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Viaduct Care

Population Health and Safeguarding Care Co-ordinator

The closing date is 12 March 2026

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Job summary

We have a fantastic opportunity to join our innovative team of Care Co-ordinators working across the Stockport borough, specialising in care of vulnerable patient groups.

This role will involve working with individuals with learning disabilities, those requiring safeguarding oversight, and patients living with cancer.The Care Co-ordinator will be integral in overseeing the interdisciplinary care and will be responsible for co-ordinating a package of care and support from a variety of specialists who may be working with the patient.

You will support all key activity across the Stockport East and South (SES) PCN; supporting the PCN Manager and associated practices by co-ordinating activity and providing an efficient, well organised administrative and operational support to the clinicians and managers in the network to ensure effective timely delivery of the PCN objectives.

Main duties of the job

Care Co-ordinator roles are new to Primary Care and we are looking to recruit an Population Health and Safeguarding Care Co-ordinator within the SES Primary Care Network (PCN) across the borough. This role will involve working with patients with a range of presentations including those on the practice safeguarding registers, those with Learning Disabilities, Cancer diagnoses and reviewing patients frequently attending the Emergency Department to ensure they have been able to access the right support and help remove any potential barriers to accessing the right type of health care in a timely manner.

The care co-ordinator will be integral in overseeing the interdisciplinary care and will be responsible for co-ordinating a package of care and support from a variety of specialists who may be working with the patient. The role aims to improve health outcomes, promote timely care, and reduce health inequalities through effective care planning, system navigation, and communication between patients, carers, and the healthcare team.

The care co-ordinator will support all key activity across the PCN; supporting the PCN manager and associated practices by co-ordinating activity and providing an efficient, well organised administrative and operational support to the clinicians and managers in the network to ensure effective timely delivery of the PCN objectives.

About us

Viaduct Care CIC is the company structure for Stockport's GP Federation and represents all of its local GP Practices. Covering a patient population of circa 300,000 practices are split into 6 PCNs with each serving a population of around 30,000-50,000 patients.

Viaduct Care represents the collective voice and interests of its member practices and as a key stakeholder in Stockport Together aims to influence and support the design and delivery of major service and system changes by being a strong and effective partner with other major service providers.

One of our priorities at Viaduct Care is to ensure that wellbeing and development of our team is at the forefront of everything we do. We have recently launched our new employee assistance programme, assisting our team to get access to a range of advice 24 hours a day. Additionally, we are keen to provide opportunities for team members to develop and grow including access to an extensive range of training and up to five paid study days per year.

Click on the Why Join Viaduct Care link to the right to find out about all of our staff support and benefits.

Details

Date posted

05 March 2026

Pay scheme

Agenda for change

Band

Band 4

Salary

£27,485 to £30,162 a year Pro rata based on 37.5 hours per week

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

B0463-26-0002

Job locations

Merseyway Innovation Centre

21-23 Merseyway

Stockport

Greater Manchester

SK1 1PN


Job description

Job responsibilities

Main Roles & Responsibilities:

To work as a team of Care Coordinators, with the GPs and other primary care professionals within the PCN to proactively identify and support some of our most vulnerable patients who require additional input/support, including patients on our safeguarding register, those with new diagnosis of Cancer, our patients with Learning Disabilities and those high intensity service users with frequent Emergency Department attendances.

Bring together all a persons identified care and support needs and what matters to them; explore the options to address these in a single personalised care and support plan created in collaboration with the patient and their family as appropriate.

Assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing; explore and assist people to access personal health budgets where appropriate.

Provide coordination and navigation for individuals and their carers across health and care services, working closely with social prescribing link workers and other primary care roles such as the Advanced Community Practitioners/District nurses.

Raise awareness of shared decision-making and decision support tools and assist people to be more prepared to have a shared decision-making conversation.

Safeguarding Aspect of the Role

This role will also involve working with those on the practice safeguarding registers, both adults and children. This will involve maintaining an updated register, liaising with social services, independent domestic violence advisor, school nurses and health visitors where appropriate.

This part of the role will include arranging and chairing the multidisciplinary practice safeguarding meetings involving the practice team, social workers, school nurses, health visitors and midwives.

The care coordinator will also support the safeguarding lead GP in creating and submitting reports for child protection conferences.

Cancer aspect of the Role

In terms of our patients with cancer diagnoses, to visit these patients in their own homes or see them within the practice where appropriate to complete a holistic review of the patients health and social needs following an agreed assessment pathway.

