Care Home & Palliative Care Co-ordinatorNHS

Job summary

Interview date: 20th November 2026, at Weobley Surgery, Weobley, Herefordshire, HR4 8SN

37.5 Hours per week

Permanent

We have an exciting opportunity for a non-clinical care coordinator to join our Team in North & West Primary Care Network.

The Care Home and Palliative Care Coordinator will work within the PCN Care Home team, working closely with GP practices to co-ordinate their Palliative MDT and Care Home MDT meetings, supporting discharges across care settings as well as admissions and ward rounds for care homes.

The role will provide a central point of contact and co-ordination for patient care planning for residents in care home settings (nursing, residential and learning disabilities).

Working alongside colleagues in general practice, secondary care, social care, and mental health as appropriate, providing a single point of access to support co-ordination of care for patients registered with NW practices. This includes working in partnership with Care Homes to establish effective working relationships.

Facilitate smooth and planned discharge and handover between care settings across the health and social care system, including GP, acute, community, and be responsible for facilitating inter-agency communication and support.

Main duties of the job

1. Act as the central point of contact for the North & West PCN Care Home Team.

2. Co-ordinate the delivery of Personalised Care and Support Plans and Structured Medication Reviews.

3. Support the roll out and coordination of the seasonal vaccination programme.

4. Co-ordinate the Practice multi-disciplinary team meetings for Palliative Care MDTs and Care Home MDTs.

5. Maintain accurate electronic record for each patient, following case discussions.

6. Ensure that meeting/MDT actions are recorded, disseminated and followed up in a timely way.

7. Support the co-ordination of Care Home Ward Rounds.

8. Work closely with all relevant care agencies to ensure a coordinated delivery of the patients care plan.

9. Produce a quarterly newsletter to care homes.

10. Network and develop strong relationships with all relevant care agencies.

11. Working closely with the PCN safeguarding team and practices to seek advice/escalation as needed on any identified care home patient safeguarding risks.

Job description

The Care Home and Palliative Care Coordinator will work within the PCN Care Home team, working closely with GP practices to co-ordinate their Palliative MDT and Care Home MDT meetings, supporting discharges across care settings as well as admissions and ward rounds for care homes.

The role will provide a central point of contact and co-ordination for patient care planning for residents in care home settings (nursing, residential and learning disabilities).

Working alongside colleagues in general practice, secondary care, social care, and mental health as appropriate, providing a single point of access to support co-ordination of care for patients registered with NW practices. This includes working in partnership with Care Homes to establish effective working relationships.

Facilitate smooth and planned discharge and handover between care settings across the health and social care system, including GP, acute, community, and be responsible for facilitating inter-agency communication and support.

Main Responsibilities

1. Act as the main point of contact for the North & West PCN Care Home Team.

2. Co-ordinate the delivery of Personalised Care and Support Plans (PCSP) and Structured Medication Reviews (SMR) for all residents in a nursing, residential or Learning Disabilities home, utilising EMIS searches and liaising with the EHCH Clinical Co-Ordinator, PCN Pharmacy Team and GP practices.

3. Support the roll out and coordination of the seasonal vaccination programme, working with each Practice and care home setting.

4. Co-ordinate the Practice multi-disciplinary team meetings for Palliative Care MDTs and Care Home MDTs, working alongside the GP Practice leads and colleague. Ensure a programme of regular meetings are established, ensuring that all necessary documentation is circulated in advance, where practical.

5. Maintain accurate electronic record for each patient, following case discussions.

6. Ensure that meeting/MDT actions are recorded, disseminated and followed up in a timely way; ensure relevant practitioners are aware of meeting decisions and actions / outcomes.

7. Support the co-ordination of Care Home Ward Rounds, working alongside the practice lead, by liaising with each care home and ensuring patient lists are entered in a timely manner so that the ward round takes place effectively and efficiently.

8. Work closely with all relevant care agencies (primary care, secondary care, community services, Mental Health, Social Services, Ambulance Service, Voluntary services and other relevant service providers) to ensure a coordinated delivery of the patients care plan.

9. Organise and attend additional / relevant meetings when required within the PCN to support our Practices, including multi-disciplinary team meetings.

10. Working with the team, lead on producing a quarterly newsletter to care homes providing information about the team, key updates and information that would be relevant to share on a seasonal basis.

11. Attend quarterly cross PCN meetings with your peers, to network, build peer support, sharing of information and new ways of improved working.

12. Network and develop strong relationships with all relevant care agencies (primary care, secondary care, community services, Mental Health, Social Services, Ambulance Service, Voluntary services and other relevant service providers) to ensure a coordinated delivery of the patients care plan.

13. Working closely with the PCN safeguarding team and practices to seek advice/escalation as needed on any identified care home patient safeguarding risks. This may include at times joint projects to support care quality improvement

About us

This beautiful part of the country borders Worcestershire, Shropshire, and Wales. We serve both rural and market town communities, responding to the wide-ranging health needs of our population. Our Primary Care Network (PCN) is highly organised and forward-looking, with strong, collaborative relationships between practices and community providers.

Our network includes:

• Kington Medical Practice
• Ryeland Surgery, Leominster
• Mortimer Medical Practice
• Tenbury Wells Surgery
• Weobley & Staunton on Wye Surgeries

Herefordshire General Practice and Primary Care Networks are supported by the GP Federation, Taurus Healthcare, enabling us to deliver the best of local services while benefiting from the advantages of working at scale.