Farnham Road Practice

Care Co-Ordinator (PCN SPINE)

The closing date is 04 July 2025

Job summary

Would you like to join our friendly and resolute team of clinicians and non-clinicians at a large NHS general practice based in Slough, Berkshire?

We are seeking to appoint one motivated and enthusiastic Care Co-ordinator to join our Clinical and Clinical Administration team within the practice. Care Co-Ordinators report directly to the Clinical Pharmacist Partner. We offer, plus your salary good benefits package, as well as the opportunity to work in a supportive and collaborative environment with a diverse committed workforce from different ethnic backgrounds ensuring the quality of our services to our patients are to a high standard.

Main duties of the job

You will be part of a team of five Care Coordinators (Farnham Road Medical Group & Primary Care Network) supporting the delivery of care to the highest quality and safety. As part of the team, you will provide personalised support to our patients, their families, and carers to take control of their wellbeing, live independently and improve their health and quality of life. You would be based at Farnham Road Practice but would be expected to travel to our other three sites based within Slough and our PCN SPINE partner (Kumar Medical Centre) within Slough, to manage and prioritise your own caseload, in accordance with the needs, priorities, and any urgent support required by our patients. The benefit package summary for the role is attached.

About us

Farnham Road Medical Group (FRMG) started as one Practice with two sites and has grown over the years into an outstanding group of three training GP practices that are approved by Health Education England. With four clinical sites based in Slough, we now have a team of over 100 staff looking after 38,000 patients. The practice are committed to innovation in providing high-quality health care for our patients and a protected working and learning environment for our staff. Our team includes pharmacists, nurses, physician associates, paramedics, MSK practitioners, Mental Health Practitioners, managers, social prescribers, and care coordinators as well as GPs and a large Patient Services team. This resolute team provides an evolving healthcare and medical service to meet the varying needs of our patients and, in turn, provides what we believe is a sustainable model of modern General Practice. We have expanded our expertise and have transformed how we provide medical services to try to ensure we meet the demands of Sloughs diverse population.

Our vision is simple: Putting Patients First and providing services that tailor to their needs, which we strive to achieve through brilliant leadership, mentoring, teamwork, communication, problem sharing and solving, support, integrity, fun, training, education, and continued development.

Details

Date posted

04 June 2025

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time

Reference number

A3559-25-0004

Job locations

301 Farnham Road

Slough

SL2 1HD


Kumar Medical Centre

59 Grasmere Avenue

Slough

SL2 5JE


Avenue Medical Centre

Britwell Centre, Wentworth Road

Slough

Berkshire

SL2 2DT


Doctors Surgery

242 Wexham Road

Slough

SL2 5JP


Weekes Drive Surgery

100 Weekes Drive

Slough

SL1 2YP


Job description

Job responsibilities

  • Work with GPs and MDT team within practices of FRMG to assist in the ongoing care of special groups of patients i.e, Learning Disabilities, End-of-life and Anticipatory Care Planning and signpost patients to relevant organisations for support.
  • Provide personalised support to individuals, their families and carers to take control of their wellbeing, live independently and improve their health outcomes. Develop trusting relationships by giving people time and focus on what matters to me. Take a holistic approach, based on the persons priorities and the wider determinants of health. Co-produce a personalised support plan to improve health and wellbeing, introducing or reconnecting people to community groups and statutory services. Choose an item on the caseload. It is vital that you have strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the link worker role - e.g. when there is a mental health need requiring a qualified practitioner.
  • Take active part in clinical administration of Childhood Immunisations and Vaccination programs across the FRMG.
  • Assist the Prescription team in managing prescription service.
  • Assist the Reception team in navigating patients into different clinical services.
  • Assist the Docman Workflow pathway.
  • Assist the Blood pressure and health checks in surgeries within the FRMG.
  • Work closely Clinical Pharmacist team in optimising Prescribing indicators along with achieving Quality prescribing.
  • Assist the Multi-disciplinary team in clinical inventory check and stock ordering.
  • Build relationships with key staff in GP practices within the local FRMG attending relevant meetings, becoming part of the wider network team, giving information and feedback on social prescribing.
  • Be part of the practice teams for anticipatory care planning and attend Integrated care team meetings as part of the regular cluster catch ups within the network.
  • Be proactive in developing strong links with all local agencies to encourage referrals, recognising what they need to be confident in the service to make appropriate referrals.
  • Work in partnership with all local agencies to raise awareness of social prescribing and how partnership working can reduce pressure on statutory services, improve health outcomes and enable a holistic approach to care.
  • Seek regular feedback about the quality of service and impact of social prescribing on referral agencies.
  • Be proactive in encouraging self-referrals and connecting with all local communities, particularly those communities that statutory agencies may find hard to reach.
  • To work as part of the practice Multi-Disciplinary Team and receive and share information within that team to safeguard individuals and support them to work towards their goals and aspirations.
  • To maintain accurate information systems of records and activities, complete data sheets and monitoring and evaluating data.
  • To organise and facilitate group-based workshops and activities, ensuring self-help and peer support groups cover a flexible timetable.
  • To support service design, co-production, development and improvement ensuring quality is maintained throughout.
  • To manage a caseload of individuals with complex needs.
  • Assist with referrals and E-consults admin once trained.
  • Assist with Docman pathway after being trained.
  • To develop appropriate resources and materials for the service.
  • To assist in call handling in Telephony Hub as part of the care navigation and to help reception cover.
  • To assist in health care assistant type of functions along with phlebotomy and covid/flu vaccinations once trained.
  • To assist in the admin functions of Rota and appointment books.

