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Full time 10am 6pm
Care coordinators play a varied and important role within our practices. Their primary function is to work with along side and with our clinical triage team to coordinate the care for our practice patient population and ensure the right care at the right time.
Job Summary
Full time 10am 6pm
Care coordinators play a varied and important role within our practices. Their primary function is to work with along side and with our clinical triage team to coordinate the care for our practice patient population and ensure the right care at the right time.
Care coordinators review patients needs and help them access the services and support they require to understand and manage their own health and wellbeing, referring to social prescribing link workers, health and wellbeing coaches, and other professionals where appropriate.
This role is intended to become an integral part of the practices multidisciplinary team, working alongside social prescribing link workers and health and wellbeing coaches to provide an all-encompassing approach to personalised care and promoting and embedding the personalised care approach across the PCN. There may be a need to work remotely depending on the requirements of the role.
Please note that the role of a care coordinator is not a clinical role.
Main duties of the job
Help people to manage their needs through answering queries, making and managing appointments, and ensuring that people have good quality written or verbal information to help them make choices about their care.
Work collaboratively with GPs and other primary care professionals within the practice to proactively identify and manage a caseload, which may include patients with long-term health conditions, and where appropriate, refer back to other health professionals at our PCN or within our community service.
Work with people, their families, carers and healthcare team members to encourage effective help-seeking behaviours.
Support our digital team in developing communication channels between GPs, people and their families and carers and other agencies.
Maintain records of referrals and interventions to enable monitoring and evaluation of the service. Conduct follow-ups on communications from out of hospital and in-patient services.
Maintain records of referrals and interventions to enable monitoring and evaluation of the service.
Support practices to keep care records up to date by identifying and updating missing or out-of-date information about the persons circumstances.
Contribute to risk and impact assessments, monitoring and evaluations of the service.
Work with commissioners, integrated locality teams and other agencies to support and further develop the role.
About Us
We provide General Medical Services to our patients from 2 sites in Southend:
Thorpe Bay surgery, Tyrone Road Southend-on-Sea SS1 3HD
Tel 01702 582670
North Shoebury Surgery, Frobisher Way, Shoeburyness, Essex SS3 8UTTel 01702 297976
Working together in partnership with our Primary Care Network to deliver services to their patient population across both practice sites, the practice is clinically lead by a GP and an Advanced Clinical Practitioner, the partners are supported by a diverse clinical team made up of salaried GPs and part time locum GPs, Advanced Nurse Practitioners, Associate Nurse Practitioners, Prescribing Paramedics, Practice nurses, GP Nurse Assistant, Health Care Assistants, a Lead Pharmacy Technician, Pharmacy Technicians, and a Prescription Clerks.
The administration team comprise of Care Navigators, Care Co-Ordinators, Medical secretaries, administration staff, Assistant Manager, Practice Manager, Primary care Development Manager and Business Manager with a list size in excess of 15,500 patients.
We are very proud to be a Training Practice supporting GP and Nurse Training across South East Essex.
Whilst our practice registration is growing, we strive to provide high quality, safe, efficient, and effective service within the resource allocated to the practice. With particular focus on the prevention of disease by promoting health and wellbeing, offering care and advice to our patients.
Details
Date posted
20 August 2025
Pay scheme
Other
Salary
£12.21 an hour
Contract
Permanent
Working pattern
Full-time
Reference number
A5883-25-0006
Job locations
99 Tyrone Road
Thorpe Bay
Southend-on-Sea
Essex
SS1 3HD
Job Description
Job responsibilities
Enable access to personalised care and support
Take referrals for individuals or proactively identify people who could benefit from support through care coordination.
Have a positive, empathetic and responsive conversation with the person and their family and carer(s) about their needs.
Work towards increasing patients understanding of how to manage and develop health and wellbeing through offering advice and guidance.
Develop an in-depth knowledge of the local health and care infrastructure and know how and when to enable people to access support and services that are right for them.
