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Nursing associate / clinical care coordinator frailty team

St Helens
Integrated Care System
Care coordinator
Posted: 15 August
Offer description

Nursing Associate / Clinical Care Coordinator Frailty Team

Central PCN is looking for a dedicated and compassionateClinicalCare Coordinator or Nursing Associate to join our Frailty Team. This roleoffers the opportunity to deliver vital care and support to older adults livingwith frailty across the community.

You will work both within patients homes and care homes, providingholistic assessments, care coordination, and support to help patients remainindependent and well.

A full, clean driving licence and access to your own car for daily work-relatedtravel is essential.

Thisrole is a fll time role, 37.5 hours to be worked across 5 days Monday to Friday inclusive.

Interviews will take place on Wednesday 1st Octorber 2025.


Main duties of the job

You will be an experienced Healthcare Professional (Clinical Care Coordinator, Nursing Associate, or equivalent) with experience in frailty, elderly, or community nursing.

You are confident, proactive, and committed to delivering high-quality, patient-centred care. Experience working in primary care or community settings is highly desirable.

Key Responsibilities

* Undertake clinical tasks including blood pressure monitoring, venepuncture, ECGs, urinalysis, diabetic foot checks, and health screening.
* Support chronic disease management and minor clinical procedures.
* Conduct home visits to frail patients to assess needs, provide care, and support self-management.
* Assist in the completion and sharing of Advanced Care Plans.
* Work closely with multidisciplinary teams to ensure coordinated, patient-focused care.
* Maintain accurate patient records and adhere to clinical governance and safety standards.
* Support and educate patients, carers, and families to promote health and wellbeing.


About us

St Helens Central PCN serves a diverse population of approximately 39,000 patients across eight GP practices. We are a proactive and collaborative team, committed to delivering high-quality healthcare services to the people of St Helens.

Supported by our Clinical Director and dedicated member practices, we pride ourselves on fostering a positive, team-focused environment. Our staff are enthusiastic, innovative, and committed to working together to develop new projects and adopt forward-thinking approaches that address the evolving challenges in Primary Care.

Our PCN is home to a wide range of enhanced services delivered by our multidisciplinary team, including Clinical Pharmacists, First Contact Practitioners, Mental Health Practitioners, Social Prescribers, Health & Wellbeing Coaches and Care Coordinators. We also work closely with community teams and other local healthcare providers, ensuring integrated and person-centred care for our patients.

By joining our network, you will benefit from:

* Regular clinical supervision and peer support
* A supportive and friendly team environment
* Access to a well-established Training Hub for ongoing CPD and development
* Membership of the NHS Pension Scheme

We are passionate about building a resilient, skilled, and compassionate workforce to meet the needs of our community. If you share that vision, wed love to hear from you.


Job responsibilities

As an experienced Clinical Care Coordinator or Nursing Associate within the Central PCN Frailty Team, you will provide essential clinical and care coordination support to older adults living with frailty.

Your role will include delivering assessments and interventions both within the primary care setting and patients homes, supporting integrated care pathways aimed at improving patient outcomes and maintaining independence. You will work collaboratively within a multidisciplinary team to ensure holistic, patient-centred care.

A clean driving licence and access to a car for daily work-related travel is essential due to the community nature of the role.

Key Working Relationships

* Frailty Team members (Nurses, ANPs, GPs, Pharmacists)
* Multidisciplinary Team (Therapists, Community Nurses)
* Patients, families, and carers
* External agencies and voluntary sector partners
* PCN management and administrative staff

Core Responsibilities

Clinical Practice

* Undertake a range of clinical procedures including:
* Blood pressure, pulse, temperature, height, weight (BMI) measurement
* ECG recording
* Urinalysis
* Diabetic foot checks
* Support chronic disease management and minor clinical procedures
* Perform home visits to frail and care home patients in accordance with agreed protocols, assessing health and social needs and delivering appropriate care and support.
* Recognise and report any significant changes in patient condition to senior clinical staff promptly.
* Assist in the completion and review of Advanced Care Plans, ensuring patient and carer involvement.

Care Coordination

* Support patients and carers to promote health, independence, and self-management at home.
* Liaise with internal and external health and social care services to coordinate effective care plans.
* Participate in MDT meetings and share relevant patient information to facilitate integrated care delivery.
* Support carers wellbeing by identifying needs and referring to appropriate services or support groups.

Clinical Governance and Safety

* Maintain accurate, timely, and confidential patient records in accordance with PCN policies and professional standards.
* Comply with infection prevention and control protocols, health and safety regulations, and safe management of clinical waste and sharps.
* Participate in mandatory training, appraisal, and personal development activities.


Person Specification


Experience

* Experience in frailty, elderly care, or community nursing.
* Full, clean driving licence and access to a car for daily work travel
* Flexibility to travel across the PCN geographical area is required.
* Knowledge of primary care systems such as Emis de.


Qualifications

* GCSE grade A to C in English and Maths
* Qualified to Level 2 in Health and Social Care
* Foundation degree level 5 (Nursing Associate only)
* Qualified to NVQ Level 3


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.

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