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Nottingham City General Practice Alliance

Personalised Care Lead

The closing date is 17 February 2026

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Job summary

The post holder will play a pivotal role in coordinating a multi-disciplinary team within the Bestwood and Sherwood areas of Nottingham City to deliver and support the PCN DES and other relevant national and local related strategies and policies.

The team consists of a dedicated team of Social Prescribing Link Workers and Care Coordinators. They are a passionate team who deliver personalised care to a high standard. The post holder will be responsible for coordinating the team in their day to day work, managing rotas, undertaking case load reviews, identifying training and development needs and being a general first point of contact for any questions, queries and ideas. In addition to line managing the team, the post holder will also hold a caseload of patients in their area of expertise as Social Prescribing Link Worker or Care Coordinator.

The Personalised Care Lead will be responsible for assessing individual needs, developing care plans, and ensuring that patients receive tailored support that aligns with their unique preferences and circumstances.

The successful candidate will be responsible for the supervision and support of the personalised care roles within the PCN; evolving and developing business as usual processes and working with the Digital and Business Transformation Manager to develop new initiatives to optimise the care options available for the PCN patients and communities.

Main duties of the job

Responsibilities

Responsibilities for the PCN Personalised Care Lead

Supervision and daily line management of PCN Personalised Care Team members; being a first point of contact or escalation for the team.

Develop appropriate induction plans for new members of the team; identify training requirements of existing team members.

Undertake regular supervision meetings with team members, undertaking case reviews and discussions around best practice.

Encourage development of team through overseeing regular peer support sessions.

Through feedback, support practices with developing processes to utilise personalised care team members roles to reduce capacity demands.

Working with practice sites to establish and maintain appropriate referral processes.

Working with local management teams coordinate and support the deployment of the team within the PCN member practices.

Monitor personalised care team outputs using appropriate health and wellbeing scoring matrices.

To manage and support patients through the personalised care model in the role of either a Social Prescribing Link Worker or Care Coordinator.

Report on activity and performance of Personalised Care Team to PCN Leads, Board and Practices.

About us

Formed in 2016, NCGPA is a vibrant GP federation supporting over 30 practices across Nottingham, serving more than 400,000 patients.

We champion collaboration, resilience, and innovation in general practice, sharing expertise and resources to help our teams thrive. From our city-centre hub, we run practices, support PCN teams, and deliver city-wide services.

Our mission is rooted in person-centred care, tackling health inequalities, and nurturing a sustainable workforce. With a caring ethos and ambitious vision, we're proud to support Nottingham's diverse communities and create a brighter future for primary care.

Find out further information by visiting our website https://www.ncgpa.org.uk/who-are-we/

Details

Date posted

03 February 2026

Pay scheme

Other

Salary

Depending on experience 33,059 - 35,708 per annum

Contract

Permanent

Working pattern

Full-time

Reference number

GPA-7757271

Job locations

Bestwood and Sherwood PCN

Nottingham

NG1 6LD


Job description

Job responsibilities

Working with stakeholders

Recognise the relevant key multi-professional stakeholders across the ICS to include, and not limited to, the wider health and social care system.

Identify and develop good working relationships with practice staff, private providers, the local primary care team, neighbouring PCNs and other key partners to promote and share best practice.

Prioritise and focus on working collaboratively with pharmacy services in other pharmacy sectors such as community pharmacy, medicines optimisation, secondary care, and mental health trust.

Develop networks with local, regional, and national interest groups where possible.

Communications and Key Working Relationships

Create and maintain constructive relationships with a range of stakeholders, internally and externally including health, voluntary, social, financial and education sectors.

Work collectively with local partners and agencies; maintain database and oversight of available services to ensure a sustainable offering for patients.

Attend local and national personalised care meetings to provide feedback on local roles and understand national initiatives.

Participate and engage with stakeholders across the PCN, providing input and guidance to neighbourhood initiatives where applicable.

Liaise, communicate effectively, and collaborate with member practices within the PCNs to ensure smooth running of Personalised Care Teams and their outputs.

Communicate effectively with outside agencies sharing appropriate, relevant information to support best practice for ongoing patient care.

Leading on community engagement initiatives

Maintain comprehensive documentation and records according to legal and local requirements. This includes recording all relevant information in the patients record and communicating in writing with other health care professionals.

Education and

training

Provide training/education sessions to practice healthcare professionals and administration staff including Practice Managers, Social Prescribers and Care Coordinators within the PCN.

Provide education to patients and their families on available healthcare options, resources, and self-management strategies.

Foster self-empowerment by promoting health literacy and encouraging active participation in care decisions.

Offer emotional support to teams, patients, and families throughout their healthcare journey.

Leading Assessment and Care Planning

Supporting teams to conduct comprehensive assessments of patients' physical, emotional, and social needs.

Collaborate with healthcare professionals to identify personalised care goals and objectives.

Lead teams to develop individualised care plans that prioritise patient preferences, values, and cultural considerations

Patient Advocacy

Serve as lead advocate for patients, ensuring their voices are heard in the care planning process.

Empower patients to actively participate in decisions related to their healthcare.

Address and resolve any PCN-wide barriers to accessing personalised care

Lead and develop patient feedback methodologies and subsequent action plans

Support and implementation of NHS Digital plans to widen participation processes in feedback activities

Coordination of Care

Facilitate communication and collaboration between PCN Teams, healthcare providers, social services, and community resources.

