Posted 21 June, 2026
Primary Care Network Care Coordinator
Bolton GP Federation
Bolton, Lancashire BL1 1LS, United Kingdom
Full Time
Reference: 1065743328
Job summary
BoltonGP Federation is looking to recruit a Care Coordinator on behalf of our PrimaryCare Networks (PCNs).
Youwill have a broad portfolio of duties that originate from the requirements ofthe PCN contracts, including the Directed Enhanced Services (DES) and Impact& Investment Fund (IIF).
Main duties of the job
Carecoordinators provide extra time, capacity and expertise to support patients. Youwill work closely with GPs and other primary care professionals within the PCNto proactively identify and manage a caseload of patients, making sure thatholistic support is made available to them and that their complex needs areaddressed. You may also be asked to contribute towards other administrativetasks within the practice or PCN.
About us
BoltonGP Federation is a collective vehicle where Boltons GP practices come togetherto deliver primary care, providing a place for collaboration, knowledge-sharingand coordination. The Federation is a voice of the priorities, needs and localintelligence of primary care into the wider healthcare system.
Weare rated Good by the Care Quality Commission (CQC) and we are proud of theservices that we run, which include Primary Care Networks, Extended PrimaryCare, and Experienced Nurse Network and the Covid Vaccination Programme.
Ourmission is to improve health and care. We meet everyday health and care needsfor people by connecting primary care systems and using creative thinking todevelop, improve and support great local services.
Job description
Job responsibilities
KeyResponsibilities and Duties:
The Care Coordinator will undertake work in line with PCN anddirected priorities. The following are the core responsibilities of the role:
ClinicalPharmacy Support
Useclinical system risk stratification tools and Ardens Manger to identify andcall/recall patients for the Clinical Pharmacy Team to review. This includes,but is not limited to, patients for:
StructuredMedication Reviews
QOFQuality Improvement indicators
QOFMedicines indicators
IIFMedicines indicators
PracticePrescribing Schemes
Audits
EarlyCancer Diagnosis
Supportthe delivery of PCN objectives under the Early Cancer Diagnosis requirements ofthe PCN DES. This includes but is not limited to:
AttendingCancer Steering Group meetings
Patientfollow-up from cancer screening
Cancercare planning
Patientcommunications
EnhancedCare in Care Homes
Youwill:
Supportthe practice team to identify gaps in existing care plans and help produce andannual Personalised Care and Support Plan (PCSP), referring to the patientsnamed GP to complete.
Liaisewith care homes to schedule the monthly Clinical Pharmacist visits.
Liaisewith care homes to ensure new admissions and patients who have been dischargedfrom hospital, are reviewed at the next Ward Round, and have an updated PCSP.
CardiovascularDisease Prevention and Diagnosis
Supportpatient call and recall as directed by the Senior Network Manager.
HealthInequalities
Identifypatient cohorts being targeted by the PCN health inequalities steering group,inviting them to participate in agreed interventions.
Learningdisabilities care planning.
Supportingpatients & Social Prescribing:
Activelysign-post patients to a variety of services including Social Prescribing,making referrals as appropriate.
Utilisepopulation health intelligence to proactively identify a cohort of patients todeliver personalised care.
InformationTechnology
Writesearches to identify target patient cohorts.
Writeand update templates and protocols to effectively capture relevant clinical andnon-clinical information.
Multi-DisciplinaryTeam (MDT) Meetings
Prepareagendas for MDT meetings and contact all parties to ensure attendance and toconfirm patients to be discussed.
CarePlanning
Support the practice objectives (local and PCN-level) to ensure care plans are activelycreated and updated. This includes for learning disability patients, dementiapatients, care home residents and cancer patients.
Identifypatients without recent care plans in place and work with their name GP toupdate these plans.
Ensurethat preventative actions are agreed and detailed in care plans to support thereduction of unnecessary hospital admissions.
Investmentand Impact Fund (IIF)
Supportpatient call and recall as directed by the Senior Network Manager.
Ensurethe minimum number of patient contacts by aligning multiple tests and reviews.
SupportData Collection:
Ensuretimely and accurate collation of data for the PCN
Appropriatemanagement of collected data, ensuring all data is kept and shared inaccordance with all relevant governance requirements.
Validateand quality assure incoming data.
Runregular patient searches using clinical systems to have an up-to-date record ofprogress of achievement of Key Performance Indicators (KPIs).
Casefinding to support target achievement and enhancing register prevalence.
PCNDuties
Providean agreed Care Coordinator service to all PCN practices with duties to bedefined by the PCN managers.
