Job summary We are looking for a network Care Co-ordinator to join our network An exciting opportunity has arisen for a Care Coordinator to join our developing multidisciplinary teams across Porter Valley Network. We are looking for a compassionate, collaborative and motivated care coordinator to support the delivery of care to vulnerable patients and referred to our social prescribing hub, coordinating the work of social prescribing professionals and the wider social and voluntary care sectors in our area. You will be an essential part of a dynamic and forward-thinking multidisciplinary team spanning practices and our Primary Care Mental health team. Salary £21,892.00-£25000 FTE dependant on experience FTE 37.5 hours Main duties of the job Primary Duties and Areas of Responsibility 1. Triage and help patients referred to our social prescribing hub 2. Liaise and work with our wider social prescribers 3. Coordinate our patients waiting for assessment by our Primary Care Mental health team 4. Coordinate our at scale public heath work on health promotion and cancer care support 5. Coordinate our wider community MDT and develop our integrated neighbourhood working 6. Develop new projects like our peer support groups About us Porter Valley Network is a primary care network of 6 GP practices covering a population of over 45,000 patients across South West Sheffield. We began in 2019 and now employ around 35 members of staff across our Central social prescribing site at Kings centre and across our 6 practices We are dedicated to providing safe and compassionate care to our patients across our area and have developed a social prescribing hub to help our patients, and our community. Patients are at the heart of everything we do, and we pride ourselves in ensuring our patients feel safe, supported, communicated with and respected, at a time when they may be feeling vulnerable. Our vision is to provide high quality, community health care that enables people to lead healthier lives, whilst feeling supported and cared for. Date posted 17 January 2025 Pay scheme Other Salary Depending on experience Contract Permanent Working pattern Full-time Reference number A3466-25-0005 Job locations Carterknowle & Dore Medical Practice 1 Carter Knowle Road Sheffield S7 2DW Hollies Medical Centre 20 St. Andrews Road Sheffield S11 9AL Rustlings Road Medical Centre 105 Rustlings Road Sheffield S11 7AB Greystones Medical Centre 33 Greystones Road Sheffield S11 7BJ Falkland House Surgery Falkland Road Sheffield S11 7PL Nethergreen Surgery Nethergreen Road Sheffield S11 7EJ Job description Job responsibilities The Care Co-ordinator will work flexibly across all 6 GP Surgeries in the Porter Valley Primary Care Network (PCN). You will be part of a large multidisciplinary team which supports a population of approximately 43,000 patients. This role is pivotal to ensuring that all patients receive the best possible care and service. Utilising population health intelligence for the network you will proactively identify and support a cohort of patients to ensure access to personalised care; holistically bringing together all of a persons identified care and support needs, exploring options to meet these within a single personalised care and support plan in line with best practice, based on what matters to the person. You will also work with patients identified for support by clinicians and referred into the Health and wellbeing Hub across the network. Providing advice and information, ensuring improved efficient patient access to services through timely health and care planning. The role will include supporting digital initiatives and includes responsibilities for the co-ordination of the patients journey through primary care. This will require an ability to change focus as required and management of different projects as the Networks are directed by NHSE. The PCNs Core Network Practices will identify a first point of contact for general advice and support to provide you with supervision, this could be provided by one or more named individuals within the PCN. You will have the opportunity to discuss patient related concerns and be supported to follow appropriate safeguarding procedures (e.g. abuse, domestic violence and support with mental health) with a relevant GP. You will also support the PCN team in coordinating all key activity required to meet the delivery of the QOF QI, IIF and the PCN DES contract specifications. This will require you to remain up to date with new requirements and take a lead in monitoring progress and supporting practice and the network in making progress towards the required achievements. Main duties of the job working with the Network to ensure that the requirements of the Network DES Service Specifications, Investment and Impact fund and Quality Outcome framework and quality indicators are met. This will require a change in focus and management of different projects as the Networks are directed by NHSE and will require flexibility on the part of the applicant. The Care Co-ordinator will identify patients from population intelligence within the network and signpost to the appropriate health and social support as required, ensuring care is co-ordinated and delivered timely, effectively and efficiently in line with Primary Care Service requirements. Assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing Manage and prioritise own workload on a daily basis and deal with the competing demands. Assist the network to meet the changing needs of the service, ensuring aware of up to date demands and requirements of the network Job Role and responsibilities: The Care Co-ordinator will: utilise population health intelligence to proactively work with the MDT to ensure they are aware and notified of patients that would benefit from access to personalised care. Supporting a move to proactive patient support. work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients, and where required and as appropriate, refer people back to other health professionals within the PCN and/or utilise services provided across the neighbourhood. raise awareness of how to identify patients who may benefit from shared decision making and support PCN staff and patients to be more prepared to have shared decision-making conversations. bring together all of a persons identified care and support needs from digital information, and explore options to meet these into a single personalised care and support plan, using excellent communication and organisational skills to liaise