Care CoordinatorNHS

Job summary

Calder & Ryburn PCN consist of four GP practices and have a combined patient list of over 43000 patients. We have grown as a collaborative PCN over the past four years and now have over 30 members of staff working across the PCN.

Calder & Ryburn PCN are looking for two self-motivated individuals to join our growing personalised care team. The team currently consists of care coordinators and social prescribing link workers who all work in GP practices across the PCN.

Please note this is not a sponsored position.

Main duties of the job

• Undertake work in line with PCN directed priorities.
• Proactively identify and work with a cohort of people to support their personalised care requirements, using the available decision support aids.
• Provide coordination and navigation for your caseload across health and care services, alongside working closely with other primary care roles.
• Direct liaison with multi agencies to coordinate care for patients.
• Raise awareness of health promotion and NHS health checks in practices.
• Support national screening programmes.
• Complete a variety of administrative tasks for different pieces of work in line with PCN priorities.
• Complete and chase referrals to the appropriate roles and services.
• Support Quality and Outcome Frameworks and other DES/LES specifications.

At Pennine GP Alliance (PGPA), we are committed to fair, transparent, and person-led recruitment. While we use digital tools to support our recruitment processes, we want to be clear that no shortlisting or hiring decisions are made solely by artificial intelligence (AI). We understand that AI can be a useful tool for applicants when preparing applications; however, your submission must represent your own experience, achievements, and professional perspective. Applications that appear to be entirely written by AI may not be considered. We encourage candidates to use AI responsibly - as a support tool, not a replacement for your own insight and input.

Job description

• Undertake work in line with PCN directed priorities.
• Proactively identify and work with a cohort of people to support their personalised care requirements, using the available decision support aids.
• Provide coordination and navigation for your caseload across health and care services, alongside working closely with other primary care roles.
• Direct liaison with multi agencies to coordinate care for patients.
• Raise awareness of health promotion and NHS health checks in practices.
• Support national screening programmes.
• Complete a variety of administrative tasks for different pieces of work in line with PCN priorities.
• Complete and chase referrals to the appropriate roles and services.
• Support Quality and Outcome Frameworks and other DES/LES specifications.
• Maintain and develop engagement with all practice staff and encourage the best practice.
• Raise awareness of shared decision-making and decision support tools and assist people to be more prepared to have a shared decision-making conversation.
• Ensure that people have good quality information to help them make choices about their care.
• Support the coordination and delivery of care home, ward rounds and MDTs within PCNs ensuring the Enhances Health in Care Homes model is delivered.
• Supporting residents in care homes/LD homes ensuring personalised care is delivered through collaborative working between health, social care, voluntary, community and social enterprise sector and care home partners.
• In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect staff will respect their privacy and act appropriately.
• In the performance of the duties outlined in this job description the post-holder may have access to confidential information relating to patients, their carers, practice, or staff information. All such information from any source is to be regarded as strictly confidential.
• Information relating to patients, carers, colleagues, or member practices may only be divulged to authorised person in accordance with PGPA policies and procedures relating to confidentiality and the protection of personal and sensitive data, or under the guidance of your manager.
• Where required competently carry out elements of the health check (A full check involves measurement of body mass index and waist circumference, pulse rate, blood pressure, height and weight, QRISK measurement, blood glucose, blood lipid, smoking and alcohol) and where required refer for further clinical advice.

Other Responsibilities:

• To maintain up to date knowledge of legislation, national and local policies and issues in relation to the specific client group, mental health and community care delivery.
• To comply with the Professional Codes of Conduct and to be aware of changes in these. To maintain up to date knowledge of all relevant legislation and local policies and procedures implementing this.
• To ensure that all duties are carried out to the highest standard and in accordance with currently quality initiatives within the work area.
• To comply with all relevant organisations policies, procedures, and guidelines, including those relating to Equal Opportunities, Health and Safety and Confidentiality of Information and to be aware of any changes in these.
• To comply at all times with the PGPAs Information Governance related policies. Staff are required to respect the confidentiality of information about staff, patients and PGPA business and in particular the confidentiality and security of personal identifiable information in line with the Data Protection Act. All staff is responsible for ensuring that any data created by them is timely, comprehensive, accurate, and fit for the purposes for which it is intended.

About us

Pennine GP Alliance is a member-led organisation representing 19 GP practices across Calderdale, organised into five Primary Care Networks (PCNs). Together, our member practices care for a combined population of over 223,000 registered patients.

We work extremely closely with general practice but also in partnership with other local healthcare providers with a purpose to ensure viable GP services remain at the heart of local communities, providing sustainable and high-quality patient-focused healthcare.

Join our team and experience a workplace that truly values growth, collaboration, and impact. We take pride in fostering a supportive and inclusive environment where every team member is encouraged to listen, learn, and lead. Together were dedicated to delivering better outcomes for GP practices, and ultimately for the people of Calderdale.

At our organisation, your professional growth matters we are committed to providing the resources and opportunities you need for continuous development, ensuring you thrive both in your role and your career.

We look forward to receiving your application to join our team of over 100 employees.