Job description
Job responsibilities
KeyResponsibilities and Duties:
The Care Coordinator will undertake work in line with PCN anddirected priorities. The following are the core responsibilities of the role:
ClinicalPharmacy Support
Useclinical system risk stratification tools and Ardens Manger to identify andcall/recall patients for the Clinical Pharmacy Team to review. This includes,but is not limited to, patients for:
StructuredMedication Reviews
QOFQuality Improvement indicators
QOFMedicines indicators
IIFMedicines indicators
PracticePrescribing Schemes
Audits
EarlyCancer Diagnosis
Supportthe delivery of PCN objectives under the Early Cancer Diagnosis requirements ofthe PCN DES. This includes but is not limited to:
AttendingCancer Steering Group meetings
Patientfollow-up from cancer screening
Cancercare planning
Patientcommunications
EnhancedCare in Care Homes
Youwill:
Supportthe practice team to identify gaps in existing care plans and help produce andannual Personalised Care and Support Plan (PCSP), referring to the patientsnamed GP to complete.
Liaisewith care homes to schedule the monthly Clinical Pharmacist visits.
Liaisewith care homes to ensure new admissions and patients who have been dischargedfrom hospital, are reviewed at the next Ward Round, and have an updated PCSP.
CardiovascularDisease Prevention and Diagnosis
Supportpatient call and recall as directed by the Senior Network Manager.
HealthInequalities
Identifypatient cohorts being targeted by the PCN health inequalities steering group,inviting them to participate in agreed interventions.
Learningdisabilities care planning.
Supportingpatients & Social Prescribing:
Activelysign-post patients to a variety of services including Social Prescribing,making referrals as appropriate.
Utilisepopulation health intelligence to proactively identify a cohort of patients todeliver personalised care.
InformationTechnology
Writesearches to identify target patient cohorts.
Writeand update templates and protocols to effectively capture relevant clinical andnon-clinical information.
Multi-DisciplinaryTeam (MDT) Meetings
Prepareagendas for MDT meetings and contact all parties to ensure attendance and toconfirm patients to be discussed.
CarePlanning
Support the practice objectives (local and PCN-level) to ensure care plans are activelycreated and updated. This includes for learning disability patients, dementiapatients, care home residents and cancer patients.
Identifypatients without recent care plans in place and work with their name GP toupdate these plans.
Ensurethat preventative actions are agreed and detailed in care plans to support thereduction of unnecessary hospital admissions.
Investmentand Impact Fund (IIF)
Supportpatient call and recall as directed by the Senior Network Manager.
Ensurethe minimum number of patient contacts by aligning multiple tests and reviews.
SupportData Collection:
Ensuretimely and accurate collation of data for the PCN
Appropriatemanagement of collected data, ensuring all data is kept and shared inaccordance with all relevant governance requirements.
Validateand quality assure incoming data.
Runregular patient searches using clinical systems to have an up-to-date record ofprogress of achievement of Key Performance Indicators (KPIs).
Casefinding to support target achievement and enhancing register prevalence.
PCNDuties
Providean agreed Care Coordinator service to all PCN practices with duties to bedefined by the PCN managers.
Person Specification
Qualifications
Essential
Essential
Essential
Essential
Person Specification
Qualifications
Essential
Essential
Essential
Essential
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Employer details
Employer name
Bolton GP Federation
Address
Floor 2, The Hub
Bold Street
Bolton
Lancashire
BL1 1LS
United Kingdom
Employer's website
BoltonGP Federation is looking to recruit a Care Coordinator on behalf of our PrimaryCare Networks (PCNs).
Youwill have a broad portfolio of duties that originate from the requirements ofthe PCN contracts, including the Directed Enhanced Services (DES) and Impact& Investment Fund (IIF).
Main duties of the job
Carecoordinators provide extra time, capacity and expertise to support patients. Youwill work closely with GPs and other primary care professionals within the PCNto proactively identify and manage a caseload of patients, making sure thatholistic support is made available to them and that their complex needs areaddressed. You may also be asked to contribute towards other administrativetasks within the practice or PCN.
About us
BoltonGP Federation is a collective vehicle where Boltons GP practices come togetherto deliver primary care, providing a place for collaboration, knowledge-sharingand coordination. The Federation is a voice of the priorities, needs and localintelligence of primary care into the wider healthcare system.
Weare rated Good by the Care Quality Commission (CQC) and we are proud of theservices that we run, which include Primary Care Networks, Extended PrimaryCare, and Experienced Nurse Network and the Covid Vaccination Programme.
Ourmission is to improve health and care. We meet everyday health and care needsfor people by connecting primary care systems and using creative thinking todevelop, improve and support great local services.
