Job summary
PLEASE NOTE INTERVIEWS WILL BE HELD ON 11 FEBRUARY 2026
Are you looking for a more fulfilling career or the next step in your career journey? One that gives you a sense of achievement knowing that each day you are helping people access the healthcare they need?
If this sounds like you, we have the perfect opportunityfor you!
We are looking for an individual to join our Personalised Care Team who:
- Are enthusiastic and self-motivated
- Are able to use their initiative
- Are an excellent communicator, both written and verbal
- Are able to listen and empathise
- Are keen to learn and develop
- Demonstrate attention to detail
- Can be flexible and adaptable
- Are competent with IT
Main duties of the job
In the role of Care Co-ordinator, you will work alongside the Personalised Care Team, GPs, ACPs and a range of health and community services to co-ordinate and personalise care to ensure patients, including those with complex needs or at risk, receive the right support and are actively involved in managing their care.
You will support patients and their families to navigate services, develop personalised care and support plans, and improve health outcomes through a person centred, co-ordinated approach.
Duties may be varied from time to time under the direction of the PCN Transformation Manager, dependent on current and evolving workload and staffing levels.
About us
Haxby Group is a high-quality, community-based healthcare organisation with general practice at its core, delivering exceptional care to over 95,000 patients across 10 GP surgeries in York, Scarborough, and Hull. Ratedoutstandingby the CQC in York and Hull andGoodin Scarborough, we are committed to improving the health of our local communities through compassionate, innovative care. Our digitally enabled, research-active approach helps reduce waiting times and continuously improve patient outcomes. Supported by a large, multidisciplinary team and strong training and workforce development programmes, Haxby Group offers a dynamic, supportive environment with opportunities to develop, innovate, and make a real difference in primary care.
We have a clear mission To deliver high quality, compassionate care to our local communities with an innovative and ethical mindset" and we achieve this by applying our organisational values: patient-centered, innovative and professional.
Job description
Job responsibilities
Care Co-ordinator
Responsibilities:
Patient Identification
and Caseload Management
- Identify individuals who may benefit from
care coordination, including those with Learning Disabilities, Serious Mental
Illness, dementia, frailty, or other long-term conditions.
- Manage an allocated caseload of patients,
prioritising need and complexity appropriately.
- Undertake non-clinical assessments of patient
needs and contribute to the development and review of personalised care and
support plans.
- Work alongside and support the Surgery
Frailty Team (including Nurse Practitioners and Advanced Clinical
Practitioners) in identifying the care needs of people living with frailty and
their families.
Care Coordination and
Support
- Work with patients, carers, families and
professionals to ensure timely access to appropriate health and community services.
- Liaise with specialist and community service
providers to support coordinated care delivery.
- Support care coordination for care home
residents and contribute to digital health initiatives where appropriate.
- Act as a point of contact for patients,
families and professionals, including participation in PCN Baby Clinics and
networking with other GP practices within the PCN
- Support clinicians in delivering holistic,
person-centred care by contributing to coordinated planning and follow-up.
Patient Navigation and
Empowerment
- Guide patients and carers through health and
care systems, supporting them to understand available services.
- Support patients to access self-management
resources, education programmes, employment support and benefits advice.
- Promote shared decision-making and use
appropriate decision aids to support informed choices.
- Encourage patient engagement and independence
in managing long-term conditions.
Communication and MDT
Working
- Act as a central point of contact for
patients, carers and members of the multidisciplinary team (MDT).
- Collaborate with health, social care and
voluntary sector partners to support coordinated care.
- Support MDT activity, including preparation,
communication and follow-up actions.
- Communicate effectively with all stakeholders
and provide cover for colleagues as required.
Administrative and Data
Management
- Maintain accurate and timely records in line
with organisational policies and information governance requirements.
- Use IT-based systems to record activity and
support reporting requirements.
- Gather statistics, support service projects
and promote service uptake.
- Coordinate MDT meetings, including organising
logistics and documentation.
- Assist with general clerical duties and
maintain agreed hygiene standards.
Job description
Job responsibilities
Care Co-ordinator
Responsibilities:
Patient Identification
and Caseload Management
- Identify individuals who may benefit from
care coordination, including those with Learning Disabilities, Serious Mental
Illness, dementia, frailty, or other long-term conditions.
- Manage an allocated caseload of patients,
prioritising need and complexity appropriately.
- Undertake non-clinical assessments of patient
needs and contribute to the development and review of personalised care and
support plans.
- Work alongside and support the Surgery
Frailty Team (including Nurse Practitioners and Advanced Clinical
Practitioners) in identifying the care needs of people living with frailty and
their families.
Care Coordination and
Support
- Work with patients, carers, families and
professionals to ensure timely access to appropriate health and community services.
- Liaise with specialist and community service
providers to support coordinated care delivery.
- Support care coordination for care home
residents and contribute to digital health initiatives where appropriate.
