Principal Duties & Responsibilities 1)Identifyapersonscareandsupportneeds andexploretheiroptionstomeettheseintoasingle personalised care in collaboration with the patients primary care team. 2)Provide coordination and navigation for elderly people and their carers across health and care services,alongsideworkingcloselywithsocialprescribinglinkworkers,occupationaltherapists,dietitians. 3)Help people to manage their needs by referring onto the wider integrated care team. 4)Tomakepatientsfeelmoreempoweredandactivelyengagedtomaintainindependency. 5)Maintainingaregisterofpatientswhoareover80and/orhouseboundacrossthePCN. 6)Facetofaceannualassessmentreviewofpatientssocial,physicalandmentalhealthneeds. 7)Referringtootheragenciesdependingonneeds. 8)Participatinginintegratedcareteamstoensuretheco-ordinationofcare. 9)Be part of a PCN wide triage team, to support with capacity and access plans. 10)Support practices with Cancer screening programmes, supporting the PCN Cancer Lead with data collection and auditing. 11)Supporting practices with FIT testing and checking EMIS coding is correct. 12)Keepaccuratetimesheetsandotherdataontheservice. 13)EnsureobservanceandadherencetotheHealthandSafetyatWorkAct1974. 14)Work totheagreedstandards,policiesandproceduresandprotocolsofthePracticesandPCNandbe fully conversant with emergency procedures. 15)Carryoutotherdutiesasdirectedbythelinemanager/PracticeManagerwhichareconsistentwith the duties and responsibilities of the post.