Job summary
Lewisham and Greenwich NHS Trust (LGT) is hosting this advert on behalf of Lewisham Primary Care Networks (PCNs). Please note that LGT is not the employer for this role.
This role is available in twoPrimary Care Networks (PCNs)in Lewisham:
- Sevenfields Primary Care Network
- Modality Primary Care Network
Successful candidates will be employed by one of the above PCNs and aligned to a neighbourhood-based INT. Please indicate your preferred PCN(s) or neighbourhood(s) in your application. Final placement will be based on service need and candidate suitability.
Previous applicants need not apply.
Main duties of the job
We are recruiting passionate and proactive Caseworkers to join the Lewisham Integrated Neighbourhood Teams (INTs). This is an exciting opportunity to play a key role in delivering community-based, person-centred care for residents with complex needs--focusing on holistic assessments, care coordination, and addressing health inequalities.
You'll work as part of a multi-agency team supporting residents with three or more long-term conditions, linking them to health, social care, and voluntary sector services.
About us
The Lewisham Health and Care Partnership is committed to creating a sustainable health and care system that supports both physical and mental wellbeing. Our Integrated Neighbourhood Teams bring together NHS services, primary care, social care, and the voluntary sector to provide coordinated, community-based support.
Modality Lewisham provides patient-centred primary care across central and south Lewisham, following the merger of several local practices. We focus on accessible, high-quality services, and personalised health support. As part of the Modality Partnership, we uphold NHS values while improving outcomes for our diverse local community.
Aplos Health PCN is a collaborative network of four GP practices in south and west Lewisham, serving over 50,000 patients. We deliver integrated, community-focused care, addressing health inequalities through innovative services like youth wellbeing clinics and digital hubs. Our multidisciplinary team is committed to improving health outcomes and empowering local residents.
Job description
Job responsibilities
Main Duties and Responsibilities
- Manage a caseload of residents with complex needs using a population health approach.
- Conduct holistic assessments and develop personalised support plans.
- Coordinate care and referrals between GPs, hospitals, social care, and community organisations.
- Attend MDT meetings and advocate for patients' needs.
- Support digital inclusion and contribute to continuous service improvement.
Job description
Job responsibilities
Main Duties and Responsibilities
- Manage a caseload of residents with complex needs using a population health approach.
- Conduct holistic assessments and develop personalised support plans.
- Coordinate care and referrals between GPs, hospitals, social care, and community organisations.
- Attend MDT meetings and advocate for patients' needs.
- Support digital inclusion and contribute to continuous service improvement.
Person Specification
Experience & Knowledge
Essential
- Previous experience in health, social care, or community coordination roles
- Familiarity with holistic assessment approaches and patient-centred care planning
- Understanding of population health management and tackling health inequalities
- Competence in completing NHS Health Checks and Diabetes 8 Care Processes
Desirable
- Knowledge of the Lewisham area and its health and care landscape
- Experience with working with those with Learning Disabilities and SMI
Other
Essential
- Trained in phlebotomy and health care checks.
Education & Qualifications
Essential
- Good general education with English and Maths to GCSE standard or equivalent
- Relevant NVQ 3 or equivalent qualification or experience
Skills & Abilities
Essential
- Strong organisational skills to manage caseloads and prioritise tasks effectively
- Excellent interpersonal and communication skills for working with patients, families, and multidisciplinary teams
- Analytical skills to assess population health data and identify target groups for intervention
- Ability to conduct person-centred assessments and create individualised care plans
- Proficiency in IT systems and digital tools for care coordination and reporting.
Person Specification
Experience & Knowledge
Essential
- Previous experience in health, social care, or community coordination roles
- Familiarity with holistic assessment approaches and patient-centred care planning
- Understanding of population health management and tackling health inequalities
- Competence in completing NHS Health Checks and Diabetes 8 Care Processes
Desirable
- Knowledge of the Lewisham area and its health and care landscape
- Experience with working with those with Learning Disabilities and SMI
Other
Essential
- Trained in phlebotomy and health care checks.
Education & Qualifications
Essential
- Good general education with English and Maths to GCSE standard or equivalent
- Relevant NVQ 3 or equivalent qualification or experience
Skills & Abilities
Essential
- Strong organisational skills to manage caseloads and prioritise tasks effectively
- Excellent interpersonal and communication skills for working with patients, families, and multidisciplinary teams
- Analytical skills to assess population health data and identify target groups for intervention
- Ability to conduct person-centred assessments and create individualised care plans
- Proficiency in IT systems and digital tools for care coordination and reporting.
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
