Job summary
Job Title: Care
Coordinator with a Lead on Vaccinations & Health Inequalities
Responsible To: Clinical Director (CD) and PCN Manager
Hours: 24 hours per week
We are looking for a proactive and motivated individual to join Taunton Deane West Primary Care Network (PCN) as a Care Coordinator with a lead on Vaccinations and Health Inequalities. This is an exciting opportunity to play a pivotal role in improving vaccination uptake, supporting screening programmes, and addressing health inequalities across our patient population.
Working closely with the Clinical Director and wider PCN and Practice teams, the post holder will coordinate care for patients, provide direct support to individuals and carers, and help embed personalised care planning into everyday practice. The role is both patient-facing and strategic, combining administrative coordination with meaningful patient contact. You will be part of a supportive multi-disciplinary team, working alongside GPs, nurses, pharmacists, social prescribing link workers and other professionals to ensure patients receive high-quality, joined-up care.
The closing date for this advert is 10th September 2025, with interviews taking place the week of the 15th September 2025.
Main duties of the job
The Care Coordinator will manage a caseload of patients identified by PCN practices, supporting them and their carers to develop personalised care and support plans. You will encourage vaccination and screening uptake by contacting patients, providing information and following up with those who miss appointments. The role involves coordinating across health and care services, ensuring patients are supported to navigate the system and access appropriate interventions. Responsibilities include liaising with multidisciplinary team (MDT)colleagues, supporting population health initiatives, reducing health inequalities and ensuring patients are signposted to the right services. The post holder will contribute to MDT meetings, maintain effective communication with stakeholders, and ensure accurate administration and record-keeping. You will also support patients in accessing self-management resources, training, and community services, helping to improve their confidence, wellbeing and health outcomes
About us
Taunton Deane West Primary Care Network is a collaboration of GP practices serving the communities of Wellington, Wiveliscombe and surrounding areas. Our network is committed to delivering high-quality, patient-centred care, focusing on prevention, early intervention and supporting people to live healthier lives. We work as part of the Somerset Integrated Care System (ICS), bringing together local health, social care and voluntary sector partners to deliver joined-up services that meet the needs of our population. Our ethos is built on collaboration, inclusivity and innovation, and we place strong emphasis on tackling health inequalities, increasing access to services, and improving population health outcomes. By joining our team, you will be part of a forward-thinking PCN dedicated to supporting both our patients and staff, fostering a culture of development, learning, and sustainable healthcare delivery.
Job description
Job responsibilities
Job summary
The Care
Coordinator will work with the PCN TDW team supporting them to implement increase
in uptake of vaccinations and screening, to include childhood vaccinations, flus
and all other routine vaccines in addition to supporting the screening, health
inequalities and health action plan and any routine admin. This is a pivotal
role and is required to support multidisciplinary teams and coordinate the
pathway for patients.
As a patient-facing role, the post holder will also be responsible for a
caseload of patients identified via the PCN practices. Support provided
directly with patients and their carers would include supporting the
development of personalised plans, utilising decision aids, providing
information and training opportunities, making appointments, coordination and
navigation for people and their carers across health and care services.
In addition to the patient facing responsibilities, the Care
Coordinator will support the PCN to improve uptake rates.
Key
Responsibilities
Ensure that all patients are signposted to, or
receive information on their vaccines / screening including why they are being
referred, the importance of attending appointments and where they can access
further support.
Be
responsible for contacting patients who fail to attend appointments.
Direct
patient facing work
- Manage
a caseload of patients identified via the PCN practices
-
Support patients to utilise decision aids in
preparation for a shared decision-making conversation.
- Holistically
bring together all of a persons identified care and support needs, and explore
options to meet these within a single personalised care and support plan
(PCSP), in line with PCSP best practice, based on what matters to the person.
- 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.
- Support
people to take up training and employment, and to access appropriate benefits
where eligible.
- Support
people to understand their level of knowledge, skills and confidence (their
Activation level) when engaging with their health and wellbeing, including
through the use of the Patient Activation Measure.
- Assist
people to access self-management education courses, peer support or
interventions that support them in their health and wellbeing and increase
their activation level.
- Explore
and assist people to access personal health budgets where appropriate.
Communication
and collaborative working relationships
- Actively
work toward developing and maintaining effective working relationships both
within and outside the PCN or group of PCNs.
