Care Co-Ordinator
Application Deadline: 19 September 2025
Department: Primary Care
Employment Type: Full Time
Location: DMC Chadwick Road Surgery, SE15 4PU
Compensation: £26,000 - £27,000 / year
Description
The Care Coordinator (CC) may be required to deal with patients and, if appropriate, their carers, before or after the patient’s consultation with a clinician or other healthcare professional. The CC’s role requires them to work closely with the patient and their clinician or other healthcare professional and understand the roles of, a variety of different people working in the practice and across the PCN. The CC will be involved in coordinating patients’ healthcare and directing them to the appropriate service to ensure that they get the most suitable care from whatever health or social care provider is appropriate. You may be given a caseload of identified patients and be required to ensure that their changing or present needs are addressed by taking into account local priorities, health inequalities and/or population health management risk stratification.
We are seeking two full-time Care Co-Ordinators, one will be based at our surgery on Crystal Palace Road SE22 9EP and the other at our Chadwick Road Surgery SE15 4PU.
Key Responsibilities
* Follow core responsibilities and may perform other tasks depending on workload and staffing levels: a. Support Quality and Outcome Frameworks, PCN and other LES and DES specifications
* b. Maintain and develop engagement with appropriate DCM colleagues and encourage ‘best practice’
* c. Act as the first port of call for patients in their caseload regarding their care
* d. Support and Manage clinical call and recall
* e. Bring together all of a person’s identified care and support needs, and explore their options to meet these into a single personalised care and support plan (PCSP)
* f. Work across DCM Primary Care to manage needs of patients in Care Homes, supported accommodation or wishing to remain living at home
* g. Performance targets – Ensure all patients receive enhanced care in a timely fashion and other aspects of managing the patient facing service
* h. Support with the performance/KPIs dashboards
* i. Undertake audits for dashboards/KPIs
* j. Support with admin tasks to the central team
* k. Work as part of a multi-disciplinary team in a patient facing role to assess and respond to patients and colleagues using their expert knowledge
* l. Arrange assessment of new patients with subsequent production and completion of individual care plans by appropriate clinicians
* m. Provide personalised support to individuals, their families and carers to ensure active participation in their own healthcare and empower them to manage their health and well-being, to live independently and improve outcomes; undertake work in line with PCN directed priorities
* n. Proactively identify and work with a cohort of people to support personalised care requirements, using decision support aids
* o. Ensure regular and consistent communication with the referrer regarding patient progress and guidance
* p. Support national screening and immunisation programmes and health checks/screening
* q. Monitor referrals to ensure tasks are completed and care delivered by keeping in regular telephone contact
* r. Direct liaison with multiple agencies to coordinate care for patients
* s. Refer to social prescribing link workers or health coaches where appropriate
* t. Support patient/carer contact roles and collate feedback on experiences
* u. Raise awareness of shared decision-making and decision support tools
* v. Ensure that people have quality information to make informed choices
* w. Support activation level awareness and engagement with health and wellbeing, including using the Patient Activation Measure
* x. Assist people to access self-management education, peer support or related interventions
* y. Explore and assist people to access personal health budgets where appropriate
* z. Provide coordination and navigation across health and care services, working with social prescribing link workers and other primary care roles
* aa. Support the coordination and delivery of MDTs for their patient cohort
* Administrative duties (additional where required): process new registrations, notes, and computer entries; manage in/outbound mail; GP links; generic inbox; scan and code clinical documents; use electronic filing and practice protocols; handle post; support AccuRx Total Triage; basic office duties; respond to hospital queries; prepare and send practice correspondence; ensure phone system readiness and daily tape messages
* rr. Clerical duties; ensure prescriptions are handled following protocol; monitor incoming electronic test results; data entry of new and temporary registrations and relevant patient information; scan patient information into the computerised record; deal with referrals to primary and secondary care; action tasks set by clinicians; handle documents via clinical systems and protocols
Secondary responsibilities
* Participate in practice audits as directed by the audit lead
* Be flexible to cover shifts during staff holidays and sickness
* Provide lunch cover where needed
* Undertake other duties required by the needs of the practice and commensurate with the post
* Following mandatory training, act as a chaperone when required; participate in team and other meetings
* Undertake required training including mandatory and statutory training and ongoing development
* Know all Practice procedures and work in accordance with written protocols
* Participate in appraisal; present a positive image of the practice
Skills, Knowledge and Expertise
Essential:
* Excellent communication skills (written and oral)
* A clear understanding of child protection policy and procedures and commitment to safeguarding children and vulnerable adults
* Clear, polite telephone manner
* EMIS/SystmOne/Vision user skills
* Effective time management (planning and organising)
* Ability to listen, empathise with people and provide person-centred support in a non-judgemental way
* Courteous, respectful and helpful at all times
* Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity
* Commitment to reducing health inequalities and proactively working to reach people from all communities
* Able to support people in a way that inspires trust and confidence, motivating others to reach their potential
* Ability to use own initiative, discretion and sensitivity
* Ability to work as a team member and autonomously
* Good interpersonal skills
* Problem solving and analytical skills
* Ability to follow policy and procedure
* Polite and confident
* Flexible and cooperative
* Motivated
Desirable:
* The Care Coordinator is enrolled in, undertaking or qualified in appropriate training as set out by the Personalised Care Institute
* Passed training requirements as outlined by the Personalised Care Institute and fully understands the Personalised Care Framework
* Experience of working in a primary care setting
* Experience in use of the Patient Activation Measure (PAM)
* Good IT skills
* Good knowledge of MS Office and Outlook
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