Job summary
The Care Coordinator supports patients
in navigating health and care services, particularly those with complex,
long-term conditions, frailty, cancer, or multiple health needs. Working
closely within a GP practice team and wider multidisciplinary partners, the
role helps ensure patients receive coordinated, person-centred care and are
connected with appropriate clinical, community, and voluntary services.
The role also includes supporting the
practice with safeguarding administration, assisting with the recording,
monitoring, and coordination of safeguarding concerns and referrals in line
with practice policies and local safeguarding procedures. The Care Coordinator
will help maintain accurate records, support communication between services,
and contribute to the safe and effective delivery of care within the practice.
Main duties of the job
- Coordinate and support care for patients with complex needs, including long-term conditions, frailty and cancer, helping them access appropriate health, social care and community services.
- Support the development, coordination and review of personalised care plans alongside the GP practice team and wider multidisciplinary partners.
- Act as a key point of contact for patients and carers, including undertaking home visits where appropriate to support engagement, care planning and ongoing support.
- Organise and support monthly Gold Standards Framework (GSF) meetings and provide safeguarding administration, including recording concerns, supporting referrals and maintaining accurate, confidential records.
About us
Our team is the most important part of the culture here at Eastfield Medical Centre, staff wellbeing is a priority and staff feel valued and appreciated.
Atmosphere is always professional, calm, and happy, both staff and patients benefit from this.
Job description
Job responsibilities
-
The
Care Coordinator will work as part of the primary care team to support patients
with complex health needs, including those living with long-term conditions,
frailty and cancer. The role focuses on improving patient outcomes and
experience by helping individuals navigate health and care services and
ensuring care is coordinated across primary care, community services and
partner organisations.
-
The
postholder will support the identification of patients who may benefit from
additional care coordination, proactive management or personalised care
planning. They will assist with the development, implementation and review of
personalised care plans, ensuring patients and carers are involved in decisions
about their care and support.
-
The
Care Coordinator will act as a key point of contact for patients and carers,
helping them to access appropriate services and addressing barriers to care.
This may include undertaking home visits where appropriate to support patient
engagement, care planning and follow-up for individuals who may find it
difficult to attend the practice.
-
The
role will involve working closely with GPs, nurses and the wider
multidisciplinary team, liaising with community services, hospitals, social
care providers and voluntary organisations to ensure patients receive timely,
coordinated care.
-
The
postholder will also support coordination of care for residents within the
practices associated care home. This includes supporting communication between
the practice and care home staff, assisting with care planning, and helping to
ensure residents receive appropriate and timely support from the practice and
wider services.
-
The
Care Coordinator will organise and support monthly Gold Standards Framework
(GSF) meetings to review patients who may require palliative or end-of-life
care. Responsibilities will include preparing patient lists, coordinating
attendance from relevant professionals, documenting discussions and ensuring
agreed actions are followed up.
-
The
role also includes providing administrative support for safeguarding processes
within the practice. This includes recording safeguarding concerns, supporting
referrals to appropriate safeguarding teams, maintaining accurate records and
ensuring information is handled in accordance with safeguarding procedures and
information governance requirements.
-
The
postholder will maintain accurate and up-to-date patient records on the
clinical system and support audits, reporting and service improvement
initiatives where required.
Job description
Job responsibilities
-
The
Care Coordinator will work as part of the primary care team to support patients
with complex health needs, including those living with long-term conditions,
frailty and cancer. The role focuses on improving patient outcomes and
experience by helping individuals navigate health and care services and
ensuring care is coordinated across primary care, community services and
partner organisations.
-
The
postholder will support the identification of patients who may benefit from
additional care coordination, proactive management or personalised care
planning. They will assist with the development, implementation and review of
personalised care plans, ensuring patients and carers are involved in decisions
about their care and support.
-
The
Care Coordinator will act as a key point of contact for patients and carers,
helping them to access appropriate services and addressing barriers to care.
This may include undertaking home visits where appropriate to support patient
engagement, care planning and follow-up for individuals who may find it
difficult to attend the practice.
-
The
role will involve working closely with GPs, nurses and the wider
multidisciplinary team, liaising with community services, hospitals, social
care providers and voluntary organisations to ensure patients receive timely,
coordinated care.
-
The
postholder will also support coordination of care for residents within the
practices associated care home. This includes supporting communication between
the practice and care home staff, assisting with care planning, and helping to
ensure residents receive appropriate and timely support from the practice and
wider services.
-
The
Care Coordinator will organise and support monthly Gold Standards Framework
(GSF) meetings to review patients who may require palliative or end-of-life
care. Responsibilities will include preparing patient lists, coordinating
attendance from relevant professionals, documenting discussions and ensuring
agreed actions are followed up.
-
The
role also includes providing administrative support for safeguarding processes
within the practice. This includes recording safeguarding concerns, supporting
referrals to appropriate safeguarding teams, maintaining accurate records and
ensuring information is handled in accordance with safeguarding procedures and
information governance requirements.
-
The
postholder will maintain accurate and up-to-date patient records on the
clinical system and support audits, reporting and service improvement
initiatives where required.
Person Specification
Experience
Essential
- . Ability to actively listen, empathise with people and provide person-centred support in a non-judgemental way
- . Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity
- . Commitment to reducing health inequalities and proactively working to reach people from all communities
- . Able to support people in a way that inspires trust and confidence, motivating others to reach their potential
- . Ability to communicate effectively, both verbally and in writing
- . Ability to maintain effective working relationships and to promote collaborative practice
- . Can demonstrate personal accountability, emotional resilience and ability to work well under pressure
Desirable
- Experience in working in a primary Care setting
Other Requirements
Essential
- Use of a car and a full driving licence is
- required for this post
Person Specification
Experience
Essential
- . Ability to actively listen, empathise with people and provide person-centred support in a non-judgemental way
- . Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity
- . Commitment to reducing health inequalities and proactively working to reach people from all communities
- . Able to support people in a way that inspires trust and confidence, motivating others to reach their potential
- . Ability to communicate effectively, both verbally and in writing
- . Ability to maintain effective working relationships and to promote collaborative practice
- . Can demonstrate personal accountability, emotional resilience and ability to work well under pressure
Desirable
- Experience in working in a primary Care setting
Other Requirements
Essential
- Use of a car and a full driving licence is
- required for this post
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.
