Job summary We are currently seeking to recruit a mental health focussed Care Co-ordinator to join our expanding Proactive Care Team. Working alongside our existing team, Social Prescribing Link Workers and Health & Wellbeing Coaches as well as our GPs and clinical teams, you will triage patients and coordinate care with a mental health focus. Main duties of the job As a Mental Health Care Co-ordinator, you will be responsible for supporting the practice in delivering excellent patient care by effectively co-ordinating different elements of care from multi-disciplinary teams within and outside the practice. If you share our values of collaboration, integrity, quality, respect and wellbeing and are looking for a new challenge, we would love to hear from you. About us We are a large rural practice with approximately 34,000 patients. As a single-practice Primary Care Network, we have a wonderful opportunity to transform care for our patients. We operate from 7 locations across Holderness, and you must also be willing to travel between sites as necessary. You will also need the flexibility to work from home subject to the needs of the practice. Our hard-working and dedicated team includes GPs, an extensive multi-disciplinary team of healthcare professionals and a great patient services team. We offer a welcoming practice environment, 25 days annual leave plus bank holidays, access to the NHS pension scheme and the chance to be part of the Proactive Care Team which we see as central to the future of care for our most complex and vulnerable patients. Date posted 26 February 2025 Pay scheme Other Salary £11.64 to £12.94 an hour In line with Holderness Health Pay Policy Contract Permanent Working pattern Part-time Reference number A1637-25-2602 Job locations Church View Surgery 5 Market Hill House Hedon HU12 8JE Hedon Group Practice 4 Market Hill Hedon Hull HU12 8JD Hedon Group Practice Chapel Lane Keyingham Hull HU12 9RA Holderness Health 1501 Hedon Road Hull HU9 5NX St. Nicholas Surgery Queen Street Withernsea HU19 2PZ Hodgson Lane Surgery Hodgson Lane Roos Hull HU12 0LF St Patrick's Surgery St Patrick's Green Patrington Hull HU12 0PF Job description Job responsibilities JOB TITLE: MENTAL HEALTH CARE COORDINATOR Reporting to: SOCIAL PRESCRIBING TEAM LEADER Role Purpose: To support the practice in delivering excellent patient care by effectively co-ordinating different elements of care from multi-disciplinary teams within and outside the practice focussed on mental health Service Co-ordination Provide coordination and navigation for patients and their carers across mental health and care services, working closely with Social Prescribing Link Workers, Health and Wellbeing Coaches, and other primary care professionals. Co-ordinate the work of healthcare professionals and non-clinical staff involved in the care of patients registered at the practice. Co-ordinate MDT meetings, collating information on patients requiring review and providing secretarial and administrative support, and ensuring the completion of resulting actions. Act on communications from hospitals, community services, mental health services and other providers. Facilitate inter-agency communication to support the discharge and handover of patients between different mental health and care settings. Support Lead GPs with the administrative aspects of QOF (Quality Outcomes Framework). Act as a single point of contact for health professionals and patients within your remit (mental health focus). Point of contact for patient mental health queries and triage/sign posting into appropriate mental health services. Assist with the marketing of the Proactive Care Team through event planning and attendance, newsletters and social media. Maintenance of the practice Health Corners to ensure up to date and relevant information exists. Assisting the Social Prescribing Teams with referrals. Patient Support & Care Planning Contact patients with mental health concerns and queries to assess, triage and signpost into appropriate mental health services, seeking clinical guidance where required. Make every contact count - help people to manage their health needs through answering queries, making appointments, booking tests and arranging other reviews including long-term condition reviews, screening and vaccinations. Ensuring that actions from review meetings are progressed on behalf of patients. Provide patients with good quality written or verbal information to support them in making choices about their care. Proactively support patients to participate in local and national screening programmes. Support patients in readiness for shared decision-making conversations. Support people to understand their level of knowledge, skills and confidence engaging with their health and wellbeing. Identify and address safeguarding concerns. Supporting patients through the varying stages of mental health such as: - Prevention and staying well Provide single point of contact to be able to assess and respond to changing needs. Provide education around self-care, self-management and health literacy. Support people to get the most out of consultations, reducing the need for follow ups. Facilitating joint working and information flow across mental health teams and health care systems. Reducing the risk of deterioration through personalised care and regular contact. Deterioration/acute episodes Facilitating joint working and information flow across mental health teams and health care systems. Facilitate referrals and ensure timely access to right professionals and teams. Support with coordination of treatment escalation plans. Help identify where peoples needs are increasing, and they are at risk of an acute episode. Discharge and recovery Provide support to people who have been discharged to ensure all necessary arrangements in place. Support people to access the right service and resources for them. Empower and enable people to self-manage. Facilitate joint working and information flow across teams and healthcare systems. Patient experience sampling. Development Activity Actively promote your role within the practice and PCN. Raise awareness of Proactive Care Team in the community by attending events and community groups. Contribute to tackling inequalities in health and social care particularly regarding individuals with long-term conditions and complex care needs. Support the development and implementation of projects, campaigns, education and initiatives aimed at improving mental health and care of patients. Ensure personal skills are kept up to date by complete mandatory training and additional training. Reporting Maintain effective records of activity and produce reports as required. Ensure personal workplan is up to date. Provide any agreed performance/activity data. Assisting to document and evidence outcomes. Job description Job responsibilities JOB TITLE: MENTAL HEALTH CARE COORDINATOR Reporting to: SOCIAL PRESCRIBING TEAM LEADER Role Purpose: To support the practice in delivering excellent patient care by effectively co-ordinating different elements of care from multi-disciplinary teams within and outside the practice focussed on mental health Service Co-ordination Provide coordination and navigation for patients and their carers across mental health and care services, working closely with Social Prescribing Link Workers, Health and Wellbeing Coaches, and other primary care professionals. Co-ordinate the work of healthcare professionals and non-clinical staff involved in the care of patients registered at the practice. Co-ordinate MDT