Job summary The successful candidate will work across the Practices within Barrow Together Primary Care Network to actively engage with our populations to help identify the needs of our communities, aligning to B/T PCN Health Improvement and Inequalities Plan, and the Enhanced Health Care project being delivered locally. Work streams to reflect local patient priorities and needs. The successful candidate ideally will have experience of working within the primary health care sector. The aim is to reach out into our community, working within a multi-disciplinary team, to identify unmet needs, early interventions and barriers to accessing services. Main duties of the job Supporting 8 local Barrow GP practices meeting targets Support the wider PCN team-Social Prescribers, Pharmacists Mental Health Nurses & Physiotherapists Maximising nonclinical and early intervention Reaching out to the isolated and less visible populations Utilise public health and business intelligence to help identify pockets of population that may benefit from early intervention. Provide coordination and navigation for people and their carers across health and care services, alongside working closely with social prescribing link workers, and other primary care roles. About us Barrow Together is a forward-thinking dynamic and innovative Primary Care Network with a clear vision to deliver the best services for all our practices. Date posted 04 March 2025 Pay scheme Other Salary Depending on experience Contract Permanent Working pattern Full-time Reference number B0160-25-0012 Job locations Alfred Barrow Surgery Duke Street Barrow-in-furness Cumbria LA14 2LB Job description Job responsibilities Supporting 8 local Barrow GP practices meeting targets Support the wider PCN team-Social Prescribers, Pharmacists Mental Health Nurses & Physiotherapists Maximising nonclinical and early intervention Reaching out to the isolated and less visible populations Utilise public health and business intelligence to help identify pockets of population that may benefit from early intervention. Provide coordination and navigation for people and their carers across health and care services, alongside working closely with social prescribing link workers, and other primary care roles. Actively participate in multidisciplinary team meetings in the PCN as and when appropriate, facilitating a coordinated approach, and ensuring everyone is kept up to date so that any issues or concerns are flagged and addressed. Undertake continual personal and professional development, taking an active part in reviewing and developing the role and responsibilities, and provide evidence of learning activity as required. Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, equality, diversity and inclusion training and health and safety. Establish strong working relationships with GPs and practice teams and work collaboratively with other care coordinators, social prescribing link workers and meeting regularly giving support, respecting each other's views and reviewing workload to avoid duplication of effort/role. Taking a lead on health promotion Demonstrate a flexible attitude and be prepared to carry out other duties as may be reasonably required from time to time within the general character of the post or the level of responsibility of the role, ensuring that work is delivered in a timely and effective manner. Identify opportunities and gaps in the service and provide feedback to continually improve the service and contribute to PCN business planning. Contribute to the development of policies and plans relating to reduction of health inequalities. Work in accordance with the practices and PCNs policies and procedures. Contribute to the wider aims and objectives of the PCN to improve and support Primary care. All staff have an individual responsibility to comply with the organisations policies and practices. Duties will vary from time to time under the direction of the clinical director and network management leads, in agreement with the post holder, dependent on current and evolving practice workload and staffing levels. WHEN APPLYING FOR THIS ROLE, PLEASE INCLUDE YOUR MOBILE NUMBER ON YOUR APPLICATION SO WE CAN CONTACT YOU IF NEEDED. Job description Job responsibilities Supporting 8 local Barrow GP practices meeting targets Support the wider PCN team-Social Prescribers, Pharmacists Mental Health Nurses & Physiotherapists Maximising nonclinical and early intervention Reaching out to the isolated and less visible populations Utilise public health and business intelligence to help identify pockets of population that may benefit from early intervention. Provide coordination and navigation for people and their carers across health and care services, alongside working closely with social prescribing link workers, and other primary care roles. Actively participate in multidisciplinary team meetings in the PCN as and when appropriate, facilitating a coordinated approach, and ensuring everyone is kept up to date so that any issues or concerns are flagged and addressed. Undertake continual personal and professional development, taking an active part in reviewing and developing the role and responsibilities, and provide evidence of learning activity as required. Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, equality, diversity and inclusion training and health and safety. Establish strong working relationships with GPs and practice teams and work collaboratively with other care coordinators, social prescribing link workers and meeting regularly giving support, respecting each other's views and reviewing workload to avoid duplication of effort/role. Taking a lead on health promotion Demonstrate a flexible attitude and be prepared to carry out other duties as may be reasonably required from time to time within the general character of the post or the level of responsibility of the role, ensuring that work is delivered in a timely and effective manner. Identify opportunities and gaps in the service and provide feedback to continually improve the service and contribute to PCN business planning. Contribute to the development of policies and plans relating to reduction of health inequalities. Work in accordance with the practices and PCNs policies and procedures. Contribute to the wider aims and objectives of the PCN to improve and support Primary care. All staff have an individual responsibility to comply with the organisations policies and practices. Duties will vary from time to time under the direction of the