Folkestone Hythe and Rural PCN

PCN INT Health and Well Being Coach

The closing date is 30 January 2026

Job summary

To ensure the delivery of an effective and competent level of support to the PCN INT team by delivering a patient focussed service which promotes proactive care and effective working relationships.

The PCN INT Health and Well Being Coach plays a central role in supporting frail and vulnerable patients to remain safe, well and independent at home. The role will be supporting both proactive and reactive patients, identified through risk stratification tool and will include basic observations and a supportive approach to person centre self-management. The post holder should work within their scope of practice, under agreed protocols, with escalation to registered clinicians as required.

The role will act as a bridge between GP Practices, MDT and other INT services.

Main duties of the job

The post holder will work across all PCN practices and as part of the wider Intergrated Neighbourhood team to ensure efficient and effective patient contacts and assit in the reduction of A&E admissions.

About us

Folkestone, Hythe and Rural Primary Care Network is an innovative, friendly and forward thinking group. We are located in the historical South Kent Coast of the Garden of England (Kent). General Practice is changing at pace and we see this as a positive and opportunistic challenge.

Our PCN includes 7 practices with a combined list size of approx 52,000 patients.

We are proud and enthusiastic to be an inventive front runner in the development of Integrated Neighbourhood Team working.

Details

Date posted

27 January 2026

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

A5975-26-0001

Job locations

Office 10

3-5 Portland House

Hythe

Kent

CT21 6EG


Job description

Job responsibilities

Detect early signs of patient deterioration through basic observations and holistic approved assessment

Increase patient confidence and understanding in their own health

Reduce crisis situations unplanned admissions and carer breakdowns

Support safe and effective use of medicine using a non-medical patient centred approach

Exploring patients understanding of their medications

Support medicine reviews by feeding back to clinicians

Complete sarcopenia assessments to identify early risk to prevent falls and muscle wastage

Promote and support a proactive approach in patient care, working with INT coordinators to identify patients from risk stratification tool and highlighted frequent attenders at A&E

Support patients that are not managing their long term conditions, signposting to relevant services and highlighting concerns to GP practice

Support patients highlighted in need of reactive support, working with the rest of INT team to ensure that needs are supported accordingly

Liaise with PCN services, GP practices, community teams and voluntary services to support patients

Support discussion and provide feedback to MDT meetings

Where appropriate highlight ReSPECT form process with patients

Bridging the gap between GPs and realities patients face at home encompassing what really matters to them

Promote the image of the organisation and services by ensuring that all information and communication is up to date and suitably presented

Take responsibility for ensuring that internal and external communication systems are fit for purpose

Respond to telephone, email and written queries on behalf of the service area including call handling where appropriate

Demonstrate flexibility and adaptability to meet changing priorities within a dynamic operational environment

Be proactive and contribute ideas for improvement in the way the service is delivered

Support in providing telephone cover during annual leave, sickness or peak demand periods, including answering incoming calls, booking appointments, taking messages and signposting patients appropriately

Ensure that all complaints, compliments, concerns, comments and suggestions are escalated appropriately

Able to work on own initiative, prioritising work within defined policies and procedures to set timescales

Manage specific projects as requested by the PCN Operational manager and provide updates on progress

Develop use of community hubs for drop in BP monitoring sessions identifying hypertensive patients

Job description

Job responsibilities

Detect early signs of patient deterioration through basic observations and holistic approved assessment

Increase patient confidence and understanding in their own health

Reduce crisis situations unplanned admissions and carer breakdowns

Support safe and effective use of medicine using a non-medical patient centred approach

Exploring patients understanding of their medications

Support medicine reviews by feeding back to clinicians

Complete sarcopenia assessments to identify early risk to prevent falls and muscle wastage

Promote and support a proactive approach in patient care, working with INT coordinators to identify patients from risk stratification tool and highlighted frequent attenders at A&E

Support patients that are not managing their long term conditions, signposting to relevant services and highlighting concerns to GP practice

Support patients highlighted in need of reactive support, working with the rest of INT team to ensure that needs are supported accordingly

Liaise with PCN services, GP practices, community teams and voluntary services to support patients

Support discussion and provide feedback to MDT meetings

Where appropriate highlight ReSPECT form process with patients

Bridging the gap between GPs and realities patients face at home encompassing what really matters to them