- Liaise
with other stakeholders as needed for the collective benefit of patients
including but not limited to Patients GP, Nurses, other practice staff and
other healthcare professionals including care coordinators. Develop excellent
working relationships with the all partners, wider service networks including
the voluntary sector, GP practices, Regional Screening team, Cancer Alliances,
Macmillan Cancer Support, adult social care, hospitals, community pharmacists
and other members of the MDT.
-
Meet regularly with the clinical lead and review
caseload and MDT function.
- Keep
the PCN aware of good news stories.
- Provide
background information about individuals for the
regular MDT meetings.
- Communicate
effectively with service users and their families/carers, and provide
coordination across health and care services working closely with social
prescribing link workers, health and wellbeing coaches, and other primary care
professionals.
- Manage
and prioritise workload on a daily basis.
Other
responsibilities
- To
act at all times in an anti-discriminatory manner.
- To
be able to plan and respond to workload according to operational priorities.
- To
support the delivery of these functions across wider locality areas where
necessary.
- To
undertake any training required in order to maintain competency including
mandatory training.
-
To contribute to, and work within a safe working
environment.
- To
carry out duties and responsibilities with due regard to the GP Practice's
equal opportunity policies and procedures.
- To
take responsibility for self-development on a continuous basis, undertaking on
the-job training as required.
- To
be aware of individual responsibilities under the Health and Safety at Work
Act, and identify and report as necessary any untoward accident, incident or
potentially hazardous environment.
Patient
Care
- Communicate
effectively and sensitively and use language appropriate to a patient and
carer/relatives condition and level of understanding.
- Effectively
use all methods of communication, be aware of, and manage barriers to
communication.
- Effectively
recognise and manage challenging behaviours, carers and or relatives.
-
Provide information to patients, their carers
and/or relatives on behalf of the team.
- The
PCN will ensure the PCNs Care Coordinator can discuss patient related concerns
and be supported to follow appropriate safeguarding procedures (e.g. abuse,
domestic violence and support with mental health) with a relevant GP.
Supporting
Care Delivery
- Be
the point of liaison for service users and interface with all health and social
care professionals, including keeping everyone informed and updated.
- Follow
through actions identified by the MDT including arranging tests, referrals,
signposting, etc.
- Follow
through with service users and others involved ensuring all services and care
arrangements are in place.
Autonomy/Scope
within Role
The post holder will be required to work
within clearly defined organisational protocols, policies and procedures.
Key Relationships
Key Working Relationships Internal:
- Clinical
Lead for the central PCN team
- GPs
and General practice teams within the PCN
- PCN
Clinical Director
- PCN
Cancer Lead GP
- PCN
Manager
-
MDT members including but not exhaustive: Care
Coordinators, Clinical Pharmacists, technicians, District Nurses,
LARCH Team, OPMH, IRT, Adult Social Care, Paramedics, Social Prescribing Link
Workers, Village Agents
Key Working Relationships External:
- Care
Coordinators and health and wellbeing coaches from neighbouring PCNs
- Service
providers
- Social
care
- Voluntary
services
- Patients/service
users
- Carers/relatives
- Cancer
Alliances
- Macmillan
Cancer support
-
Regional NHS Screening and Immunisation
Teams
Health and Safety/Risk Management
- The
post-holder must comply at all times with the organisation and Practices
Health and Safety policies, in particular by following agreed safe working
procedures and reporting incidents using the organisations Incident Reporting
System.
- The
post-holder will comply with the Data Protection Act (1984), The General Data
Protection Regulations (2018) and the Access to Health Records Act (1990).
- The
post-holder will comply with all necessary training requirements relevant to
the role as identified by the organisation; in particular, the post holder must
complete the specified care coordinator training delivered by the Personalised
Care Institute.
Equality
and Diversity
- The post-holder
must co-operate with all policies and procedures designed to ensure equality of
employment. Co-workers, patients and visitors must be treated equally
irrespective of gender, ethnic origin, age, disability, sexual orientation,
religion etc.
Respect
for Patient Confidentiality
- The
post-holder should always respect patient confidentiality and not divulge
patient information unless sanctioned by the requirements of the role.
Special Working Conditions
- The
post-holder is required to travel independently between practice sites (where
applicable), and to attend meetings etc. hosted by other agencies.
