About this role
Job summary
A Care Coordinator within a Primary Care Network plays a pivotal role in improving patient experience, strengthening continuity of care, and supporting better health outcomes across diverse populations. It combines patient-facing support, proactive case management, and coordination across multiple services to ensure that individuals receive the right care at the right time.
At its core, the role requires a deep passion for patient care and the ability to build trust with people who often have complex medical, psychological, or social needs. Care Coordinators work closely with these patients to help them navigate the health and care system, understand their options, and stay engaged with their care plans. The ability to listen, motivate, and advocate is as important as any technical skill.
A significant proportion of the work focuses on reducing health inequalities, particularly by supporting groups who traditionally experience poorer access or outcomes. This includes targeted outreach to improve cancer screening uptake, where personalised engagement can make a measurable difference to early detection and survival rates. Care Coordinators often act as the bridge between population level priorities and individual level support, translating system goals into meaningful patient conversations.
The role demands confidence and professionalism in a range of engagement settings from community events and outreach sessions to multidisciplinary team meetings.
Main duties of the job
Patient Support & Case Management
Personalised care planning to understand patient needs, goals and barriers.
Coordination for individuals with multiple conditions or social challenges.
Navigation across GP, community, mental health, social care and voluntary services.
Support to build confidence, self-management skills and understanding of care.
Reducing Health Inequalities
Targeted outreach to groups with lower engagement or poorer outcomes.
Personalised conversations and reminders to increase cancer screening uptake (breast, cervical, bowel, prostate).
Support PCN initiatives addressing variation in access, experience and outcomes.
Sensitive work with people affected by deprivation, language barriers, disability or isolation.
Engagement & Partnership Working
Represent the PCN at community events, outreach sessions and engagement activities.
Participate in MDT meetings, sharing insights and supporting coordinated planning.
Build strong relationships with GP practices, community teams, social care, hospitals and voluntary organisations.
Promote PCN services and act as a trusted contact for patients and partners.
Administration & Data Quality
Maintain accurate, timely records of interactions, care plans and outcomes.
Use clinical systems and digital tools for coordination, reporting and pathway monitoring.
Ensure data is handled in line with confidentiality and information governance standards.
About us
Anfield and Everton PCN is comprised of five practices and the ARRS Team. It has a can-do attitude to care delivery and a collaborative ethos between members.
We have a strong development ethic and will support the enhancement of your skills and experience through coaching, training and new areas of work.
This is a varied role, accoridng to national and local priority and you own skills and interests.
Job description Job responsibilities
Role Purpose
The Care Coordinator plays a central role in supporting patients to navigate the health and care system, ensuring they receive timely, personalised and well-coordinated care. Working across GP practices and partner organisations, the postholder supports individuals particularly those with complex medical, psychological or social needs to engage with their care plans, access appropriate services and achieve improved health outcomes.
A strong commitment to reducing health inequalities, improving patient experience and promoting preventative care underpins all aspects of the role. This includes targeted outreach to increase cancer screening uptake and support earlier diagnosis across the PCN population.
Key Responsibilities
Patient Support & Case Management
Undertake personalised care planning to identify patient needs, goals and barriers to engagement.
Provide coordinated support for complex cases involving multiple long-term conditions or challenging social circumstances.
Facilitate effective navigation of GP, community, mental health, social care and voluntary sector services to ensure timely and appropriate access to care.
Deliver structured follow-up, monitoring and escalation to maintain patient safety and continuity of care.
Support patients to develop confidence, self-management skills and a clear understanding of their care plans.
Reducing Health Inequalities
Deliver targeted outreach to population groups with lower engagement or poorer health outcomes.
Provide personalised conversations and reminders to increase uptake of national cancer screening programmes (breast, cervical, bowel, prostate).
Contribute to PCN initiatives aimed at reducing variation in access, experience and outcomes.
Work sensitively with individuals affected by deprivation, language barriers, disability or social isolation.
Engagement & Partnership Working
Represent the PCN at community events, outreach activities and engagement sessions, promoting services and strengthening local relationships.
Participate in multidisciplinary team (MDT) meetings, contributing insights to support coordinated and effective care planning.
Develop and maintain constructive working relationships with GP practices, community teams, social care, secondary care and voluntary sector partners.
Act as a reliable and professional point of contact for patients, carers and partner organisations.
Administration & Data Quality
Review cancer screening lists and contact patients to remind them about screening needs/explain the importance of screening, in order to increase uptake.
Maintain accurate, timely and comprehensive records of patient interactions, care plans and outcomes.
Use clinical systems and digital tools to support care coordination, reporting and pathway monitoring.
Ensure all data is managed in accordance with confidentiality, information governance standards and organisational policies.
Any other tasks required of this ever-evolving role, in support of the varying needs of the local population
Person Specification
Qualifications Essential
Essential Criteria Demonstrable passion for improving patient care and outcomes. Strong interpersonal and communication skills, with the ability to build rapport and trust. Ability to work effectively with patients who have complex needs. Understanding of health inequalities and personalised care approaches. Ability to work independently and collaboratively within a multidisciplinary environment. Strong organisational and time-management skills. Competence in using digital systems and maintaining accurate records. Confidence in community facing work and public engagement. Ability to drive and have own car.
Desirable
Experience in a health, social care or community setting. Knowledge of PCN structures and ARRS roles. Experience supporting cancer screening or preventative health programmes. Experience in community engagement, outreach or population health work. Understanding of local voluntary and community sector services.
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 Anfield and Everton Primary Care Network
Address Priory Medical Centre
Belmont Grove
Liverpool
North West England
L6 4EW
United Kingdom
Employer's website https://www.anfieldandevertonpcn.nhs.uk/ (Opens in a new tab)