Primary Care Network Care Coordinator

Job summary

The Care Coordinators will work as part of a growing multi-disciplinary team within general practice, supporting patients from a number of practices in their Network. This role will give you will have the chance to shape the service and the role. You will be working with patients to help them understand their conditions and what matters to them, and match the support that is available locally to keep them happy and independent. This might involve working with clinicians looking after local Care Homes, organising PCN multi-disciplinary team meetings for clinical and non-clinical staff or working with a specific cohort of patients yourself perhaps frail elderly or a particular long term condition.

We are looking for a positive team player who strives to go the extra mile to help out colleagues and others who come into contact with the organisation. You really want to make a difference! We need someone who can build strong relationships with team members and is committed to meeting deadlines.

The role will require high standards and great attention to detail, in order to provide an excellent service to patients and colleagues. We are looking to appoint an individual who is self-motivated, organised and reliable you do what you say you are going to do! We work in small teams who help each other out, and we are looking for someone who isnt afraid to get stuck in with the support of colleagues.

Main duties of the job

support the MDTs within the Primary Care Network (PCN) to deliver effective, co-ordinated care for specific patient groups

support the PCN to deliver effective, coordinated care to the care homes in their locality, working with the Clinical lead and other partners

liaise with other clinical and no-clinical professionals within the team and other partners involved in patient care locally

utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care

holistically bring together all of a persons identified care and support needs, and explore options to meet these

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

provide coordination and navigation for people and their carers across health and care services, working closely with social prescribing link workers, health and wellbeing coaches, and other professionals

support the coordination and delivery of MDTs within the PCN

promote the role and MDT within the Network

To ensure that action points identified within the MDT are recorded and followed up

About us

Hartlepool and Stockton Health is a GP federation created in 2016 to support primary care and to develop and run services across practices in our region. We are proud to say that our membership includes every doctors surgery in the Hartlepool and Stockton area. Run by and for local people, we are committed to being innovators in the field of primary care, bettering outcomes, and above all helping people.