Job Description Agreement
- This job description is intended
as a basic guide to the scope and responsibilities of the post and is not
exhaustive. It will be subject to regular review and amendment as necessary in
consultation with the post holder.
Job description
Job responsibilities
Job summary
The Care
Coordinator will work with the PCN TDW team supporting them to implement increase
in uptake of vaccinations and screening, to include childhood vaccinations, flus
and all other routine vaccines in addition to supporting the screening, health
inequalities and health action plan and any routine admin. This is a pivotal
role and is required to support multidisciplinary teams and coordinate the
pathway for patients.
As a patient-facing role, the post holder will also be responsible for a
caseload of patients identified via the PCN practices. Support provided
directly with patients and their carers would include supporting the
development of personalised plans, utilising decision aids, providing
information and training opportunities, making appointments, coordination and
navigation for people and their carers across health and care services.
In addition to the patient facing responsibilities, the Care
Coordinator will support the PCN to improve uptake rates.
Key
Responsibilities
Ensure that all patients are signposted to, or
receive information on their vaccines / screening including why they are being
referred, the importance of attending appointments and where they can access
further support.
Be
responsible for contacting patients who fail to attend appointments.
Direct
patient facing work
- Manage
a caseload of patients identified via the PCN practices
-
Support patients to utilise decision aids in
preparation for a shared decision-making conversation.
- Holistically
bring together all of a persons identified care and support needs, and explore
options to meet these within a single personalised care and support plan
(PCSP), in line with PCSP best practice, based on what matters to the person.
- 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.
- Support
people to take up training and employment, and to access appropriate benefits
where eligible.
- Support
people to understand their level of knowledge, skills and confidence (their
Activation level) when engaging with their health and wellbeing, including
through the use of the Patient Activation Measure.
- Assist
people to access self-management education courses, peer support or
interventions that support them in their health and wellbeing and increase
their activation level.
- Explore
and assist people to access personal health budgets where appropriate.
Communication
and collaborative working relationships
- Actively
work toward developing and maintaining effective working relationships both
within and outside the PCN or group of PCNs.
- Liaise
with other stakeholders as needed for the collective benefit of patients
including but not limited to Patients GP, Nurses, other practice staff and
other healthcare professionals including care coordinators. Develop excellent
working relationships with the all partners, wider service networks including
the voluntary sector, GP practices, Regional Screening team, Cancer Alliances,
Macmillan Cancer Support, adult social care, hospitals, community pharmacists
and other members of the MDT.
-
Meet regularly with the clinical lead and review
caseload and MDT function.
- Keep
the PCN aware of good news stories.
- Provide
background information about individuals for the
regular MDT meetings.
- Communicate
effectively with service users and their families/carers, and provide
coordination across health and care services working closely with social
prescribing link workers, health and wellbeing coaches, and other primary care
professionals.
- Manage
and prioritise workload on a daily basis.
Other
responsibilities
- To
act at all times in an anti-discriminatory manner.
- To
be able to plan and respond to workload according to operational priorities.
- To
support the delivery of these functions across wider locality areas where
necessary.
- To
undertake any training required in order to maintain competency including
mandatory training.
-
To contribute to, and work within a safe working
environment.
- To
carry out duties and responsibilities with due regard to the GP Practice's
equal opportunity policies and procedures.
- To
take responsibility for self-development on a continuous basis, undertaking on
the-job training as required.
- To
be aware of individual responsibilities under the Health and Safety at Work
Act, and identify and report as necessary any untoward accident, incident or
potentially hazardous environment.
Patient
Care
- Communicate
effectively and sensitively and use language appropriate to a patient and
carer/relatives condition and level of understanding.
- Effectively
use all methods of communication, be aware of, and manage barriers to
communication.
- Effectively
recognise and manage challenging behaviours, carers and or relatives.
-
Provide information to patients, their carers
and/or relatives on behalf of the team.
- The
PCN will ensure the PCNs Care Coordinator can discuss patient related concerns
and be supported to follow appropriate safeguarding procedures (e.g. abuse,
domestic violence and support with mental health) with a relevant GP.
Supporting
Care Delivery
- Be
the point of liaison for service users and interface with all health and social
care professionals, including keeping everyone informed and updated.
- Follow
through actions identified by the MDT including arranging tests, referrals,
signposting, etc.
