Job summary

Bury St Edmunds PCN has an opportunity for a care coordinator to join our primary care network (PCN), to support one ofour five GP practices across the Bury area. The role is offered on a full-time basis of 37.5 hours over 5 days per week, primarily Monday to Friday, between the hours of 0830 and 1800hrs, with some weekend hours required subject to demand. We can consider part time hours for the right applicant.

The role involves working very closely with the practice and the multidisciplinary team (MDT) and also within the wider PCN. The role is pivotal in ensuring that all patients receive the best possible care and service, working on requirements for the PCN Direct Enhanced Service Contract (DES).

Our care coordinators play an important role within a PCN to proactively identify and work with people, including the frail/elderly and those with long-term conditions, to provide coordination and navigation of care and support across health and care services.

Main duties of the job

• Work with people, their families and carers to improve their understanding of the patient's condition, and support them to develop and review personalised care and support plans, to manage their needs and achieve better healthcare outcomes.
• 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 PCN, to proactively identify and manage a caseload.
• Support the coordination and delivery of multidisciplinary teams with the PCN.
• Raise awareness of how to identify patients who may benefit from shared decision-making, and support PCN staff and patients to be more prepared to have shared decision-making conversations.
• Support PCNs in developing communication channels between GPs, people, their families and carers, and other agencies.
• Maintain records of referrals and interventions to enable monitoring and evaluation of services.
• Support practices to keep care records up-to-date by identifying and updating missing or out-of-date information about the persons circumstances.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

Bury St Edmunds Primary Care Network consists of five surgeries and serves some 67,000 patients from the town and surrounding villages.

Our vision is to deliver the highest standards of care, with equality, dignity and respect, to our patient population. Our aim is to create a system where member practices work closely together in collaboration with health and social care, voluntary sector, community groups and local people, to deliver inclusive and personalised care.

Bury St Edmunds Primary Care Network is a growing PCN with already existing roles including, care coordinators, social prescriber, clinical pharmacists, paramedics, and pharmacist technicians that support GPs and other clinical teams to enhance patient services in the local community.

We can offer you:

• NHS pension scheme: The NHS pension scheme is a defined benefits scheme - 20% employer contribution
• Eye-care vouchers
• Health service discounts
• Contractual sick pay