Island City Network PCN

Care Co-ordinator

The closing date is 28 October 2025

Job summary

An exciting opportunity to join our PCN to help support and coordinate all key activities including access to services advice information and ensuring that health and care planning is timely efficient and patient centered. Care coordinators will be required to work with patients particularly with long term conditions multiple long term conditions and people living with or at risk of frailty.

Interviews will take place on Thursday 13th November 2025 at Island City Practice.

Main duties of the job

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

Process and effectively signpost patients to the appropriate healthcare professional depending on the presenting condition.

Answering incoming phone calls, transferring calls, or dealing with the callers requests appropriately.

Enter read-code data on SystmOne.

Manage all queries as necessary in an efficient manner.

Regularly liaise with the range of multidisciplinary professionals and colleagues involved in the persons care, facilitating a coordinated approach, and ensuring everyone is kept up to date so that any issues or concerns can be appropriately addressed and supported.

Establish strong working relationships with GPs and practice teams and work collaboratively with other care coordinators, social prescribing link workers and health and wellbeing coaches, supporting each other, respecting each others views, and meeting regularly as a team.

Identify opportunities and gaps in the service and provide feedback to continually improve the service and contribute to business planning.

Utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care.

Support patients to utilise decision aids in preparation for a shared decision-making conversation.

About us

Island City Network PCN is made up of The Island City Practice, and Derby Road Group Practice, with a combined population of circa 53,876 patients.

We have a range of key staff members already working to enhance the health of our patient population including 3 Clinical Pharmacists 4 Pharmacy Technicians 1 Digital and Transformation Lead 4 Social Prescribing Link Workers and 5 Care Coordinators 2 Physios 5 Paramedics 1 Nurse Practitioner 1 Occupational Therapist 1 Mental Health Facilitator

Management is provided by the Clinical Director and PCN Manager.

Details

Date posted

10 October 2025

Pay scheme

Other

Salary

£12.51 an hour

Contract

Permanent

Working pattern

Full-time

Reference number

A5530-25-0001

Job locations

Lake Road Health Centre

Nutfield Place

Portsmouth

PO1 4JT


Derby Road Surgery

Derby Road

Portsmouth

PO2 8HP


Job description

Job responsibilities

Holistically bring together all a persons identified care and support needs and explore options to meet these within a single personalised care and support plan (PCSP) in line with PCSP best practice based on what matters to the person.

Help people to manage their needs through answering queries making and managing appointments and ensuring that people have good quality written or verbal information to help them make choices about their care.

Support people to take up training and employment and to access appropriate benefits where eligible.

Support PCN staff and patients to understand their level of knowledge skills and confidence (there Activation level) when engaging with their health and wellbeing including using the Patient Activation Measure.

Assist people to access self management education courses peer support or intervention that support them in their health and wellbeing and increase their activation level.

Explore and assist people to access personal health budgets where appropriate.

Provide coordination and navigation for people and their carers across health and care services working closely with social prescribing link workers health and wellbeing coaches and other primary care professionals.

Support the coordination and delivery of MDTs within the PCN.

In addition to the primary responsibilities the care coordinator may be requested to

Work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients and where required as appropriate refer to other health professionals within the PCN.

Raise awareness within the PCN of shared decision making and decision support tools.

Demonstrate a flexible attitude and be prepared to carry out other duties as may be reasonably required from time to time within the general character of the post or the level of responsibility of the role, ensuring that work is delivered in a timely and effective manner.

All staff at Island City Network have a duty to conform to the following:

Equality Diversity and Inclusion

A good attitude and positive action towards ED&I create an environment where all individuals can achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness it is morally the right thing to do and it is required by law.

Patients and their families have the right to be treated fairly and to be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age disability gender reassignment marriage and civil partnership pregnancy and maternity race religion or belief sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age disability gender reassignment marriage and civil partnership pregnancy and maternity race religion or belief sex or sexual orientation. Staff have a responsibility to ensure that they treat our patients and their colleagues with dignity and respect.

