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Care Coordinator- Aylesbury Central Primary Care Network

Job details
Posting date: 21 January 2026
Salary: Not specified
Additional salary information: Negotiable
Hours: Full time
Closing date: 06 February 2026
Location: Aylesbury, HP18 1BB
Company: NHS Jobs
Job type: Permanent
Job reference: E0093-26-0001

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Summary

Key Responsibilities Use population health intelligence to proactively identify and support a cohort of patients. Act as a key point of contact, advocate and information resource for patients, carers, care teams and community services. Maintain regular communication with care homes regarding patient progress. Support shared decision-making by helping patients use decision aids and understand their care options. Develop and maintain personalised care and support plans (PCSPs) based on what matters to the patient. Support patients with appointment management, queries and access to high-quality written or verbal information. Visit patients in the community, at home or in care home settings to assess and discuss care needs. Support patients to access training, employment opportunities and appropriate benefits where eligible. Assess and support patient activation levels using tools such as the Patient Activation Measure. Assist with identifying high-risk patients and maintaining workload registers. Enable access to self-management education, peer support and wellbeing interventions. Coordinate care across health and social care services, working closely with social prescribing and wellbeing teams. Make referrals and signpost patients to appropriate services. Support MDT coordination, including diary management, meeting organisation and report preparation. Liaise across all PCN practices to support effective communication. Maintain patient confidentiality and comply with safeguarding, GDPR and organisational policies.

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