with other stakeholders as needed for the collective benefit of the patients. help people to manage their needs through answering queries, signposting to relevant services and ensuring that people have good quality written or verbal information to help them make choices about their care. Identify patient need and assist to access self-management education courses, peer support or interventions that support them in their health and wellbeing and increase their activation level. signpost people to gain access for personal health budgets where appropriate. provide coordination and navigation for people and their carers across health and care services, working closely with social prescribing link workers, health and wellbeing coaches and other primary care professionals. Ensure awareness of and basic safeguarding processes are in place for vulnerable individuals. Communication and Interpersonal skills communicate effectively across a wide range of channels and with a wide range of individuals, the public, health and social care professionals, and colleagues maintaining the focus of communication on delivering and improving health and care services. demonstrate inter-personal skills that promote clarity, compassion, empathy, respect and trust. ensure all patient related information is treated sensitively and adhere to the principals of confidentiality at all times. report any accidents or incidents and raise any concerns as per organisational policy. ensure clear, concise, accurate and legible records and all communication is maintained in relation to care delivered adhering to local and national guidance. attend and contribute to meetings within the Network as required. Care Co-ordinator Responsibilities: Ensure all mandatory training is completed on an annual basis including; safeguarding, confidentiality, equality and diversity, Cardio-pulmonary resuscitation etc. Ensure infection control guidelines are maintained. Work with a supervisor to take responsibility for developing own practical and theoretical competence, developing own reflective practice skills. Contribute towards developing a culture of continued learning and innovation, supporting continuous improvements in care delivery. Adhere to legislation, policies, procedures and guidelines both local and national, regularly attending workplace and staff engagement meetings. Maintain accurate and contemporaneous patient health records Work in an effective and organised manner demonstrating excellent time management and organisational skills to effectively deliver person-centred care for an allocated group of individuals Job description Job responsibilities The Care Co-ordinator will work flexibly across all 6 GP Surgeries in the Porter Valley Primary Care Network (PCN). You will be part of a large multidisciplinary team which supports a population of approximately 43,000 patients. This role is pivotal to ensuring that all patients receive the best possible care and service. Utilising population health intelligence for the network you will proactively identify and support a cohort of patients to ensure access to personalised care; holistically bringing together all of a persons identified care and support needs, exploring options to meet these within a single personalised care and support plan in line with best practice, based on what matters to the person. You will also work with patients identified for support by clinicians and referred into the Health and wellbeing Hub across the network. Providing advice and information, ensuring improved efficient patient access to services through timely health and care planning. The role will include supporting digital initiatives and includes responsibilities for the co-ordination of the patients journey through primary care. This will require an ability to change focus as required and management of different projects as the Networks are directed by NHSE. The PCNs Core Network Practices will identify a first point of contact for general advice and support to provide you with supervision, this could be provided by one or more named individuals within the PCN. You will have the opportunity to discuss patient related concerns and be supported to follow appropriate safeguarding procedures (e.g. abuse, domestic violence and support with mental health) with a relevant GP. You will also support the PCN team in coordinating all key activity required to meet the delivery of the QOF QI, IIF and the PCN DES contract specifications. This will require you to remain up to date with new requirements and take a lead in monitoring progress and supporting practice and the network in making progress towards the required achievements. Main duties of the job working with the Network to ensure that the requirements of the Network DES Service Specifications, Investment and Impact fund and Quality Outcome framework and quality indicators are met. This will require a change in focus and management of different projects as the Networks are directed by NHSE and will require flexibility on the part of the applicant. The Care Co-ordinator will identify patients from population intelligence within the network and signpost to the appropriate health and social support as required, ensuring care is co-ordinated and delivered timely, effectively and efficiently in line with Primary Care Service requirements. Assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing Manage and prioritise own workload on a daily basis and deal with the competing demands. Assist the network to meet the changing needs of the service, ensuring aware of up to date demands and requirements of the network Job Role and responsibilities: The Care Co-ordinator will: utilise population health intelligence to proactively work with the MDT to ensure they are aware and notified of patients that would benefit from access to personalised care. Supporting a move to proactive patient support. work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients, and where required and as appropriate, refer people back to other health professionals within the PCN and/or utilise services provided across the neighbourhood. raise awareness of how to identify patients who may benefit from shared decision making and support PCN staff and patients to be more prepared to have shared decision-making conversations. bring together all of a persons identified care and support needs from digital information, and explore options to meet these into a single personalised care and support plan, using excellent communication and