Job summary

Bradford City 5 Primary Care Network is looking for an enthusiastic, organised and compassionate Care Co-ordinator to join our growing PCN team.

This is an exciting opportunity to make a real difference to patients across our eight GP practices in inner-city Bradford. You will work closely with patients, carers, GP practices and our wider multidisciplinary team to help people navigate health and care services, understand the next steps in their care and access the support they need.

You will support patients with a range of needs, including people living with long-term conditions, frailty or dementia and those who may experience barriers to accessing healthcare. You will manage an agreed caseload, coordinate appointments and referrals, support multidisciplinary team working and make sure agreed actions are followed through.

You will join an established PCN team including Social Prescribing Link Workers, Health and Wellbeing Coaches, Clinical Pharmacists and other healthcare professionals.

We are looking for someone with excellent communication and organisational skills who is passionate about personalised care, reducing health inequalities and improving patients' experience of healthcare.

Main duties of the job

The Care Co-ordinator will work across Bradford City 5 PCN, supporting patients to navigate health, care and community services and ensuring that agreed actions are followed through.

The postholder will manage an agreed caseload of patients and work closely with GP practices and the wider multidisciplinary team. Key duties will include contacting patients and carers, coordinating appointments, referrals and reviews, helping patients prepare for care conversations and addressing practical barriers that may prevent them from accessing support.

The role will support multidisciplinary team (MDT) working by preparing relevant information, recording agreed actions, identifying responsible professionals and tracking actions through to completion.

The Care Co-ordinator will maintain accurate and timely patient records using SystmOne and agreed PCN templates, and will support the PCN to monitor activity and outcomes.

The postholder will work particularly with patients who have complex needs, long-term conditions, frailty or dementia, and people who may experience health inequalities or barriers to accessing services.

This is a non-clinical role. The postholder will work within agreed boundaries and promptly escalate clinical, safeguarding or safety concerns to the appropriate professional.

About us

Bradford City 5 Primary Care Network (PCN) is a collaborative network of eight GP practices working together to improve health outcomes and provide high-quality, coordinated care for our diverse communities across inner-city Bradford.

Our member practices are Avicenna Medical Practice, Bevan Healthcare, Bradford Moor Practice, Dr Hamdani's Practice, Moor Park Medical Practice, Peel Park Surgery, Primrose Surgery and Valley View Surgery.

We have a growing multidisciplinary PCN team which includes Social Prescribing Link Workers, Health and Wellbeing Coaches, Clinical Pharmacists, Mental Health Practitioners, First Contact Physiotherapists and other professionals working alongside our GP practices.

Our communities experience significant health inequalities, and a key priority for our PCN is making services easier to access and ensuring that patients receive the right support at the right time.

We value collaborative working, new ideas and continuous improvement. The successful candidate will be supported by the PCN management team, receive appropriate induction, training and regular supervision, and have the opportunity to help shape and develop the Care Co-ordinator role as our services continue to evolve.

This is an opportunity to join a supportive PCN team and contribute directly to improving patient experience, personalised care and joined-up working across our practices.

Details

Date posted

29 September 2026

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time

Reference number

A0721-26-0007

Job locations

Barkerend Health Centre

Barkerend Rd

Bradford

West Yorkshire

BD3 8QH

United Kingdom

Job description

Job responsibilities

Job purpose

The PCN Care Co-ordinator will provide practical personalised support to patients whose care involves several professionals or services

The postholder will help patients understand the next steps in their care communicate what matters to them and access the support agreed with their clinical team

The postholder will maintain a defined caseload coordinate appointments and referrals follow multidisciplinary team actions through to an outcome and raise concerns promptly

The Care Co-ordinator will work across Bradford City Five PCN member practices and with the wider PCN multidisciplinary team

Patient care and co-ordination

Use clinician-approved patient lists practice referrals and multidisciplinary team recommendations to identify and engage patients requiring care co-ordination

Contact patients using agreed methods explain the service and identify their priorities communication needs and any barriers to accessing care

Maintain an accurate and current caseload including contact dates next actions responsible professionals review dates and outcomes

Help patients prepare for conversations with GPs nurses pharmacists and other healthcare professionals

Support patients to understand agreed actions and personalised care and support plans ensuring they know who is responsible for each action and what happens next

Arrange and track agreed appointments referrals and reviews and help resolve practical barriers that may prevent patients from accessing care

Follow up missed appointments and contacts in accordance with agreed PCN and practice procedures

Support access to appropriate self-management wellbeing and community services working closely with the PCN Social Prescribing and Health and Wellbeing teams

Supporting priority patient groups

The postholder will support agreed PCN patient cohorts which may include people with long-term conditions and complex needs

This will include supporting patients living with frailty or dementia and their carers to prepare for reviews and ensuring agreed actions are followed up

The Care Co-ordinator may also support patients experiencing repeated urgent-care use recent transitions of care difficulties attending appointments or other barriers to accessing healthcare

The postholder will support agreed screening vaccination and annual-review activity for patients within their caseload where appropriate

