Job Summary A care coordinator is required to deal with patients and, if appropriate, their carer, before or after the patients consultation with a clinician or other healthcare professional. Working closely with the patient and their clinician and/or other healthcare professionals, the care coordinator co-ordinates patients healthcare and supports them to access the appropriate service to ensure that they get the most suitable care from whatever health or social care provider is appropriate. The care coordinators role requires them to be able to work with, and understand the roles of, a variety of different people working in a practice and across the PCN including doctors, nurses, healthcare assistants, social prescribing link workers, physiotherapists, pharmacists, health and wellbeing coaches and pharmacy technicians. They will be given a caseload of identified patients and be required to ensure that their changing needs are addressed by taking into account local priorities, health inequalities and/or population health management risk stratification.

This role will specifically work within the GP Clinical Pharmacist (GPCP) Team and with patients on significant or complex medication regimes on behalf of all 7 member practices but may shift on to other projects as services develop. Key Responsibilities Work closely with practice and PCN healthcare roles, the care coordinator is to work within the GPCP Team acting as first point of contact Collate all of a patients identified care and support needs and review the options to meet these needs and bring them into a single personalised care and support plan (PCSP) in line with best practice Support people to manage their needs by answering their queries and supporting them in making appointments or accessing appropriate services Support the clinical team to engage with wider health professionals to coordinate care Managing referrals and ensuring the patient understands and inputs into the care plan Assist patients to be better prepared to have conversations on shared decision making and to improve awareness of shared decision making and related support tools Provide patients with high quality, easy to understand information to assist them in making choices about their care Liaise with other care coordinators in other practices within the PCN and share best practice Provide coordination and navigation of patients, and where appropriate their carers, across health and social care services Support in the delivery of enhanced services and other service requirements on behalf of the PCN Lead in the management of patient complaints and participate in the identification of any necessary learning brought about through clinical incidents and near-miss events Organise, attend and participate in the delivery of multi-disciplinary teams (MDT) within PCNs. Undertake all mandatory training and induction programmes Contribute to and embrace the spectrum of clinical governance Develop yourself and the role through participation in training and service redesign activities Attend a formal appraisal with their manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed.

Contribute to public health campaigns (e.g. flu clinics) through advice or direct care Maintain a clean, tidy, effective working area at all times Coordinate care and support for patients on significant or complex medications Act as first point of contact for queries as they come, looking out for trends across the practices Manage the team rota to ensuring each practice gets its fair share of allocated time Measure outcomes and monitor reports Manage timely comms between the GPCP team and the 7 PCN Practices Develop patient communications Keep abreast of what is going on locally/nationally (i.e. PQRS, DES & QOF) Working with the practices to understand the individual need Facilitate a Brighter Birkenhead network for medicines admin colleagues, developing learning opportunities and sharing best practice Communicate with local pharmacies. Work with the GPCP to create processes and procedures that streamline patient pathways Work with the GPCP and other services to create links and pathways for example wellbeing practitioners, health coaches To support patient education around medicine compliance