As well as contacting and offering support to patients newly diagnosed with cancer this aspect of the role is also to support improved cancer screening uptake and promote cancer awareness campaigns across the practices each month.

Learning disabilities aspect of the Role

To visit Learning Disabilities patients in their own homes or see them within the practice where appropriate to complete a holistic review of the patients health and social needs following an agreed assessment pathway.

General roles and responsibilities

Be flexible to work collaboratively and support the other care coordinator teams across the PCN with work that is required as directed by the PCN management team.

Data collection and submission, filing, general admin etc.

Communicating at least monthly with the PCN management team about ongoing workstreams and work completed.

To help patients to manage their needs through answering queries, making, and managing appointments

Assist and coordinate practices in meeting PCN DES, Locally Commissioned Service Targets and Impact and Investment Fund (IIF) targets, and practice Quality Outcomes Framework (QoF) targets.

It should be noted that whilst this job description lists the main areas of responsibility, there may be additional tasks appropriately assigned by either the Clinical Director or PCN Lead Manager to this role.

This list of duties is not intended to be exhaustive, but indicates the main areas of work and may be subject to change after consultation with the post-holder and the wider team to meet the changing needs of the service

Job description

Job responsibilities

Main Roles & Responsibilities:

To work as a team of Care Coordinators, with the GPs and other primary care professionals within the PCN to proactively identify and support some of our most vulnerable patients who require additional input/support, including patients on our safeguarding register, those with new diagnosis of Cancer, our patients with Learning Disabilities and those high intensity service users with frequent Emergency Department attendances.

Bring together all a persons identified care and support needs and what matters to them; explore the options to address these in a single personalised care and support plan created in collaboration with the patient and their family as appropriate.

Assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing; explore and assist people to access personal health budgets where appropriate.

Provide coordination and navigation for individuals and their carers across health and care services, working closely with social prescribing link workers and other primary care roles such as the Advanced Community Practitioners/District nurses.

Raise awareness of shared decision-making and decision support tools and assist people to be more prepared to have a shared decision-making conversation.

Safeguarding Aspect of the Role

This role will also involve working with those on the practice safeguarding registers, both adults and children. This will involve maintaining an updated register, liaising with social services, independent domestic violence advisor, school nurses and health visitors where appropriate.

This part of the role will include arranging and chairing the multidisciplinary practice safeguarding meetings involving the practice team, social workers, school nurses, health visitors and midwives.

The care coordinator will also support the safeguarding lead GP in creating and submitting reports for child protection conferences.

Cancer aspect of the Role

In terms of our patients with cancer diagnoses, to visit these patients in their own homes or see them within the practice where appropriate to complete a holistic review of the patients health and social needs following an agreed assessment pathway.

As well as contacting and offering support to patients newly diagnosed with cancer this aspect of the role is also to support improved cancer screening uptake and promote cancer awareness campaigns across the practices each month.

Learning disabilities aspect of the Role

To visit Learning Disabilities patients in their own homes or see them within the practice where appropriate to complete a holistic review of the patients health and social needs following an agreed assessment pathway.

General roles and responsibilities

Be flexible to work collaboratively and support the other care coordinator teams across the PCN with work that is required as directed by the PCN management team.

Data collection and submission, filing, general admin etc.

Communicating at least monthly with the PCN management team about ongoing workstreams and work completed.

To help patients to manage their needs through answering queries, making, and managing appointments

Assist and coordinate practices in meeting PCN DES, Locally Commissioned Service Targets and Impact and Investment Fund (IIF) targets, and practice Quality Outcomes Framework (QoF) targets.

It should be noted that whilst this job description lists the main areas of responsibility, there may be additional tasks appropriately assigned by either the Clinical Director or PCN Lead Manager to this role.

This list of duties is not intended to be exhaustive, but indicates the main areas of work and may be subject to change after consultation with the post-holder and the wider team to meet the changing needs of the service

Person Specification

Experience

Essential

  • * Committed to improving outcomes for older adults
  • * Experience of working autonomously and part of a team
  • * Ability to recognise and respond appropriately to risk and safeguarding concerns
  • * Knowledge around importance of confidentiality and data protection
  • * Experience of working with older adults, including those with dementia, frailty or at risk of falls
  • * Understanding of dementia, frailty syndromes and falls risk in older adults

Desirable

  • * Knowledge and understanding of Adult Social Care frameworks, policies, and local service provision
  • * Ability to undertake and interpret relevant clinical observations and tests (e.g., BP, MUST score, bloods) or willing to learn
  • * Experience in using care planning templates (e.g. Ardens) and digital systems
  • * Understanding of polypharmacy and medication reviews (liaising with SIPS/clinical pharmacist team)
  • * Evidence of working within a multidisciplinary team.

