Heart of Lincoln Medical Group (HLMG)

Mental Health Care Coordinator

The closing date is 06 August 2025

Job summary

The Mental Health Care Coordinator (MHCC) will be required to support and coordinate the mental health services across our PCN, working closely with the Complex Care Team.The Mental Health Care Coordinator (MHCC) will be required to support and coordinate the mental health services across our PCN, working closely with the Complex Care Team.

Main duties of the job

The following are the core responsibilities of the MHCC within our team. There may be on occasion a requirement to carry out other tasks; this will be dependent on factors such as workload and staffing levels:

Working closely with the patient and their clinician or other healthcare professionals, the MHCC will establish and provide:

Coordination and monitoring of physical mental health checks.

Support with sorting benefits/housing issues.

Supporting personalised care plans goals (e.g. motivating to attend appointments and following up DNAs to offer support).

Coordination of care by working closely with the local Neighbourhood Team, PCN Clinical Pharmacists, Occupational Therapists, Social Prescribing Link Workers and registered GP Practice.

Close working links with LPFT and the mental health transformation service.

In-reach discharge planning for patients on MH register (liaising with Admissions & Discharge Care Coordinator)

Care coordination on discharge for patients on MH register (liaising with Admissions & Discharge Care Coordinator).

About us

Lincoln Healthcare Partnership (LHP) PCN is made up of two practices based in central Lincoln with a patient population of just under 40,000 people. The population of the LHP PCN has a higher percentage of working age adults and includes a high number of Lincoln University students as we run a practice on the University campus site. We have a smaller than average number of older residents and we also manage a number of care homes based in central Lincoln.

Primary care networks (PCNs) form a key building block of the NHS bringing general practices together to work at scale. Building on existing primary care services and enable greater provision of proactive, personalised, coordinated and more integrated health and social care for people close to home.

Being a city centre PCN with a younger than average population along with a higher level of deprivation and prevalence of mental health than the Lincolnshire average which influences our health care needs and the associated service provision.

The development of the network has allowed for a multi-disciplined team who work across our member practices enabling better delivery of care across the area.

Date posted

23 July 2025

Pay scheme

Other

Salary

Depending on experience Salary dependant upon experience

Contract

Fixed term

Duration

14 months

Working pattern

Full-time, Flexible working, Compressed hours

Reference number

A0720-25-0014

Job locations

Lincoln Healthcare Partnership PCN

Lindum Business Park

Lincoln

LN6 3QX

Job description

Job responsibilities

The post holder will be enrolled in (or be prepared to enrol in and complete the next available course), undertaking or qualified from appropriate training as set out by the Personalised Care Institute.

The post holder will receive appropriate clinical supervision and a named individual in the PCN to provide general advice and support daily.

The post holder will need to work flexibly to meet the needs of individuals within the primary care network and this may include working in our Extended Hours service.

The post holder will need to hold a full driving licence and be prepared to travel across the PCN area.

Work as part of a multi-disciplinary team within the PCN, working closely with practice and PCN healthcare roles. The MHCC is to identify and work with the identified cohort of patients to support their personalised care requirements, using any available decision support tools such as Patient Activation Measure (PAM), templates and software.

Collate all of a patients identified care and support needs and review the options to meet these needs and bring them into a single personalised care and support plan (PCSP) in line with best practice.

Help people to manage their needs by answering their queries and supporting them in making appointments.

Assist patients to be better prepared to have conversations on shared decision making and to improve awareness of shared decision making and related support tools.

Provide patients with high quality, easy to understand information to assist them in making choices about their care.

Support patients in understanding their level of knowledge, skills and confidence (known as activation level) when participating in their health and well-being using, where appropriate, the PAM.

Assist patients to access self-management education courses, peer support or interventions that support them in their health and well-being.

Where appropriate, to assist patients to access personal health budgets.

Where appropriate, to support people to access appropriate benefits where eligible as well as taking up employment and training.

Provide coordination and navigation of patients, and where appropriate their carers, across health and social care services, where appropriate working closely with social prescribing link workers, occupation therapists and other primary care professionals.

Attend and participate in the delivery of multi-disciplinary teams (MDT) within PCNs.

Share best practice across the PCN.

Be responsible for the day-to-day planning of personal workloads.

Follow departmental policies, procedures and guidelines.

Develop yourself and the role through participation in training and service redesign activities.

Contribute to a patient safety culture through reporting and investigation of incidents and undertaking proactive measures to improve patient safety.

Actively signpost patients to the correct healthcare professional.

Maintain accurate clinical records of all patient consultations and related work.

Review the latest guidance ensuring the practice conforms to regulations eg CQC etc.

Support in the delivery of enhanced services and other service requirements on behalf of the PCN.

Participate in the management of patient complaints when requested to do so and participate in the identification of any necessary learning brought about through clinical incidents and near-miss events.

Undertake all mandatory training and induction programmes.

Contribute to and embrace the spectrum of clinical governance.

Attend a formal appraisal with their manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed.

Contribute to supporting public health campaigns e.g. flu

Support delivery of QOF, incentive schemes, QIPP and other quality or cost effectiveness initiatives.

Perform other general tasks as assigned.