Cancer Care Coordinator – Newton Place Surgery
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Newton Place Surgery is looking to recruit a Care Coordinator to support our multidisciplinary team. The post holder will be responsible for the co-ordination and delivery of specific projects to ensure the achievement of key health and welfare objectives of Newton Place Surgery.
Newton Place Surgery is a vibrant surgery with a great family feel, set in the beautiful market town of Faversham in the countryside of Kent. There are good transportation links as the practice is close to the station and the junction 6 M2 turn off. The practice has 9 GP partners and a large clinical and administrative workforce. We are a forward-thinking partnership, continually investing in our future and are committed to delivering high quality care to our 19,000 registered patients.
As a Cancer Care Coordinator, you will work as a key part of the PCN multi-disciplinary team. You will be the key link to the people whose care you are supporting, operating as a go to person to ensure that their care is seamless. Care Coordinators provide extra time, capacity and expertise to support patients in preparing for or in following-up clinical conversations they have with primary care professionals.
You will work closely with the Clinical Leads and other primary care professionals within Newton Place Surgery to identify and manage a caseload of identified patients, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed.
The Cancer Care Coordinator will be involved in increasing screening uptake and work closely with various practice teams to identify and work with groups and individual patients to increase uptake and provide, co-ordinate and navigate the appropriate care and support for patients across the Newton Place Surgery.
This will include achieving and exploring all options of support, completing a cancer care review based on what matters to the patient, assisting them to access services and identify any support they require, understanding and managing their own health and wellbeing.
As an individual you will liaise with PCN Clinical Leads, GP Practice staff, Social Prescriber Link Workers, Clinical Pharmacists, Pharmacy Technicians, Cancer Alliances, Hospice Services, and other professionals where appropriate.
Key Duties and Responsibilites
- Be a first point of contact for all newly diagnosed cancer patients.
- Be a first point of contact for patients who have been referred via the suspected cancer referral pathway from primary care into secondary care. Ensuring cancer referral safety netting.
- Be a point of contact for patients by letter, telephone, or face to face appointments to ensure the relevant supporting information and support is given to include the importance of their attendance at hospital appointments.
- Be able to listen to a patient’s needs from the point of referral to newly diagnosed and beyond.
- To be able to manage a patient needs appropriately documenting all consultations within the patient’s notes.
- Work with patients, their families, and carers to provide support and care and manage their needs.
- Listen to patients needs and help to manage their needs through answering queries and sign posting to the relevant services.
- Contact and organise clinical reviews for all patients with a new diagnosis with a GP where appropriate.
- Complete a Cancer care review with patients via telephone consultation or face to face where current COVID climate conditions permits, recording an accurate and concise consultation within the patient’s notes using EMIS or SystmOne clinical systems.
- Liaise with appropriate GP’s and professionals when appropriate to maximise patient needs to include identifying patients to the Gold Standard Framework (GSF) list.
- Build effective relationships with each practice and their staff.
- Build effective relationships with local system partners such as: Cancer Alliances, Hospice Outreach team, District Nurses and Public Health.
- To run weekly clinical system searches for newly diagnosed cancer patients, contacting patient to arrange appointments.
- Contribute to increasing uptake of national screening programmes
- Contribute to the evaluation of the service, collate and input timely data and suggest/implement service improvements.
- To produce performance and quality improvement reports as requested by PCN Leads.
- Keeping up to date with National/Local Cancer Strategies.
- Ability to work within a team and independently.
- Attend and contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the service performance.
- Work collaboratively with the current Clinical Leads, Clinical Pharmacists, Pharmacy Technicians, Care Coordinators and Social Prescriber Link Workers, through peer support and as part of the wider Team.
- Work proactively with Acute Trusts to understand the discharge process and be able to positively input into processes that optimise the patient’s journey.
- Undertake any other duties deemed appropriate by the practice or PCN Cancer Lead, practice Clinical Care Co-ordinator and practice Operational Manager.
- Complete annual mandatory training as required.
- Enrol as a member of the Personalised Care Institute to receive up to date training and opportunity to join webinars.
- Participation in an annual individual performance review, including taking own responsibility for maintaining record of own personal record.
- Make appropriate referrals from the completed Cancer care review recording within the patient notes and complying with relevant data privacy and consent
- Seek regular feedback about the quality of service and impact of care coordination on referral agencies.
- Work with the patient, their families and carers and consider how they can all be supported by services available to them.
- Bring together a person’s identified care needs and explore their options to meet these within a simple coproduced personalised care and support plan, including what they can expect from the groups, activities and services they are being connected to and what the person can do for themselves to improve their health and wellbeing.
- Seek advice and support from the Clinical Leads and/or identified individual(s) to discuss patient-related concerns (referring the patient back to the GP or other suitable health professional if required).
- Work sensitively with people, their families and carers to capture key information, enabling comprehensive and accurate records of support.
- Encourage people, their families and carers to provide feedback and engage fully in the care coordination process.
- Work closely within the MDT and with GP practices within the PCN to ensure that the comprehensive records of MDT case discussions are inputted into clinical systems, adhering to data protection legislation and data sharing agreements.
The role is pivotal to improving the quality of care and operational efficiencies so requires motivation and passion to deliver excellent service within general practice.
The role is an ARRS role under the Primary Care Network DES, but you will be directly employed by Newton Place Surgery.
Please see attached job description and person specification for full details about the role.
If you have the necessary experience and skills we would love to hear from you.
Please send your CV and cover letter to kellytemple@nhs.net.