Candidates will need to be a teamplayer with a passion for giving excellent customer service. This role will be managing our chronicdisease register and will require good data awareness and personal skills. A good understanding of Quality outcomeFramework (QOF) targets along with a working knowledge of EMIS is desirable. Previous experience gained within the NHS,promoting attendance at Health Promotion clinics, ensuring patients are calledfor reviews in a timely manner and carry out basic searches is preferred.
Main duties of the job The purpose of the role is to work as part of the QOF team and support theclinicians at Tyntesfield Medical Group to achieve all QOF targets annually.
About us Tyntesfield Medical Group in North Somerset is a 13 Partner General Practice with a patient list size currently of around 35,000 split across four sites: Tower House Medical Centre, Brockway Medical Centre, Backwell Medical Centre and Long Ashton Surgery.
We are a friendly and accessible team providing excellent healthcare in our community. We provide a professional, safe, supportive, and efficient working environment for everyone in the practice. We are a forward-thinking organisation with a strong emphasis on teamwork and patient-centred care.
Job responsibilities Co-ordinatecare for disease prevention and actively promote attendance at Health Promotionclinics
Havea good understanding of QOF targets and ensure patients are called for reviewin a timely manner
Regularlysearch for patients with poor disease control and target them for additionalsupport, e.g., for weight loss/drug compliance/overdue blood tests or otherinvestigations
Activelysearch for patients with a high BMI or smokers to support to change
Refer signpostpatients to smoking cessation, exercise and weight loss services
Liaisewith the Social Prescribing Team (Wellbeing Team) when required
Utilisepopulation health intelligence to proactively identify and work with a cohortof patients to deliver personalised care
Helppatients to manage their needs through answering queries, making and managingappointments
Workwith the GPs and other primary care professionals to identify and manage acaseload of patients, and where required and as appropriate, refer patientsback to other health professionals
Discusspatient related concerns with a GP where required
Supportpre-diabetic patients to ensure annual HbA1c and referral to National DiabetesPrevention Programme education where necessary
Toimprove the Population Health Management within the practice to enable betterclinical outcomes
Ensurethe health promotion clinics are used efficiently and effectively by activelymanaging clinic bookings and patient recall.The support would include:
Ensure early follow up for diabeticreview if needed more frequently than annually
Ensure the patient has the mostefficient appointment if they have co-morbidities to improve engagement andcompliance
Invitepatients on the Learning Disability register for the first part of their annualreview with the QOF Team and book the second part
Sendreminders to patients overdue their cancer screening(breast, bowel, cervical, PSA)
Coordinatelong term condition monitoring for housebound patients
Createand edit EMIS searches
Claimon behalf of practice: CQRS, Local Enhanced Services, Public Health, PPAprescriptions
Person Specification Qualifications Demonstrates good standard of written and spoken English
Skills and Knowledge Good keyboard / IT skills literate with Microsoft Word and Outlook, and able to adapt to using third-party software
Ability to work independently, with minimal supervision, including initiating actions, implementing decisions, monitoring and reporting
Clear understanding of data protection requirements and participant confidentiality
Good written and verbal communication skills
Experience Quickly building trust and a positive dialogue with individuals who face challenges about their health
A flexible approach and a focus on what matters for an individual
Produce promotional material, monitoring information and producing reports
Experience using EMIS
Working within the health sector
Promoting Health Promotion clinics
Inviting patients for reviews
Carrying out basic searches
Good understanding of QoF
Personal Attributes Willingness to undertake any training as required in relation to the role
To work as part of a team and on own using initiative
Organise own time, manage workload & meet deadlines, working flexibly when required
Possessing the ability to portray, by personal example, the benefits of pursing a healthier lifestyle
Possessing a 'can do' and 'will do' attitude
Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.