Multidisciplinary team working

Support the organisation and co-ordination of relevant patient multidisciplinary team discussions

Ensure appropriate information is available to support multidisciplinary team discussions through approved secure processes

Where possible establish the patient's priorities before their case is discussed

Accurately record agreed actions including the responsible professional and expected completion date

Track outstanding actions and escalate overdue or rejected referrals appropriately

Keep patients appropriately informed about agreed actions and follow-up

Work collaboratively with GPs nurses practice teams Social Prescribing Link Workers Health and Wellbeing Coaches Clinical Pharmacists mental health professionals physiotherapists and relevant community and voluntary-sector services

Record keeping and information governance

Document patient contacts and actions promptly and accurately in SystmOne using agreed PCN and practice templates and codes

Maintain confidentiality and comply with PCN and practice information governance data protection and information-sharing requirements

Use authorised systems and accounts and only access or share information necessary for the role

Verify identity and appropriate carer authority before sharing confidential patient information

Provide appropriate anonymised or aggregated activity and outcome information to support PCN monitoring and service development

Safety safeguarding and role boundaries

This is a non-clinical role

The Care Co-ordinator will not diagnose conditions independently assess clinical urgency prescribe medication interpret test results or make changes to a patient's treatment

Promptly escalate new symptoms deterioration medication concerns or other clinical concerns to an appropriate clinician

Recognise and respond appropriately to safeguarding concerns following local safeguarding procedures

Use urgent or emergency escalation routes where required in accordance with local procedures

Maintain clear factual records of concerns and actions taken

Work within their level of competence and seek advice or supervision whenever a task or situation falls outside their role

Follow relevant health and safety infection prevention equality accessibility incident reporting and lone-working procedures

Working with our communities

The postholder will work respectfully and sensitively with Bradford's diverse communities

They will identify patients' preferred language communication method accessibility requirements and safe contact arrangements

The postholder will use professional interpreting services through agreed routes where required

The Care Co-ordinator will recognise that some patients may experience digital exclusion or other barriers to accessing healthcare and will support appropriate alternative methods of communication and access

Training and development

Complete an appropriate induction programme and all required mandatory training

Undertake or complete the appropriate Care Co-ordination training pathway

Participate in regular supervision appraisal and continuing professional development

Maintain an appropriate learning and development record

Attend relevant PCN practice and multidisciplinary meetings

Identify opportunities to improve patient pathways and reduce barriers to accessing care

Contribute to patient and practice feedback and service improvement

Service development

The postholder will help colleagues understand the Care Co-ordination referral pathway and appropriate use of the service

They will contribute to the development of safe and effective processes for managing referrals caseloads multidisciplinary team actions follow-up and handover arrangements

The role will continue to develop in response to the needs of patients and the PCN

Any additional duties will be reasonable and consistent with the purpose level training and responsibilities of the Care Co-ordinator role

Management and accountability

The postholder will report to the PCN Manager and work within the governance arrangements of Bradford City Five PCN Limited

The postholder will receive named Care Co-ordination supervision and have access to appropriate clinical support and escalation routes

The role will work across the Bradford City Five PCN member practices and agreed community settings

