The SS9 Integrated Neighbourhood team has an opportunity for a care coordinator to join our us on a part-time basis for 22.5 hours per week, or 37.5 hour per week in conjunction with the Integrated Neighbourhood HCA role we are also advertising.
The post-holder will provide extra time, capacity and expertise to our practice team to help us to improve the care provided to our patients.
If you are a skilled care co-ordinator, with excellent person-centred planning experience and strong local knowledge for accessing key support, then we would love to hear from you.
Main duties of the job
* Work closely with the INT / PACT matron to coordinate care that enables individuals to remain at home, maintain independence, and avoid unnecessary admission to hospital.
* Support service transformation by building strong relationships with primary care, secondary care, tertiary care, and voluntary sector colleagues.
* Liaise with patients, families, and carers to ensure care plans are individualised, holistic, and supporting independence.
* Operate within an interprofessional team- working alongside social care, community health, NHS services, and local voluntary organisations.
* Promote and utilise technology to improve communication, care coordination, and monitoring of patient progress.
* Assist in safe hospital discharges by arranging follow-up care, welfare calls, and referrals to relevant health or community services.
* Collaborate with the interprofessional team to develop, monitor, and update personalised care plans.
* Connect patients with appropriate community resources, services, and clinical pathways (e.g., pharmacists for medication reviews, health coaches for lifestyle support, social prescribing link workers).
* Schedule and coordinate appointments with healthcare professionals and support services as required.
* Respond to queries from patients and families, escalating appropriately where additional clinical or specialist input is required.
* Be flexible to travel within the locality and work remotely when needed (a full UK driving licence is desirable).
About us
The Integrated Neighbourhood Team (INT) operates across both SS9 North and SS9 South Primary Care Networks (PCNs), providing essential support to patients who are housebound or transitioning from hospital care back into the community. The teams primary aim is to deliver person-centred care in a timely and coordinated manner, helping individuals remain safely at home, optimise their independence, and reduce the likelihood of unnecessary hospital readmissions.
The INT is a multidisciplinary team made up of professionals from Primary Care, Secondary Care, Tertiary Care, Social Care, and the Voluntary Sector. This includes GPs, nurses, emergency care practitioners, social prescribers, and allied health professionals. By working collaboratively, the team delivers integrated care, welfare checks, and personalised support tailored to each patients unique needs.
Joining the INT means becoming part of a wider community committed to innovation, teamwork, and delivering high-quality, patient-centred care.
Employee Benefits:
* Minimum 25 days annual leave (FTE)
* Supportive, multi-disciplinary team environment
* Ongoing training and development opportunities
If you are passionate about supporting patients through care transitions and want to be part of a dynamic and forward-thinking team, we would love to hear from you. Please contact, ellie.white2@nhs.net, for more information.
Job responsibilities
Ifyou would like to find out more information about this role, please see theattached job specification.
Person Specification
Experience
* Experience of working within healthcare, the voluntary or community sector, to support vulnerable groups.
* Familiar with local resources and services, including how to access them.
* Motivated by helping people, with care and empathy.
* Able to deliver person-centred support in a non-judgmental way.
* Experience of completing holistic person-centred care planning assessments.
* Strong listening and communication skills.
Qualifications
* Diploma Level 2 in Health and Social Care, or an equivalent qualification (desirable not essential).
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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