Job summary
Please note we do not accept applications or CVs from
recruitment agencies.
We are recruiting for a number of Enhanced Care
Coordinator roles as part of our expanding PCN team.
We welcome applications from candidates interested
in job share.
Were looking for a compassionate and proactive Patient Support Case Worker to join our Primary Care Network team. This role provides short term, focused support to people with complex social needs such as housing issues, financial hardship, mental health challenges, or the effects of deprivation. You will work 1to1 with patients for up to 12 weeks, helping them stabilise their situation, build confidence, and connect with the right services.
You will manage your own caseload, carry out structured assessments, develop personalised support plans, and work closely with a wide range of community partners. Safeguarding, risk awareness, and a strong understanding of the realities of deprivation are central to the role. This is a great opportunity for someone who is motivated by reducing health inequalities and making a meaningful difference in the lives of vulnerable people across Oldham.
Main duties of the job
Provide 1to1 short term support to patients with complex social needs, helping them stabilise their situation and access the right services.
Carry out structured assessments, develop personalised support plans, and manage a varied caseload independently.
Identify and escalate safeguarding concerns, maintaining accurate risk assessments and documentation.
Work closely with community organisations, housing teams, mental health services, and voluntary sector partners to coordinate support and ensure warm handovers.
Prioritise patients experiencing deprivation or multiple vulnerabilities, contributing to efforts to reduce health inequalities across Oldham.
Record all patient interactions, track outcomes, and support service evaluation and improvement.
Maintain uptodate knowledge through supervision, reflective practice, and ongoing training.
About us
Oldham Central Primary Care Network brings together 11 GP practices to improve the way health and wellbeing services are delivered across our local communities. By working in partnership with community services, mental health teams, social care and the voluntary sector, were able to provide more joined up, proactive support for our population while patients continue to access their usual GP services as normal.
Our member practices are
Alexandra Group Medical Practice
Glodwick Medical Practice
Greenbank Medical Practice
Hopwood House Medical Practice
Jalal Practice
John Street Medical Practice
Lindley House Health Centre
Oldham Family Practice
Perkins Practice
St Marys Medical Practice
The Chowdhury Practice
Together, we focus on tackling local health inequalities, improving access to care, and developing innovative services that meet the specific needs of people living in Oldham Central.
Job description
Job responsibilities
Patient Support & Case Management
Provide 1:1 support to patients facing challenges such as deprivation, housing issues, financial hardship, mental health difficulties or chaotic lifestyles.
Manage a caseload of patients whose needs sit between social prescribing and clinical case management.
Carry out structured assessments to understand needs, risks and goals.
Create personalised support plans with clear, timebound objectives.
Offer support for up to 12 weeks, ensuring planned discharge and appropriate followup signposting.
Encourage independence and reduce longterm reliance on services.
Safeguarding & Risk Management
Identify and escalate safeguarding concerns for adults and children in line with PCN and local authority procedures.
Attend safeguarding meetings when required.
Maintain accurate risk assessments and case documentation.
MultiAgency Coordination
Work closely with community organisations, housing teams, mental health services, drug and alcohol services, and voluntary sector partners.
Coordinate referrals and ensure warm, supported handovers.
Advocate for patients when needed.
Health Inequalities & Population Focus
Prioritise support for patients from deprived backgrounds or with multiple vulnerabilities.
Contribute to PCN initiatives aimed at reducing health inequalities across Oldham.
Data, Reporting & Quality
Record all patient interactions and outcomes using PCN systems.
Monitor progress against KPIs and contribute to service evaluation.
Uphold confidentiality and data protection standards at all times.
Professional Development
Keep knowledge up to date in areas such as safeguarding, traumainformed practice, motivational interviewing and local support services.
Attend supervision, reflective practice sessions and training as required.
Other Duties
Undertake additional reasonable tasks that support the effective running of the PCN and neighbourhood team, within your training and professional boundaries.
Job description
Job responsibilities
Patient Support & Case Management
Provide 1:1 support to patients facing challenges such as deprivation, housing issues, financial hardship, mental health difficulties or chaotic lifestyles.
Manage a caseload of patients whose needs sit between social prescribing and clinical case management.
Carry out structured assessments to understand needs, risks and goals.
Create personalised support plans with clear, timebound objectives.
Offer support for up to 12 weeks, ensuring planned discharge and appropriate followup signposting.
Encourage independence and reduce longterm reliance on services.
Safeguarding & Risk Management
Identify and escalate safeguarding concerns for adults and children in line with PCN and local authority procedures.
Attend safeguarding meetings when required.
Maintain accurate risk assessments and case documentation.
MultiAgency Coordination
Work closely with community organisations, housing teams, mental health services, drug and alcohol services, and voluntary sector partners.
Coordinate referrals and ensure warm, supported handovers.
Advocate for patients when needed.
Health Inequalities & Population Focus
Prioritise support for patients from deprived backgrounds or with multiple vulnerabilities.
Contribute to PCN initiatives aimed at reducing health inequalities across Oldham.
Data, Reporting & Quality
Record all patient interactions and outcomes using PCN systems.
Monitor progress against KPIs and contribute to service evaluation.
Uphold confidentiality and data protection standards at all times.
Professional Development
Keep knowledge up to date in areas such as safeguarding, traumainformed practice, motivational interviewing and local support services.
Attend supervision, reflective practice sessions and training as required.
Other Duties
Undertake additional reasonable tasks that support the effective running of the PCN and neighbourhood team, within your training and professional boundaries.
Person Specification
Experience
Essential
- Were looking for someone who brings both experience and empathy to this role. The ideal candidate will be confident supporting people with complex social needs and comfortable working in a fast paced, community focused environment.
- Candidates must demonstrate:
- Experience in social prescribing, support work, community development, or a similar people focused role.
- A strong understanding of the challenges linked to deprivation and inequality.
- Knowledge and experience of safeguarding adults and children.
- Ability to manage a complex and varied caseload.
- Excellent communication skills, including the ability to motivate and build trust with patients.
- Experience working directly with the general public.
- Ability to work independently as well as part of a multidisciplinary team.
Desirable
- It would be beneficial if candidates also have experience in intensive or high needs support roles.
- Knowledge of Oldhams local services, community assets, and support pathways.
- Training in trauma informed practice, mental health first aid, or similar approaches.
Person Specification
Experience
Essential
- Were looking for someone who brings both experience and empathy to this role. The ideal candidate will be confident supporting people with complex social needs and comfortable working in a fast paced, community focused environment.
- Candidates must demonstrate:
- Experience in social prescribing, support work, community development, or a similar people focused role.
- A strong understanding of the challenges linked to deprivation and inequality.
- Knowledge and experience of safeguarding adults and children.
- Ability to manage a complex and varied caseload.
- Excellent communication skills, including the ability to motivate and build trust with patients.
- Experience working directly with the general public.
- Ability to work independently as well as part of a multidisciplinary team.
Desirable
- It would be beneficial if candidates also have experience in intensive or high needs support roles.
- Knowledge of Oldhams local services, community assets, and support pathways.
- Training in trauma informed practice, mental health first aid, or similar approaches.
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.