Promote the image of the organisation and services by ensuring that all information and communication is up to date and suitably presented

Take responsibility for ensuring that internal and external communication systems are fit for purpose

Respond to telephone, email and written queries on behalf of the service area including call handling where appropriate

Demonstrate flexibility and adaptability to meet changing priorities within a dynamic operational environment

Be proactive and contribute ideas for improvement in the way the service is delivered

Support in providing telephone cover during annual leave, sickness or peak demand periods, including answering incoming calls, booking appointments, taking messages and signposting patients appropriately

Ensure that all complaints, compliments, concerns, comments and suggestions are escalated appropriately

Able to work on own initiative, prioritising work within defined policies and procedures to set timescales

Manage specific projects as requested by the PCN Operational manager and provide updates on progress

Develop use of community hubs for drop in BP monitoring sessions identifying hypertensive patients

Person Specification

Knowledge and Understanding

Essential

  • Understanding of Primary Care, GP practices or the wider NHS landscape
  • Understanding of how multi-practice or multi-organisation working operates
  • Knowledge of operational processes, administration workflows or service coordination
  • Effective communicator
  • Understanding of confidentiality, information governance and data handling principles

Desirable

  • Understanding of PCN governance, DES requirements or NHS programme delivery

Experience

Essential

  • Experience of working within a multi-disciplinary team
  • Strong administrative skills with excellent attention to detail
  • Experience of using IT systems such as EMIS Web, Docman or other GP Platforms.
  • Experience in using the Microsoft Office suite of applications, including Word, PowerPoint and Outlook
  • Experience of working under pressure and managing varying workloads and changing demands
  • Excellent communication skills with the ability to communicate orally and in written form in a confident, articulate manner
  • Ability to build relationships with others to enable and support collaborative working

Desirable

  • - Experience of implementing or supporting service improvements

Qualifications

Essential

  • - GCSE grade A* to C (9-4) in English and Maths or equivalent
  • - NVQ Level 3, Advanced level administrative qualification or equivalent
  • - Demonstrable commitment to professional and personal development

Desirable

  • - Willingness to work towards further educational qualifications required for the role.
Person Specification

Knowledge and Understanding

Essential

  • Understanding of Primary Care, GP practices or the wider NHS landscape
  • Understanding of how multi-practice or multi-organisation working operates
  • Knowledge of operational processes, administration workflows or service coordination
  • Effective communicator
  • Understanding of confidentiality, information governance and data handling principles

Desirable

  • Understanding of PCN governance, DES requirements or NHS programme delivery

Experience

Essential

  • Experience of working within a multi-disciplinary team
  • Strong administrative skills with excellent attention to detail
  • Experience of using IT systems such as EMIS Web, Docman or other GP Platforms.
  • Experience in using the Microsoft Office suite of applications, including Word, PowerPoint and Outlook
  • Experience of working under pressure and managing varying workloads and changing demands
  • Excellent communication skills with the ability to communicate orally and in written form in a confident, articulate manner
  • Ability to build relationships with others to enable and support collaborative working

Desirable

  • - Experience of implementing or supporting service improvements

Qualifications

Essential

  • - GCSE grade A* to C (9-4) in English and Maths or equivalent
  • - NVQ Level 3, Advanced level administrative qualification or equivalent
  • - Demonstrable commitment to professional and personal development

Desirable

  • - Willingness to work towards further educational qualifications required for the role.

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

Folkestone Hythe and Rural PCN

Address

Office 10

3-5 Portland House

Hythe

Kent

CT21 6EG


Employer's website

https://www.fhrpcn.co.uk/ (Opens in a new tab)

Employer details

Employer name

Folkestone Hythe and Rural PCN

Address

Office 10

3-5 Portland House

Hythe

Kent

CT21 6EG


Employer's website

https://www.fhrpcn.co.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

PCN Operations Manager

Tara Anderson

tara.anderson8@nhs.net

07960548977

Details

Date posted

27 January 2026

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

A5975-26-0001

Job locations

Office 10

3-5 Portland House

Hythe

Kent

CT21 6EG


Privacy notice

Folkestone Hythe and Rural PCN's privacy notice (opens in a new tab)