Job summary
A Complex
Lives Care Coordinator role involvesmanaging and coordinating care for
individuals with complex needs, ensuring they receive appropriate support and
services.This includes assessing needs, developing care plans, and
facilitating communication between various healthcare and social care
professionals.They act as a central point of contact, supporting
individuals to navigate the system, understand their conditions, and achieve
better health outcomes.
Main duties of the job
Coordinate multidisciplinary meetings across local care organisations
including identifying patients in need of review and collating any information
required to facilitate their review prior to the meeting.
Provide
admin support to multidisciplinary meetings including taking minutes.
Utilise GP
Practice clinical systems (EMIS) and population health data to proactively
identify relevant cohorts of patients to deliver personalised care.
Support
patients within these cohorts to access health checks and other health services
Liaise with
other key stakeholders as needed for the collective benefit of the patient
including but not limited to GPs, nurses, homeless and substance misuse
services, social prescribing link workers, pharmacists.
Assist
service users in managing their own needs, answering their queries and
supporting them to address their needs.
Communicate
effectively and sensitively using language appropriate to the service user and
their level of understanding.
Provide
accurate, impartial information, support and guidance to the service user to
enable them to make choices about their care.
Raise
awareness of shared decision making and assist service users to be more
prepared for shared decision-making conversations.
To provide
coordination and navigation for service users across health and social care
services, where appropriate linking with other services in the community.
About us
At St Marks Medical Centre, we are proud to serve our local Southport community with compassion, professionalism, and a commitment to continuous improvement. As a forward-looking and inclusive practice, we embrace innovation in healthcare while never losing sight of the human touch that matters most to our patients.
Our patient population is wonderfully diverse, and we are proud to provide care to people from a wide range of cultural, linguistic, and social backgrounds. We understand that every patient is unique, and we tailor our services to ensure accessible, respectful, and equitable care for all.
We work as a multidisciplinary team of GPs, nurses, healthcare assistants, and support staffalongside a growing range of additional roles such as clinical pharmacists, social prescribers, and mental health practitioners. This enables us to offer holistic, joined-up care that meets not only your medical needs but also supports your overall wellbeing.
As part of our commitment to continuous development, we are investing in digital tools, proactive health management, and community partnerships. Whether you're managing a long-term condition, seeking preventative care, or need support navigating services, were here to helpcompassionately and efficiently.
At St Marks, you're not just a patientyoure a partner in your own care. Together, we are shaping a healthier future for our community.
Job description
Job responsibilities
Coordinate multidisciplinary meetings across local care organisations
including identifying patients in need of review and collating any information
required to facilitate their review prior to the meeting.
Provide
admin support to multidisciplinary meetings including taking minutes.
Utilise GP
Practice clinical systems (EMIS) and population health data to proactively
identify relevant cohorts of patients to deliver personalised care.
Support
patients within these cohorts to access health checks and other health services
Liaise with
other key stakeholders as needed for the collective benefit of the patient
including but not limited to GPs, nurses, homeless and substance misuse
services, social prescribing link workers, pharmacists.
Assist
service users in managing their own needs, answering their queries and
supporting them to address their needs.
Communicate
effectively and sensitively using language appropriate to the service user and
their level of understanding.
Provide
accurate, impartial information, support and guidance to the service user to
enable them to make choices about their care.
Raise
awareness of shared decision making and assist service users to be more
prepared for shared decision-making conversations.
To provide
coordination and navigation for service users across health and social care
services, where appropriate linking with other services in the community.
Job description
Job responsibilities
Coordinate multidisciplinary meetings across local care organisations
including identifying patients in need of review and collating any information
required to facilitate their review prior to the meeting.
Provide
admin support to multidisciplinary meetings including taking minutes.
Utilise GP
Practice clinical systems (EMIS) and population health data to proactively
identify relevant cohorts of patients to deliver personalised care.
Support
patients within these cohorts to access health checks and other health services
Liaise with
other key stakeholders as needed for the collective benefit of the patient
including but not limited to GPs, nurses, homeless and substance misuse
services, social prescribing link workers, pharmacists.
Assist
service users in managing their own needs, answering their queries and
supporting them to address their needs.
Communicate
effectively and sensitively using language appropriate to the service user and
their level of understanding.
Provide
accurate, impartial information, support and guidance to the service user to
enable them to make choices about their care.
Raise
awareness of shared decision making and assist service users to be more
prepared for shared decision-making conversations.
To provide
coordination and navigation for service users across health and social care
services, where appropriate linking with other services in the community.
Person Specification
Experience
Essential
- Experience of working in health, social care or other support roles which are in direct contact with people, families or carers.
- Experience of working with complex individuals in an outreach setting for instance homelessness, substance misuse, offending, mental illness
- Administrative duties including preparing for meetings and writing minutes
- Has attention to details, able to work accurately, identifying errors quickly and easily
- Has a planned and organised approach with an ability to priority their own workload to meet strict deadlines
- Excellent communication skills, verbal and written, with the ability to adjust communication style and content to suit the audience
- An excellent understanding of data protection and confidentiality issues
- Able to arrange suitable meetings with multiple individuals with often conflicting priorities
- Self-motivated, pro-active and able to work independently
- Continued commitment to improve skills and abilities in new areas of work
- Able to undertake the demands of the post with reasonable adjustment if required
- Able to access transport to work in the community and attend meetings in other locations
- Excellent time keeping and prioritisation skills
- Professional attributes and appearance
- Excellent IT skills and the ability to run reports and interpret / analyse and present data
- Understanding of medical technology around frailty, population health management and long term conditions
Qualifications
Essential
- GCSE grade A-C in Maths and English or skills level 2 in Maths and English (or equivalent)
- ECDL or other equivalent IT qualification
- NVQ Level 3 in a health or social care related discipline (or equivalent experience)
Person Specification
Experience
Essential
- Experience of working in health, social care or other support roles which are in direct contact with people, families or carers.
- Experience of working with complex individuals in an outreach setting for instance homelessness, substance misuse, offending, mental illness
- Administrative duties including preparing for meetings and writing minutes
- Has attention to details, able to work accurately, identifying errors quickly and easily
- Has a planned and organised approach with an ability to priority their own workload to meet strict deadlines
- Excellent communication skills, verbal and written, with the ability to adjust communication style and content to suit the audience
- An excellent understanding of data protection and confidentiality issues
- Able to arrange suitable meetings with multiple individuals with often conflicting priorities
- Self-motivated, pro-active and able to work independently
- Continued commitment to improve skills and abilities in new areas of work
- Able to undertake the demands of the post with reasonable adjustment if required
- Able to access transport to work in the community and attend meetings in other locations
- Excellent time keeping and prioritisation skills
- Professional attributes and appearance
- Excellent IT skills and the ability to run reports and interpret / analyse and present data
- Understanding of medical technology around frailty, population health management and long term conditions
Qualifications
Essential
- GCSE grade A-C in Maths and English or skills level 2 in Maths and English (or equivalent)
- ECDL or other equivalent IT qualification
- NVQ Level 3 in a health or social care related discipline (or equivalent experience)
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.