Principal Duties & Responsibilities
Identify a person's care and support needs and explore their options to meet these into a single personalised care in collaboration with the patient's primary care team.
Provide coordination and navigation for elderly people and their carers across health and care services, alongside working closely with social prescribing link workers, occupational therapists, and dietitians.
Help people to manage their needs by referring onto the wider integrated care team.
Make patients feel more empowered and actively engaged to maintain independency.
Maintain a register of patients who are over 80 and/or housebound across the PCN.
Conduct face-to-face annual assessment reviews of patients' social, physical, and mental health needs.
Refer to other agencies depending on needs.
Participate in integrated care teams to ensure the coordination of care.
Be part of a PCN-wide triage team to support with capacity and access plans.
Support practices with cancer screening programmes, assisting the PCN Cancer Lead with data collection and auditing.
Support practices with FIT testing and ensure EMIS coding is correct.
Keep accurate timesheets and other data on the service.
Ensure observance and adherence to the Health and Safety at Work Act 1974.
Work to the agreed standards, policies, procedures, and protocols of the Practices and PCN and be fully conversant with emergency procedures.
Carry out other duties as directed by the line manager/Practice Manager which are consistent with the duties and responsibilities of the post.
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Identify a person's care and support needs and explore their options to meet these into a single personalised care in collaboration with the patient's primary care team.
Provide coordination and navigation for elderly people and their carers across health and care services, alongside working closely with social prescribing link workers, occupational therapists, and dietitians.
Help people to manage their needs by referring onto the wider integrated care team.
Make patients feel more empowered and actively engaged to maintain independency.
Maintain a register of patients who are over 80 and/or housebound across the PCN.
Conduct face-to-face annual assessment reviews of patients' social, physical, and mental health needs.
Refer to other agencies depending on needs.
Participate in integrated care teams to ensure the coordination of care.
Be part of a PCN-wide triage team to support with capacity and access plans.
Support practices with cancer screening programmes, assisting the PCN Cancer Lead with data collection and auditing.
Support practices with FIT testing and ensure EMIS coding is correct.
Keep accurate timesheets and other data on the service.
Ensure observance and adherence to the Health and Safety at Work Act 1974.
Work to the agreed standards, policies, procedures, and protocols of the Practices and PCN and be fully conversant with emergency procedures.
Carry out other duties as directed by the line manager/Practice Manager which are consistent with the duties and responsibilities of the post.
#J-18808-Ljbffr
