This role will operate within the Frailty Team which forms part of our wider Living Well Team made up of Frailty Nurses, Social Prescribing Link Workers, Health and Wellbeing Coaches, and Care Coordinators. This is a new role for our network, expanding our Frailty Team to address the needs of our population. The Frailty Care Coordinator will play a key role within our PCN working closely with our GP practice teams, our PCN Living Well Team, and wider health and social care and community colleagues. They will act as the main point of contact for the Team, triaging incoming referrals from our member practices and signposting appropriately. They will be responsible for setting up and coordinating our Multi-Disciplinary Team meetings, recording and following up on agreed actions. They will be involved with risk stratification, data searches, and monitoring and evaluation of services. The Frailty Care Coordinator will also identify and manage their own caseload of patients, carrying out home visits to complete and review Personalised Care and Support Plans, including 'Me at My Best' and 'What Matters to Me'.