Job summary
Join Our Team as a Care Home Care Coordinator Making a Real Difference in South Liverpool!
Childwall and Wavertree Primary Care Network is on the lookout for a proactive, compassionate, and highly organised Care Home Care Coordinator to become a vital part of our dynamic team of pharmacists, pharmacy technicians, physician assistants, GPs and nurses that support the care homes.
In this non-clinical, people-focused role, you'll work across seven GP practices, supporting residents in 3 care homes in South Liverpool. You'll be the go-to connection between care home residents, families, and healthcare professionals ensuring seamless communication and continuity of care.
As the Care Home Care Coordinator, you'll:
- Lead the coordination of our Care Home Multi-Disciplinary Team (MDT) virtual meeting
- Facilitate weekly care home rounds, identifying residents who need review
- Support residents before and after clinical conversations
- Collaborate closely with our Care Home Leads, Physician Assistant, and primary care teams
This role is all about preventing ill health, reducing unnecessary GP visits and hospital admissions, and strengthening the bridge between general practice and care homes.
This is a part time role of 22.5 hours per week. The post holder must work Tuesdays and Wednesdays.
If you're someone who thrives on building relationships, solving problems, and making a meaningful impact, we'd love to hear from you!
Main duties of the job
As the Care Home Coordinator, you will play a
key role in enhancing continuity of care by serving as the primary point of
contact for residents, families, and healthcare professionals who interact with
or work in the care home. You will also oversee the coordination of the Care
Home Multi-Disciplinary Team (MDT) and facilitate weekly care home rounds by
identifying residents requiring review or discussion. In this role, you will
support individuals in preparing for, or following up on, clinical conversations
with primary care professionals. You will work closely with the Care Home Leads,
Care Home Physician Assistant and primary care professionals within the Primary
Care Network (PCN) to manage a caseload of care homes under our care, ensuring
effective communication between Primary Care and care home staff.
This role is designed to improve communication
between Primary Care and care home staff, aiming to prevent ill health where
possible, unnecessary GP visits and hospital admissions. The post holder must
be adjustable, as the role will evolve alongside the Enhanced Health in Care
Homes Framework initiative. The post
holder will be on site and be able to travel between the practices and care
homes.
Please see the job description for more details.
About us
Childwall and Wavertree Network is a Primary Care Network (PCN) made up of seven well-established practices:
- Valley Medical Centre
- Rutherford Medical Centre
- Penny Lane Surgery
- Greenbank Road Surgery
- Greenbank Drive Surgery
- Lance Lane Medical Centre
- Beacon Health at Mossley Hill Surgery
We serve a combined population of around 44,000 patients in South Liverpool. Our mission is to deliver innovative, high-quality, and compassionate care that meets the needs of our diverse community. We foster a supportive environment where both patients and staff thrive, recognising that empowered teams drive better outcomes. Grounded in the strengths of general practice, we work collaboratively across sectors to improve access, reduce health inequalities, and deliver inclusive, forward-thinking care. All our practices are teaching practices and are committed to staff development.
We work closely with community teams and local healthcare providers, using a multi-disciplinary approach that includes GPs, Advanced Clinical Practitioners, Clinical Pharmacists, Pharmacy Technicians, Practice Nurses, Nurse Associates, Social Prescribers, Health and Wellbeing Coaches, Mental Health Practitioners, First Contact Physiotherapists, and Physician Assistants.
Our network is aligned with three care homes: Oak Springs, Stapley Residential and Nursing Home, and Prince Alfred Residential Care Home.
Job description
Job responsibilities
Key
Responsibilities
Coordinate and integrate care for residents of care homes in line
with the Enhanced Health in Care Homes Framework
- Work with the lead of the care home team, the care home physician
assistant, GPs and other primary care professionals within the PCN to identify
and manage a caseload of care home residents, and where required and as
appropriate, refer people back to other health professionals within the PCN.
