Care Navigator

About the role

EMPLOYING ENTITY IS CENTRAL LONDON HEALTHCARE CiC Job Title: Care Navigator Fixed Term contract for 12 months Salary: £31,750 per annum Fixed Term contract for 12 months Hours: 37.5 h ours per week Responsible to: Operations Manager Key Relationships: General Practice, Healthcare LTD, One Westminster, Central and North West London NHS Foundation Trust (CNWL), Central London Community Healthcare NHS Trust (CLCH). WHO WE ARE Central London Healthcare CiC is the GP Federation owned by our 30 General Practices covering the Central London (Westminster) area. The organisation supports 4 Primary Care Networks (PCNs). We operate several NHS contracts on behalf of our PCNs including a Community Dermatology Service; Community Cardiology Service and a Secondary Care Referral Service and an out-of-hospitals provision which is sub-contracted to our 33 General Practices. On behalf of our practices we are the host employers of a large, and rapidly growing team of ARRS (Additional Roles Reimbursement scheme) roles including Clinical Pharmacists; Pharmacy Technicians; First Contact Physiotherapists; Dieticians; Paramedics; Social Prescribers; Care Coordinators, Digital & Transformation Leads, Nursing Associates, GPAs and Care Co-ordinators. HOW WE WORK Our vision is to be recognised as a leading GP provider network, run by clinicians for the benefit of our local population and practices. We will achieve this by working with patients and partners to ensure that general practice remains sustainable and independent. We aim to further diversify our income by exploring commercial joint ventures and expanding our research team in the coming years. Our people are our greatest asset. When we feel included, valued and supported in work this positivity reaches those very people we are here for, the patients. CLH is committed to actively supporting diversity and inclusion and ensuring that all our employees are valued, treated with dignity and respect and enabled and supported to reach their potential. Our employees work flexibly according to the needs of our customers, typically onsite at our practices or hub sites or at our offices near Marylebone/Edgware Road. Our office-based roles are typically worked as hybrid roles the pattern of which are agreed and reviewed according to service/team requirements. Care Navigators (CN) will be responsible for supporting GPs through providing care coordination for the most vulnerable and complex patients. This includes, for example, being responsible for intelligent tasking and patient referrals, completing Care Plans and delivering targeted public health messages to patients. In addition, CNs will work collaboratively with colleagues across health, social care and the third sector to provide patient-centred care. They ensure coordinated and effective delivery of the patient's Care Plan for those patients identified through risk stratification by the GP. They may also be asked to contribute towards other administrative tasks within the GP Federation. They lead on the creation of patient Care Plans and support patients throughout their interactions with primary care services. Each CN will be aligned to specific GP Practices within the GP Federation and will be required to work across several practices within the designated PCN structure. The role is predominantly non patient facing and support will be mainly provided via telephone. The Complex Case Management service offers targeted support in specialised areas. As part of your role, you will have the opportunity to assist with this element of the service. The Care Navigation service is about development and involves careful planning and execution, by following a structured approach. Main Duties of the Job Clinical Systems/Medical Records Use SystmOne to record all patient interactions, using appropriate templates and in accordance with GDPR regulations. Maintain up to date and accurate records. Effective and timely response to 'tasks' sent assigned to the CN. Support patients via Surgery Connect telephony system and email. Knowledge and understanding of the local 3rd sector organisations, services and pathways. Maintain up to date records both internally and externally. General Duties & Responsibilities Support patients to develop and review Care Plans in line with a personalised care approach, to manage their needs and achieve better healthcare outcomes. Chair and participate in regular MDTs and ICTs as required. Provide coordination and navigation for people and their carers across health and care services. Helping to ensure patients receive a joined-up service and the appropriate support from the right person at the right time. Refer onwards to other health, social care and the third sector providers where required where there is an unaddressed need. Proactively identify when action or additional support is needed, alerting relevant professionals, and highlighting any safety concerns. Demonstrate a flexible attitude and be prepared to carry o

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