Care Coordinator Level 3 - Care Homes
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We are looking for a Care Coordinator to join GPS Healthcare and support the delivery of personalised, proactive and coordinated care for patients living in our aligned care homes.
This is an important role within our care home service, acting as a central point of contact for care home staff, patients, families and carers. The post holder will support clear communication between care homes, GPS Healthcare clinicians, community services and wider partner organisations.
The role will involve coordinating care home ward rounds and clinician visits, maintaining accurate information on care home residents, supporting the development and review of personalised care and support plans, and ensuring actions are followed up and recorded appropriately.
The post holder will also contribute to the delivery of the Network Contract DES, including Enhanced Health in Care Homes, proactive care, personalised care and support planning, QOF/planned care activity, accurate coding and joined-up multidisciplinary working.
The role will require travel between GPS Healthcare sites and aligned care homes during the working day. Candidates must be able to travel independently to fulfil the requirements of the role; where a car is the most practical means of doing this, a full UK driving licence and access to a vehicle will be required. Reasonable adjustments and alternative travel arrangements will be considered
Job description
Act as the main operational point of contact for aligned care homes, ensuring queries, concerns and requests are directed to the appropriate GPS Healthcare team or clinician.
Build effective working relationships with care home managers, care home staff, clinicians, community services and wider partner agencies to support continuity of care.
Coordinate regular care home ward rounds, including planning clinician attendance, preparing patient information, liaising with care home staff and supporting appropriate follow-up actions.
Support multidisciplinary working across GP, ACP, pharmacist, nursing, care coordination, social prescribing and community services to help meet the needs of care home residents.
Support the creation, update and review of personalised care and support plans for care home residents, ensuring these reflect the patients health, wellbeing and support needs.
Support the coordination of QOF, long-term condition reviews, housebound patient reviews and other planned care activity for care home residents, including use of reports, templates and ward round processes to support timely completion and accurate recording.
Maintain accurate and timely records on the clinical system, including patient contacts, ward round actions, care planning activity and agreed follow-up.
Support the delivery of the Enhanced Health in Care Homes model and relevant PCN DES requirements, including weekly care home rounds, personalised care and support planning, multidisciplinary working and accurate recording of care.
Recognise when patient needs, clinical concerns, safeguarding issues or urgent matters fall outside the scope of the role and escalate promptly to the appropriate clinician, manager or service.
Support the coordination of care home vaccination programmes and other seasonal care home workstreams, including liaison with care homes, consent processes, clinic arrangements, recording and follow-up activity where required.
Contribute to service improvement by identifying themes, practical barriers and feedback from care homes, supporting improvements to local care home processes.
If you would like to have an informal chat about the role or arrange to visit our main site, please contact us at humanresources.gps@nhs.net
Person specification
Qualifications
Essential
- Good standard of general education, including literacy and numeracy sufficient to maintain accurate records and communicate effectively.
Desirable
- Care Certificate, health and social care qualification, customer service qualification or equivalent experience.
- Personalised Care Institute training or willingness to complete relevant training.
Experience
Essential
- Experience of working in a care coordinator, health and social care, public health, community support, care home or related patient-facing role.
- Experience of supporting patients, families, carers or care home staff in a health, care or support setting.
- Experience of working with multi-professional teams and coordinating actions across different services or stakeholders.
- Experience of maintaining accurate records, using systems and following up actions.
Desirable
- Experience of working with care homes, older people, frailty, vulnerable adults or patients with complex needs.
- Experience or training in personalised care and support planning, proactive care, social prescribing or health coaching.
Knowledge/Skills
Essential
- Understanding of personalised care, proactive care and the importance of what matters to the patient.
- Understanding of the role of primary care, PCNs, care homes, community services and social care in supporting patients with complex needs.
- Ability to coordinate appointments, ward rounds, clinician visits, MDT actions and follow-up tasks in a timely and organised way.
- Ability to prioritise workload, manage competing demands and escalate concerns appropriately.
Desirable
- Knowledge of the Network Contract DES, Enhanced Health in Care Homes framework, MDT working or structured medication review processes.
- Knowledge of SystmOne or similar clinical systems.
- Knowledge of safeguarding children and vulnerable adults policies and processes.
About the employer
GPS Healthcare is a single-practice Primary Care Network operating across six sites in central and south Solihull. We provide care to approximately 40,000 patients and work collaboratively with partner PCNs, University Hospitals Birmingham, Solihull Council, Community Services, and the Integrated Care Board.
Our team is committed to providing outstanding patient care within a supportive, forward-thinking environment. Solihull offers excellent transport links, a semi-rural setting, proximity to Birmingham Airport and the NEC, and access to scenic Warwickshire countryside, contributing to a high quality of life for both staff and residents.
We offer a comprehensive range of staff benefits including: