Health & Social Care Co-ordinator

  • Tavistock
  • Livewell Southwest
To use CareFirst 6 (Social Care) IT systems, inputting referrals, assessment and care requirements and allocating cases on the Social Care system. To use ICare/SystmOne to check client data. To collate, input and produce relevant data for statistical analysis using IT packages including Excel and Access. For example, Service discharge outcomes and emergency nursing bed usage. To record and collate relevant client information on Excel and CareFirst 6 as part of ongoing evaluation /assessment/review and to track progress of open cases. To ensure all recorded information is accurate, up to date and factual. To develop an understanding and awareness of all the resources available, to meet the needs of people in the community and to contribute to information needs within the community to assist the development of appropriate resources. To provide a client centred approach to ensure all clients and carers views and opinions are considered and all people who make an enquiry are given respect, dignity and understanding. Delivering a high quality, efficient and effective service at all times complying with equality and diversity policy and legislation. To take Health & Social referral information in a consistent manner which involves interviewing callers and taking referrals from other agencies, professionals and members of the public on a daily basis. Ensuring accuracy and demonstrating non-judgemental and objective work practice and consideration of clients and carers views. To screen referrals according to the relevant health and social care criteria. For example, deciding if an individual qualifies for a crisis health care funded placement using internally set criteria. To continually prioritise incoming work based on individuals needs and inform service users on progress. For example prioritising workload to enable HSCCs to leave the office without having a detrimental effect on other colleagues or targets. To be predominantly office-based and occasionally carry out community visits as a lone worker unless a risk assessment indicates otherwise. To request, carry out and contribute to client assessments/reviews as appropriate, using the Single Assessment Process (SAP), via telephone or client visit in accordance with legislation, directorate policies and guidelines. To support and participate in the daily duty system. This can be very pressurised and stressful and may include working with Vulnerable Adults, stressed carers and at risk clients. To identify urgent assessments that need to be completed the same day to act, alert or liaise as appropriate, or to signpost for example, clients who are at serious risk for example those expressing suicidal ideation/intent and vulnerable adults. To advise clients and key people of the charging policy and to explain the role of the Financial and Benefit Team (FAB). If appropriate, refer the client to the FAB team in accordance with policy via Paris. To commission appropriate health and social care services in accordance with current eligibility criteria (including Care Act criteria), Standards and Indicators and liaise with clients, carers, families and the multidisciplinary team. To formulate/contribute to detailed care plans/summary of needs and contribute to the setting of clients’ goals and objectives, based on initial assessments carried out by the multidisciplinary team and contributed to by the HSCC. As a member of the multidisciplinary team, to continue developing and expanding on the good working relationships that exists between all services. To arrange appropriate health or social care placements in residential/nursing homes and intermediate care settings within strict time constraints. To complete all relevant paperwork processes for example, the banding tool (social care assessment tool for determining the cost of an individual residential/nursing care placement) and to request health care needs assessments where appropriate. To coordinate a short-term caseload (which may include acute medical crisis and people with behavioural/mental health problems) and to act as a Keyworker where appropriate, to ensure people receive acre to meet their holistic assessed needs, within the team’s care management budget and health care criteria. To participate in the induction and training of new members of staff and to contribute to the multidisciplinary team development. Demonstrate an ability to undertake duties in an autonomous manner with advice from the professional lead as appropriate (Locality Social Care Lead). To support the determination of a clients’ crisis and organising a care package accordingly. To ensure confidentiality policy is followed at all times To represent the Locality Team at task group meetings to support and assist in the development of working practices and procedures; for example, I.T. task groups and Locality development meetings. Please see attached job description and person specification for full details of the role.