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Care Coordinator

Manylion swydd
Dyddiad hysbysebu: 25 Chwefror 2026
Cyflog: £12.71 i £13.00 yr awr
Gwybodaeth ychwanegol am y cyflog: £12.71 - £13.00 an hour
Oriau: Llawn Amser
Dyddiad cau: 15 Mawrth 2026
Lleoliad: Glastonbury, BA6 9EL
Cwmni: NHS Jobs
Math o swydd: Parhaol
Cyfeirnod swydd: W0067-26-0003

Crynodeb

Enable Access to Personalised Care and Support Take referrals or proactively identify people who could benefit from support through care co-ordination Have a positive, empathetic and responsive conversations with people and their families and carer(s), about their needs Increasing patients' understanding of how to manage and improve health and wellbeing by offering advice and guidance Help people to manage their needs by providing a contact to answer queries and ensure that people have good quality written or verbal information to help them make choices about their care Work with people, their families and carers, to improve their understanding of their condition 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 Develop an in-depth knowledge of the local health and care infrastructure and know how and when to enable people to access support and services that are right for them Use tools to measure people's levels of knowledge, skills and confidence in managing their health and tailor support to them accordingly Raise awareness of how to identify patients who may benefit from shared decision making and support PCN staff and people to be more prepared to have shared decision-making conversations Co-ordinate and Integrate care 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 Help people transition seamlessly between secondary and community care services, supporting people to navigate through the wider health and care system Conduct follow-ups on communications from out of hospital and in-patient services Refer onwards to social prescribing link workers and health and wellbeing coaches where required and to clinical colleagues where there is an unaddressed clinical need Regularly liaise with the range of multidisciplinary professionals and colleagues involved in the person's care, facilitating a co-ordinated approach and ensuring everyone is kept up to date so that any issues or concerns can be appropriately addressed and supported Actively participate in multidisciplinary team meetings in the PCN Identify when action or additional support is needed, alerting a named clinical contact in addition to relevant professionals, and highlighting any safety concerns Support the co-ordination and delivery of multidisciplinary teams within the PCN Support the PCN in developing communication channels between GPs, people and their families and carers, and other agencies Work with people, their families, carers and healthcare team members to encourage effective help-seeking behaviours Identify carers and help them access services to support them Record Keeping, Monitoring and Evaluation Ensure personalised care and support plans are communicated to the GP and any other professionals involved in the person's care and uploaded to the relevant online care records, with activity recorded using the relevant SNOMED codes Record what interventions are used to support people, and how people are developing on their health and care journey Keep accurate and up-to-date records of contacts, appropriately using GP and other records systems relevant to the role, adhering to information governance and data protection legislation Maintain records of referrals and interventions to enable monitoring and evaluation of the service Work sensitively with people, their families and carers to capture key information, while tracking the impact of care co-ordination on their health and wellbeing Record and collate information according to agreed protocols and contribute to evaluation reports required for the monitoring and quality improvement 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 Teamworking, Community and Service Development Establish strong working relationships with GPs and practice teams and work collaboratively with other care co-ordinators, social prescribing link workers and health and wellbeing coaches, supporting each other, respecting each other's views and meeting regularly as a team Act as a champion for personalised care and shared decision making within the PCN Encourage people, their families and carers to provide feedback and to share their stories about the impact of care co-ordination on their lives. Identify opportunities and gaps in the service and provide feedback to continually improve the service and contribute to business planning Contribute to the development of policies and plans relating to equality, diversity and reduction of health inequalities. Contribute to the wider aims and objectives of the PCN to improve and support primary care Identify gaps in local service provision through conversations with people and communities, working with your line manager, colleagues and community stakeholders to explore and develop potential responses this may include supporting the development of new community groups or partnership projects Demonstrate a flexible attitude and be prepared to carry out other duties as may be reasonably required from time to time within the general character of the post or the level of responsibility of the role, ensuring that work is delivered in a timely and effective manner ALL POST HOLDERS ARE REQUIRED TO Adhere to West Mendip PCN policies and procedures, e.g. Health and Safety at Work, Equal Opportunities etc. Maintain personal and professional development to meet the changing demands of the job, participate inappropriate training activities and encourage and support staff development and training Attend statutory, essential and mandatory training Take part in an annual appraisal Respect the confidentiality of all matters relating to their employment and other members of staff. All members of staff are required to comply with the requirements of the Data Protection Act 2018 Comply with the codes of professional conduct set out by the professional body should registration be required for the post Maintain the prevention and control of infection and fully comply with all current Infection Control policies and procedures Take responsibility for any records that they create or use in the course of their duties, in line with the Public Records Act and be aware that any records created by an employee of the NHS are public records and may be subject to both legal and professional obligations Perform general administrative duties such as locating of clinical files and working with the administrative team as required Document in patient notes in the agreed PCN format Report untoward incidents such as complaints, clinical emergencies or injury to senior staff Strive to maintain quality within the PCN, and alert other team members to issues of quality and risk, assess own performance and take accountability for own actions, either directly or under supervision Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance Work effectively with individuals in other services and organisations to meet patients' needs Effectively manage own time, workload and resources NOTE This job description is not intended to be exhaustive and may be updated to reflect evolving service needs, following consultation with the post holder. All duties are to be carried out in accordance with West Mendip PCN policies, procedures and guidelines. Routine operational changes do not require amendment. UNDERPINNING POLICIES The post holder is expected to maintain confidentiality, uphold equality and diversity, and comply with safeguarding, health and safety and risk management requirements at all times. They should take part in personal and professional development, contribute to quality improvement, and communicate effectively with colleagues, other organisations and services, and the people they support, in line with PCN standards and legal obligations. The role also requires accurate and secure record keeping in accordance with the Data Protection Act, Freedom of Information Act and other relevant legislation.