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General practice based care coordinator

Milton Keynes
NHS
Care coordinator
Posted: 14 September
Offer description

Job Summary

We have a vacancy for a practice-based care coordinator at Ascent PCN. We are looking for 14-16 hours per week. Rate of pay is subject to experience but starts at £12.21 per hour. This role involves contacting patients to support them with their long-term health conditions and to help patients navigate their own healthcare. The care coordinator role combines traditional patient-facing responsibilities with proactive care coordination, making it ideal for healthcare professionals seeking career development in primary care.


Main duties

* Inviting selected cohorts of patients in for routine monitoring
* Being a key contact for patients with complex and/or long-term healthcare needs
* Liaising with local care homes on a weekly basis
* Reviewing missed childhood immunisations
* Carry out audits to identify improvements and maximise income particularly IIF, Enhanced Service and claiming procedures
* Use Ardens and other appropriate population health dashboards and tools to help deliver the population health management projects
* Design efficient templates, protocols, alerts, and other IT tools to support safety, patient care, quality record-keeping, reporting and financial claims
* Assist people to access self-management education courses
* Provide co-ordination and navigation for people and their carers across health and care services
* Work closely with Social Prescribing Link Workers and other primary care professionals
* Work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients, and where required, refer people back to other health professionals within the PCN
* Raise awareness within the PCN of shared decision making and decision support tools and how to identify patients who may benefit from shared decision making
* Plan and respond to workload according to operational priorities


About Us

Ascent PCN consists of Asplands Medical Centre, Walnut Tree Health Centre and Fishermead Medical Centre. Benefits include NHS discounts for multiple retail locations.


Details

Date posted: 05 September 2025

Pay scheme: Other – Salary depending on experience; Pay rate starts at £12.21 per hour

Contract: Permanent

Working pattern: Part-time

Reference number: A0444-25-0009

Job locations: Asplands Close, Woburn Sands, Milton Keynes, MK17 8QP


Job Description

Job responsibilities

* Inviting selected cohorts of patients in for routine monitoring
* Being a key contact for patients with complex and/or long-term healthcare needs
* Liaising with local care homes on a weekly basis
* Reviewing missed childhood immunisations
* Carry out audits to identify improvements and maximise income particularly IIF, Enhanced Service and claiming procedures
* Use Ardens and other appropriate population health dashboards and tools to help deliver the population health management projects
* Design efficient templates, protocols, alerts, and other IT tools to support safety, patient care, quality record-keeping, reporting and financial claims
* Assist people to access self-management education courses
* Provide co-ordination and navigation for people and their carers across health and care services
* Work closely with Social Prescribing Link Workers and other primary care professionals
* Work with the GPs and other primary care professionals within the PCN to identify and manage a caseload of patients, and where required and as appropriate, refer people back to other health professionals within the PCN
* Raise awareness within the PCN of shared decision making and decision support tools; and how to identify patients who may benefit from shared decision making
* Plan and respond to workload according to operational priorities


Person Specification

Qualifications – Essential

* The ideal candidate will be well organised and have good attention to detail. They will be a good listener and be able to communicate well on all levels to ensure patients and carers are able to navigate their healthcare needs.
* The successful candidate will have a proactive approach, the ability to work on your own initiative and within a team environment. They will have a good understanding of technology and computers and be computer literate. Experience with SystmOne and the reporting facility within SystmOne would be an advantage but is not essential.

Disclosure and Barring Service Check: This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and a Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.


Employer details

Employer name: Asplands Medical Centre

Address: Asplands Close, Woburn Sands, Milton Keynes, MK17 8QP

Employer's website: https://www.asplandsmedicalcentre.co.uk

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