Job summary The Care Coordinator will be expected to assist clinical personnel in the care of practice patients to include enhanced access, preventative care, screening, and patient education. The Care Co-ordinator will act as a focal point of communication between patients and the health centre enabling effective and safe navigation of patient needs both internally and externally of the health centre. Working innovatively and closely with GPs and practice teams [in addition to the wider PCN needs] to support carers; supporting them to understand and manage their condition and ensuring their changing needs are addressed. Working hours will be: Monday - 7.30am - 12.30pm Wednesday - 7.30am - 12.30pm Thursday - 7.30am - 12.30pm Friday - 7.30am - 3.00pm Main duties of the job the development of digital solutions across the health centre supporting access needs of patients; care navigation of patients via our online consultation platform, Ask My GP supporting the nurse administrator of personalised annual recall invites for patients with long term conditions; Engaging with and developing processes in support of localised, agreed, access processes. Facilitating enhanced processes to support the care coordination of patients with complex need. About us Bodmin Road Health Centre [BRHC] is a Primary Care provider based in Sale, Manchester and is part of the Sale Central Primary Care Network. Our services are diverse, and forward-thinking enabling us to deliver patient care to meet local priorities in relation to chronic disease, improved access and general care management. We provide high quality general medical care to a registered list of over 9,000 patients, through our dedicated team of clinical, administrative and management professionals. Date posted 05 March 2025 Pay scheme Other Salary £13.58 an hour Contract Permanent Working pattern Part-time Reference number A5308-25-0000 Job locations Bodmin Road Health Centre Bodmin Road Sale Cheshire M33 5JH Job description Job responsibilities The post holder will undertake work in line with BRHC directed priorities. (Full job description available on request) Proactively identifying and working with a cohort of people to support their personalised care requirements. This could include: the development of digital solutions across the health centre supporting access needs of patients; care navigation of patients via our online consultation platform, Ask My GP supporting the nurse administrator of personalised annual recall invites for patients with long term conditions; Engaging with and developing processes in support of localised, agreed, access processes. Facilitating enhanced processes to support the care coordination of patients with complex need. Where possible, utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care; Where possible, support patients to utilise decision aids in preparation for a shared decision-making conversation; Where possible; holistically bring together all of a persons identified care and support needs, and explore options to meet these within a single personalised care and support plan (PCSP), in line with PCSP best practice, based on what matters to the person; Help people to manage their needs through answering queries, making and managing appointments, and ensuring that people have good quality written or verbal information to help them make choices about their care, using tools to understand peoples level of knowledge, confidence in skills in managing their own health; Support people to take up training and employment, and to access appropriate benefits where eligible for example, through referral to social prescribing link workers; Additionally; Resolving any queries in relation to these workstreams and ensuring all parties are kept informed of progress towards resolution. Supporting Quality and Outcome Frameworks and other DES specifications. Help people to manage their needs through answering queries, making and managing appointments and ensuring that people have good quality written or verbal information to help them make choices about their care Providing coordination and navigation for patients/carers across health and care services, alongside working closely with social prescribing link workers and other primary care roles. Supporting residents in care homes/LD homes ensuring personalised care is delivered through collaborative working between health, social care, voluntary, community and social enterprise sector and care home partners. At times you will be required to support adult patients and assist them through the healthcare system by acting as a patient advocate and navigator, empowering them, and educating them to promote and support their independence. Be proactive in developing strong link with local agencies, and in encouraging equality and inclusions. Any other duties relevant to this role. Partnership working and communication Works closely and in partnership with the Social Prescribing Link Worker(s) or social prescribing service provider and Health and Wellbeing Coach(es), in order to deliver the key responsibilities; Develop strong working relationships with GPs, practice teams and other health care col-leagues to optimise the timely and good quality delivery of services to patients and to support the working lives of colleagues. Work collaboratively with neighbourhood colleagues to share best practises. Ensure that all relevant professionals are kept up-to-date so that any issues or concerns can be appropriately addressed and supported. Keep accurate, up-to-date, contemporaneous and appropriately Snomed coded consultation records of patient contacts, appropriately using EMIS software and other record, referral and messaging systems relevant to the role, adhering to information governance and data protection legislation. Maintain records of interventions to enable monitoring and evaluation of the service. Provide regular feedback to relevant stakeholders about service progress. Additionally: Support a PCN in the assurance needs to: a. Ensure that basic safeguarding processes in place for vulnerable individuals; and b. Ensure that opportunities for the patient to develop friendships and a sense of belonging, as well as to build knowledge, skills and confidence. General Administration To have a