Job Summary
Cannock Villages Primary Care Network, is looking to employ a keen and highly motivated Care Coordinator, to join our growing multi-disciplinary team. It will be an opportunity to work with Allied Health Professionals to enhance the service we offer to our patients.
Main duties of the job
The Successful Candidate Will Work Within The Care Coordinator Team To Deliver Support Personalised Care Planning Which Reflect PCN Priorities And Those Experiencing Local Health Inequalities. There Will Be An Emphasis On Working To Improve Cancer Referral Processes And Cancer Screening. The Main Duties Will Be:
- Proactively identify and work with a cohort of patients to support their personalised care requirements.
- Provide coordination and navigation support using digital tools to help patients and their carers access appropriate health and care services.
- Develop and maintain personalised care and support plans based on individuals needs and what matters to them.
- Support patients in managing their conditions, answering queries, and navigating appointments.
- Ensure that patients have access to high-quality information to support informed choices about their care.
- Promote preventative healthcare and continuity of care.
About Us
The Cannock Villages Primary Care Network consists of 11 Practices with a combined list size of approx. 61k. The PCN has great access links and is located near junction 11 of the M6 motorway.
Travel Required: Across the Cannock Villages Primary Care Network Practices:
High Street Surgery
The Nile Practice
Essington Medical Practice
Quinton Practice
Southfield Way Surgery
Norton Canes Health Centre
Norton Canes Practice
Norton Canes Surgery
Red Lion Surgery
Alderwood Surgery
Heath Hayes HC
The PCN is committed to supporting the successful candidate in a career in general practice with opportunities to enhance your skills in a primary care setting.
Details
Date posted
11 June 2025
Pay scheme
Other
Salary
£28,000 a year
Contract
Permanent
Working pattern
Full-time
Reference number
A5270-25-0003
Job locations
High Street Surgery
Cheslyn Hay
Cannock
Staffordshire
WS6 7AB
Job Description
Job responsibilities
Job Description
Key Responsibilities
Work with the PCN Practices to Co-ordinate and deliver the health inequalities and Cancer areas of the network DES
To take referrals for individuals or proactively identify people who could benefit from support through care coordination.
Act as a point of contact between GP patients and carers and other agencies.
Liaise with GPs and practice teams to identify patients who are elderly frail or who have long term health needs and support
Work with the multi-disciplinary team to help identify people at risk of loss of independence or admission to hospital as a result of inadequate social support.
Provide these cohorts of people signposting to identified services in order to maintain their independence and improve their health and well being.
Assist with personal care plans for individual patients, ensuring preventative actions are detailed to support the appropriate use of services.
Communicate the care plan to the GP and any other professionals involved in the persons care and upload to the relevant records.
Ensure that identified patients receive the right level of help at the right time and help them to experience a joined up service by liaising with relevant Organisations.
Liaise with other agencies, Primary, Secondary and specialist care services to ensure timely and appropriate engagement as required.
Support patients to access community care assessments as well as carers assessments.
Identify unpaid carers and direct them to access services as appropriate to provide them with support.
Follow up on communications from out of hospital and in-patient services regarding changes in condition of patients to support the practice to respond proactively to potentially unmet needs.
Undertake visits or telephone contact to manage patients on the PCNs case load following any unplanned hospital admissions where appropriate.
To attend multi-disciplinary meetings plus any other meetings where there is a need to discuss patients on case load. Updates between meetings to be shared with the Practices.
To run regular patient searches using Emis in order to have an up to date record of progress of achievement of Key Performance Indicators.
Support the PCN in providing KPI reports for submission as requested.
Collate data for submission to the ICB (Integrated Care Board) or NHSE
Arrange meeting and produce minutes of those meetings
Work with the PCN Operations Manager to produce policies and protocols
Job Description
Job responsibilities
Job Description
Key Responsibilities
Work with the PCN Practices to Co-ordinate and deliver the health inequalities and Cancer areas of the network DES
To take referrals for individuals or proactively identify people who could benefit from support through care coordination.
Act as a point of contact between GP patients and carers and other agencies.
Liaise with GPs and practice teams to identify patients who are elderly frail or who have long term health needs and support
Work with the multi-disciplinary team to help identify people at risk of loss of independence or admission to hospital as a result of inadequate social support.
Provide these cohorts of people signposting to identified services in order to maintain their independence and improve their health and well being.
Assist with personal care plans for individual patients, ensuring preventative actions are detailed to support the appropriate use of services.
Communicate the care plan to the GP and any other professionals involved in the persons care and upload to the relevant records.
Ensure that identified patients receive the right level of help at the right time and help them to experience a joined up service by liaising with relevant Organisations.
Liaise with other agencies, Primary, Secondary and specialist care services to ensure timely and appropriate engagement as required.
Support patients to access community care assessments as well as carers assessments.
Identify unpaid carers and direct them to access services as appropriate to provide them with support.
Follow up on communications from out of hospital and in-patient services regarding changes in condition of patients to support the practice to respond proactively to potentially unmet needs.
Undertake visits or telephone contact to manage patients on the PCNs case load following any unplanned hospital admissions where appropriate.
To attend multi-disciplinary meetings plus any other meetings where there is a need to discuss patients on case load. Updates between meetings to be shared with the Practices.
To run regular patient searches using Emis in order to have an up to date record of progress of achievement of Key Performance Indicators.
Support the PCN in providing KPI reports for submission as requested.
Collate data for submission to the ICB (Integrated Care Board) or NHSE
Arrange meeting and produce minutes of those meetings
Work with the PCN Operations Manager to produce policies and protocols
Person Specification
Qualifications
Essential
- You will have experience working within healthcare or the voluntary / community sector, supporting vulnerable groups
- Excellent IT Skills inc. Microsoft Office and experience with GP Clinical System (Emis or equivalent)
- You will have strong listening and communication skills
- Ability to work well in a team; however, also able to work independently without supervision
- You will be able to review and improve working practices with shared experience across the PCN
Desirable
- Minimum of 2 years experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field
Person Specification
Essential
- You will have experience working within healthcare or the voluntary / community sector, supporting vulnerable groups
- Excellent IT Skills inc. Microsoft Office and experience with GP Clinical System (Emis or equivalent)
- You will have strong listening and communication skills
- Ability to work well in a team; however, also able to work independently without supervision
- You will be able to review and improve working practices with shared experience across the PCN
Desirable
- Minimum of 2 years experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field
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
Cannock Medical Group in partnership with Cannock Villages PCN
Address
High Street Surgery
Cheslyn Hay
Cannock
Staffordshire
WS6 7AB
Employer's website
https://cannockvillagespcn.co.uk/ (Opens in a new tab)
Employer details
Employer name
Cannock Medical Group in partnership with Cannock Villages PCN
Address
High Street Surgery
Cheslyn Hay
Cannock
Staffordshire
WS6 7AB
Employer's website
https://cannockvillagespcn.co.uk/ (Opens in a new tab)