An exciting opportunity has arisen for a compassionate and organised individual to join the Chalfonts PCN team as a Care Coordinator, based at The Misbourne Practice (which comprises of The Misbourne Surgery, in Chalfont St Peter and The St Giles Surgery, in Chalfont St Giles).
The successful candidate will be working alongside an experienced Care Coordinator and as part of a wider, supportive multi-disciplinary team committed to improving patient care and outcomes.
We are looking for a friendly, reliable, forward-thinking individual, with previous experience in a similar role to join the team and make a difference.
We are flexible on working pattern and are keen to hear from candidates looking for both full time and part time hours (Monday to Friday).
About Us
The Chalfonts Primary Care Network (PCN) is made up of the three GP practices based in Chalfont St. Peter, Buckinghamshire. These are: The Allan Practice, The Hall Practice and The Misbourne Practice. Together they support a local patient population of approx. 32,000.
Primary Care Networks build on the core of current primary care services and enable greater provision of proactive, personalised, coordinated and more integrated health and social care. The Chalfonts PCN is committed to delivering integrated, patient-centered care through a multidisciplinary team approach. Our team includes Physician Associates, Clinical Pharmacists, Pharmacy Technicians, Paramedics, a Physiotherapist, Care Coordinators, and a Social Prescriber.
Main duties of the job
The successful candidate will be working alongside an experienced Care Coordinator and as part of a wider, supportive multi-disciplinary team committed to improving patient care and outcomes.
This is a key role supporting patients with complex needs, helping them to navigate health and care services, coordinate appointments and reviews, and ensure that personalised care plans are developed and followed through.
The post holder will contribute to tackling inequalities in health and social care particularly regarding individuals with long-term conditions. An ethos of promotion of independence and partnership-working is integral to this post.
Key Responsibilities:
Personalised Care and Support Planning:
Work closely with patients, particularly those with long-term conditions, frailty, or complex needs, to co-design and coordinate personalised care plans.
Support patients to set goals and take control of their health and wellbeing.
Coordination of Services:
Act as a central point of contact for patients, their carers, and relevant services.
Ensure smooth navigation through health, social care, voluntary, and community sector services.
Help to streamline communication between services and reduce duplication.
Multi-Disciplinary Team (MDT) Support:
Coordinate and support MDT meetings, ensuring actions are followed up.
Collate and share relevant information to facilitate integrated, joined-up care.
Maintain accurate records of MDT discussions and patient care plans.
Proactive Identification of Patients:
Use population health tools and clinical judgement to identify patients who would benefit from care coordination.
Focus on proactive and preventative care for at-risk or vulnerable individuals.
Patient Empowerment and Self-Management:
Promote self-care and provide patients with information and tools to manage their own conditions.
Signpost to appropriate support including social prescribing, health coaching, and community services.
Data and Record Keeping:
Maintain up-to-date and accurate patient records in line with data protection and confidentiality guidelines.
Use digital tools and clinical systems effectively to manage care coordination tasks.
Collaborative Working:
Work as part of a wider primary care team including GPs, nurses, pharmacists, social prescribers, and other ARRS roles.
Build strong relationships with community, secondary care, and voluntary sector partners.
Quality Improvement and Service Development:
Contribute to audits, service reviews, and improvement projects.
Support the development and implementation of more effective care coordination processes within the PCN.
These responsibilities are designed to support the NHS's move toward more
personalised, proactive, and preventative care
, improving outcomes for patients and reducing pressure on general practice and urgent care services.
Person Specification:
Qualifications and Training (Essential):
Educated to NVQ Level 3 (or equivalent) in a relevant health, care, or administrative subject
Willingness to undertake relevant training and continuous professional development
Desirable:
Formal health or care-related qualification
Training in care coordination, case management, or personalised care
Experience (Essential):
Experience working in a health, social care, or voluntary/community setting
Previous experience in a patient-facing or administrative role
Desirable:
Experience working in general practice or primary care
Experience supporting multidisciplinary team (MDT) meetings
Familiarity with care planning or coordinating support for patients with long-term conditions
Knowledge and Skills (Essential):
Strong communication and interpersonal skills
Excellent organisational skills and attention to detail
Ability to manage and prioritise a varied workload independently
Confidence using IT systems, including Microsoft Office
Desirable:
Understanding of the personalised care agenda and NHS Long Term Plan
Knowledge of local voluntary and community services
Experience using clinical systems (e.g. EMIS, SystmOne)
What We Offer:
A supportive working environment within a friendly, patient-focused team.
Opportunities for training, development, and career progression.
NHS pension scheme and access to staff wellbeing support.
Flexible working hours may be considered for the right candidate.
This is a great opportunity to be part of a dynamic and innovative PCN that is making a real difference in the lives of local patients. If you are passionate about joined-up, person-centred care and enjoy working as part of a team, we'd love to hear from you.
Job Types: Full-time, Part-time, Permanent
Pay: From 12.21 per hour
Expected hours: 16 - 37.5 per week
Benefits:
Company pension
On-site parking
Experience:
Primary care: 1 year (preferred)
Work Location: In person