Use tools to measure peoples levels of knowledge, skills and confidence in managing their health and to tailor support to them accordingly.
Support people to develop and implement personalised care and support plans.
Review and update personalised care and support plans at regular intervals.
Ensure personalised care and support plans are communicated to the GP and any other professionals involved in the persons care and uploaded to the relevant online care records, with activity recorded using the relevantSNOMED codes.
Coordinate and integrate care
Making and managing appointments for patients, related to primary, secondary, community, local authority, statutory, and voluntary organisations
Refer onwards to social prescribing link workers and health and wellbeing coaches where required.
Regularly liaise with the range of multidisciplinary professionals and colleagues involved in the persons care, facilitating a coordinated approach and ensuring everyone is kept up to date so that any issues or concerns can be appropriately addressed and supported.
Actively participate in multidisciplinary team meetings in the PCN as and when appropriate.
Identify when action or additional support is needed, alerting a named clinical contact in addition to relevant professionals, and highlighting any safety concerns.
Record what interventions are used to support people, and how people are developing on their health and care journey,
Keep accurate and up-to-date records of contacts, appropriately using GP and other records systems relevant to the role, adhering to information governance and data protection legislation.
Work sensitively with people, their families and carers to capture key information, while tracking of the impact of care coordination on their health and wellbeing.
Encourage people, their families and carers to provide feedback and to share their stories about the impact of care coordination on their lives.
Record and collate information according to agreed protocols and contribute to evaluation reports required for the monitoring and quality improvement of the service.
Miscellaneous
Establish strong working relationships with GPs and practice teams and work collaboratively with other care coordinators, social prescribing link workers and health and wellbeing coaches, supporting each other, respecting each others views and meeting regularly as a team.
Act as a champion for personalised care and shared decision making within the practice.
Demonstrate a flexible attitude and be prepared to carry out other duties as may be reasonably required from time to time within the general character of the post or the level of responsibility of the role, ensuring that work is delivered in a timely and effective manner.
Identify opportunities and gaps in the service and provide feedback to continually improve the service and contribute to business planning.
Contribute to the development of policies and plans relating to equality, diversity and reduction of health inequalities.
Work in accordance with the practices policies and procedures.
Contribute to the wider aims and objectives of the practice and our PCN to improve and support primary care.
Job Description
Job responsibilities
Enable access to personalised care and support
Take referrals for individuals or proactively identify people who could benefit from support through care coordination.
Have a positive, empathetic and responsive conversation with the person and their family and carer(s) about their needs.
Work towards increasing patients understanding of how to manage and develop health and wellbeing through offering advice and guidance.
Develop an in-depth knowledge of the local health and care infrastructure and know how and when to enable people to access support and services that are right for them.
Use tools to measure peoples levels of knowledge, skills and confidence in managing their health and to tailor support to them accordingly.
Support people to develop and implement personalised care and support plans.
Review and update personalised care and support plans at regular intervals.
Ensure personalised care and support plans are communicated to the GP and any other professionals involved in the persons care and uploaded to the relevant online care records, with activity recorded using the relevantSNOMED codes.
Coordinate and integrate care
Making and managing appointments for patients, related to primary, secondary, community, local authority, statutory, and voluntary organisations
Refer onwards to social prescribing link workers and health and wellbeing coaches where required.
Regularly liaise with the range of multidisciplinary professionals and colleagues involved in the persons care, facilitating a coordinated approach and ensuring everyone is kept up to date so that any issues or concerns can be appropriately addressed and supported.
Actively participate in multidisciplinary team meetings in the PCN as and when appropriate.
Identify when action or additional support is needed, alerting a named clinical contact in addition to relevant professionals, and highlighting any safety concerns.
Record what interventions are used to support people, and how people are developing on their health and care journey,
Keep accurate and up-to-date records of contacts, appropriately using GP and other records systems relevant to the role, adhering to information governance and data protection legislation.
Work sensitively with people, their families and carers to capture key information, while tracking of the impact of care coordination on their health and wellbeing.