meetings, collating information on patients requiring review and providing secretarial and administrative support, and ensuring the completion of resulting actions. Act on communications from hospitals, community services, mental health services and other providers. Facilitate inter-agency communication to support the discharge and handover of patients between different mental health and care settings. Support Lead GPs with the administrative aspects of QOF (Quality Outcomes Framework). Act as a single point of contact for health professionals and patients within your remit (mental health focus). Point of contact for patient mental health queries and triage/sign posting into appropriate mental health services. Assist with the marketing of the Proactive Care Team through event planning and attendance, newsletters and social media. Maintenance of the practice Health Corners to ensure up to date and relevant information exists. Assisting the Social Prescribing Teams with referrals. Patient Support & Care Planning Contact patients with mental health concerns and queries to assess, triage and signpost into appropriate mental health services, seeking clinical guidance where required. Make every contact count - help people to manage their health needs through answering queries, making appointments, booking tests and arranging other reviews including long-term condition reviews, screening and vaccinations. Ensuring that actions from review meetings are progressed on behalf of patients. Provide patients with good quality written or verbal information to support them in making choices about their care. Proactively support patients to participate in local and national screening programmes. Support patients in readiness for shared decision-making conversations. Support people to understand their level of knowledge, skills and confidence engaging with their health and wellbeing. Identify and address safeguarding concerns. Supporting patients through the varying stages of mental health such as: - Prevention and staying well Provide single point of contact to be able to assess and respond to changing needs. Provide education around self-care, self-management and health literacy. Support people to get the most out of consultations, reducing the need for follow ups. Facilitating joint working and information flow across mental health teams and health care systems. Reducing the risk of deterioration through personalised care and regular contact. Deterioration/acute episodes Facilitating joint working and information flow across mental health teams and health care systems. Facilitate referrals and ensure timely access to right professionals and teams. Support with coordination of treatment escalation plans. Help identify where peoples needs are increasing, and they are at risk of an acute episode. Discharge and recovery Provide support to people who have been discharged to ensure all necessary arrangements in place. Support people to access the right service and resources for them. Empower and enable people to self-manage. Facilitate joint working and information flow across teams and healthcare systems. Patient experience sampling. Development Activity Actively promote your role within the practice and PCN. Raise awareness of Proactive Care Team in the community by attending events and community groups. Contribute to tackling inequalities in health and social care particularly regarding individuals with long-term conditions and complex care needs. Support the development and implementation of projects, campaigns, education and initiatives aimed at improving mental health and care of patients. Ensure personal skills are kept up to date by complete mandatory training and additional training. Reporting Maintain effective records of activity and produce reports as required. Ensure personal workplan is up to date. Provide any agreed performance/activity data. Assisting to document and evidence outcomes. Person Specification Personal Qualities Essential Passionate about mental health Confident having potentially difficult conversations with patients Emotionally resilient and able to flag personal support needs to management when required Committed to personal development Approachable and flexible Sensitive to patients needs Ability and willingness to work across all Holderness Health sites Skills & Knowledge Essential Computer literate with an ability to use the required IT systems and Microsoft Office Excellent negotiation skills Excellent communication skills, both verbal and written Able to effectively manage own workload Able to meet deadlines, work under pressure and balance priorities Able to build and sustain relationships at all levels Desirable Understanding of patient care needs Knowledge of medical terminology An understanding and knowledge of the workings of the NHS Knowledge of one or more of the following areas: learning difficulties, dementia, mental health, end of life care, long-term health conditions, substance misuse Experience Essential Experience of having difficult conversations Experience of call handling Experienced facilitator Experience of working in a busy and demanding environment Experience of delivering high quality customer or patient care Experience of general administration processes and record keeping Desirable Experience of working in a health or social care setting, ideally general practice Experience of SystmOne clinical system Experience of recording notes/actions Experience with mental health either providing support or lived experience Qualifications Essential Good standard of general education (NVQ Level 2 or equivalent) Desirable NVQ Level 3 or equivalent Person Specification Personal Qualities Essential Passionate about mental health Confident having potentially difficult conversations with patients Emotionally resilient and able to flag personal support needs to management when required Committed to personal development Approachable and flexible Sensitive to patients needs Ability and willingness to work across all Holderness Health sites Skills & Knowledge Essential Computer literate with an ability to use the required IT systems and Microsoft Office Excellent negotiation skills Excellent communication skills, both verbal and written Able to effectively manage own workload Able to meet deadlines, work under pressure and balance priorities Able to build and sustain relationships at all levels Desirable Understanding of patient care needs Knowledge of medical terminology An understanding and knowledge of the workings of the NHS Knowledge of one or more of the following areas: learning difficulties, dementia, mental health, end of life care, long-term health conditions, substance misuse Experience Essential Experience of having difficult conversations Experience of call handling Experienced facilitator Experience of working in a busy and demanding environment Experience of delivering high quality customer or patient care Experience of general administration processes and record keeping Desirable Experience of working in a health or social care setting, ideally general practice Experience of SystmOne clinical system Experience of recording notes/actions Experience with mental health either providing support or lived experience Qualifications Essential Good standard of general education (NVQ Level 2 or equivalent) Desirable NVQ Level 3 or equivalent 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 Holderness Health Address Church View Surgery 5 Market Hill House Hedon HU12 8JE Employer's website https://www.holdernesshealth.nhs.uk/ (Opens in a new tab)