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Job Summary
You start the day reviewing your caseload. Each name is someone whose health journey you're helping to support. By mid-morning, you might be speaking with a patient's family, coordinating a clinical review, or helping someone navigate support for a new diagnosis. Every call, every conversation is a step toward making care feel more personal, connected, and manageable.
As a Care Coordinator for frailty at Worcester City PCN, you're the friendly, reliable bridge between patients and the wider healthcare system. You'll work closely with GPs, clinical teams, social prescribers, and pharmacists to ensure that people living with frailty get the right care at the right time. You'll be the consistent voice checking in, coordinating appointments, building personalised care plans and ensuring patients and their carers never feel left behind.
This role is about compassion, communication, and practical coordination. You'll be key to helping people stay independent for longer, with more confidence in managing their health. If you're organised, empathetic, and thrive on making a difference in someone's day, this could be your perfect next step in primary care.
Main duties of the job
* Act as a key point of contact for patients living with frailty, helping them navigate health and care services with confidence
* Coordinate care across the PCN linking patients with GPs, pharmacists, social prescribers, and other professionals
* Work with patients, families, and carers to co-create personalised care plans that reflect individual needs and goals
* Support patients after hospital discharge or during times of declining health by ensuring timely reviews and follow-ups
* Run clinical system searches to identify patients needing care coordination, and proactively reach out to offer support
* Help patients access the right appointments, services, and resources answering queries and signposting as needed
* Contribute to improving outcomes in frailty care by capturing and analysing patient data, and supporting service audits
* Stay informed on national and local frailty strategies and apply these in day-to-day practice
* Collaborate closely with GP practices across Worcester City PCN to ensure care is joined-up and consistent
* Support a culture of continuous improvement by contributing ideas and helping implement changes to enhance care delivery
* Maintain accurate, timely patient records using EMIS and other systems, always respecting confidentiality and GDPR
* Work flexibly including occasional home or care home visits to ensure patients are supported where and when they need it most
About us
Vertis Health is a fast-growing provider of community-based healthcare services to NHS patients within South Worcestershire. The organisation utilises the excellent clinical expertise that already resides within the local NHS environment and harnesses it with efficient administration pathways to provide patients with more convenient and accessible services. We hope that by doing this we will not only deliver pathway improvements to patients but also go some way to relieving the growing volume pressures that are being experienced within local hospitals and GP practices.
Job details
Date posted: 14 April 2025
Pay scheme: Other
Salary: £26,530 to £29,100 a year Depending on Experience and pro rata
Contract: Permanent
Working pattern: Full-time, Part-time, Job share, Flexible working
Reference number: B0158-25-0034
Job locations
Henwick Halt Medical Centre
1 Ingles Drive
Worcester
WR2 5HL
Person Specification
Qualifications Essential
* Good general standard of education (e.g. GCSEs or equivalent)
Experience Essential
* Significant experience in an administrative or coordination role, ideally with a proactive approach
* Experience working in health, social care, or a related front-facing environment
* Confidence in working with vulnerable individuals or those facing disadvantage
* Skilled at working empathetically and supportively with patients and carers
* Proficient in using databases and digital systems to manage and report information
* Experience of problem-solving and managing a varied, often reactive workload
* Working knowledge of confidentiality, safeguarding, and diversity principles
* Self-motivated, adaptable, and able to work both independently and within a team
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.
Apply as early as possible as we may close the job advert early if we receive a sufficient number of applications.
Please note the job location may be subject to change due to the nature of PCN work.
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