Ensure seamless transitions of care by coordinating services and support across the healthcare continuum.

Monitor and evaluate the effectiveness of care plans, adjusting as needed based on patient progress and feedback

Lead safeguarding processes and initiatives

Equality and

diversity

Support a culture that promotes equality and values diversity.

Support the creation of services that meets the needs of all people and communities avoiding unlawful discriminatory behaviour and actions.

Documentation and Reporting

Maintain accurate and up-to-date records of patient assessments, care plans, and interventions.

Generate regular reports on patient outcomes, identifying areas for improvement and implementing necessary changes

Monitor and audit team documentation on various IT packages

Support PCN-specific projects and update progress against objectives

Provide regular updates on Personalised Care Team activity and performance

Quality Improvement

Participate in quality improvement initiatives, leading insights to enhance the delivery of personalised care across all personalised care disciplines

Stay informed about current trends and best practices in personalised care management

Job description

Job responsibilities

Working with stakeholders

Recognise the relevant key multi-professional stakeholders across the ICS to include, and not limited to, the wider health and social care system.

Identify and develop good working relationships with practice staff, private providers, the local primary care team, neighbouring PCNs and other key partners to promote and share best practice.

Prioritise and focus on working collaboratively with pharmacy services in other pharmacy sectors such as community pharmacy, medicines optimisation, secondary care, and mental health trust.

Develop networks with local, regional, and national interest groups where possible.

Communications and Key Working Relationships

Create and maintain constructive relationships with a range of stakeholders, internally and externally including health, voluntary, social, financial and education sectors.

Work collectively with local partners and agencies; maintain database and oversight of available services to ensure a sustainable offering for patients.

Attend local and national personalised care meetings to provide feedback on local roles and understand national initiatives.

Participate and engage with stakeholders across the PCN, providing input and guidance to neighbourhood initiatives where applicable.

Liaise, communicate effectively, and collaborate with member practices within the PCNs to ensure smooth running of Personalised Care Teams and their outputs.

Communicate effectively with outside agencies sharing appropriate, relevant information to support best practice for ongoing patient care.

Leading on community engagement initiatives

Maintain comprehensive documentation and records according to legal and local requirements. This includes recording all relevant information in the patients record and communicating in writing with other health care professionals.

Education and

training

Provide training/education sessions to practice healthcare professionals and administration staff including Practice Managers, Social Prescribers and Care Coordinators within the PCN.

Provide education to patients and their families on available healthcare options, resources, and self-management strategies.

Foster self-empowerment by promoting health literacy and encouraging active participation in care decisions.

Offer emotional support to teams, patients, and families throughout their healthcare journey.

Leading Assessment and Care Planning

Supporting teams to conduct comprehensive assessments of patients' physical, emotional, and social needs.

Collaborate with healthcare professionals to identify personalised care goals and objectives.

Lead teams to develop individualised care plans that prioritise patient preferences, values, and cultural considerations

Patient Advocacy

Serve as lead advocate for patients, ensuring their voices are heard in the care planning process.

Empower patients to actively participate in decisions related to their healthcare.

Address and resolve any PCN-wide barriers to accessing personalised care

Lead and develop patient feedback methodologies and subsequent action plans

Support and implementation of NHS Digital plans to widen participation processes in feedback activities

Coordination of Care

Facilitate communication and collaboration between PCN Teams, healthcare providers, social services, and community resources.

Ensure seamless transitions of care by coordinating services and support across the healthcare continuum.

Monitor and evaluate the effectiveness of care plans, adjusting as needed based on patient progress and feedback

Lead safeguarding processes and initiatives

Equality and

diversity

Support a culture that promotes equality and values diversity.

Support the creation of services that meets the needs of all people and communities avoiding unlawful discriminatory behaviour and actions.

Documentation and Reporting

Maintain accurate and up-to-date records of patient assessments, care plans, and interventions.

Generate regular reports on patient outcomes, identifying areas for improvement and implementing necessary changes

Monitor and audit team documentation on various IT packages

Support PCN-specific projects and update progress against objectives

Provide regular updates on Personalised Care Team activity and performance

Quality Improvement

Participate in quality improvement initiatives, leading insights to enhance the delivery of personalised care across all personalised care disciplines

Stay informed about current trends and best practices in personalised care management

Person Specification

Exprience

Essential

  • Relevant Experience
  • Management Experience
  • Knowledge of systems/PCN's
  • Understanding of safeguarding

Desirable

  • Experience of SPLW
  • Experience of IT systems
Person Specification

Exprience

Essential

  • Relevant Experience
  • Management Experience
  • Knowledge of systems/PCN's
  • Understanding of safeguarding

Desirable

  • Experience of SPLW
  • Experience of IT systems

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

Nottingham City General Practice Alliance

Address

Bestwood and Sherwood PCN

Nottingham

NG1 6LD


Employer's website

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

Employer details

Employer name

Nottingham City General Practice Alliance

Address

Bestwood and Sherwood PCN

Nottingham

NG1 6LD


Employer's website

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

Employer contact details

For questions about the job, contact:

Digital and Business Transformation Manager

Steve White

steve.white6@nhs.net

07586683196

Details

Date posted

03 February 2026

Pay scheme

Other

Salary

Depending on experience 33,059 - 35,708 per annum

Contract

Permanent

Working pattern

Full-time

Reference number

GPA-7757271

Job locations

Bestwood and Sherwood PCN

Nottingham

NG1 6LD


Supporting documents

Privacy notice

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