Care Coordinator

PRACTICE CARE COORDINATOR

Job Title: Care Coordinator – GP Practice
Location: Grovelands Medical Centre, Reading
Hours: Part-Time
Salary: DOE

We are seeking a dedicated and compassionate Care Coordinator to join our forward-thinking GP Practice team. This is a key role in ensuring our patients receive comprehensive, proactive, and personalised care, particularly those with complex needs or requiring additional support navigating health and wellbeing services.
As part of the multidisciplinary primary care team, you will help coordinate care, reduce hospital admissions, and promote independence and wellbeing for patients across our local population.

Key Responsibilities
•Post-Hospital Admission Reviews
Review patients recently discharged from hospital and arrange follow-up support as needed, ensuring continuity of care and effective recovery at home.
•New Patient Support & Follow-Up
Contact newly referred patients, complete support needs assessments, initiate care plans, and refer to appropriate clinical or community services to meet health and wellbeing outcomes.
•Domestic Abuse Awareness & Referral
Offer a sensitive and supportive service for patients experiencing domestic abuse and make timely referrals to refuges and specialist organisations in line with safeguarding procedures.
•Anticipatory Care Planning
Work with patients identified as having complex needs to review existing anticipatory care plans or co-create new ones in collaboration with clinical teams.
•Dementia Care Reviews
Carry out annual dementia telephone reviews with patients and/or carers to assess current health, management plans, and support needs. Develop and update dementia care plans as part of long-term condition management.
•Bereavement Support
Provide a caring first point of contact for recently bereaved patients and refer onwards for bereavement counselling or support services where appropriate.

Person Specification
Essential:
•Experience within a primary care setting
•Experience in health, social care, or care coordination
•Excellent communication, organisational, and IT skills
•Ability to work collaboratively within a GP practice or primary care setting
•Knowledge of safeguarding procedures and care planning
•Compassionate, patient-centred approach
Desirable:
•Knowledge of local services and voluntary sector pathways
•Familiarity with clinical systems (e.g., EMIS, SystmOne)

We are most interested in candidates with:
•Up-to-date knowledge of support services available, a thorough understanding of social prescribing, care plan reviews, experience of designing and implementing strategies for improving social support to patients.
•To uphold the NHS commitment to addressing health inequalities and be involved in ensuring care is available to people from all communities.
•The ability to recognise their personal limitations and boundaries, to understand those of their colleagues, and refer to other colleagues when necessary.
•The ability to thrive when working in a devolved, flexible, autonomous environment.
What We Offer
•A supportive and friendly practice team environment
•We encourage daily morning coffee breaks to allow for catch up with colleagues at 11am.
•Ongoing training and professional development opportunities
•NHS pension scheme
•On-site parking
•Salary negotiable and dependent on previous experience

You will be joining our friendly, dynamic team of 7 Partners from diverse backgrounds, approximately 14,000 patients, we are an Emis Web practice with a full range of enhanced services.
Any questions and informal visit welcomed, please contact our Deputy Practice Manager.

Applications to be sent to our Deputy Practice Manager
Email: grovelands.admin@nhs.net