Practice Care Coordinator
| Posting date: | 14 July 2025 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | Negotiable |
| Hours: | Full time |
| Closing date: | 01 August 2025 |
| Location: | Darlington, DL3 9JP |
| Company: | NHS Jobs |
| Job type: | Permanent |
| Job reference: | A2354-25-0004 |
Summary
The role is intended to support the practice and PCN in achieving the DES requirements which includes working with multidisciplinary teams, alongside social prescribing link workers and health and wellbeing coaches to provide an all-encompassing approach to personalised care and promoting and embedding the personalised care approach. Our Care Coordinator will: Work with people, their families and carers, to improve their understanding of their condition. Support people to develop and review personalised care and support plans to manage their needs and achieve better healthcare outcomes. Help people to manage their needs by providing a contact to answer queries, make and manage appointments, and ensure that people have good quality written or verbal information to help them make choices about their care. Assist people to access self-management education courses, peer support, health coaching and other interventions that support them in their health and wellbeing, and increase their levels of knowledge, skills and confidence in managing their health. Provide co-ordination and navigation for people and their carers across health and care services. Helping to ensure patients receive a joined-up service and the appropriate support from the right person at the right time. Work collaboratively with GPs and other primary care professionals to proactively identify and manage a caseload, which may include patients with long-term health conditions, and where appropriate, refer back to other health professionals. Support the co-ordination and delivery of multidisciplinary teams. Raise awareness of how to identify patients who may benefit from shared decision making and support staff and people to be more prepared to have shared decision-making conversations. Explore and assist people to access a personal health budget where appropriate. Work with people, their families, carers and healthcare team members to encourage effective help-seeking behaviours. Support the developing communication channels between GPs, people and their families and carers and other agencies. Identify carers and help them access services to support them. Conduct follow-ups on communications from out of hospital and in-patient 2services. Maintain records of referrals and interventions to enable monitoring and evaluation of the service. Support practices to keep care records up-to-date by identifying and updating missing or out-of-date information about the persons circumstances. Contribute to risk and impact assessments, monitoring and evaluations of the service. Work with commissioners, integrated locality teams and other agencies to support and further develop the role.