The care navigator role is developmental in nature and continues to evolve over the duration of the operational period based in the GP Practices. As post holders will be visiting patients in their own homes (primarily over the age of 65), they will need to demonstrate flexibility and adaptability to working in a dynamic environment. The care navigator will work as part of the model of delivering co-ordinated care, through the integrated care teams to ensure that patients receive the most appropriate care. The post is a supportive role to the health and social care professionals who will take the lead and responsibility for the clinical and social care provided to the patient. The care navigator will work with other professionals to ensure wellbeing plans are delivered from all parties to fulfil the patients requirements and to navigate the health and social care system with the patients/carer. Providing a point of regular contact for the patient and their carer, acting as a bridge between social care, health care and voluntary sectors. The role of the care navigator is pivotal in supporting a self-management approach to care ensuring the patient and carer is at the centre and an active part of the holistic care approach. As part of the GP surgery team and wider primary care network team, a care navigator will work with the voluntary services in the local community and signpost patients to services depending on their needs, liaising with adult services if necessary. Core Responsibilities: To perform specific day to day tasks associated with care navigation including: To meet with (or telephone) the patient/carer in a mutually convenient location including but not restricted to the patients/carers home, hospital, or GP surgery. To support patients in completing a wellbeing plan to ensure appropriate referrals are made, identifying clear needs and goals. Co-ordinate the delivery of the wellbeing plan and ensure that the agreed interventions are actioned through onward signposting to the appropriate service. Examples of services and support patients/carers could be signposted to include, lunch clubs, social groups, befriending services, GP, volunteering schemes, social care, and urgent community responses, including other healthcare professionals within the primary care networks. Explain and help the patient and their carer understand the processes and systems within the NHS and statutory sector. For example, how to refer to the occupational therapy team or adult services for a care needs assessment. Keep up to date with NHS and community services through pro-active networking to ensure individuals are aware. Devise a strategy with the patient and their carer to enable patients to lead more independent lives, reducing their need to engage health and social services. Act as the coordinator between different agencies involved with the patients/carers to ensure joined up and seamless care. Enable the patient and their carer to liaise with professionals from secondary and primary care and the wider integrated care team. Keep up to date well documented notes on the patients medical record ensuring all components reflected on the patient referral are covered. Maintain the patient at the centre of their care and decision making. Attend practice ward, ICT, Primary Care Network (PCN), and other relevant meetings such as hospital discharge meetings as required. Complete all mandatory training and attend any other training opportunities as required. Participate in staff appraisal and lone worker practices on an annual basis. This is a non-clinical role.