Job description
Job responsibilities
KeyResponsibilities and Duties:
The Care Coordinator will undertake work in line with PCN anddirected priorities. The following are the core responsibilities of the role:
ClinicalPharmacy Support
Useclinical system risk stratification tools and Ardens Manger to identify andcall/recall patients for the Clinical Pharmacy Team to review. This includes,but is not limited to, patients for:
StructuredMedication Reviews
QOFQuality Improvement indicators
QOFMedicines indicators
IIFMedicines indicators
PracticePrescribing Schemes
Audits
EarlyCancer Diagnosis
Supportthe delivery of PCN objectives under the Early Cancer Diagnosis requirements ofthe PCN DES. This includes but is not limited to:
AttendingCancer Steering Group meetings
Patientfollow-up from cancer screening
Cancercare planning
Patientcommunications
EnhancedCare in Care Homes
Youwill:
Supportthe practice team to identify gaps in existing care plans and help produce andannual Personalised Care and Support Plan (PCSP), referring to the patientsnamed GP to complete.
Liaisewith care homes to schedule the monthly Clinical Pharmacist visits.
Liaisewith care homes to ensure new admissions and patients who have been dischargedfrom hospital, are reviewed at the next Ward Round, and have an updated PCSP.
CardiovascularDisease Prevention and Diagnosis
Supportpatient call and recall as directed by the Senior Network Manager.
HealthInequalities
Identifypatient cohorts being targeted by the PCN health inequalities steering group,inviting them to participate in agreed interventions.
Learningdisabilities care planning.
Supportingpatients & Social Prescribing:
Activelysign-post patients to a variety of services including Social Prescribing,making referrals as appropriate.
Utilisepopulation health intelligence to proactively identify a cohort of patients todeliver personalised care.
InformationTechnology
Writesearches to identify target patient cohorts.
Writeand update templates and protocols to effectively capture relevant clinical andnon-clinical information.
Multi-DisciplinaryTeam (MDT) Meetings
Prepareagendas for MDT meetings and contact all parties to ensure attendance and toconfirm patients to be discussed.
CarePlanning
Support the practice objectives (local and PCN-level) to ensure care plans are activelycreated and updated. This includes for learning disability patients, dementiapatients, care home residents and cancer patients.
Identifypatients without recent care plans in place and work with their name GP toupdate these plans.
Ensurethat preventative actions are agreed and detailed in care plans to support thereduction of unnecessary hospital admissions.
Investmentand Impact Fund (IIF)
Supportpatient call and recall as directed by the Senior Network Manager.
Ensurethe minimum number of patient contacts by aligning multiple tests and reviews.
SupportData Collection:
Ensuretimely and accurate collation of data for the PCN
Appropriatemanagement of collected data, ensuring all data is kept and shared inaccordance with all relevant governance requirements.
Validateand quality assure incoming data.
Runregular patient searches using clinical systems to have an up-to-date record ofprogress of achievement of Key Performance Indicators (KPIs).
Casefinding to support target achievement and enhancing register prevalence.
PCNDuties
Providean agreed Care Coordinator service to all PCN practices with duties to bedefined by the PCN managers.
Job description
Job responsibilities
KeyResponsibilities and Duties:
The Care Coordinator will undertake work in line with PCN anddirected priorities. The following are the core responsibilities of the role:
ClinicalPharmacy Support
Useclinical system risk stratification tools and Ardens Manger to identify andcall/recall patients for the Clinical Pharmacy Team to review. This includes,but is not limited to, patients for:
StructuredMedication Reviews
QOFQuality Improvement indicators
QOFMedicines indicators
IIFMedicines indicators
PracticePrescribing Schemes
Audits
EarlyCancer Diagnosis
Supportthe delivery of PCN objectives under the Early Cancer Diagnosis requirements ofthe PCN DES. This includes but is not limited to:
AttendingCancer Steering Group meetings
Patientfollow-up from cancer screening
Cancercare planning
Patientcommunications
EnhancedCare in Care Homes
Youwill:
Supportthe practice team to identify gaps in existing care plans and help produce andannual Personalised Care and Support Plan (PCSP), referring to the patientsnamed GP to complete.
Liaisewith care homes to schedule the monthly Clinical Pharmacist visits.
Liaisewith care homes to ensure new admissions and patients who have been dischargedfrom hospital, are reviewed at the next Ward Round, and have an updated PCSP.
CardiovascularDisease Prevention and Diagnosis
Supportpatient call and recall as directed by the Senior Network Manager.
HealthInequalities
Identifypatient cohorts being targeted by the PCN health inequalities steering group,inviting them to participate in agreed interventions.
Learningdisabilities care planning.
Supportingpatients & Social Prescribing:
Activelysign-post patients to a variety of services including Social Prescribing,making referrals as appropriate.