- Organise and chair multidisciplinary meetings of the care home
team which includes GPs, care home staff, community nurses, social workers,
pharmacists and other health care professionals as needed
- Ensure that all discussions and decisions from the care home
multidisciplinary team (MDT) meetings are accurately documented, and that
agreed actions are followed up and completed in a timely manner.
- Utilise population health intelligence to proactively identify and
work with a cohort of patients to deliver personalised care
- Help people to manage their needs through answering queries,
making and managing appointments, and ensuring that people have good quality
written or verbal information to help them make choices about their care, using
tools to understand peoples level of knowledge, confidence in skills in
managing their own health
- Identify when action or additional support is needed, alerting a
named clinical contact in addition to relevant professionals, and highlighting
any safety concerns
- Support practices to keep care records up-to-date by identifying
and updating missing or out-of-date information about the persons
circumstances
- Demonstrate a thorough understanding of the Enhanced Health in
Care Homes (EHCH) Framework, actively implementing its principles and
continuously identifying opportunities to improve the service in line with its
standards and evolving best practices
Enable access to personalised care and support
- Develop an in-depth knowledge of the local health and care
infrastructure and know how and when to enable people to access support and
services that are right for them
- Provide coordination and navigation for residents and their carers
across health and care services, working closely with social prescribing link
workers, health and wellbeing coaches, and other primary care professionals
- Provide residents and their families with high-quality information
to aid in making informed choices about their care.
- Raise awareness within the PCN of shared decision-making and
decision support tools
Miscellaneous
- Establish strong working relationships with GPs and practice teams
and work collaboratively with other care coordinators to enhance the
coordination of care for the residents
- Demonstrate a flexible attitude and be prepared to carry out other
duties as may be reasonably required from time to time within the general
character of the post or the level of responsibility of the role, ensuring that
work is delivered in a timely and effective manner
- Identify opportunities and gaps in the service and provide
feedback to continually improve the service and contribute to business planning
- Contribute to the development of policies and plans relating to
equality, diversity and reduction of health inequalities
- Contribute to the wider aims and objectives of the PCN to improve
and support primary care
- Aid implementation of the seasonal vaccination programmes such as
COVID-19 and influenza
Professional Development
- Work with your line manager to undertake continual
personal and professional development taking an active part in reviewing and
developing the role and responsibilities
- Adhere to organisations policies and procedures,
including confidentiality, safeguarding, lone working, information governance,
and health and safety
Health and Safety/Risk Management
- Must always
comply with the Health and Safety policies, in particular following safe
working procedures and reporting incidents using the organisations Incident
Reporting Systems
- Comply with
the Data Protection Act (2018) and the Access to Health Records Act (1990).
Job description
Job responsibilities
Key
Responsibilities
Coordinate and integrate care for residents of care homes in line
with the Enhanced Health in Care Homes Framework
- Work with the lead of the care home team, the care home physician
assistant, GPs and other primary care professionals within the PCN to identify
and manage a caseload of care home residents, and where required and as
appropriate, refer people back to other health professionals within the PCN.
- Organise and chair multidisciplinary meetings of the care home
team which includes GPs, care home staff, community nurses, social workers,
pharmacists and other health care professionals as needed
- Ensure that all discussions and decisions from the care home
multidisciplinary team (MDT) meetings are accurately documented, and that
agreed actions are followed up and completed in a timely manner.
- Utilise population health intelligence to proactively identify and
work with a cohort of patients to deliver personalised care
- Help people to manage their needs through answering queries,
making and managing appointments, and ensuring that people have good quality
written or verbal information to help them make choices about their care, using
tools to understand peoples level of knowledge, confidence in skills in
managing their own health
- Identify when action or additional support is needed, alerting a
named clinical contact in addition to relevant professionals, and highlighting
any safety concerns
- Support practices to keep care records up-to-date by identifying
and updating missing or out-of-date information about the persons
circumstances
- Demonstrate a thorough understanding of the Enhanced Health in
Care Homes (EHCH) Framework, actively implementing its principles and
continuously identifying opportunities to improve the service in line with its
standards and evolving best practices
Enable access to personalised care and support
- Develop an in-depth knowledge of the local health and care
infrastructure and know how and when to enable people to access support and
services that are right for them
- Provide coordination and navigation for residents and their carers
across health and care services, working closely with social prescribing link
workers, health and wellbeing coaches, and other primary care professionals
- Provide residents and their families with high-quality information
to aid in making informed choices about their care.
