Job summary
Care coordinators provide extra time, capacity and expertise
to support patients in preparing for or in following-up clinical conversations
they have with primary care professionals.
They will work closely with the GPs
and other primary care professionals within the PCN to identify and manage a
caseload of patients, making sure that appropriate support is made
available to them and their carers, and ensuring that their changing needs are
addressed. They focus delivery of the comprehensive model of personalised care to reflect local
priorities, health inequalities or population health management risk
stratification.
INTERVIEW DATE IS Thursday 18th December 2025.
Main duties of the job
Proactively identify and work with a cohort of people (this may include; patients living with Cancer, patients residing in Care Home Settings, patients that frequently attend hospital or who have multiple appointments and patients with multiple long-term conditions) to
support their personalised care requirements, using the available decision
support aids.
Navigate and coordinate all a person identified care and support
needs and explore their options to meet these into a single personalised care
and support plan, in line with PCSP best practice. Working with the person, their family/carer and other professionals (including social prescribing link workers, health and wellbeing coaches and other primary care roles) about their current circumstances and how they could be improved.
Work with End of Life patients to case-find and then
complete EPaCCS (care plans) on the patients behalf. Ensure that patients wishes and preferences are recorded and shared with wider teams to enable smooth transition of care between services.
Raise awareness of shared decision making and decision support
tools and assist people to be more prepared to have a shared decision-making
conversation.
Improve patients health and wellbeing by supporting them to self-manage their own needs and providing consistent and timely support and advice when needed.
About us
The Blackpool Central West PCN was formed due
to new NHS legislation and consists of the following practices:
Adelaide Street Family Practice (incorporating Harris Medical Centre & Elizabeth Street Surgery)
St Pauls Medical Centre
South King Street Medical Practice
The three practices have worked together for several years as
a neighbourhood and have a dedicated team attached to them which contain health
and well-being workers; district nurses and a full nursing home team, plus
others.
We are in the exciting position of adding new roles to
compliment the current surgery teams- to work towards bringing the three surgeries together under the Central West PCN, to give the patients a
patient-centred care approach.
Job description
Job responsibilities
Basic purpose of the role
Care coordinators provide extra time, capacity and expertise
to support patients in preparing for or in following-up clinical conversations
they have with primary care professionals. They will work closely with the GPs
and other primary care professionals within the PCN to identify and manage a
caseload of identified patients, making sure that appropriate support is made
available to them and their carers, and ensuring that their changing needs are
addressed. They focus delivery of the comprehensive model to reflect local
priorities, health inequalities or population health management risk
stratification.
Key role requirements
a. Proactively identify and work with a cohort of people to
support their personalised care requirements, using the available decision
support aids.
b. Bring together all of a persons identified care and
support needs, and explore their options to meet these into a single
personalised care and support plan, in line with PCSP best practice.
c. Help people to manage their needs, answering their
queries and supporting them to make appointments.
d. Work with End of Life patients to case-find and then
complete EPaCCS (care plans) on the patients behalf.
e. Raise awareness of shared decision making and decision
support tools, and assist people to be more prepared to have a shared decision
making conversation.
f. Ensure that people have good quality information to help
them make choices about their care,
g. Support people to understand their level of knowledge,
skills and confidence when engaging with their health
and wellbeing.
h. Provide coordination and navigation for people and their
carers across health and care services, alongside working closely with social
prescribing link workers, health and wellbeing coaches and other primary care
roles.
i. Support the coordination and delivery of MDTs within
PCNs.
General
Ensure that all activities are monitored and evaluated.
Attend internal meetings as required.
Work in accordance with PCN policies, including the equal
opportunities policy and practice.
Attend any training courses and supervision sessions as
required.
Work with due regard to the PCN Health and Safety Policy,
ensuring that all practices and procedures are undertaken in accordance with
issued guidelines.
Undertake any other duties as may reasonably be required
from time to time.
Special working conditions
To be prepared to work flexibly, including evenings and
weekends if required.
