PLEASE NOTE INTERVIEWS WILL BE HELD ON 11 FEBRUARY 2026
Are you looking for a more fulfilling career or the next step in your career journey? One that gives you a sense of achievement knowing that each day you are helping people access the healthcare they need?
If this sounds like you, we have the perfect opportunityfor you!
We are looking for an individual to join our Personalised Care Team who:
- Are enthusiastic and self-motivated
- Are able to use their initiative
- Are an excellent communicator, both written and verbal
- Are able to listen and empathise
- Are keen to learn and develop
- Can be flexible and adaptable
- Are competent with IT
Main duties of the job
In the role of Care Co-ordinator, you will work alongside the Personalised Care Team, GPs, ACPs and a range of health and community services to co-ordinate and personalise care to ensure patients, including those with complex needs or at risk, receive the right support and are actively involved in managing their care.
You will support patients and their families to navigate services, develop personalised care and support plans, and improve health outcomes through a person centred, co-ordinated approach.
Duties may be varied from time to time under the direction of the PCN Transformation Manager, dependent on current and evolving workload and staffing levels.
About us
Haxby Group is a high-quality, community-based healthcare organisation with general practice at its core, delivering exceptional care to over 95,000 patients across 10 GP surgeries in York, Scarborough, and Hull. Rated outstanding by the CQC in York and Hull and Good in Scarborough, we are committed to improving the health of our local communities through compassionate, innovative care. Our digitally enabled, research-active approach helps reduce waiting times and continuously improve patient outcomes. Supported by a large, multidisciplinary team and strong training and workforce development programmes, Haxby Group offers a dynamic, supportive environment with opportunities to develop, innovate, and make a real difference in primary care.
We have a clear mission To deliver high quality, compassionate care to our local communities with an innovative and ethical mindset and we achieve this by applying our organisational values: patient-centered, innovative and professional.
Job responsibilities
Patient Identificationand Caseload Management
- Identify individuals who may benefit fromcare coordination, including those with Learning Disabilities, Serious MentalIllness, dementia, frailty, or other long-term conditions.
- Manage an allocated caseload of patients,prioritising need and complexity appropriately.
- Undertake non-clinical assessments of patientneeds and contribute to the development and review of personalised care andsupport plans.
- Work alongside and support the SurgeryFrailty Team (including Nurse Practitioners and Advanced ClinicalPractitioners) in identifying the care needs of people living with frailty andtheir families.
Care Coordination andSupport
- Work with patients, carers, families andprofessionals to ensure timely access to appropriate health and community services.
- Liaise with specialist and community serviceproviders to support coordinated care delivery.
- Support care coordination for care homeresidents and contribute to digital health initiatives where appropriate.
- Act as a point of contact for patients,families and professionals, including participation in PCN Baby Clinics andnetworking with other GP practices within the PCN
- Support clinicians in delivering holistic,person-centred care by contributing to coordinated planning and follow-up.
Patient Navigation andEmpowerment
- Guide patients and carers through health andcare systems, supporting them to understand available services.
- Support patients to access self-managementresources, education programmes, employment support and benefits advice.
- Promote shared decision-making and useappropriate decision aids to support informed choices.
- Encourage patient engagement and independencein managing long-term conditions.
Communication and MDTWorking
- Act as a central point of contact forpatients, carers and members of the multidisciplinary team (MDT).
- Collaborate with health, social care andvoluntary sector partners to support coordinated care.
- Support MDT activity, including preparation,communication and follow-up actions.
- Communicate effectively with all stakeholdersand provide cover for colleagues as required.
Administrative and DataManagement
- Maintain accurate and timely records in linewith organisational policies and information governance requirements.
- Use IT-based systems to record activity andsupport reporting requirements.
- Gather statistics, support service projectsand promote service uptake.
- Coordinate MDT meetings, including organisinglogistics and documentation.
- Assist with general clerical duties andmaintain agreed hygiene standards.
Person Specification
- IT skills, including accurate written/electronic records and documents
- Recording and collection of data and to support clinical care and to inform decision making
- Prioritise own workload and meet required timescales
- Able to work under pressure
- Able to work as a team member
- Be self-motivated and use initiative
- Identify need for service development and implementation of action plans to address
- Convey sensitive information in an empathetic manner to patients/clients/clients relatives/carers and staff
- Effective written, verbal and non-verbal communication skills
- Negotiation and conflict resolution skills
Physical Requirements
- Able to undertake the requirements of the post.
- Reliable.
- Flexible.
- Excellent attendance record.
Knowledge/ Qualifications/ Skills
- Achieved grade C or above, in English and Maths GCSE or equivalent.
- Minimum of 2 years experience of working with healthcare or social care professionals and/or previous experience in the NHS or social care or relevant field.
- Understanding of human needs physical, emotion social
- Ability to recognise and manage risk
- Understanding of working with confidential information and an understanding of service user confidentiality
- The needs of vulnerable adults, safeguarding and the associated legislative framework
- Understanding of basic health and social care terminology
- Working in a multi-disciplinary setting
- Working with vulnerable groups of people.
- Understanding of health and social care processes
- Ability to communicate confidently with staff of all seniority levels
- Developing relationships with a wide variety of people
- Ability to deliver successful outcomes within determined timeframes
- Continuous CPD and identifying opportunities for self-development
- NVQ Level 2/3 Health and Social Care or Business Administration (or relevant experience).
- Willingness to complete next level of qualification to further progress within the role.
- Qualification in health or social care allied profession.
- Welfare Rights basic training.
- Understanding of the current issues facing the NHS
- Knowledge of social service structures
- Health and social care assessments
Other
- Full clean UK drivers licence
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.
£25,361.05 a yearPay progression is dependent upon annual performance review.