clinical director and network management leads, in agreement with the post holder, dependent on current and evolving practice workload and staffing levels. WHEN APPLYING FOR THIS ROLE, PLEASE INCLUDE YOUR MOBILE NUMBER ON YOUR APPLICATION SO WE CAN CONTACT YOU IF NEEDED. Person Specification Skills & Knowledge Essential Knowledge of the personalised care approach Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities Understanding of, and commitment to, equality, diversity, and inclusion Strong organisational skills, including planning, prioritising, time management and record keeping Knowledge of how the NHS works, including primary care and PCNs Ability to recognise and work within limits of competence and seek advice when needed Understanding of the needs of older people / adults with disabilities / long term conditions particularly in relation to promoting their independence Willingness to work flexible hours when required to meet work demands Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own homes Qualifications Essential Demonstrable commitment to professional and personal development Ability to use Microsoft Office applications Word, TEAMS, Excel, PowerPoint, Outlook Desirable Is enrolled in, undertaking or qualified from appropriate training as set out by the Personalised Care Institute as set out in the Workforce Development Framework for Care Co-ordinators, including training, or apprenticeships to obtain a level three standard. Experience Essential Experience of working in health settings and other support roles in direct contact and supporting people, families, or carers (in a paid or voluntary capacity) Experience of working within multi- professional team environment Experience of working directly in a care coordinator role, adult health, and social care, learning support or public health / health improvement Experience of data collection and using tools to measure the impact of services in personalised care and support planning Desirable Experience or training in personalised care and support planning Personal attributes & Qualities Essential Commitment to be part of MDT aiming to reduce health inequalities and proactively working to reach people from all communities and backgrounds. Able to support people in a way that inspires trust and confidence, motivating others to reach their potential Ability to communicate effectively, both verbally and digitally, with people, their families, carers, community groups, partner agencies and stakeholders Ability to assess/manage risk. Have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the care coordinator role e.g., when there is a mental health need requiring a qualified practitioner Ability to maintain effective working relationships and to promote collaborative practice with all colleagues Ability to demonstrates personal accountability, emotional resilience and works well under pressure Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines High level of written and oral communication skills Ability to work flexibly and enthusiastically within a team or on own initiative Knowledge of and ability to work to policies and procedures and within professional boundaries, including confidentiality, safeguarding, lone working, information governance, and health and safety Person Specification Skills & Knowledge Essential Knowledge of the personalised care approach Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities Understanding of, and commitment to, equality, diversity, and inclusion Strong organisational skills, including planning, prioritising, time management and record keeping Knowledge of how the NHS works, including primary care and PCNs Ability to recognise and work within limits of competence and seek advice when needed Understanding of the needs of older people / adults with disabilities / long term conditions particularly in relation to promoting their independence Willingness to work flexible hours when required to meet work demands Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own homes Qualifications Essential Demonstrable commitment to professional and personal development Ability to use Microsoft Office applications Word, TEAMS, Excel, PowerPoint, Outlook Desirable Is enrolled in, undertaking or qualified from appropriate training as set out by the Personalised Care Institute as set out in the Workforce Development Framework for Care Co-ordinators, including training, or apprenticeships to obtain a level three standard. Experience Essential Experience of working in health settings and other support roles in direct contact and supporting people, families, or carers (in a paid or voluntary capacity) Experience of working within multi- professional team environment Experience of working directly in a care coordinator role, adult health, and social care, learning support or public health / health improvement Experience of data collection and using tools to measure the impact of services in personalised care and support planning Desirable Experience or training in personalised care and support planning Personal attributes & Qualities Essential Commitment to be part of MDT aiming to reduce health inequalities and proactively working to reach people from all communities and backgrounds. Able to support people in a way that inspires trust and confidence, motivating others to reach their potential Ability to communicate effectively, both verbally and digitally, with people, their families, carers, community groups, partner agencies and stakeholders Ability to assess/manage risk. Have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the care coordinator role e.g., when there is a mental health need requiring a qualified practitioner Ability to maintain effective working relationships and to promote collaborative practice with all colleagues Ability to demonstrates personal accountability, emotional resilience and works well under pressure Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines High level of written and oral communication skills Ability to work flexibly and enthusiastically within a team or on own initiative Knowledge of and ability to work to policies and procedures and within professional boundaries, including confidentiality, safeguarding, lone working, information governance, and health and safety 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 Morecambe Bay Primary Care Collaborative Address Alfred Barrow Surgery Duke Street Barrow-in-furness Cumbria LA14 2LB Employer's website https://mbpcc.co.uk/ (Opens in a new tab)