Primary Care Nurse Care Coordinator
The Crescent Surgery
Thornton-cleveleys, FY5 3LF
Salary
Negotiable
Contract
Permanent
Hours
Not specified
Closing date
17 September 2026
13 days left
Job description
Job Overview The Primary Care Nurse Navigator takes a proactive and co-ordinated approach in identifying the most complex and vulnerable people and th...
To support the assessment and development of a
personal care plan developed jointly with the patient, carers, relatives and
GPs based on assessment of care needs. Ensuring all new patients have care
plans within the 21 day target and update and/or amend care plans due to death
or relocation.
To be the primary contact for patients in
coordinating their care across primary, secondary and community health care as
well as social and mental health care. To identify and ensure timely onward
referral of patients, as necessary to appropriate Health and Social Care
Services identified from assessment.
To support the wider practice team in delivering
services for our Housebound patients such as Vaccinations and Annual Reviews.
Organisation and coordination of regular meetings
at practice level such as the monthly Palliative Care meetings.
For an informal chat please contact the
surgery on 01253 204141 and ask to speak to Josie Walsh, Practice Nurse or
Oonagh Potts, Lead Nurse Practitioner
- Supporting the assessment and development of a personal care plan developed jointly with the patient, carers, relatives and GPs based on assessment of care needs.
- Facilitate and support the GPs in case managing patients discharge from hospital by supporting the community team and as appropriate coordinating care and services to be delivered within community to support independence.
- Using an auditing system to monitor the impact of the service quality of care and cost effectiveness.
- To be the primary contact for patients in coordinating their care across primary, secondary and community health care as well as social and mental health care.
- To facilitate the reduction and/or prevention of inappropriate hospital admissions by joint working with all stakeholders.
- To identify and ensure timely onward referral of patients, as necessary to appropriate Health and Social Care Services identified from assessment.
- Coordinate services with hospital, rapid response, OT, Physical therapy, Speech and Language, stroke team, heart failure nurse, COPD, CPN, diabetes and nursing homes
- Monitor daily admissions and discharges particularly those in the target population
- Identification of patients by using Risk Stratification tool and other appropriate data
- Ensure all new patients have care plans within the 21 day target and update and/or amend care plans due to death or relocation
- Organise and coordinate regular meetings at practice level such as the monthly Palliative Care meeting
- Investigate patterns of need, admissions and potential new patients
- To support the wider practice team in delivering services for our Housebound patients such as Vaccinations and Annual Reviews.
Key working relationships
- Patients and Carers
- GPs and other practitioners with a special interest
- Local General District hospitals and community hospitals
- Community Geriatrician
- Community Matron and District nurses
- Social workers and Social Care
- Voluntary services
- Networking managers and administrators
- Care/residential nursing homes
- Housing services
- Pharmacys
- High degree of organisation and an effective time management
Effective and professional communication skills
- Patient service experience required in a medical environment
- Ability to work effectively within a multi-disciplinary teams
- IT competencies including database use, Word and excel, with some project management skills and a knowledge of clinical software packages
- In depth knowledge of medical practices, treatments, procedures and plans.
- Committed to patient care and able to empathise with a wide variety of patients
Special requirements for the post
An ability to use own judgement, resourcefulness, common sense and local knowledge, to respond to patients enquiries and requests while adhering to practice limitations
- An understanding and acceptance of ones capabilities and awareness of own limitations
- Ability to work without direct supervision and determine own workload priorities
- Basic keyboard and computer skills
- Ability to deal with complex and difficult emotional situations
- Attend and deliver Palliative Care meetings
- Flexibility of working hours
- Excellent communication skills
Physical Skills
To be able to cope with frequent interruptions during work, being able to multi-task. To cope with interruptions form phone calls and queries for impromptu advice, prioritising appropriately
To be able to cope physically and mentally with a daily patient caseload
To comply with practice infection control procedure
To comply with lone working policy
To be able to cope with the emotional stress of supporting patients and at times their distressed relatives
Mental Effort
To work in an environment where there are frequent disruptions to work patterns due to demands from GPs, patients, carers and other staff including responding to phone calls
Emotional Effort
To be involved with difficult discussions with patients and their carers regarding care
To frequently be involved in challenging discussions about patients behaviours and health beliefs that may impact on their own outcomes now or in the future
Working conditions
Based within the Practice but will be required to visit patients in their own homes
Occasional exposure to verbal and/or physical aggression
Overview of your organisation
Come
and join our high achieving very friendly GP training practice. Supported by 2
GP partners, 2 Salaried GPs, 3 highly skilled and experienced Nurse
practitioners, 1 Advanced Practitioner, 1 Practice nurse, 2 HCAs and in-house
Practice pharmacist and Prescribing technician, along with our very experienced
and supportive admin and reception team.
Qualifications
Essential
- Registered General Nurse
Desirable
- Evidence of continued professional development
Experience
Essential
- 3 years post registration experience in NHS
- Minimum I.T skills
- Effective and professional communications skills
- Experience of working in Primary Care
- Clinical
- Experience of working in palliative care
- Understanding of GSF in Palliative Care
- Good understanding of EPaCCs
- Knowledge of chronic disease management
- ECGs
- Immunisations & vaccinations
- Venepuncture
- Blood pressure monitoring
- Knowledge of medical practices, treatments procedures and plans
Desirable
- IT skills in clinical programmes
Other
Essential
- Excellent attention to detail
- Flexibility
- Good organisational skills
- Able to work under pressure & manage conflicting demands
- Appearance smart and tidy
- Courteous and pleasant manner
- Good attendance and time keeping
- Good sense of humour
Specialist Knowledge
Essential
- General
- Good standard of spoken and written English
- Good understanding of Data Protection, Caldicott, Gillick Competency and Fraser guidelines
- Clinical
- Knowledge & awareness of own professional limits
Desirable
- Emis Web clinical software
- Microsoft Teams
How to apply
Applications are handled entirely by the employer on the original advert. We do not collect CVs, supporting statements or application data.
Provenance
Source
NHS Jobs
First seen
3 September 2026
Last checked
4 September 2026
Salary, closing date and description are taken from the employer's advert. The original advert always takes precedence.
About the employer
NHS organisation
This listing was structured from NHS Jobs. Vacancy details and the application process remain the responsibility of the original source.
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