- Follow
through with service users and others involved ensuring all services and care
arrangements are in place.
Autonomy/Scope
within Role
The post holder will be required to work
within clearly defined organisational protocols, policies and procedures.
Key Relationships
Key Working Relationships Internal:
- Clinical
Lead for the central PCN team
- GPs
and General practice teams within the PCN
- PCN
Clinical Director
- PCN
Cancer Lead GP
- PCN
Manager
-
MDT members including but not exhaustive: Care
Coordinators, Clinical Pharmacists, technicians, District Nurses,
LARCH Team, OPMH, IRT, Adult Social Care, Paramedics, Social Prescribing Link
Workers, Village Agents
Key Working Relationships External:
- Care
Coordinators and health and wellbeing coaches from neighbouring PCNs
- Service
providers
- Social
care
- Voluntary
services
- Patients/service
users
- Carers/relatives
- Cancer
Alliances
- Macmillan
Cancer support
-
Regional NHS Screening and Immunisation
Teams
Health and Safety/Risk Management
- The
post-holder must comply at all times with the organisation and Practices
Health and Safety policies, in particular by following agreed safe working
procedures and reporting incidents using the organisations Incident Reporting
System.
- The
post-holder will comply with the Data Protection Act (1984), The General Data
Protection Regulations (2018) and the Access to Health Records Act (1990).
- The
post-holder will comply with all necessary training requirements relevant to
the role as identified by the organisation; in particular, the post holder must
complete the specified care coordinator training delivered by the Personalised
Care Institute.
Equality
and Diversity
- The post-holder
must co-operate with all policies and procedures designed to ensure equality of
employment. Co-workers, patients and visitors must be treated equally
irrespective of gender, ethnic origin, age, disability, sexual orientation,
religion etc.
Respect
for Patient Confidentiality
- The
post-holder should always respect patient confidentiality and not divulge
patient information unless sanctioned by the requirements of the role.
Special Working Conditions
- The
post-holder is required to travel independently between practice sites (where
applicable), and to attend meetings etc. hosted by other agencies.
Job Description Agreement
- This job description is intended
as a basic guide to the scope and responsibilities of the post and is not
exhaustive. It will be subject to regular review and amendment as necessary in
consultation with the post holder.
Person Specification
Qualifications
Essential
- NVQ Level 2 or equivalent
- Willing to work towards NVQ Level 3
Desirable
Skills an Attributes
Essential
- Proven record of excellent written and verbal communication skills and interpersonal skills
- Excellent organisational and admin skills
- Analytical skills and ability to interpret information and present it in a clear and concise manner
- Evidence of excellent knowledge and competence with Microsoft Office
- Able to deal with service users sensitively
- Able to work effectively as part of a team
- Able to prioritise and manage own workload with minimal supervision
- Willingness to undergo further training and committed to own development
- Car user as travel between sites across the area will be required
Desirable
- Experience providing advice/signposting to users
- Excellent motivational and influencing skills
Experience
Essential
- Minimum of 2 years in health or social care profession
- Knowledge of primary care
- Experience of working in a multi-disciplinary setting
- Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality
- Experience of administrative duties
Desirable
- Knowledge/familiarity with medical terminology
- Understanding of current issues facing the NHS
- Understanding of health and social care processes
- Experience in use of databases
Person Specification
Qualifications
Essential
- NVQ Level 2 or equivalent
- Willing to work towards NVQ Level 3
Desirable
Skills an Attributes
Essential
- Proven record of excellent written and verbal communication skills and interpersonal skills
- Excellent organisational and admin skills
- Analytical skills and ability to interpret information and present it in a clear and concise manner
- Evidence of excellent knowledge and competence with Microsoft Office
- Able to deal with service users sensitively
- Able to work effectively as part of a team
- Able to prioritise and manage own workload with minimal supervision
- Willingness to undergo further training and committed to own development
- Car user as travel between sites across the area will be required
Desirable
- Experience providing advice/signposting to users
- Excellent motivational and influencing skills
Experience
Essential
- Minimum of 2 years in health or social care profession
- Knowledge of primary care
- Experience of working in a multi-disciplinary setting
- Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality
- Experience of administrative duties
Desirable
- Knowledge/familiarity with medical terminology
- Understanding of current issues facing the NHS
- Understanding of health and social care processes
- Experience in use of databases
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.