- Act as a point of contact for patients,
families and professionals, including participation in PCN Baby Clinics and
networking with other GP practices within the PCN
- Support clinicians in delivering holistic,
person-centred care by contributing to coordinated planning and follow-up.
Patient Navigation and
Empowerment
- Guide patients and carers through health and
care systems, supporting them to understand available services.
- Support patients to access self-management
resources, education programmes, employment support and benefits advice.
- Promote shared decision-making and use
appropriate decision aids to support informed choices.
- Encourage patient engagement and independence
in managing long-term conditions.
Communication and MDT
Working
- Act as a central point of contact for
patients, carers and members of the multidisciplinary team (MDT).
- Collaborate with health, social care and
voluntary sector partners to support coordinated care.
- Support MDT activity, including preparation,
communication and follow-up actions.
- Communicate effectively with all stakeholders
and provide cover for colleagues as required.
Administrative and Data
Management
- Maintain accurate and timely records in line
with organisational policies and information governance requirements.
- Use IT-based systems to record activity and
support reporting requirements.
- Gather statistics, support service projects
and promote service uptake.
- Coordinate MDT meetings, including organising
logistics and documentation.
- Assist with general clerical duties and
maintain agreed hygiene standards.
Person Specification
Competencies/ Qualities/ Attributes
Essential
- IT skills, including accurate written/electronic records and documents
- Recording and collection of data and to support clinical care and to inform decision making
- Prioritise own workload and meet required timescales
- Able to work under pressure
- Able to work as a team member
- Be self-motivated and use initiative
- Identify need for service development and implementation of action plans to address
- Convey sensitive information in an empathetic manner to patients/clients/clients relatives/carers and staff
- Effective written, verbal and non-verbal communication skills
- Negotiation and conflict resolution skills
Physical Requirements
Essential
- Able to undertake the requirements of the post.
- Reliable.
Desirable
- Flexible.
- Excellent attendance record.
Knowledge/ Qualifications/ Skills
Essential
- Achieved grade C or above, in English and Maths GCSE or equivalent.
- Minimum of 2 years experience of working with healthcare or social care professionals and/or previous experience in the NHS or social care or relevant field.
- Understanding of human needs physical, emotion social
- Ability to recognise and manage risk
- Understanding of working with confidential information and an understanding of service user confidentiality
- The needs of vulnerable adults, safeguarding and the associated legislative framework
- Understanding of basic health and social care terminology
- Working in a multi-disciplinary setting
- Working with vulnerable groups of people.
- Understanding of health and social care processes
- Ability to communicate confidently with staff of all seniority levels
- Developing relationships with a wide variety of people
- Ability to deliver successful outcomes within determined timeframes
- Continuous CPD and identifying opportunities for self-development
Desirable
- NVQ Level 2/3 Health and Social Care or Business Administration (or relevant experience).
- Willingness to complete next level of qualification to further progress within the role.
- Qualification in health or social care allied profession.
- Welfare Rights basic training.
- Understanding of the current issues facing the NHS
- Knowledge of social service structures
- Health and social care assessments
Other
Essential
- Full clean UK drivers licence
Person Specification
Competencies/ Qualities/ Attributes
Essential
- IT skills, including accurate written/electronic records and documents
- Recording and collection of data and to support clinical care and to inform decision making
- Prioritise own workload and meet required timescales
- Able to work under pressure
- Able to work as a team member
- Be self-motivated and use initiative
- Identify need for service development and implementation of action plans to address
- Convey sensitive information in an empathetic manner to patients/clients/clients relatives/carers and staff
- Effective written, verbal and non-verbal communication skills
- Negotiation and conflict resolution skills
Physical Requirements
Essential
- Able to undertake the requirements of the post.
- Reliable.
Desirable
- Flexible.
- Excellent attendance record.
Knowledge/ Qualifications/ Skills
Essential
- Achieved grade C or above, in English and Maths GCSE or equivalent.
- Minimum of 2 years experience of working with healthcare or social care professionals and/or previous experience in the NHS or social care or relevant field.
- Understanding of human needs physical, emotion social
- Ability to recognise and manage risk
- Understanding of working with confidential information and an understanding of service user confidentiality
- The needs of vulnerable adults, safeguarding and the associated legislative framework
- Understanding of basic health and social care terminology
- Working in a multi-disciplinary setting
- Working with vulnerable groups of people.
- Understanding of health and social care processes
- Ability to communicate confidently with staff of all seniority levels
- Developing relationships with a wide variety of people
- Ability to deliver successful outcomes within determined timeframes
- Continuous CPD and identifying opportunities for self-development
Desirable
- NVQ Level 2/3 Health and Social Care or Business Administration (or relevant experience).
- Willingness to complete next level of qualification to further progress within the role.
- Qualification in health or social care allied profession.
- Welfare Rights basic training.
- Understanding of the current issues facing the NHS
- Knowledge of social service structures
- Health and social care assessments
Other
Essential
- Full clean UK drivers licence
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.