Safety Health Environment and Fire (SHEF)

Island City Network is committed to supporting and promoting opportunities for staff to maintain their health wellbeing and safety. You have a duty to take reasonable care of health and safety at work for you your team and others and to cooperate with employers to ensure compliance with health and safety requirements. All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990 Environment Act 1995 Fire Precautions (workplace) Regulations 1999 and other statutory legislation.

Confidentiality and Information Governance

Island City Network is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care. They do so in confidence and have a right to expect that all staff will respect their privacy and maintain confidentiality. It is essential that if the legal requirements are to be met and the trust of our patients is to be retained, all staff protect patient information and provide a confidential service.

Island City Network is registered under the Data Protection Act 1984. You will have to comply with the Data Protection Act and the Access to Health Records Act the General Data Protection Regulations 2018, and any network policies regarding information governance at all times. You must not at any time use the personal data held by the practice for a purpose not described in the register entry or disclose such data to a third party.

Quality and Continuous Improvement (CI)

To preserve and improve the quality of our output all personnel are required to think not only of what they do but how they achieve it. By continually re-examining our processes we will be able to develop and improve the overall effectiveness of the way we work. The responsibility for this rests with everyone working within the network to look for opportunities to improve quality and share good practice.

Island City Network continues to strive to improve work processes which deliver healthcare with improved results across all areas of our service provision. We promote a culture of continuous improvement where everyone counts and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.

Induction training

At Island City Network you will be required to complete the induction programme this is managed by your line manager.

Learning and development

The effective use of training and development is fundamental in ensuring that all staff are equipped with the appropriate skills knowledge attitude and competences to perform their role. All staff will be required to participate in and complete mandatory training as directed by your line manager as well as participating in the networks training programme. Staff will also be permitted (subject to approval) to undertake external training courses which will enhance their knowledge and skills, progress their career and, ultimately enable them to improve processes and services delivery.

Collaborative working

All staff are to recognize the significance of collaborative working. Teamwork is essential in multidisciplinary environments. Effective communication is essential, and all staff must ensure that they communicate in a manner which enables the sharing of information in an appropriate manner.

Managing information

All staff should use technology and appropriate software as an aid to management in the planning, implementation and monitoring of care and presenting and communicatinginformation. Data should be reviewed and processed using accurate SNOMED/read codes to ensure easy and accurate information retrieval for monitoring and audit processes.

Service delivery

Staff at Island City Network must adhere to the information contained within the networks policies and regional directives, ensuring that protocols are always adhered to. Staff will be given detailed information during the induction process regarding policy and procedure.

Security

The security of the network is the responsibility of all personnel. Staff must ensure that they always remain vigilant and report any suspicious activity immediately to their line manager. Under no circumstances are staff to share codes for the door locks with anyone and they are to ensure that restricted areas remain effectively secured.

Professional conduct

At Island City Network, staff are required to dress appropriately for their role.

Job description

Job responsibilities

Holistically bring together all a persons identified care and support needs and explore options to meet these within a single personalised care and support plan (PCSP) in line with PCSP best practice based on what matters to the person.

Help people to manage their needs through answering queries making and managing appointments and ensuring that people have good quality written or verbal information to help them make choices about their care.

Support people to take up training and employment and to access appropriate benefits where eligible.

Support PCN staff and patients to understand their level of knowledge skills and confidence (there Activation level) when engaging with their health and wellbeing including using the Patient Activation Measure.

Assist people to access self management education courses peer support or intervention that support them in their health and wellbeing and increase their activation level.

Explore and assist people to access personal health budgets where appropriate.

Provide coordination and navigation for people and their carers across health and care services working closely with social prescribing link workers health and wellbeing coaches and other primary care professionals.

Support the coordination and delivery of MDTs within the PCN.

In addition to the primary responsibilities the care coordinator may be requested to

Work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients and where required as appropriate refer to other health professionals within the PCN.

Raise awareness within the PCN of shared decision making and decision support tools.