Job description Job responsibilities Job purposeThe PCN Care Co-ordinator will provide practical personalised support to patients whose care involves several professionals or servicesThe postholder will help patients understand the next steps in their care communicate what matters to them and access the support agreed with their clinical teamThe postholder will maintain a defined caseload coordinate appointments and referrals follow multidisciplinary team actions through to an outcome and raise concerns promptlyThe Care Co-ordinator will work across Bradford City Five PCN member practices and with the wider PCN multidisciplinary teamPatient care and co-ordinationUse clinician-approved patient lists practice referrals and multidisciplinary team recommendations to identify and engage patients requiring care co-ordinationContact patients using agreed methods explain the service and identify their priorities communication needs and any barriers to accessing careMaintain an accurate and current caseload including contact dates next actions responsible professionals review dates and outcomesHelp patients prepare for conversations with GPs nurses pharmacists and other healthcare professionalsSupport patients to understand agreed actions and personalised care and support plans ensuring they know who is responsible for each action and what happens nextArrange and track agreed appointments referrals and reviews and help resolve practical barriers that may prevent patients from accessing careFollow up missed appointments and contacts in accordance with agreed PCN and practice proceduresSupport access to appropriate self-management wellbeing and community services working closely with the PCN Social Prescribing and Health and Wellbeing teamsSupporting priority patient groupsThe postholder will support agreed PCN patient cohorts which may include people with long-term conditions and complex needsThis will include supporting patients living with frailty or dementia and their carers to prepare for reviews and ensuring agreed actions are followed upThe Care Co-ordinator may also support patients experiencing repeated urgent-care use recent transitions of care difficulties attending appointments or other barriers to accessing healthcareThe postholder will support agreed screening vaccination and annual-review activity for patients within their caseload where appropriateMultidisciplinary team workingSupport the organisation and co-ordination of relevant patient multidisciplinary team discussionsEnsure appropriate information is available to support multidisciplinary team discussions through approved secure processesWhere possible establish the patient's priorities before their case is discussedAccurately record agreed actions including the responsible professional and expected completion dateTrack outstanding actions and escalate overdue or rejected referrals appropriatelyKeep patients appropriately informed about agreed actions and follow-upWork collaboratively with GPs nurses practice teams Social Prescribing Link Workers Health and Wellbeing Coaches Clinical Pharmacists mental health professionals physiotherapists and relevant community and voluntary-sector servicesRecord keeping and information governanceDocument patient contacts and actions promptly and accurately in SystmOne using agreed PCN and practice templates and codesMaintain confidentiality and comply with PCN and practice information governance data protection and information-sharing requirementsUse authorised systems and accounts and only access or share information necessary for the roleVerify identity and appropriate carer authority before sharing confidential patient informationProvide appropriate anonymised or aggregated activity and outcome information to support PCN monitoring and service developmentSafety safeguarding and role boundariesThis is a non-clinical roleThe Care Co-ordinator will not diagnose conditions independently assess clinical urgency prescribe medication interpret test results or make changes to a patient's treatmentPromptly escalate new symptoms deterioration medication concerns or other clinical concerns to an appropriate clinicianRecognise and respond appropriately to safeguarding concerns following local safeguarding proceduresUse urgent or emergency escalation routes where required in accordance with local proceduresMaintain clear factual records of concerns and actions takenWork within their level of competence and seek advice or supervision whenever a task or situation falls outside their roleFollow relevant health and safety infection prevention equality accessibility incident reporting and lone-working proceduresWorking with our communitiesThe postholder will work respectfully and sensitively with Bradford's diverse communitiesThey will identify patients' preferred language communication method accessibility requirements and safe contact arrangementsThe postholder will use professional interpreting services through agreed routes where requiredThe Care Co-ordinator will recognise that some patients may experience digital exclusion or other barriers to accessing healthcare and will support appropriate alternative methods of communication and accessTraining and developmentComplete an appropriate induction programme and all required mandatory trainingUndertake or complete the appropriate Care Co-ordination training pathwayParticipate in regular supervision appraisal and continuing professional developmentMaintain an appropriate learning and development recordAttend relevant PCN practice and multidisciplinary meetingsIdentify opportunities to improve patient pathways and reduce barriers to accessing careContribute to patient and practice feedback and service improvementService developmentThe postholder will help colleagues understand the Care Co-ordination referral pathway and appropriate use of the serviceThey will contribute to the development of safe and effective processes for managing referrals caseloads multidisciplinary team actions follow-up and handover arrangementsThe role will continue to develop in response to the needs of patients and the PCNAny additional duties will be reasonable and consistent with the purpose level training and responsibilities of the Care Co-ordinator roleManagement and accountabilityThe postholder will report to the PCN Manager and work within the governance arrangements of Bradford City Five PCN LimitedThe postholder will receive named Care Co-ordination supervision and have access to appropriate clinical support and escalation routesThe role will work across the Bradford City Five PCN member practices and agreed community settings

Person Specification

Qualifications

Essential

• Relevant Level Three qualification or equivalent skills and experience
• Willingness and ability to undertake and complete the appropriate Care Co-ordination training pathway.
• Experience of supporting patients service users or carers within healthcare social care or a community setting
• Experience of coordinating appointments referrals or multi-step work and following actions through to completion
• Experience of maintaining accurate records and managing confidential or sensitive information
• Experience of organising and prioritising a workload and working with different professionals or services

Desirable

• Experience of working within general practice a Primary Care Network or the NHS
• Experience of using SystmOne or another electronic patient record or case management system
• Experience of supporting people with frailty dementia long-term conditions or inclusion health needs
• Experience of supporting multidisciplinary team working personalised care plans or service improvement

Person Specification Qualifications Essential Relevant Level Three qualification or equivalent skills and experience Willingness and ability to undertake and complete the appropriate Care Co-ordination training pathway. Experience of supporting patients service users or carers within healthcare social care or a community setting Experience of coordinating appointments referrals or multi-step work and following actions through to completion Experience of maintaining accurate records and managing confidential or sensitive information Experience of organising and prioritising a workload and working with different professionals or services Desirable Experience of working within general practice a Primary Care Network or the NHS Experience of using SystmOne or another electronic patient record or case management system Experience of supporting people with frailty dementia long-term conditions or inclusion health needs Experience of supporting multidisciplinary team working personalised care plans or service improvement

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

The Bradford Moor Practice

Address

Barkerend Health Centre

Barkerend Rd

Bradford

West Yorkshire

BD3 8QH

United Kingdom

Employer's website

https://bradfordmoorpractice.co.uk/ (Opens in a new tab)

Employer details

Employer name

The Bradford Moor Practice

Address

Barkerend Health Centre

Barkerend Rd

Bradford

West Yorkshire

BD3 8QH

United Kingdom

Employer's website

https://bradfordmoorpractice.co.uk/ (Opens in a new tab)