District Nurses, ICRT, Social Services, Mental Health, hospital or community based Geriatric Consultant physicians, and GP practice administration.

Duties:

· Working as a key member of the MDT to help create and get agreement on the structure and processes to support effective MDT meetings.

· Assisting with case management of patients at risk of admission, identifying sources of support in liaison with other agencies such as Social Services, domiciliary/residential care providers, the voluntary sector, dementia support providers etc.

· Liaising with families (with patient consent) and LPOA’s (lasting power of attorneys) where appropriate.

· Managing agenda items, ensuring all new referrals and cases for discussion are identified.

· Supporting the MDT in developing their risk-profiling strategies and tools to identify at risk patients and implement an agreed structured process on how this information will be fed into MDTs.

· Working with the wider MDT to identify appropriate case managers for high risk patients to ensure that patients are reviewed and anticipatory care plans are developed in conjunction with the correct agencies.

What you’ll need to succeed:

This is an interesting and multi-faceted role which requires an empathetic and creative approach

A working knowledge of the Care Act 2014, The Mental Capacity Act (MCA) and CHC continuing health care pathways, would be desirable, and an awareness of Best Interest Meetings, Multi Agency Risk Meetings, Virtual Wards etc would also be useful for this position.

A background in any of the following areas (or similar) is desirable for this role;

Social Services, safeguarding, acute hospital setting, occupational therapy, domiciliary care (supervisory level), residential care (supervisory level), dementia care, rehabilitation services etc.