thorough knowledge of all Practice procedures To work in accordance with written protocols Generate patient prescriptions manually and electronically Photocopy, scan and e-mail documents as requested by colleagues or required by practice procedure Process, file and allocate electronic consultation requests. Process queries from the local care home and arrange clinical intervention where required. Process changes in patient contact details in line with practice policy Complete any other administrative tasks as requested by the Reception Lead or the partners Job description Job responsibilities The post holder will undertake work in line with BRHC directed priorities. (Full job description available on request) Proactively identifying and working with a cohort of people to support their personalised care requirements. This could include: the development of digital solutions across the health centre supporting access needs of patients; care navigation of patients via our online consultation platform, Ask My GP supporting the nurse administrator of personalised annual recall invites for patients with long term conditions; Engaging with and developing processes in support of localised, agreed, access processes. Facilitating enhanced processes to support the care coordination of patients with complex need. Where possible, utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care; Where possible, support patients to utilise decision aids in preparation for a shared decision-making conversation; Where possible; holistically bring together all of a persons identified care and support needs, and explore options to meet these within a single personalised care and support plan (PCSP), in line with PCSP best practice, based on what matters to the person; Help people to manage their needs through answering queries, making and managing appointments, and ensuring that people have good quality written or verbal information to help them make choices about their care, using tools to understand peoples level of knowledge, confidence in skills in managing their own health; Support people to take up training and employment, and to access appropriate benefits where eligible for example, through referral to social prescribing link workers; Additionally; Resolving any queries in relation to these workstreams and ensuring all parties are kept informed of progress towards resolution. Supporting Quality and Outcome Frameworks and other DES specifications. Help people to manage their needs through answering queries, making and managing appointments and ensuring that people have good quality written or verbal information to help them make choices about their care Providing coordination and navigation for patients/carers across health and care services, alongside working closely with social prescribing link workers and other primary care roles. Supporting residents in care homes/LD homes ensuring personalised care is delivered through collaborative working between health, social care, voluntary, community and social enterprise sector and care home partners. At times you will be required to support adult patients and assist them through the healthcare system by acting as a patient advocate and navigator, empowering them, and educating them to promote and support their independence. Be proactive in developing strong link with local agencies, and in encouraging equality and inclusions. Any other duties relevant to this role. Partnership working and communication Works closely and in partnership with the Social Prescribing Link Worker(s) or social prescribing service provider and Health and Wellbeing Coach(es), in order to deliver the key responsibilities; Develop strong working relationships with GPs, practice teams and other health care col-leagues to optimise the timely and good quality delivery of services to patients and to support the working lives of colleagues. Work collaboratively with neighbourhood colleagues to share best practises. Ensure that all relevant professionals are kept up-to-date so that any issues or concerns can be appropriately addressed and supported. Keep accurate, up-to-date, contemporaneous and appropriately Snomed coded consultation records of patient contacts, appropriately using EMIS software and other record, referral and messaging systems relevant to the role, adhering to information governance and data protection legislation. Maintain records of interventions to enable monitoring and evaluation of the service. Provide regular feedback to relevant stakeholders about service progress. Additionally: Support a PCN in the assurance needs to: a. Ensure that basic safeguarding processes in place for vulnerable individuals; and b. Ensure that opportunities for the patient to develop friendships and a sense of belonging, as well as to build knowledge, skills and confidence. General Administration To have a thorough knowledge of all Practice procedures To work in accordance with written protocols Generate patient prescriptions manually and electronically Photocopy, scan and e-mail documents as requested by colleagues or required by practice procedure Process, file and allocate electronic consultation requests. Process queries from the local care home and arrange clinical intervention where required. Process changes in patient contact details in line with practice policy Complete any other administrative tasks as requested by the Reception Lead or the partners Person Specification Experience Essential Experience of working within General Practice Desirable Experience of Emis clinical system Experience of online consultation platform Ask My GP Skills and General Essential Good organisational skills Be able to work under pressure Be flexible in covering for annual leave Person Specification Experience Essential Experience of working within General Practice Desirable Experience of Emis clinical system Experience of online consultation platform Ask My GP Skills and General Essential Good organisational skills Be able to work under pressure Be flexible in covering for annual leave 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 Bodmin Road Health Centre Address Bodmin Road Health Centre Bodmin Road Sale Cheshire M33 5JH Employer's website https://www.bodminroadhealthcentre.co.uk/ (Opens in a new tab)