Job summary
South & West
Herefordshire Primary Care Network is looking for a Care Coordinator to
join our Health & Wellbeing Team. The
position will work with our Frailty and Neighbourhood Health teams to support
the PCN in offering access to proactive and reactive personalised care and
support, with a particular focus on supporting those patients at highest risk
of suffering from health inequalities.
The PCN is
comprised of six GP practices centred around the market town of
Ross-on-Wye: Alton Street Surgery,
Pendeen Surgery, Fownhope Surgery, Much Birch Surgery, Golden Valley Practice
and The Surgery Kingstone. The role
will be hosted by the Herefordshire GP Federation, Taurus Healthcare, as the
employer.
* This is a Fixed Term position for 18 months *
*Interviews are expected to be held on Thursday 23rd October 2025*
Main duties of the job
- To work closely with the PCN and practice teams
to identify and work with a cohort of people to support their personalised
care requirements, using any available decision support tools.
- To act as the primary point of liaison for the
PCNs multi-disciplinary team meetings, capturing action steps at all
meetings, and ensuring that all agreed activity is completed.
- To contact patients identified for outreach to
arrange for appointments and to promote healthy lifestyle choices, such as
smoking cessation and health checks.
- To support the members of the Frailty and
Neighbourhood Health teams with outreach to identified cohorts of patients.
About us
Taurus
Healthcare was established in 2012, as the provider arm of the GP Federation
serving 185,000 patients in Herefordshire. Founded and owned by the partners
of the entire Herefordshire Primary Care community, Taurus is focused on
providing excellent out of hospital services for patients. Our ethos is to
provide high quality and cost-effective health outcomes that are delivered as
close as possible to the patients home, whilst ensuring that patients who do
require in hospital services are seen as quickly and effectively as possible.
At
Taurus Healthcare we strive to create a diverse, inclusive workplace, and
welcome applications from candidates from all backgrounds including those
from Military Veterans and family members of serving personnel.
Taurus
Healthcare offer many employee benefits, such as:
Access to a generous NHS pension scheme with
20.68% employer contribution.
33 to 38 days annual leave entitlement, including
bank holidays, depending on service (pro rata for part-time staff).
Access to an extensive Employee Benefits
Programme -Vivup- offering:
o
24/7 access to counselling services
o
Salary sacrifice scheme for cars and bikes
o
Access to a wide range of discounts from national
retailers
Access to the Blue Light extensive discount
scheme.
We reserve the right
to close this vacancy early if we receive sufficient applications for the
role. Therefore, if you are interested, please submit your application as
early as possible.
Job description
Job responsibilities
The
Network Care Coordinator (NCC) role acts as the central care coordination role
within the S&W PCN. Supporting the networks Health & Wellbeing Team
and the practices in executing on their contractual requirements, the role will
act as the central point of contact for outreach to a range of patients
identified as requiring clinical or wellbeing intervention. These will include frail patients, patients at
risk of Health Inequalities and patients with predeterminants of cardiovascular
disease.
South
& West Herefordshire PCN is made up of six practices centred around the
market town of Ross-on-Wye: Alton Street
Surgery, Pendeen Surgery, Fownhope Surgery, Much Birch Surgery, Golden Valley
Practice and The Surgery Kingstone. The
network covers a wide geographic area offering traditional General Practice
support to our patients centred around the communities they live in. The role will be hosted by the Herefordshire
GP Federation, Taurus Healthcare, as the employer.
The
NCCs role requires them to be able to work with, and understand the roles of,
a variety of different people working across the PCN including doctors, nurses,
healthcare assistants, social prescribing link workers, physiotherapists,
health and wellbeing coaches and pharmacists.
They will identify and work with individuals in need of proactive
support with the aim of providing advocacy, encouraging independence, a healthy
lifestyle, mental wellbeing, and social connectivity. They may be given a caseload of
identified patients and be required to ensure that their changing needs are
addressed by taking into account local priorities, health inequalities and/or
population health management risk stratification.
The
successful candidate will be a caring, dedicated, reliable, person-focussed and
enjoy working with a wide range of people. They will have good written and
verbal communication skills and strong organisational and time management
skills. They will be highly motivated and proactive with a flexible attitude,
keen to work and learn as part of a team and committed to providing people,
their families and carers with high quality support.
* A full Job Description & Person Specification is attached to this advert*
Job description
Job responsibilities
The
Network Care Coordinator (NCC) role acts as the central care coordination role
within the S&W PCN. Supporting the networks Health & Wellbeing Team
and the practices in executing on their contractual requirements, the role will
act as the central point of contact for outreach to a range of patients
identified as requiring clinical or wellbeing intervention. These will include frail patients, patients at
risk of Health Inequalities and patients with predeterminants of cardiovascular
disease.
South
& West Herefordshire PCN is made up of six practices centred around the
market town of Ross-on-Wye: Alton Street
Surgery, Pendeen Surgery, Fownhope Surgery, Much Birch Surgery, Golden Valley
Practice and The Surgery Kingstone. The
network covers a wide geographic area offering traditional General Practice
support to our patients centred around the communities they live in. The role will be hosted by the Herefordshire
GP Federation, Taurus Healthcare, as the employer.
