Data Care CoordinatorNHS

Job summary

Vale of Evesham Primary Care Network is looking for an organised, motivated and detail-focused Data Care Coordinator to join our team.

This is a varied role combining data, administration and care coordination, supporting our work across neighbourhood health, population health and personalised care.

The postholder will work closely with our member GP practices and wider PCN team to help identify and monitor patient cohorts, maintain accurate trackers and reporting, support proactive patient contact and ensure actions and outcomes are recorded appropriately.

A key focus of the role will be supporting patients who may have unmet needs, experience barriers to accessing healthcare or require additional help to navigate services.

This is a support-level role and does not require advanced data analysis or specialist technical expertise. We are looking for someone who is confident working with information, enjoys keeping things organised and is equally comfortable communicating with patients and practice teams.

Main duties of the job

The role will include:

• Maintaining PCN spreadsheets, trackers and monitoring systems.
• Supporting routine monthly and quarterly reporting.
• Assisting with the collection and collation of data from PCN services and GP practices.
• Helping identify patient cohorts who may benefit from additional support.
• Supporting proactive patient contact and follow-up where appropriate.
• Helping patients navigate health, care, wellbeing and community services.
• Recording patient contacts, interventions and outcomes accurately.
• Following up missing information, outstanding actions and data quality issues.
• Supporting neighbourhood health and population health projects.
• Working closely with GP practices, Care Coordinators, Social Prescribing Link Workers, Health and Wellbeing Coaches and other members of the wider team.
• Providing general administrative support to the PCN.
• Supporting meeting preparation, action logs, reports and presentations where required.

Job description

The Data Care Coordinator will provide data, administrative and care coordination support to the Vale of Evesham Primary Care Network (PCN).

The role will support the PCN team and member practices with the collection, monitoring and reporting of information relating to PCN services, neighbourhood working, personalised care and commissioned projects.

The postholder will work with established spreadsheets, clinical systems and reporting tools to help ensure information is accurate, up to date and available when required.

A key part of the role will be supporting practices and the wider PCN team to identify cohorts of patients who may benefit from additional support, helping to coordinate care and supporting appropriate patient contact and follow-up.

The role does not require advanced data analysis or specialist technical expertise. The emphasis will be on accurate data collection, monitoring, coordination, routine reporting and supporting patients to access appropriate care and services.

Main Duties and Responsibilities

Data and Reporting

• Assist with the collection and collation of data from PCN services and member practices.
• Maintain spreadsheets, trackers and monitoring systems used by the PCN.
• Support the preparation of routine monthly and quarterly reports.
• Check information for completeness and highlight missing or inconsistent data to the appropriate member of the team.
• Assist with pulling routine reports from clinical and administrative systems.
• Enter and update information accurately and in a timely manner.
• Support the monitoring of activity, outcomes and performance against agreed PCN and contractual requirements.
• Help maintain dashboards and other simple visual reporting tools.
• Support the PCN Manager and wider team with information required for meetings, reports and submissions.
• Support practices to identify patients or cohorts requiring proactive contact, follow-up or additional support.
• Assist with monitoring whether identified patients have been contacted and whether meaningful outcomes have been achieved.

Care Coordination and Personalised Care

• Use population health information, practice data and agreed searches to help identify cohorts of patients who may benefit from additional support.
• Proactively contact identified patients where appropriate and in line with agreed PCN and practice processes.
• Talk with patients to understand any barriers they may be experiencing in accessing or engaging with health, care or community services.
• Support patients to understand and navigate available health, care, wellbeing and community services.
• Help patients access appropriate appointments, referrals, information and support.
• Work with patients and the wider multidisciplinary team to help coordinate identified health, care and support needs.
• Take a personalised approach by considering what matters to the individual and any practical barriers that may affect their ability to access care.
• Support patients to access appropriate information and resources to help them make informed decisions about their care and wellbeing.
• Support follow-up of patients where further contact or intervention has been identified.
• Record patient contacts, interventions and outcomes accurately within appropriate clinical and PCN systems.
• Ensure patient contacts are meaningful and that agreed outcomes, actions or onward referrals are clearly documented.
• Work closely with Social Prescribing Link Workers, Health and Wellbeing Coaches, Care Coordinators, practice teams and other members of the multidisciplinary team.
• Identify patients requiring additional clinical, safeguarding or specialist input and escalate appropriately within agreed pathways.
• Support continuity and coordination between different services where patients are receiving support from multiple organisations.
• Undertake appropriate Care Coordinator and personalised care training in accordance with relevant NHS requirements and the needs of the role.

