PCN Care Coordinator (Proactive Care Team)

Job summary

Clacton PCN has an opportunity for a care coordinator to join our Proactive Care team on a full-time basis for 37.5 hours per week working across 5 days (some Saturday work may be required). This roles is offered on a fixed term contract for 12 months.

The primary objective of this role is to collaborate with the Primary Care Network (PCN) Proactive Care team to enhance the health and well-being of patients within our network. This will involve screening, routine health reviews, taking observations, cancer care reviews, supporting groups and education events, holistic assessments, and implementing proactive approaches to managing frailty and long-term conditions. The role supports individuals to live, age, and die well through a mix of clinics, home visits, meetings, and service development initiatives.

The post holder will work in partnership with general practices, stakeholders, the wider PCN team, and neighbourhood-level resources to address patient needs and support the achievement of PCN objectives. They will act as a role model for the PCN demonstrating a compassionate and caring approach.

The care coordinator role is pivotal in providing enhanced care to our patient population, serving as a critical link between the GP practices, patients and the PCN.

Main duties of the job

• Working with the clinical lead and proactive team to embed the proactive care pathway across the PCN, addressing health inequalities and promoting healthy ageing.
• Developing strong working relationships with member practices to understand population needs and support patients in reducing crises, improving screening uptake, and enabling care in preferred settings.
• Supporting the coordination of all key activity, including access to services, advice and information, as well as ensuring that health and care planning is timely, efficient, and patient-centred.
• Referring patients to appropriate resources, such as social prescribers, frailty assessments, or occupational therapists, ensuring a holistic approach to care.
• Accurately and promptly recording daily activities and information, utilising IT systems as appropriate.

About us

Clacton PCN, located in North East Essex, comprises six practices: East Lynne Medical Centre (Lead Practice), North Clacton Medical Group, Old Road Surgery, Thorpe Surgery, Fronks Road Surgery, and Harewood Surgery. This dynamic and busy network offers opportunities for personal development, with a focus on supporting the local community and addressing health areas of interest to team members.