About this role
Job summary
Join Rosedale & Kirkley Mill Surgeries as a PCN Care Coordinator and make a real difference to patients and carers in our community. Working alongside our supportive multidisciplinary team, you will help people access services, coordinate care and feel supported in managing their health and wellbeing.
Your varied role will include supporting carers, coordinating dementia and learning disability reviews, arranging health checks, liaising with social services and occupational therapy, and contributing to Lowestoft Primary Care Projects.
If you are compassionate, organised and enjoy building relationships, this is an opportunity to bring your skills to a team committed to personalised, accessible care.
Main duties of the job
You will work with patients, carers and our wider practice team to coordinate care, arrange reviews and connect people with appropriate health, social care and community support.
Your main duties will include
- Supporting carers assessments and acting as a Carers Champion.
- Coordinating dementia reviews and annual health reviews for people with learning disabilities.
- Arranging and supporting health checks and follow-up care.
- Liaising with social services and coordinating occupational therapy referrals.
- Supporting delivery of the PCN CCCP project.
- Maintaining accurate patient records and following up outstanding actions.
You will build trusting relationships with patients and carers, helping ensure their needs are understood and that care is joined up across services.
About us
At Rosedale & Kirkley Mill Surgeries, we care for over 23,000 patients across Lowestoft, with a team of more than 70 staff working across our two sites.
As a PCN Care Coordinator, you will work alongside our Health & Wellbeing Coaches, Data & Quality team and care coordinators across the wider network to deliver joined-up care and improve patient outcomes.
We are a supportive, loyal team who value different perspectives and welcome open discussion. We challenge ideas respectfully, celebrate successes and maintain a healthy sense of humour. General practice is demanding, and we believe enjoying coming to work matters.
Job description
Job responsibilities
- Work with individual patients, using a holistic approach, to identify their goals for care, and agree a personalised care and support plan for their care
- Support delivery of these care plans by co-coordinating input from a range of different professionals and services, and helping patients and their carers/family to navigate across health and social care services
- Work as part of the primary care team, coordinating care between GPs, practice nurses, clinical pharmacists, social prescribing link worker and health coach
- Work with patients over the phone, in person in the practice or for those who are housebound where necessary carry out home visits.
- Use practice level reports to identify suitable cohorts of patients to deliver personalised care
- Provide accurate and timely data to support audit and monitoring of the service, and any data returns as required by the ICB
- Keep accurate and up to date records of contacts with patients and their carers/ families in the patients GP record and in their care plan
Full job description is attached.
Person Specification
Qualifications
Essential
- GSCE or above in Maths and English
Desirable
- Higher level qualification
- Qualification relevant to health or social care
Experience
Essential
- Experience of developing relationships with a wide variety of people
Desirable
- Experience of working in primary care or GP practice
- Coordination of services from a range of organisations
- Proficient in use of SystmOne
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
Rosedale Surgery
Address
Ashburnham Way
Carlton Colville
Lowestoft
Suffolk
NR33 8LG
United Kingdom
Employer's website
https://www.rosedalesurgery.co.uk/ (Opens in a new tab)