Utilisepopulation health intelligence to proactively identify a cohort of patients todeliver personalised care.
InformationTechnology
Writesearches to identify target patient cohorts.
Writeand update templates and protocols to effectively capture relevant clinical andnon-clinical information.
Multi-DisciplinaryTeam (MDT) Meetings
Prepareagendas for MDT meetings and contact all parties to ensure attendance and toconfirm patients to be discussed.
CarePlanning
Support the practice objectives (local and PCN-level) to ensure care plans are activelycreated and updated. This includes for learning disability patients, dementiapatients, care home residents and cancer patients.
Identifypatients without recent care plans in place and work with their name GP toupdate these plans.
Ensurethat preventative actions are agreed and detailed in care plans to support thereduction of unnecessary hospital admissions.
Investmentand Impact Fund (IIF)
Supportpatient call and recall as directed by the Senior Network Manager.
Ensurethe minimum number of patient contacts by aligning multiple tests and reviews.
SupportData Collection:
Ensuretimely and accurate collation of data for the PCN
Appropriatemanagement of collected data, ensuring all data is kept and shared inaccordance with all relevant governance requirements.
Validateand quality assure incoming data.
Runregular patient searches using clinical systems to have an up-to-date record ofprogress of achievement of Key Performance Indicators (KPIs).
Casefinding to support target achievement and enhancing register prevalence.
PCNDuties
Providean agreed Care Coordinator service to all PCN practices with duties to bedefined by the PCN managers.
Person Specification
Qualifications
Essential
- Good standard of education with excellent literacy and numeracy skills
- NVQ Level 3 Business Administration (or relevant experience)
Essential
- Experience of working in General Practice, the NHS or Social Care
- Understanding of current issues facing the NHS and social care process
- Experience of administrative duties
- Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality
- Working in a multi-disciplinary setting where influence and negotiation is required
- Working in a busy and demanding environment whilst delivering in a timely manner
- Knowledge/familiarity with medical terminology
- Previous experience in the Care Coordinator role.
Essential
- Proven record of excellent written skills and verbal communication skills and interpersonal skills
- Evidence of excellent knowledge of Microsoft Office
- Able to work as part of a team
- Excellent motivational and influencing skills
- Able to prioritise and manage own workload and ensuring completion of tasks on time
- Strong analytical and judgement skills
- Ability to analyse and interpret information and present results in a clear and concise manner
- Experience working with EMIS Web, Medical record system
- Able to effectively influence others to complete agreed actions
Essential
- Professional attitude, calm and efficient manner
- Conscientious, hardworking, self- motivated, work with minimal supervision
- Creative and tenacious in finding solutions to difficult problems
- Ability to work with both clinical and administrative staff
- Ability to meet deadlines and work under pressure
- Ability to engage and sustain relationships with all professionals, other organisations and service-users
- Honest, reliable and enthusiastic, has a flexible approach
- Committed to personal development, willingness to undergo further training or development
- Car user and willing to travel between PCN GP practices
Person Specification
Qualifications
Essential
- Good standard of education with excellent literacy and numeracy skills
- NVQ Level 3 Business Administration (or relevant experience)
Essential
- Experience of working in General Practice, the NHS or Social Care
- Understanding of current issues facing the NHS and social care process
- Experience of administrative duties
- Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality
- Working in a multi-disciplinary setting where influence and negotiation is required
- Working in a busy and demanding environment whilst delivering in a timely manner
- Knowledge/familiarity with medical terminology
- Previous experience in the Care Coordinator role.
Essential
- Proven record of excellent written skills and verbal communication skills and interpersonal skills
- Evidence of excellent knowledge of Microsoft Office
- Able to work as part of a team
- Excellent motivational and influencing skills
- Able to prioritise and manage own workload and ensuring completion of tasks on time
- Strong analytical and judgement skills
- Ability to analyse and interpret information and present results in a clear and concise manner
- Experience working with EMIS Web, Medical record system
- Able to effectively influence others to complete agreed actions
Essential
- Professional attitude, calm and efficient manner
- Conscientious, hardworking, self- motivated, work with minimal supervision
- Creative and tenacious in finding solutions to difficult problems
- Ability to work with both clinical and administrative staff
- Ability to meet deadlines and work under pressure
- Ability to engage and sustain relationships with all professionals, other organisations and service-users
- Honest, reliable and enthusiastic, has a flexible approach
- Committed to personal development, willingness to undergo further training or development
- Car user and willing to travel between PCN GP practices
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Employer details
Employer name
Bolton GP Federation
Address
Floor 2, The Hub
Bold Street
Bolton
Lancashire
BL1 1LS
United Kingdom
Employer's website