- Raise awareness within the PCN of shared decision-making and
decision support tools
Miscellaneous
- Establish strong working relationships with GPs and practice teams
and work collaboratively with other care coordinators to enhance the
coordination of care for the residents
- Demonstrate a flexible attitude and be prepared to carry out other
duties as may be reasonably required from time to time within the general
character of the post or the level of responsibility of the role, ensuring that
work is delivered in a timely and effective manner
- Identify opportunities and gaps in the service and provide
feedback to continually improve the service and contribute to business planning
- Contribute to the development of policies and plans relating to
equality, diversity and reduction of health inequalities
- Contribute to the wider aims and objectives of the PCN to improve
and support primary care
- Aid implementation of the seasonal vaccination programmes such as
COVID-19 and influenza
Professional Development
- Work with your line manager to undertake continual
personal and professional development taking an active part in reviewing and
developing the role and responsibilities
- Adhere to organisations policies and procedures,
including confidentiality, safeguarding, lone working, information governance,
and health and safety
Health and Safety/Risk Management
- Must always
comply with the Health and Safety policies, in particular following safe
working procedures and reporting incidents using the organisations Incident
Reporting Systems
- Comply with
the Data Protection Act (2018) and the Access to Health Records Act (1990).
Person Specification
Experience
Essential
- Experience of working within multi-professional team environments
- Experience of working in healthcare, social care or relevant field
Desirable
- Experience of working in a GP practice or primary care setting
- Experience of working with elderly or vulnerable people
Skills and Knowledge
Essential
- Strong organisational skills, including planning, prioritising, time management and record keeping
- Working knowledge of Microsoft office Word, Excel, Outlook and PowerPoint and using video calling software e.g. Microsoft teams
Desirable
- Understanding of the needs of older people / adults with disabilities / long term conditions particularly in relation to promoting their independence
- Familiarity with EMIS electronic health record
- Knowledge of how the NHS works, including primary care and PCNs
Other
Essential
- Ability to travel across the locality on a regular basis
Qualifications
Essential
- GCSE grade A* to C (9-4) in English and Maths or equivalent
Desirable
- Qualified to NVQ Level 3 in Health and Social Care - advanced level or equivalent qualifications or working towards
- Enrolled in, undertaking or qualified from appropriate training as set out in Workforce Development Framework for Care Coordinators by the Personalised Care Institute
Person Specification
Experience
Essential
- Experience of working within multi-professional team environments
- Experience of working in healthcare, social care or relevant field
Desirable
- Experience of working in a GP practice or primary care setting
- Experience of working with elderly or vulnerable people
Skills and Knowledge
Essential
- Strong organisational skills, including planning, prioritising, time management and record keeping
- Working knowledge of Microsoft office Word, Excel, Outlook and PowerPoint and using video calling software e.g. Microsoft teams
Desirable
- Understanding of the needs of older people / adults with disabilities / long term conditions particularly in relation to promoting their independence
- Familiarity with EMIS electronic health record
- Knowledge of how the NHS works, including primary care and PCNs
Other
Essential
- Ability to travel across the locality on a regular basis
Qualifications
Essential
- GCSE grade A* to C (9-4) in English and Maths or equivalent
Desirable
- Qualified to NVQ Level 3 in Health and Social Care - advanced level or equivalent qualifications or working towards
- Enrolled in, undertaking or qualified from appropriate training as set out in Workforce Development Framework for Care Coordinators by the Personalised Care Institute
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.
