Maple View Medical Practice

Frailty Care Co-Ordinator

The closing date is 28 September 2025

Job summary

Kingfisher PCN Additional Roles Team is viewed as a significant opportunity. The role involves working across the PCN and the wider multidisciplinary teams (MDT) and is a pivotal role in ensuring all patients receive the best possible care and services available. The Care Coordinator role will support the Frailty Team in the coordination and delivery of key PCN priorities including the coordination of the Frailty cohort of patients, patients living within Care Homes and within the community. The role will include responsibilities for the co-ordination of the patients journey through Primary Care and the seamless transfer of care across the system.

Main duties of the job

Excellent communication, organisational and administration skills are key to the success of the role. The Care Coordinator will: provide coordination and navigation for people and their carers across health and care services, alongside Social Prescribing link workers and other primary care roles; lead the coordination and navigation of care for a defined frail population across the PCN proactively supporting and managing patients to remain within their own homes wherever possible working closely with the wider community team; focus upon patients and provide support necessary fulfil effective personalised care requirements; liaise with multi agencies to coordinate pathways of care for patients; provide coordination and navigation for people and their carers across health and care services.

About us

Kingfisher Primary Care Network (PCN) is a collaboration between 5 GP practices across 6 sites in Redditch Town with a shared population of 58,955. Kingfisher PCN has a strategic ambition to introduce a Community Health Hub in the medium term in order to innovate general practice locally and build a sustainable model for general practice for the future. Kingfisher PCN practices have a mature relationship and a proven track record of effectively working together over many years. The opportunity to introduce additional roles to complement the existing primary care workforce has been embraced and recent recruitment has resulted in appointments to the Additional Roles Team including Clinical Pharmacist, FCPs and Care Coordinator's alongside already established Social Prescribers.

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Date posted

22 September 2025

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Part-time, Flexible working

Reference number

A1883-25-0002

Job locations

Churchill Centre

Tanhouse Lane

Redditch

Worcs

B98 9AA

Job description

Job responsibilities

Care Coordinators will:

Provide coordination and navigation for people and their carers across health and care services, alongside Social Prescribing link workers and other primary care roles;

Support the coordination and delivery of MDTs within PCNs as required;

Support the coordination of a dedicated multidisciplinary team looking after Care Homes within the PCN area;

Lead the coordination and navigation of care for a defined frail population across the PCN proactively supporting and managing patients to remain within their own homes wherever possible working closely with the wider community team;

Focus upon patients and provide support necessary fulfil effective personalised care requirements;

Help patients to manage their needs, answering their queries and supporting them to make appointments with a focus upon promoting patient independence and autonomy wherever possible;

Coordination of key meetings (including Care Home residents and frail/vulnerable people living within their own homes. Ensure good communication between professionals and be available as a point of contact between partners;

Liaise with multi agencies to coordinate pathways of care for patients.

Provide coordination and navigation for people and their carers across health and care services;

Support Quality and Outcome Frameworks and other National and Local targets as required.