Currently the position will be based at Unit 10, Faraday Way. Visits to each surgery and agile working may be required.
Job description
Job responsibilities
Basic purpose of the role
Care coordinators provide extra time, capacity and expertise
to support patients in preparing for or in following-up clinical conversations
they have with primary care professionals. They will work closely with the GPs
and other primary care professionals within the PCN to identify and manage a
caseload of identified patients, making sure that appropriate support is made
available to them and their carers, and ensuring that their changing needs are
addressed. They focus delivery of the comprehensive model to reflect local
priorities, health inequalities or population health management risk
stratification.
Key role requirements
a. Proactively identify and work with a cohort of people to
support their personalised care requirements, using the available decision
support aids.
b. Bring together all of a persons identified care and
support needs, and explore their options to meet these into a single
personalised care and support plan, in line with PCSP best practice.
c. Help people to manage their needs, answering their
queries and supporting them to make appointments.
d. Work with End of Life patients to case-find and then
complete EPaCCS (care plans) on the patients behalf.
e. Raise awareness of shared decision making and decision
support tools, and assist people to be more prepared to have a shared decision
making conversation.
f. Ensure that people have good quality information to help
them make choices about their care,
g. Support people to understand their level of knowledge,
skills and confidence when engaging with their health
and wellbeing.
h. Provide coordination and navigation for people and their
carers across health and care services, alongside working closely with social
prescribing link workers, health and wellbeing coaches and other primary care
roles.
i. Support the coordination and delivery of MDTs within
PCNs.
General
Ensure that all activities are monitored and evaluated.
Attend internal meetings as required.
Work in accordance with PCN policies, including the equal
opportunities policy and practice.
Attend any training courses and supervision sessions as
required.
Work with due regard to the PCN Health and Safety Policy,
ensuring that all practices and procedures are undertaken in accordance with
issued guidelines.
Undertake any other duties as may reasonably be required
from time to time.
Special working conditions
To be prepared to work flexibly, including evenings and
weekends if required.
Currently the position will be based at Unit 10, Faraday Way. Visits to each surgery and agile working may be required.
Person Specification
Experience
Desirable
- Experience of working in General Practice/Primary Care/Social Care
- Experience of managing conflicting workloads
- Experience of managing challenging conversations
- Experience of working with vulnerable/patients with complex needs
- Experience of multi-disciplinary team working
Qualifications
Essential
- GCSE grade A to C in English and Maths
- Be prepared to undertake all training as required The Personalised Care Institute (live from April 2020) will set out what training is available and expected for Care Coordinators.
Desirable
- Qualified to NVQ level 3 in a relevant topic
Knowledge and skills
Essential
- Ability to work as part of diverse team
- Good IT skills
- Excellent communication skills
- Ability/willingness to work flexibly if required
Desirable
- Ability to drive/ have own car
- Experience of working with EMIS systems/General practice software
- Ability to coordinate meetings/agenda setting and minute taking
Person Specification
Experience
Desirable
- Experience of working in General Practice/Primary Care/Social Care
- Experience of managing conflicting workloads
- Experience of managing challenging conversations
- Experience of working with vulnerable/patients with complex needs
- Experience of multi-disciplinary team working
Qualifications
Essential
- GCSE grade A to C in English and Maths
- Be prepared to undertake all training as required The Personalised Care Institute (live from April 2020) will set out what training is available and expected for Care Coordinators.
Desirable
- Qualified to NVQ level 3 in a relevant topic
Knowledge and skills
Essential
- Ability to work as part of diverse team
- Good IT skills
- Excellent communication skills
- Ability/willingness to work flexibly if required
Desirable
- Ability to drive/ have own car
- Experience of working with EMIS systems/General practice software
- Ability to coordinate meetings/agenda setting and minute taking
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.
Employer details
Employer name
Blackpool Central West Primary Care Network
Address
Blackpool Central West PCN
Unit 10, Faraday Way
Blackpool
FY2 0JW