organisational skills to liaise with other stakeholders as needed for the collective benefit of the patients. help people to manage their needs through answering queries, signposting to relevant services and ensuring that people have good quality written or verbal information to help them make choices about their care. Identify patient need and assist to access self-management education courses, peer support or interventions that support them in their health and wellbeing and increase their activation level. signpost people to gain access for personal health budgets where appropriate. provide coordination and navigation for people and their carers across health and care services, working closely with social prescribing link workers, health and wellbeing coaches and other primary care professionals. Ensure awareness of and basic safeguarding processes are in place for vulnerable individuals. Communication and Interpersonal skills communicate effectively across a wide range of channels and with a wide range of individuals, the public, health and social care professionals, and colleagues maintaining the focus of communication on delivering and improving health and care services. demonstrate inter-personal skills that promote clarity, compassion, empathy, respect and trust. ensure all patient related information is treated sensitively and adhere to the principals of confidentiality at all times. report any accidents or incidents and raise any concerns as per organisational policy. ensure clear, concise, accurate and legible records and all communication is maintained in relation to care delivered adhering to local and national guidance. attend and contribute to meetings within the Network as required. Care Co-ordinator Responsibilities: Ensure all mandatory training is completed on an annual basis including; safeguarding, confidentiality, equality and diversity, Cardio-pulmonary resuscitation etc. Ensure infection control guidelines are maintained. Work with a supervisor to take responsibility for developing own practical and theoretical competence, developing own reflective practice skills. Contribute towards developing a culture of continued learning and innovation, supporting continuous improvements in care delivery. Adhere to legislation, policies, procedures and guidelines both local and national, regularly attending workplace and staff engagement meetings. Maintain accurate and contemporaneous patient health records Work in an effective and organised manner demonstrating excellent time management and organisational skills to effectively deliver person-centred care for an allocated group of individuals Person Specification Qualifications Essential GCSE Grade A-C in Maths and English or skills level 2 Maths and English or equivalent ECDL or equivalent Diploma /HNC level education or relevant experience. NVQ level 3 Business administration or relevant experience Desirable Commitment to Continued Personal Development through further study. Long term conditions training/awareness Welfare Rights basic training Experience Essential Good working knowledge of microsoft systems word, excel etc and use of databases. Understanding of the NHSE requirements of the Primary Care Service across the PCN DES, QoF QI and the IIF, Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality Able to give lifestyle self-care advice Working in a busy and demanding environment whilst delivering in a timely manner, ability to manage different projects simultaneously whilst prioritising own workload. Desirable Experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field Knowledge of GP clinical systems S1 and data coding within Primary Care Experience of working in Primary Care / GP Practice Experience of working in a multi-disciplinary setting where influence and negotiation is required Knowledge/familiarity with medical terminology Vulnerable adults awareness Skills/Attributes Essential Proven record of excellent written and verbal communication skills and interpersonal skills Able to work as part of a team Able to prioritise and manage own workload Car user (to travel between more than one GP practice) Excellent organisational skills Desirable Excellent motivational and influencing skills Strong analytical and judgement skills Excellent negotiating skills Ability to analyse and interpret information and present results in a clear and concise manner Experience providing advice/signposting to user Person Specification Qualifications Essential GCSE Grade A-C in Maths and English or skills level 2 Maths and English or equivalent ECDL or equivalent Diploma /HNC level education or relevant experience. NVQ level 3 Business administration or relevant experience Desirable Commitment to Continued Personal Development through further study. Long term conditions training/awareness Welfare Rights basic training Experience Essential Good working knowledge of microsoft systems word, excel etc and use of databases. Understanding of the NHSE requirements of the Primary Care Service across the PCN DES, QoF QI and the IIF, Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality Able to give lifestyle self-care advice Working in a busy and demanding environment whilst delivering in a timely manner, ability to manage different projects simultaneously whilst prioritising own workload. Desirable Experience of working with healthcare professionals and or previous experience in the NHS or social care or relevant field Knowledge of GP clinical systems S1 and data coding within Primary Care Experience of working in Primary Care / GP Practice Experience of working in a multi-disciplinary setting where influence and negotiation is required Knowledge/familiarity with medical terminology Vulnerable adults awareness Skills/Attributes Essential Proven record of excellent written and verbal communication skills and interpersonal skills Able to work as part of a team Able to prioritise and manage own workload Car user (to travel between more than one GP practice) Excellent organisational skills Desirable Excellent motivational and influencing skills Strong analytical and judgement skills Excellent negotiating skills Ability to analyse and interpret information and present results in a clear and concise manner Experience providing advice/signposting to user 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Primary Care Sheffield Address Carterknowle & Dore Medical Practice 1 Carter Knowle Road Sheffield S7 2DW Employer's website http://www.primarycaresheffield.org.uk/ (Opens in a new tab)