Demonstrate a flexible attitude and be prepared to carry out other duties as may be reasonably required from time to time within the general character of the post or the level of responsibility of the role, ensuring that work is delivered in a timely and effective manner.

All staff at Island City Network have a duty to conform to the following:

Equality Diversity and Inclusion

A good attitude and positive action towards ED&I create an environment where all individuals can achieve their full potential. Creating such an environment is important for three reasons: it improves operational effectiveness it is morally the right thing to do and it is required by law.

Patients and their families have the right to be treated fairly and to be routinely involved in decisions about their treatment and care. They can expect to be treated with dignity and respect and will not be discriminated against on any grounds including age disability gender reassignment marriage and civil partnership pregnancy and maternity race religion or belief sex or sexual orientation. Patients have a responsibility to treat other patients and our staff with dignity and respect.

Staff have the right to be treated fairly in recruitment and career progression. Staff can expect to work in an environment where diversity is valued and equality of opportunity is promoted. Staff will not be discriminated against on any grounds including age disability gender reassignment marriage and civil partnership pregnancy and maternity race religion or belief sex or sexual orientation. Staff have a responsibility to ensure that they treat our patients and their colleagues with dignity and respect.

Safety Health Environment and Fire (SHEF)

Island City Network is committed to supporting and promoting opportunities for staff to maintain their health wellbeing and safety. You have a duty to take reasonable care of health and safety at work for you your team and others and to cooperate with employers to ensure compliance with health and safety requirements. All personnel are to comply with the Health and Safety at Work Act 1974, Environmental Protection Act 1990 Environment Act 1995 Fire Precautions (workplace) Regulations 1999 and other statutory legislation.

Confidentiality and Information Governance

Island City Network is committed to maintaining an outstanding confidential service. Patients entrust and permit us to collect and retain sensitive information relating to their health and other matters pertaining to their care. They do so in confidence and have a right to expect that all staff will respect their privacy and maintain confidentiality. It is essential that if the legal requirements are to be met and the trust of our patients is to be retained, all staff protect patient information and provide a confidential service.

Island City Network is registered under the Data Protection Act 1984. You will have to comply with the Data Protection Act and the Access to Health Records Act the General Data Protection Regulations 2018, and any network policies regarding information governance at all times. You must not at any time use the personal data held by the practice for a purpose not described in the register entry or disclose such data to a third party.

Quality and Continuous Improvement (CI)

To preserve and improve the quality of our output all personnel are required to think not only of what they do but how they achieve it. By continually re-examining our processes we will be able to develop and improve the overall effectiveness of the way we work. The responsibility for this rests with everyone working within the network to look for opportunities to improve quality and share good practice.

Island City Network continues to strive to improve work processes which deliver healthcare with improved results across all areas of our service provision. We promote a culture of continuous improvement where everyone counts and staff are permitted to make suggestions and contributions to improve our service delivery and enhance patient care.

Induction training

At Island City Network you will be required to complete the induction programme this is managed by your line manager.

Learning and development

The effective use of training and development is fundamental in ensuring that all staff are equipped with the appropriate skills knowledge attitude and competences to perform their role. All staff will be required to participate in and complete mandatory training as directed by your line manager as well as participating in the networks training programme. Staff will also be permitted (subject to approval) to undertake external training courses which will enhance their knowledge and skills, progress their career and, ultimately enable them to improve processes and services delivery.

Collaborative working

All staff are to recognize the significance of collaborative working. Teamwork is essential in multidisciplinary environments. Effective communication is essential, and all staff must ensure that they communicate in a manner which enables the sharing of information in an appropriate manner.

Managing information

All staff should use technology and appropriate software as an aid to management in the planning, implementation and monitoring of care and presenting and communicatinginformation. Data should be reviewed and processed using accurate SNOMED/read codes to ensure easy and accurate information retrieval for monitoring and audit processes.

Service delivery

Staff at Island City Network must adhere to the information contained within the networks policies and regional directives, ensuring that protocols are always adhered to. Staff will be given detailed information during the induction process regarding policy and procedure.