Encourage people, their families and carers to provide feedback and to share their stories about the impact of care coordination on their lives.
Record and collate information according to agreed protocols and contribute to evaluation reports required for the monitoring and quality improvement of the service.
Miscellaneous
Establish strong working relationships with GPs and practice teams and work collaboratively with other care coordinators, social prescribing link workers and health and wellbeing coaches, supporting each other, respecting each others views and meeting regularly as a team.
Act as a champion for personalised care and shared decision making within the practice.
Demonstrate a flexible attitude and be prepared to carry out other duties as may be reasonably required from time to time within the general character of the post or the level of responsibility of the role, ensuring that work is delivered in a timely and effective manner.
Identify opportunities and gaps in the service and provide feedback to continually improve the service and contribute to business planning.
Contribute to the development of policies and plans relating to equality, diversity and reduction of health inequalities.
Work in accordance with the practices policies and procedures.
Contribute to the wider aims and objectives of the practice and our PCN to improve and support primary care.
Person Specification
Essential
Additional Requirements
* ECDL or equivalent IT skill & knowledge
* Understanding of, and commitment to, equality, diversity and inclusion.
* Strong organisational skills, including planning, prioritising, time management and record keeping.
* Ability to recognise and work within limits of competence and seek advice when needed.
* Meets DBS reference standards and criminal record checks.
* Willingness to work flexible hours when required to meet work demands.
Desirable
* Knowledge of the personalised care approach.
* Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities, individuals, their families and carers.
* Knowledge of how the NHS works, including primary care and PCNs.
* Knowledge of Safeguarding Children and Vulnerable Adults policies and processes.
* Basic knowledge of long-term conditions and the complexities involved: medical, physical, emotional and social.
Qualifications
Essential
* GCSE Grade A to C in English Maths
Desirable
* GCSE Grade A to C in Biology
* Qualified to NVQ level 2 in Health and Social Care
Experience
Essential
* Experience of data collection and using tools to measure the impact of services.
* Experience of maintaining filing systems & collating information.
* Proficient using Microsoft Word, Excel and Outlook
* Clinical System Administration
Desirable
* Experience of working directly in a care coordinator role, adult health and social care, learning support or public health / health improvement.
* Experience of working in health, social care and other support roles in direct contact with people, families or carers (in a paid or voluntary capacity).
* Experience of working within multi- professional team environments.
* Experience of supporting people, their families and carers in a related role.
* Experience or training in personalised care and support planning.
* Experience of working with elderly or vulnerable people, complying with best practice and relevant legislation.
Person Specification
Essential
* Experience of data collection and using tools to measure the impact of services.
* Experience of maintaining filing systems & collating information.
* Proficient using Microsoft Word, Excel and Outlook
* Clinical System Administration
Desirable
* Experience of working directly in a care coordinator role, adult health and social care, learning support or public health / health improvement.
* Experience of working in health, social care and other support roles in direct contact with people, families or carers (in a paid or voluntary capacity).
* Experience of working within multi- professional team environments.
* Experience of supporting people, their families and carers in a related role.
* Experience or training in personalised care and support planning.
* Experience of working with elderly or vulnerable people, complying with best practice and relevant legislation.
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.
Employer details
Employer name
Southend Coastal Surgeries
Address
99 Tyrone Road
Thorpe Bay
Southend-on-Sea
Essex
SS1 3HD
Employer's website
https://www.southendcoastalsurgeries.co.uk/ (Opens in a new tab)
Employer details
Employer name
Southend Coastal Surgeries
Address
99 Tyrone Road
Thorpe Bay
Southend-on-Sea
Essex
SS1 3HD
Employer's website
https://www.southendcoastalsurgeries.co.uk/ (Opens in a new tab)
LNKD1_UKTJ
Seniority level
* Seniority level
Entry level
Employment type
* Employment type
Full-time
Job function
* Job function
Other
* Industries
Hospitals
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