The
NCCs role requires them to be able to work with, and understand the roles of,
a variety of different people working across the PCN including doctors, nurses,
healthcare assistants, social prescribing link workers, physiotherapists,
health and wellbeing coaches and pharmacists.
They will identify and work with individuals in need of proactive
support with the aim of providing advocacy, encouraging independence, a healthy
lifestyle, mental wellbeing, and social connectivity. They may be given a caseload of
identified patients and be required to ensure that their changing needs are
addressed by taking into account local priorities, health inequalities and/or
population health management risk stratification.
The
successful candidate will be a caring, dedicated, reliable, person-focussed and
enjoy working with a wide range of people. They will have good written and
verbal communication skills and strong organisational and time management
skills. They will be highly motivated and proactive with a flexible attitude,
keen to work and learn as part of a team and committed to providing people,
their families and carers with high quality support.
* A full Job Description & Person Specification is attached to this advert*
Person Specification
Experience
Essential
- Working knowledge of Microsoft office Word, Excel, Outlook and PowerPoint and using video calling software e.g. Microsoft teams.
- Experience of working in a health or social care setting
- Experience of providing one to one and/or group support.
- Completed a two day PCI accredited care co-ordination training course or be willing to complete one.
Desirable
- Experience of using IT systems such as EMIS.
- Experience of partnership/collaborative working and of building relationships across a variety of organisations.
- Knowledge of the core concepts and principles of personalised care, shared decision making, patient activation, health behaviour change, self-efficacy, motivation and assets-based approaches.
- Experience of minute-taking within an MDT environment.
Skills
Essential
- Active and empathetic listening, provide personalised support in a non-judgemental way.
- Ability to support people in a way that inspires trust and confidence, motivating others to reach their potential.
- Ability to provide a culturally sensitive service supporting people from all backgrounds and communities, respecting lifestyles and diversity.
- Good interpersonal communication skills, both written and verbal with patients, colleagues, family members and partner agencies.
- Effective questioning, ability to build trust and rapport with patients and colleagues.
- Ability to manage and prioritise own work to meet deadlines.
- Ability to work effectively as part of a team.
- Good level of accuracy and attention to detail.
- Understanding of personalised care and the comprehensive model of personalised care.
- Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities, individuals, their families and carers
Desirable
- Use of health literate communication techniques.
- Ability to provide motivational coaching to support peoples behaviour change.
Personal Qualities and Attributes
Essential
- Reliable, conscientious and flexible approach to work.
- Commitment to reducing health inequalities and proactively working to reach people from diverse communities.
- To be able to work independently on own initiative but aware of own limitations within the scope of the role.
- Ability to maintain confidentiality.
Other Job Requirements
Essential
- Understanding of confidentiality and Data Protection.
- Meets a Disclosure and Barring Service (DBS) reference standards and criminal record checks.
- Required to travel to meetings and work from other locations as required.
Qualifications
Essential
- GCSE English or equivalent level.
- GCSE Mathematics or equivalent level.
Desirable
- ECDL or equivalent level of keyboard/IT skills.
Person Specification
Experience
Essential
- Working knowledge of Microsoft office Word, Excel, Outlook and PowerPoint and using video calling software e.g. Microsoft teams.
- Experience of working in a health or social care setting
- Experience of providing one to one and/or group support.
- Completed a two day PCI accredited care co-ordination training course or be willing to complete one.
Desirable
- Experience of using IT systems such as EMIS.
- Experience of partnership/collaborative working and of building relationships across a variety of organisations.
- Knowledge of the core concepts and principles of personalised care, shared decision making, patient activation, health behaviour change, self-efficacy, motivation and assets-based approaches.
- Experience of minute-taking within an MDT environment.
Skills
Essential
- Active and empathetic listening, provide personalised support in a non-judgemental way.
- Ability to support people in a way that inspires trust and confidence, motivating others to reach their potential.
- Ability to provide a culturally sensitive service supporting people from all backgrounds and communities, respecting lifestyles and diversity.
- Good interpersonal communication skills, both written and verbal with patients, colleagues, family members and partner agencies.
- Effective questioning, ability to build trust and rapport with patients and colleagues.
- Ability to manage and prioritise own work to meet deadlines.
- Ability to work effectively as part of a team.
- Good level of accuracy and attention to detail.
- Understanding of personalised care and the comprehensive model of personalised care.
- Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities, individuals, their families and carers
Desirable
- Use of health literate communication techniques.
- Ability to provide motivational coaching to support peoples behaviour change.
Personal Qualities and Attributes
Essential
- Reliable, conscientious and flexible approach to work.
- Commitment to reducing health inequalities and proactively working to reach people from diverse communities.
- To be able to work independently on own initiative but aware of own limitations within the scope of the role.
- Ability to maintain confidentiality.
Other Job Requirements
Essential
- Understanding of confidentiality and Data Protection.
- Meets a Disclosure and Barring Service (DBS) reference standards and criminal record checks.
- Required to travel to meetings and work from other locations as required.
Qualifications
Essential
- GCSE English or equivalent level.
- GCSE Mathematics or equivalent level.
Desirable
- ECDL or equivalent level of keyboard/IT skills.
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.