Security

The security of the network is the responsibility of all personnel. Staff must ensure that they always remain vigilant and report any suspicious activity immediately to their line manager. Under no circumstances are staff to share codes for the door locks with anyone and they are to ensure that restricted areas remain effectively secured.

Professional conduct

At Island City Network, staff are required to dress appropriately for their role.

Person Specification

Knowledge Skills

Essential

  • Excellent communication skills (written and oral)
  • Strong IT skills
  • Clear polite telephone manner
  • Effective time management (planning and organising)
  • Ability to work as a team member and autonomously
  • Good interpersonal skills
  • Ability to follow clinical policy and procedure
  • Knowledge of how the NHS works including primary care and PCNs

Desirable

  • Competent in the use of Office and Outlook
  • SystmOne user skills
  • Basic knowledge of long term conditions and the complexities involved medical physical emotional and social

Experience

Essential

  • Experience of working in a primary care environment
  • Experience of working with the public
  • Experience of working in a healthcare setting

Personal Qualities

Essential

  • Polite and confident
  • Flexible and cooperative
  • Motivated
  • Problem solver with the ability to process information accurately and effectively, interpreting data as required
  • High levels of integrity and loyalty
  • Sensitive and empathetic in distressing situations
  • Ability to work under pressure in stressful situations
  • Able to communicate effectively and understand the needs of the patient
  • Effectively utilise resources
  • Punctual and committed to supporting the team
  • Other requirements
  • Willingness to work flexible hours when required to meet work demands
  • Meets DBS reference standards and criminal record checks

Qualifications

Essential

  • Educated to GCSE level or equivalent

Desirable

  • Healthcare qualification (level 2) or working towards gaining equivalent level
  • Customer service qualification (NVQ) or equivalent
Person Specification

Knowledge Skills

Essential

  • Excellent communication skills (written and oral)
  • Strong IT skills
  • Clear polite telephone manner
  • Effective time management (planning and organising)
  • Ability to work as a team member and autonomously
  • Good interpersonal skills
  • Ability to follow clinical policy and procedure
  • Knowledge of how the NHS works including primary care and PCNs

Desirable

  • Competent in the use of Office and Outlook
  • SystmOne user skills
  • Basic knowledge of long term conditions and the complexities involved medical physical emotional and social

Experience

Essential

  • Experience of working in a primary care environment
  • Experience of working with the public
  • Experience of working in a healthcare setting

Personal Qualities

Essential

  • Polite and confident
  • Flexible and cooperative
  • Motivated
  • Problem solver with the ability to process information accurately and effectively, interpreting data as required
  • High levels of integrity and loyalty
  • Sensitive and empathetic in distressing situations
  • Ability to work under pressure in stressful situations
  • Able to communicate effectively and understand the needs of the patient
  • Effectively utilise resources
  • Punctual and committed to supporting the team
  • Other requirements
  • Willingness to work flexible hours when required to meet work demands
  • Meets DBS reference standards and criminal record checks

Qualifications

Essential

  • Educated to GCSE level or equivalent

Desirable

  • Healthcare qualification (level 2) or working towards gaining equivalent level
  • Customer service qualification (NVQ) or equivalent

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Island City Network PCN

Address

Lake Road Health Centre

Nutfield Place

Portsmouth

PO1 4JT


Employer's website

https://www.islandcitypractice.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Island City Network PCN

Address

Lake Road Health Centre

Nutfield Place

Portsmouth

PO1 4JT


Employer's website

https://www.islandcitypractice.nhs.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Network Manager

Mrs Leigh Spurling

leigh.spurling1@nhs.net

02392009117

Details

Date posted

10 October 2025

Pay scheme

Other

Salary

£12.51 an hour

Contract

Permanent

Working pattern

Full-time

Reference number

A5530-25-0001

Job locations

Lake Road Health Centre

Nutfield Place

Portsmouth

PO1 4JT


Derby Road Surgery

Derby Road

Portsmouth

PO2 8HP


Privacy notice

Island City Network PCN's privacy notice (opens in a new tab)