Skills and Other

Essential

  • * Good communication and interpersonal skills, including an ability to carry out DNAR and future planning discussions sensitively and appropriately
  • * Ability to carry out comprehensive assessments including: dementia reviews, frailty assessments and falls risk assessments
  • * Be able to offer support in a person centred and non-judgmental way
  • * Ability to plan and prioritise workload independently
  • * Ability to maintain accurate and concise records
  • * Ability to provide information effectively
  • * Good IT skills and proficient in the use of various Microsoft packages
  • * Willingness to work and travel in settings across Stockport and ability to work from home if required.
  • * Have a full, clean driving license and have access to a car during all contractual hours.
  • * Commitment to working towards Viaduct Care CICs values and ethos as an organisation
  • * Ability to work flexibly in an innovative and developing role

Desirable

  • * Experience of working without direct supervision

Qualifications

Essential

  • * Achieved grade C or above, in English and Maths GCSE or equivalent
  • * Formal training in venepuncture (or be willing to work towards this)
  • * PCI Accredited Care Coordinator training (or be willing to work towards this)

Desirable

  • * NVQ Level III (Health and Social Care) or equivalent or equivalent experience
  • * Formal training in working with long term conditions
Person Specification

Experience

Essential

  • * Committed to improving outcomes for older adults
  • * Experience of working autonomously and part of a team
  • * Ability to recognise and respond appropriately to risk and safeguarding concerns
  • * Knowledge around importance of confidentiality and data protection
  • * Experience of working with older adults, including those with dementia, frailty or at risk of falls
  • * Understanding of dementia, frailty syndromes and falls risk in older adults

Desirable

  • * Knowledge and understanding of Adult Social Care frameworks, policies, and local service provision
  • * Ability to undertake and interpret relevant clinical observations and tests (e.g., BP, MUST score, bloods) or willing to learn
  • * Experience in using care planning templates (e.g. Ardens) and digital systems
  • * Understanding of polypharmacy and medication reviews (liaising with SIPS/clinical pharmacist team)
  • * Evidence of working within a multidisciplinary team.

Skills and Other

Essential

  • * Good communication and interpersonal skills, including an ability to carry out DNAR and future planning discussions sensitively and appropriately
  • * Ability to carry out comprehensive assessments including: dementia reviews, frailty assessments and falls risk assessments
  • * Be able to offer support in a person centred and non-judgmental way
  • * Ability to plan and prioritise workload independently
  • * Ability to maintain accurate and concise records
  • * Ability to provide information effectively
  • * Good IT skills and proficient in the use of various Microsoft packages
  • * Willingness to work and travel in settings across Stockport and ability to work from home if required.
  • * Have a full, clean driving license and have access to a car during all contractual hours.
  • * Commitment to working towards Viaduct Care CICs values and ethos as an organisation
  • * Ability to work flexibly in an innovative and developing role

Desirable

  • * Experience of working without direct supervision

Qualifications

Essential

  • * Achieved grade C or above, in English and Maths GCSE or equivalent
  • * Formal training in venepuncture (or be willing to work towards this)
  • * PCI Accredited Care Coordinator training (or be willing to work towards this)

Desirable

  • * NVQ Level III (Health and Social Care) or equivalent or equivalent experience
  • * Formal training in working with long term conditions

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

Viaduct Care

Address

Merseyway Innovation Centre

21-23 Merseyway

Stockport

Greater Manchester

SK1 1PN


Employer's website

https://www.viaductcare.org.uk/ (Opens in a new tab)

Employer details

Employer name

Viaduct Care

Address

Merseyway Innovation Centre

21-23 Merseyway

Stockport

Greater Manchester

SK1 1PN


Employer's website

https://www.viaductcare.org.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Viaduct Care HR Team

via.viaductcarehr@nhs.net

Details

Date posted

05 March 2026

Pay scheme

Agenda for change

Band

Band 4

Salary

£27,485 to £30,162 a year Pro rata based on 37.5 hours per week

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

B0463-26-0002

Job locations

Merseyway Innovation Centre

21-23 Merseyway

Stockport

Greater Manchester

SK1 1PN


Supporting documents

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