Job description

Job responsibilities

  • Work with GPs and MDT team within practices of FRMG to assist in the ongoing care of special groups of patients i.e, Learning Disabilities, End-of-life and Anticipatory Care Planning and signpost patients to relevant organisations for support.
  • Provide personalised support to individuals, their families and carers to take control of their wellbeing, live independently and improve their health outcomes. Develop trusting relationships by giving people time and focus on what matters to me. Take a holistic approach, based on the persons priorities and the wider determinants of health. Co-produce a personalised support plan to improve health and wellbeing, introducing or reconnecting people to community groups and statutory services. Choose an item on the caseload. It is vital that you have strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the link worker role - e.g. when there is a mental health need requiring a qualified practitioner.
  • Take active part in clinical administration of Childhood Immunisations and Vaccination programs across the FRMG.
  • Assist the Prescription team in managing prescription service.
  • Assist the Reception team in navigating patients into different clinical services.
  • Assist the Docman Workflow pathway.
  • Assist the Blood pressure and health checks in surgeries within the FRMG.
  • Work closely Clinical Pharmacist team in optimising Prescribing indicators along with achieving Quality prescribing.
  • Assist the Multi-disciplinary team in clinical inventory check and stock ordering.
  • Build relationships with key staff in GP practices within the local FRMG attending relevant meetings, becoming part of the wider network team, giving information and feedback on social prescribing.
  • Be part of the practice teams for anticipatory care planning and attend Integrated care team meetings as part of the regular cluster catch ups within the network.
  • Be proactive in developing strong links with all local agencies to encourage referrals, recognising what they need to be confident in the service to make appropriate referrals.
  • Work in partnership with all local agencies to raise awareness of social prescribing and how partnership working can reduce pressure on statutory services, improve health outcomes and enable a holistic approach to care.
  • Seek regular feedback about the quality of service and impact of social prescribing on referral agencies.
  • Be proactive in encouraging self-referrals and connecting with all local communities, particularly those communities that statutory agencies may find hard to reach.
  • To work as part of the practice Multi-Disciplinary Team and receive and share information within that team to safeguard individuals and support them to work towards their goals and aspirations.
  • To maintain accurate information systems of records and activities, complete data sheets and monitoring and evaluating data.
  • To organise and facilitate group-based workshops and activities, ensuring self-help and peer support groups cover a flexible timetable.
  • To support service design, co-production, development and improvement ensuring quality is maintained throughout.
  • To manage a caseload of individuals with complex needs.
  • Assist with referrals and E-consults admin once trained.
  • Assist with Docman pathway after being trained.
  • To develop appropriate resources and materials for the service.
  • To assist in call handling in Telephony Hub as part of the care navigation and to help reception cover.
  • To assist in health care assistant type of functions along with phlebotomy and covid/flu vaccinations once trained.
  • To assist in the admin functions of Rota and appointment books.

Person Specification

Experience

Essential

  • Experience of working directly in a community development context, adult health and social care, learning support or public health/health improvement (including unpaid work).
  • Experience of managing a caseload of clients and keeping up to date records using a database.
  • Experience of working with individuals (1-2-1) and groups of people in different settings to help them achieve their goals.
  • Experience of working with a range of agencies and organisations to develop effective working relationships.
  • Experience working with people with multiple needs.

Qualifications

Essential

  • Level 5 qualification (i.e. Diploma of higher education Diploma of further education Foundation degree HND or equivalent professional experience)
Person Specification

Experience

Essential

  • Experience of working directly in a community development context, adult health and social care, learning support or public health/health improvement (including unpaid work).
  • Experience of managing a caseload of clients and keeping up to date records using a database.
  • Experience of working with individuals (1-2-1) and groups of people in different settings to help them achieve their goals.
  • Experience of working with a range of agencies and organisations to develop effective working relationships.
  • Experience working with people with multiple needs.

Qualifications

Essential

  • Level 5 qualification (i.e. Diploma of higher education Diploma of further education Foundation degree HND or equivalent professional experience)

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.

Employer details

Employer name

Farnham Road Practice

Address

301 Farnham Road

Slough

SL2 1HD


Employer's website

https://farnhamroadpractice.co.uk/index.aspx (Opens in a new tab)

Employer details

Employer name

Farnham Road Practice

Address

301 Farnham Road

Slough

SL2 1HD


Employer's website

https://farnhamroadpractice.co.uk/index.aspx (Opens in a new tab)

Employer contact details

For questions about the job, contact:

HR Officer

Haleema

jobs.frmg@nhs.net

Details

Date posted

04 June 2025

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time

Reference number

A3559-25-0004

Job locations

301 Farnham Road

Slough

SL2 1HD


Kumar Medical Centre

59 Grasmere Avenue

Slough

SL2 5JE


Avenue Medical Centre

Britwell Centre, Wentworth Road

Slough

Berkshire

SL2 2DT


Doctors Surgery

242 Wexham Road

Slough

SL2 5JP


Weekes Drive Surgery

100 Weekes Drive

Slough

SL1 2YP


Supporting documents

Privacy notice

Farnham Road Practice's privacy notice (opens in a new tab)