Neighbourhood and PCN Support

• Support data collection relating to neighbourhood health initiatives and PCN projects.
• Maintain patient and activity trackers where required.
• Support practices and PCN staff to ensure required activity and outcomes are appropriately recorded.
• Support the monitoring of patient contacts, interventions and outcomes.
• Assist with identifying missing information or outstanding actions and follow these up with relevant teams.
• Support neighbourhood health initiatives aimed at improving access, reducing health inequalities and improving engagement with services.
• Support the identification and follow-up of patients who may have disengaged from services, frequently use services or have unmet needs.
• Assist practices with monitoring agreed patient cohorts and recording progress against agreed measures.
• Support the coordination of PCN services and projects where administrative or care coordination input is required.

Administrative Support

• Provide general administrative support to the PCN team.
• Assist with the preparation of meeting papers, reports and presentations.
• Take notes or minutes at meetings where required and maintain action logs.
• Support diary management, meeting organisation and circulation of information.
• Maintain organised electronic filing systems and documentation.
• Respond to routine enquiries and direct queries to the appropriate member of the team.
• Support the maintenance of PCN service information and directories.
• Follow up outstanding information, actions and data with practices and PCN staff where required.
• Assist with the organisation and coordination of PCN and neighbourhood activities.

Quality and Information Governance

• Handle patient and organisational information confidentially and in accordance with NHS information governance requirements.
• Ensure data is entered and stored accurately.
• Follow PCN policies and procedures relating to confidentiality, data protection and information security.
• Highlight data quality issues or concerns to the appropriate manager.
• Ensure patient information is only accessed where there is a legitimate requirement to do so.
• Maintain accurate records of patient contact, actions, referrals and outcomes.
• Contribute to improvements in administrative, data and care coordination processes where appropriate.
• Support the PCN in demonstrating evidence of meaningful patient engagement and outcomes where required for contractual or reporting purposes.

Working Relationships

The postholder will work closely with:

• PCN Manager
• Neighbourhood Prevention & Wellbeing Lead
• PCN clinical and non-clinical staff
• Practice Managers and practice teams
• GPs and other clinical staff
• Care Coordinators
• Social Prescribing Link Workers
• Health and Wellbeing Coaches
• Member GP practices
• Neighbourhood team members
• Community and voluntary sector organisations
• External partner organisations where appropriate

Scope of the Role

This is a support-level role focused on data collection, administration, monitoring, coordination, routine reporting and care coordination.

The postholder will not be expected to undertake complex data analysis, independently develop advanced reporting systems or provide clinical advice.

The postholder will work within agreed processes and pathways and will escalate clinical, safeguarding or complex issues to the appropriate member of the team.

The role will support the PCN in proactively identifying patients who may benefit from additional support, coordinating appropriate interventions and ensuring patient contacts, actions and outcomes are accurately recorded.

Appropriate support, supervision and training will be provided by senior members of the PCN team.

About us

The Vale of Evesham Primary Care Network brings together seven GP practices to work collaboratively to improve services for our local population.

You will be joining a supportive and developing PCN team, with the opportunity to contribute to neighbourhood working, health inequalities, personalised care and new ways of supporting patients across the Vale of Evesham.

The role offers a good opportunity for someone who enjoys working with data and systems but also wants to make a practical difference to patient care.