Job Title: Care Coordinator
Reporting to: Senior Care Coordinator
Pay & Salary: £15.00 per hour (£12,480 per annum actual)
Schedule: Part-time | 16 hours per week (Wednesday, Thursday, and Friday)
Work Location: In person (Penge PCN Practices)
About Us
Penge Primary Care Network (PCN) is looking for an enthusiastic, forward-thinking Care Coordinator to join our ever-growing team. Penge PCN is a network of six GP practices: Park Practice, Oakfield Surgery, Robin Hood Surgery, Anerley Surgery, Sundridge Medical, and Highland Medical Practice. Together, we cover a patient population of over 38,000 patients, many of whom live in areas of deprivation.
We are a highly supportive PCN whose practices work together to foster a healthy work-life balance with an open-door ethos. The PCN caters to the healthcare needs of our patients by making the best use of collective resources across practices, local healthcare providers, and professional groups. To achieve this, our team is supported by additional roles such as Clinical Pharmacists, Social Prescribers, Nurses, and Mental Health Practitioners.
Job Summary
The Care Coordinator will work across the Primary Care Network (PCN) on a part-time basis (Wednesday, Thursday, and Friday / 16 hours per week) to support adult patients in navigating the healthcare system. The role focuses on empowering patients to manage their health, improving care plan uptake, and promoting participation in preventative healthcare initiatives.
The postholder will act as a patient advocate, coordinating multidisciplinary team (MDT) meetings, managing caseloads, and facilitating communication between patients, carers, and healthcare professionals to ensure seamless and person-centred care. You will work within the team to help identify and address health inequalities and collaborate closely with community groups.
Work Location & Practice Coverage:
This is an in-person role. While you will be integrated into the PCN, on occasion there will be a requirement to work out of any of the six network practices as service needs demand.
Main Duties and Responsibilities
1. Patient Support and Advocacy
· Support and assist adult patients in navigating the healthcare system, promoting independence and self-management.
· Communicate with patients, families, and carers on practice premises, remotely by telephone or video consultation, or via home visits when necessary.
· Educate and empower patients to understand their conditions, treatment plans, and medication management.
· Improve the uptake of personalised care plans, particularly among BAME communities and patients with learning disabilities.
· Promote participation in cancer screening programmes and childhood immunisations.
2. Multidisciplinary Team (MDT) Coordination
· Arrange, schedule, and coordinate MDT meetings across PCN practices.
· Prepare and manage meeting agendas, ensuring all new referrals are identified and relevant patient information is circulated to team members in advance.
· Identify patients suitable for MDT discussion to help reduce unplanned hospital admissions and prevent condition exacerbations.
· Support integrated care planning and facilitate collaboration between all care providers.
3. Caseload Management
· Identify patients requiring additional support using internal practice intelligence and hospital transfer data (admissions and discharges).
· Liaise with clinical colleagues, particularly practice pharmacists, to ensure patients understand their medication, care plans, and how to access repeat prescriptions and reviews.
· Develop and maintain up-to-date, shared care plans on EMIS Web and other relevant clinical systems.
· Check in on patients regularly, conducting follow-ups to evaluate and document their progress.
· Assist and empower patients to consult and collaborate with healthcare providers and specialists to set up appointments and treatment plans.
· Promote clear communication across care teams to ensure all treating clinicians remain aware of patient care plan updates.
4. Linking with Other Services
· Signpost patients, carers, and team members to relevant community, social, and voluntary sector services.
· Collaborate closely with the PCN Social Prescribing Link Worker service regarding patients identified as needing wellbeing support.
· Liaise with PCN clinicians responsible for frailty regarding patients requiring ongoing support.
· Work with acute trusts, hospices, community services, social care providers, and local authorities to maintain continuity of care and address health inequalities.
· Represent the PCN by actively developing, attending, and participating in local community outreach events, health fairs, and engagement initiatives that strengthen links between patients, the PCN, and voluntary services—promoting patient education, improving access, and reducing health inequalities.
· Partner with community organisations and volunteers to promote engagement and improve health outcomes.
5. Record Keeping and Reporting
· Maintain accurate, up-to-date records of patient contact and professional interactions on EMIS Web.
· Use accurate SNOMED codes and provided templates to record interventions for audit, monitoring, and outcome measurement.
· Support reporting requirements associated with DES specifications.
· Provide quarterly case studies and outcome reports to the PCN.
6. General Responsibilities
· Work collaboratively as part of the PCN team, seeking feedback to continuously improve services and contribute to business planning.
· Attend relevant meetings and ongoing training courses to remain current with healthcare developments and best practice.
· Treat all patients with empathy, dignity, and respect, upholding professional conduct at all times.
· Undertake other duties appropriate to the scope and level of responsibility of the post, as required by service needs.
Person Specification
Essential Criteria
Qualifications & Training
- Educated to NVQ Level 3 (or equivalent experience in health or social care).
- Commitment to ongoing professional development.
Desirable Criteria
- Qualification in health, social care, or a related field (e.g., Health and Social Care, Psychology, Public Health).
- Training in care coordination, health navigation, or patient advocacy.
Experience
Essential Criteria
- Experience working with adults in a health, social care, or community setting.
- Experience supporting patients with long-term conditions.
- Proven experience in maintaining accurate and confidential records.
Desirable Criteria
- Experience working within primary care, a PCN, or multidisciplinary teams.
- Experience coordinating MDT meetings or managing clinical information systems (e.g., EMIS Web).
- Experience organising or supporting health and community events.
Knowledge & Skills
Essential Criteria
- Understanding of the NHS and primary care structure.
- Strong communication and interpersonal skills, with the ability to build trust and rapport.
- Ability to prioritise workload, manage caseloads, and meet deadlines.
- Good IT skills and proficiency with Microsoft Office and clinical systems.
Desirable Criteria
- Knowledge of local health, social care pathways, and community resources.
- Knowledge of long-term condition management and care planning.
- Awareness of challenges facing diverse and hard-to-reach patient groups.
- Familiarity with EMIS Web and SNOMED coding.
Personal Qualities
Essential Criteria
- Empathetic, patient-centred, and culturally sensitive.
- Able to work independently and as part of a multidisciplinary team.
- Strong organisational and problem-solving abilities.
- Commitment to confidentiality, professional integrity, and adaptability to work across multiple practice sites.
Desirable Criteria
- Motivated by improving health outcomes and reducing health inequalities.
- Highly flexible and adaptable to changing service needs.
Interviews will take place w/c 5th October 2026
Additional Information
Disclosure and Barring Service (DBS) Check: This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975. A submission for Disclosure to the Disclosure and Barring Service will be required to check for any previous criminal convictions.
UK Professional Registration: Applicants must have current UK professional registration where applicable (please refer to the NHS Careers website for details).
Benefits: Company pension scheme available.
Job Types: Part-time, Fixed term contract, Temp to perm
Contract length: 12 months
Pay: From £15.00 per hour
Expected hours: 16.0 per week
Benefits:
Work Location: In person
