Care NavigatorNHS

Job summary

The Care Navigator role is a varied and rewarding role, working for the Waterside PCN which incorporates The Red and Green Practice, Forestside Medical Practice and Waterfront and Solent Surgery. As well as working in our Practices you will be visiting patients in their own homes (patients will primarily be over the age of 65).

The post is a supportive role to the health and social care professionals who will take the lead and responsibility for the clinical and social care provided to the patient.

The role of the Care Navigator is pivotal in supporting a self-management approach to care ensuring the patient and carer is at the centre and an active part of the holistic care approach. As part of the Practice teams and wider PCN team, a Care Navigator will work with the voluntary services in the local community and signpost patients to services depending on their needs, liaising with adult services if necessary.

Main duties of the job

To meet with or telephone the patient/carer in a mutually convenient location such as the patients/carers home, hospital, or GP Practice.

To support patients to ensure appropriate referrals are made, identifying clear needs and goals.

Co-ordinate the delivery of care and ensure that the agreed interventions are actioned through onward signposting to the appropriate service.

Explain and help the patient and their carer understand the processes and systems within the NHS and statutory sector. For example, how to refer to the occupational therapy team or adult services for a care needs assessment.

Keep up to date with NHS and community services through proactive networking to ensure individuals are aware.

Devise a strategy with the patient and/or their carer to enable patients to lead more independent lives, reducing their need to engage health and social services.

Act as the coordinator between different agencies involved with the patients/carers to ensure joined up and seamless care.

Enable the patient and their carer to liaise with professionals from secondary and primary care and the wider integrated care team.

Keep up to date well documented notes on the patients medical record ensuring all components reflected on the patient referral are covered.

Attend practice, PCN, and other relevant meetings as required.

Complete all mandatory training and attend any other training opportunities as required.

Participate in 4 monthly check-ins with the Team Leader or Manager.

Job description

Main Duties

To perform specific day to day tasks associated with care navigation including:

To meet with or telephone the patient/carer in a mutually convenient location including but not restricted to the patients/carers home, hospital, or GP surgery.

To support patients as required, ensuring appropriate referrals are made, identifying clear needs and goals.

Co-ordinate the delivery of services and ensure that the agreed interventions are actioned through onward signposting to the appropriate services. Examples of services and support patients/carers could be signposted to include, lunch clubs, social groups, befriending services, GP, volunteering schemes, social care, and urgent community responses, including other healthcare professionals within the primary care networks.

Explain and help the patient and their carer understand the processes and systems within the NHS. For example, how to refer to the occupational therapy team or adult services for a care needs assessment.

Keep up to date with NHS and community services through pro-active networking to ensure individuals are aware.

Devise a strategy with the patient and their carer to enable patients to lead more independent lives, reducing their need to engage health and social services.

Act as the coordinator between different agencies involved with the patients/carers to ensure joined up and seamless care.

Enable the patient and their carer to liaise with professionals from secondary and primary care and the wider integrated care team.

Keep up to date well documented notes on the patients medical record using EMIS, ensuring all components reflected on the patient referral are covered.

Maintain the patient at the centre of their care and decision making.

Attend Primary Care Network (PCN), and other relevant meetings such as hospital discharge meetings as required.

Complete all mandatory training and attend any other training opportunities as required.

Participate in 4 monthly check-ins with your Team Leader or Manager.

This is a non-clinical role.

General responsibilities

Confidentiality

The post holder must maintain the confidentiality of information about patients staff and Health Service business in accordance with the Data Protection Act (1984).

Equal Opportunities

The post holder must at all times carry out his/her responsibilities with regard to the PCN's Equal Opportunities Policy.

Health & Safety

Employees must be aware of the responsibilities placed upon them under the Health & Safety at Work Act 1974 to ensure that the PCN's safety procedures are carried out to maintain a safe working environment.

Data Protection Act

All the employees must not without prior permission disclose any information regarding patients or staff. In circumstances where it is known that an employee has communicated to an unauthorised person the employee may be liable for dismissal.

Clinical Governance Statement

To promote a service culture in which clinical governance becomes an integral part of normal working and to ensure that the requirements of clinical governance are met by any staff for whom the post holder is responsible.

Be willing for the PCN to request a DBS criminal records check.

This job description is intended as an outline of the role, however requirements and responsibilities may vary, and are therefore not limited to the above.

About us

The Waterside PCN provides proactive and coordinated care to 42,000 patients. We have a strong focus on health promotion and personalised care, supporting people to make informed decisions about their health and social care.

We are a dynamic, friendly and supportive PCN with significant experience in training healthcare professionals and offering new models of care utilising a diverse skill mix of professionals,