Northgate Surgery is seeking a compassionate, organized, and proactive Care Coordinator to join our team. This role is essential in supporting the health and wellbeing of our elderly, frail, housebound, and care home patients. You will work closely with GPs, nurses, social care teams, and community services to ensure patients receive coordinated, person-centred care that meets their individual needs.
Main duties of the job
Key Responsibilities:
* Serve as the primary point of contact for elderly, frail, housebound, and care home patients and their families.
* Coordinate and monitor care plans, ensuring timely follow-ups and reviews.
* Liaise with multidisciplinary teams (MDTs) including GPs, district nurses, social workers, and community services.
* Support proactive care planning, including frailty assessments, medication reviews, and advanced care planning.
* Maintain accurate and up-to-date patient records using clinical systems (e.g., EMIS).
* Identify and address gaps in care, including missed appointments, medication adherence, or social support needs.
* Facilitate regular care home rounds and virtual MDT meetings.
* Promote self-management and independence where appropriate, signposting to relevant services and support groups.
* Assist with hospital discharge follow-ups and reduce avoidable admissions/readmissions.
* Requirement to be free to visit care homes and housebound patients.
About us
At Northgate Surgery we have 3 GP Partners, 1 Salaried GP, 1 ANP, 2 Practice Nurses, 1 HCA working alongside a supportive Reception/Administrative and Dispensary team.
For the successful candidate we offer:
5 weeks annual leave (pro rata)
Various internal and external training opportunities
A chance to join our enthusiastic and friendly team with opportunities to develop individual and team practices
The post is for 25 hours per week to be worked between 9.00am - 2.00pm across 5 days a week.
Job responsibilities
* Experience working in healthcare, social care, or community environment.
* Experienced and qualified to administer vaccinations i.e. COVID-19, influenza
* Strong understanding of the needs of elderly and frail patients.
* Excellent communication and interpersonal skills.
* Ability to work independently and as part of a multidisciplinary team.
* Good IT skills and familiarity with clinical systems (training can be provided).
* Empathetic, patient-focused, and highly organized.
* Previous experience in a Care Coordinator or similar role.
* Knowledge of NHS frameworks such as the Enhanced Health in Care Homes (EHCH) model or the Comprehensive Geriatric Assessment (CGA).
* NVQ Level 3 in Health and Social Care or equivalent.
* Training & qualifications to be able to carryout supervised vaccinations
* Flexible working hours (mornings only)
* Supportive and friendly team environment
* Ongoing training and development opportunities
Person Specification
Experience
* Experience working in healthcare, social care, or community environment.
* Experienced and qualified to administer vaccinations i.e. COVID-19, influenza
* Strong understanding of the needs of elderly and frail patients.
* Excellent communication and interpersonal skills.
* Ability to work independently and as part of a multidisciplinary team.
* Good IT skills and familiarity with clinical systems (training can be provided).
* Empathetic, patient-focused, and highly organized.
* Previous experience in a Care Coordinator or similar role.
* Knowledge of NHS frameworks such as the Enhanced Health in Care Homes (EHCH) model or the Comprehensive Geriatric Assessment (CGA).
* NVQ Level 3 in Health and Social Care or equivalent.
* Training & qualifications to be able to carryout supervised vaccinations
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.
#J-18808-Ljbffr