Havering Liberty PCN Care Coordinator

Act as an accessible point of contact and help

patients and carers understand and navigate appropriate services.

Coordinate appointments, referrals, follow-up

and agreed actions across practices and partner organisations.

Provide efficient administrative support for PCN

services within St Georges Health and Wellbeing Hub, including the social

prescribing team.

Maintain complete, accurate and timely records

using relevant clinical and administrative systems.

Work collaboratively with GP practices, PCN

colleagues, community services, social care and voluntary sector partners.

Support contractual, quality and

service-improvement priorities, including data quality, reporting and patient

engagement.

Identify barriers to access, promote accessible

communication and reasonable adjustments, and escalate risks or safeguarding

concerns appropriately.

We do not provide visa sponsorship

will provide proactive, person-centred coordination and practical support to

patients and carers registered with Havering Liberty PCN practices. The post

holder will work across the Primary Care Network to improve access, communication,

continuity and follow-up, helping people navigate health, social care and

community services.

The post holder will

coordinate activity across practices and partner organisations, maintain

accurate records, support multidisciplinary working and contribute to service

improvement and the reduction of health inequalities. They will work within

agreed protocols and their level of competence. The role is nonclinical and

does not replace clinical assessment, diagnosis or treatment.

Key aims of the role

Improve coordination and communication between

patients, carers, practices, PCN teams and partner services.

Help patients and carers understand, access and

navigate appropriate health, social care and community support.

Support timely appointments, referrals,

follow-up and delivery of agreed actions.

Provide efficient administrative support that

enables PCN services to operate effectively.

Support delivery of contractual, quality and

service-improvement priorities across the PCN.

Use accurate records, feedback and service

information to help identify gaps and improve patient experience.

Key duties and responsibilities

Provide reception and administrative support,

including answering telephone enquiries, contacting patients, booking

appointments and issuing questionnaires or surveys.

Support the triage and coordination of referrals

to the Social Prescribing team and other appropriate services, ensuring agreed

follow-up actions are completed.

Coordinate appointments, referrals and

communication across primary care, community health, mental health, social

care, advocacy and voluntary sector services.

Assistants and other PCN colleagues, providing cover during periods of absence

or increased workload.

Support the delivery and monitoring of QOF, IIF,

incentive schemes, enhanced services and other PCN projects or initiatives.

Maintain accurate information and support

data-quality improvements relating to PCN contracts, services and local

priorities.

Contribute to patient communications, awareness

campaigns and engagement activity across the PCN population.

Partnership working and service development

Develop effective working relationships with GP

practices, PCN teams, community and social care services, carers

organisations, advocacy services and voluntary sector partners.

Contribute to audits, service evaluations,

quality-improvement work and the development of new pathways, projects and ways

of working.

Identify and escalate gaps, duplication, access

barriers and health inequalities to the appropriate PCN lead.

Collaborative working relationships

Patients, carers, families and authorised

representatives

Transformation Manager, Operations Manager and Digital Facilitator

GPs, practice managers, nurses, healthcare

assistants and administrative teams

Social prescribers, care coordinators, general

practice assistants, pharmacists and other Additional Roles Reimbursement

Scheme colleagues

Professional boundaries, consent and

safeguarding

Work within the limits of competence and seek

advice from an appropriate clinician or manager whenever the situation falls

outside the role.

Follow organisational procedures relating to

consent, mental capacity, best-interest decisionmaking, information sharing and

involvement of carers or representatives.

Do not make clinical decisions, provide

diagnosis or treatment advice, or independently interpret clinical results.

Recognise and respond to safeguarding concerns

involving adults or children, including concerns about neglect, abuse,

coercion, carer stress or breakdown of care arrangements.

Use professional curiosity, record concerns

clearly and escalate promptly in accordance with local policy.

Education, learning and development

Complete all organisational mandatory and

statutory training required for the role.

Complete role-specific learning in accessible

communication, reasonable adjustments, safeguarding, consent and mental

capacity, equality and inclusion, and personalised care.

Undertake appropriate care coordination and

personalised care training as agreed with the line manager.

Participate in induction, supervision, annual

appraisal and the development of a personal development plan.

Keep knowledge of relevant local services,

pathways and good practice up to date and share learning with colleagues.

Quality, information governance and

confidentiality

Contribute to clinical governance, audit, risk

management, incident learning and qualityimprovement activity within the scope

of the role.

Maintain complete, accurate and timely records

and meet agreed deadlines for reporting and followup.

Treat all information concerning patients,

carers, staff and the organisation as confidential and comply with

organisational information-governance policies.

Process personal data fairly, lawfully and only

for authorised purposes, in accordance with the Data Protection Act 2018, UK

GDPR and relevant organisational procedures.

Share information only where there is a lawful

basis, a legitimate need and appropriate authorisation, seeking advice when

uncertain.

Health, safety, equality and inclusion

Follow health and safety, infection prevention

and control, lone-working, incident-reporting and riskmanagement procedures.

Take reasonable care of personal safety and the

safety of patients, carers, colleagues and visitors.

Promote equality, dignity, respect and inclusion

and challenge barriers that may disadvantage patients, carers or communities.

Make reasonable adjustments to communication and

service access and support culturally sensitive, trauma-informed and

person-centred practice.

Work across PCN practices and other local venues

as required; occasional home or community visits may be required subject to

role protocols and risk assessment.

This job description is

intended as a guide to the principal duties and responsibilities of the role

and is not exhaustive. Duties may be reviewed and amended in consultation with

the post holder to reflect changing organisational, contractual and service

needs, provided they remain appropriate to the grade and scope of the post.

Havering Liberty Primary Care Network is a collaborative neighbourhood network comprising:

Working together, we provide accessible, patient-centred and high-quality primary care. Our multidisciplinary workforce delivers innovative services designed to improve health outcomes, tackle inequalities and provide joined-up care for our local population.

The PCN is led by our Clinical Director and Leadership Team, working in collaboration with GP leads and colleagues from each member practice. Employment onboarding support for the PCN workforce is provided by our GP Federation Havering Health Limited.

Knowledge and Skill

Experience

Other Requirements

Demonstration of PCN Values

Qualifications

Desirable: - Care coordination or personalised care; - training recognised by the Personalised; - Care Institute.