Provide a first point of contact for patients and clinicians in coordinating patients care. Deal with incoming queries from patients and/or their carers and other healthcare providers. Encourage people, their families and carers to provide feedback and engage fully in the care coordination process. Ensure timely follow up and action for patients from communications from community and secondary care. Monitor tasks to ensure they are completed and care delivered through regular audit of the clinical system. Provide coordination and navigation for people and their carers across health and care services, working closely with social prescribing link workers and other primary care professionals. Signpost and organise appointments, follow ups or other actions to help the PCN provide high quality, compassionate care to our patient population. Support the alignment of care homes to practices, including new patient registrations. Support the care home MDT with the weekly ward rounds through identification of people in need of review, collation of information on patients requiring MDT input. Also to provide coordination and administrative support to the MDT. Support the PCN in coordinating all key activities including access to services, advice and information, and ensuring health and care planning is timely, efficient and patient-centred. Support PCN staff and patients to be prepared to have shared-decision making conversations, including utilising decision aids and tools. Work collaboratively with other Care Coordinators across the PCN to share best practice. Work sensitively with patients, their families and carers to capture key information, enabling comprehensive and accurate records of support. Work with the PCN MDT to utilise population health intelligence to proactively identify and work with a cohort of patients to deliver personalised care. The list of duties in the job description should not be regarded as exclusive or exhaustive. There will be other duties and requirements associated with the job and the right to update the job description from time to time to reflect changes in or to the job.