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A Primary Care Network in Lancashire is seeking a Care Coordinator to support patients in preparing for clinical conversations and managing their care. You will work closely with GPs to identify needs and provide personalized care plans. Ideal candidates have experience in General Practice and possess strong organizational skills. This role requires flexibility, including possible evening and weekend hours.
The closing date is 11 December 2025
Care coordinators provide extra time, capacity and expertise to support patients in preparing for or in following‑up clinical conversations they have with primary care professionals. They will work closely with the GPs and other primary care professionals within the PCN to identify and manage a case load of patients, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed. They focus on the delivery of a comprehensive model of personalised care to reflect local priorities, health inequalities, and population health management risk stratification.
Proactively identify and work with a cohort of people (this may include patients living with cancer, patients residing in care home settings, patients that frequently attend hospital or who have multiple appointments, and patients with multiple long‑term conditions) to support their personalised care requirements, using the available decision‑support aids.
Navigate and coordinate all identified care and support needs for a person, exploring options to meet these in a single personalised care and support plan, in line with PCSP best practice. Work with the person, their family/carer, and other professionals (including social prescribing link workers, health and wellbeing coaches, and other primary care roles) about their current circumstances and how they could be improved.
Work with End‑of‑Life patients to case‑find and then complete EPaCCS (care plans) on their behalf. Ensure that patients' wishes and preferences are recorded and shared with wider teams to enable a smooth transition of care between services.
Raise awareness of shared decision making and decision‑support tools and assist people to be more prepared to have a shared decision‑making conversation.
Improve patients' health and wellbeing by supporting them to self‑manage their own needs and providing consistent and timely support and advice when needed.
The Blackpool Central West PCN was formed due to new NHS legislation and consists of the following practices:
The three practices have worked together for several years as a neighbourhood and have a dedicated team attached to them which contains health and well‑being workers, district nurses and a full nursing home team, plus others.
We are in the exciting position of adding new roles to complement the current surgery teams – to work towards bringing the three surgeries together under the Central West PCN, to give the patients a patient‑centred care approach.
Basic purpose of the role
Care coordinators provide extra time, capacity and expertise to support patients in preparing for or in following‑up clinical conversations they have with primary care professionals. They will work closely with the GPs and other primary care professionals within the PCN to identify and manage a case load of identified patients, ensuring appropriate support is made available and their changing needs are addressed. They focus on delivery of the comprehensive model to reflect local priorities, health inequalities, or population health management risk stratification.
Key role requirements
a. Proactively identify and work with a cohort of people to support their personalised care requirements, using the available decision‑support aids.
b. Bring together all of a person’s identified care and support needs, and explore options to meet these into a single personalised care and support plan, in line with PCSP best practice.
c. Help people to manage their needs, answering their queries and supporting them to make appointments.
d. Work with End of Life patients to case‑find and then complete EPaCCS (care plans) on the patients’ behalf.
e. Raise awareness of shared decision making and decision‑support tools, and assist people to be more prepared to have a shared decision‑making conversation.
f. Ensure that people have good quality information to help them make choices about their care.
g. Support people to understand their level of knowledge, skills and confidence when engaging with their health and wellbeing.
h. Provide coordination and navigation for people and their carers across health and care services, alongside working closely with social prescribing link workers, health and wellbeing coaches, and other primary care roles.
i. Support the coordination and delivery of MDTs within PCNs.
General
Ensure that all activities are monitored and evaluated.
Attend internal meetings as required.
Work in accordance with PCN policies, including the equal opportunities policy and practice.
Attend any training courses and supervision sessions as required.
Work with due regard to the PCN Health and Safety Policy, ensuring that all practices and procedures are undertaken in accordance with issued guidelines.
Undertake any other duties as may reasonably be required from time to time.
Special working conditions
To be prepared to work flexibly, including evenings and weekends if required.
Currently the position will be based at Unit 10, Faraday Way. Visits to each surgery and agile working may be required.
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.
Blackpool Central West Primary Care Network