Diabetes Care Co-ordinator

Diabetes Care Co-ordinator

Reference: HW-1502

Wyre Forest Health Partnership:one successful and ambitious health partnership working at scale together to provide high quality innovative patient care, delivered by a valued and respected team.

Are you passionate about providing a first class service to patients? If so we would like to hear from you ...

The Wyre Forest Health Partnership (WFHP) was formed in 2014 and currently consists of 5 well established surgeries based in and around the beautiful Wyre Forest area. We have 50 GP partners and in excess of 200 staff looking after over 74,000 patients.

The position of Care co-ordinator for Diabetes will take a leading role in developing integrated care for patients with a Type 1 or Type 2 diabetes diagnosis across the Wyre Forest area. Main duties will include:

• Work with GPs and other primary care professionals to identify, manage and prioritise a caseload of patients in accordance with needs and, where required and as appropriate, refer people back to other health professionals within the PCN.
• Act as a building block for diabetes care by co-operating with other service providers to share information, jointly plan care and provide a streamlined, integrated service and to reduce variations in service delivery in adherence with confidentiality and data protection legislation and data sharing agreements.
• Help to establish new collaborative ways of working including the use of VGCs and MDTs.
• Work with the PCN team to increase uptake of educational courses for those with diabetes and pre-diabetes, including proactively recruiting and referring through direct patient contact.
• Ensure regular and consistent communication with the referrer regarding patient progress and any complications or guidance.
• Have mechanisms in place to engage with patients who are using the service and their carers.
• Using reflective working and continuous improvement practices work collaboratively with other health and care services to continuously improve, develop and evolve the service and the patient experience.
• Ensure at all times, service users experience support and contact that is user friendly, accessible, responsive to individual needs, warm and professional.
• Support the PCN to reduce inequalities by targeting cohorts of patients who struggle to engage with healthcare services.
• Support WFHP to strive for excellence in the delivery of diabetes care through audit and quality improvement activities.

For more information or an informal chat please contact Emma Anslow, PCN Team Leader –e.anslow@nhs.net

WFHP is working towards the NHS goals to reach net zero greenhouse gas emissions as soon as possible. We actively encourage new staff to take an interest in this and build sustainable practice into their roles.