• Job Description

  Req#: B0205-25-0007?language=en&page=1140&sort=publicationDateDesc

  Job summary

  This is an exciting and developing role which involves working closely with the PCN and the wider multidisciplinary team. The role will be pivotal in helping to deliver the best possible outcomes for patients.

  Care Coordinators will support member practices in coordinating key activity including access to services, advice, and information, and ensuring health and care planning is proactive, supportive, holistic and patient-centred. The role will include supporting digital initiatives and includes responsibilities for the co-ordination of the patients journey through primary care and the wider health and care system.

  You will need outstanding people skills, a caring nature and good IT skills with a desire to learn in this ever-changing environment

  An ethos of promotion of independence, shared decision making, personalisation and partnership-working is integral to this role.

  Interviews planned to take place w/c 9th June 2025

  Main duties of the job

  Essential attributes for the role

  Excellent communication and interpersonal skills

  Good teamworking skills

  Self-motivated and able to work on own

  Good organisational skills

  About us

  Two Harbours Healthcare is a not for profit organisation led by local General Practices in Weymouth and Portland. Our goal is to work more closely together (and with stakeholders) to share expertise, resources and provide services for the NHS.

  Details

  Date posted

  24 April 2025

  Pay scheme

  Other

  Salary

  £13.31 to £13.97 an hour

  Contract

  Permanent

  Working pattern

  Full-time, Part-time

  Reference number

  B0205-25-0007

  Job locations

  Lynch Lane Offices

  Lynch Lane

  Weymouth

  Dorset

  DT4 9DN

  
  

  Job description

  Job responsibilities

  • Work with individual practice teams and primary care professionals within the PCN to identify and manage a caseload of patients
  • Work closely and in partnership with PCN colleagues including Social Prescribing Link Workers, Health Coaches and Clinical Pharmacist(s).
  • Signpost team members, patients and carers to relevant services as appropriate

  • Central co-ordination role around proactive support and care planning for agreed patient cohorts
  • Support patient independence, promote healthcare and well-being
  • Supporting patients and carers to utilise decision aids
  • Empower patients, this may include the use of validated PAM tools

  • Facilitate smooth and planned discharge and handover between care settings across the health and social care system, including GP, acute, community, and be responsible for facilitating inter-agency communication and support
  • Use healthcare technologies to optimise service delivery, access, and continuity of care for patients and carers

  • Use Population Health Intelligence and Risk Stratification tools proactively to identify groups of patients for MDT discussions
  • May attend and present at MDT meetings
  • May support in the setting up and administration of Group Consultations

  • Opportunity to develop and shape this service
  • Perform any duty specifically delegated by your line manager as being properly the responsibility of this post.

  The tasks and responsibilities in this job description may change in the light of developments within the surgery or practice and are subject to review.

  Job description

  Job responsibilities

  • Work with individual practice teams and primary care professionals within the PCN to identify and manage a caseload of patients
  • Work closely and in partnership with PCN colleagues including Social Prescribing Link Workers, Health Coaches and Clinical Pharmacist(s).
  • Signpost team members, patients and carers to relevant services as appropriate

  • Central co-ordination role around proactive support and care planning for agreed patient cohorts
  • Support patient independence, promote healthcare and well-being
  • Supporting patients and carers to utilise decision aids
  • Empower patients, this may include the use of validated PAM tools

  • Facilitate smooth and planned discharge and handover between care settings across the health and social care system, including GP, acute, community, and be responsible for facilitating inter-agency communication and support
  • Use healthcare technologies to optimise service delivery, access, and continuity of care for patients and carers

  • Use Population Health Intelligence and Risk Stratification tools proactively to identify groups of patients for MDT discussions
  • May attend and present at MDT meetings
  • May support in the setting up and administration of Group Consultations

  • Opportunity to develop and shape this service
  • Perform any duty specifically delegated by your line manager as being properly the responsibility of this post.

  The tasks and responsibilities in this job description may change in the light of developments within the surgery or practice and are subject to review.

  Person Specification

  Experience

  Essential

  • Data analysis and interpretation
  • Experience of working with patients or the public in a customer care environment

  Desirable

  • Primary Care experience
  • Working in a healthcare setting as part of a team

  Qualifications

  Essential

  • Good general secondary education including Maths and English

  Desirable

  • Presentation skills
  • Change management

  Knowledge

  Essential

  • Good working knowledge of primary care and the challenges facing patient care in the NHS
  • A good range of IT knowledge including Word, Excel, email and databases

  Desirable

  • IT GP clinical system, SystmOne
  • Needs of patients with long-term conditions
  • Health promotion strategies and Public Health issues in the local area
  • Change-management and ability to support patients to change lifestyle
  • Negotiation and conflict management skills
  • Ability to identify determinants on health in the local area
  • Awareness of local and national health policy
  • Awareness of issues within the wider health econo

  Skills

  Essential

  • Understanding and adherence to strict confidentiality
  • Excellent communication and interpersonal skills, both written and verbal
  • Good teamworking skills
  • Able to analyse & extract relevant information
  • Good organizational skills
  • Able to use own judgement, resourcefulness and common sense
  • Able to work under pressure
  • Able to prioritise workload and meet deadlines

  Personal Qualities

  Essential

  • Self-directed working using initiative
  • Innovative approach
  • Highly motivated
  • Caring, compassionate and confident
  • Calm approach, performing under pressure
  • Positive attitude
  • Pleasant and articulate

  Person Specification

  Experience

  Essential

  • Data analysis and interpretation
  • Experience of working with patients or the public in a customer care environment

  Desirable

  • Primary Care experience
  • Working in a healthcare setting as part of a team

  Qualifications

  Essential

  • Good general secondary education including Maths and English

  Desirable

  • Presentation skills
  • Change management

  Knowledge

  Essential

  • Good working knowledge of primary care and the challenges facing patient care in the NHS
  • A good range of IT knowledge including Word, Excel, email and databases

  Desirable

  • IT GP clinical system, SystmOne
  • Needs of patients with long-term conditions
  • Health promotion strategies and Public Health issues in the local area
  • Change-management and ability to support patients to change lifestyle
  • Negotiation and conflict management skills
  • Ability to identify determinants on health in the local area
  • Awareness of local and national health policy
  • Awareness of issues within the wider health econo

  Skills

  Essential

  • Understanding and adherence to strict confidentiality
  • Excellent communication and interpersonal skills, both written and verbal
  • Good teamworking skills
  • Able to analyse & extract relevant information
  • Good organizational skills
  • Able to use own judgement, resourcefulness and common sense
  • Able to work under pressure
  • Able to prioritise workload and meet deadlines

  Personal Qualities

  Essential

  • Self-directed working using initiative
  • Innovative approach
  • Highly motivated
  • Caring, compassionate and confident
  • Calm approach, performing under pressure
  • Positive attitude
  • Pleasant and articulate

  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

  Two Harbours Healthcare Ltd

  Address

  Lynch Lane Offices

  Lynch Lane

  Weymouth

  Dorset

  DT4 9DN

  
  

  Employer's website

  https://www.weymouthandportlandpcn.co.uk/ (Opens in a new tab)

  Employer details

  Employer name

  Two Harbours Healthcare Ltd

  Address

  Lynch Lane Offices

  Lynch Lane

  Weymouth

  Dorset

  DT4 9DN

  
  

  Employer's website

  https://www.weymouthandportlandpcn.co.uk/ (Opens in a new tab)

• About the company

  National Health Service (NHS) is the umbrella term for the publicly-funded healthcare systems of the United Kingdom (UK). The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom apart from dental treatment and optical care.

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