Job summary

Harrow East Primary Care Network (PCN) is seeking an enthusiastic, highly organised and proactive PCN Care Coordinator to join our friendly, forward-thinking multidisciplinary team.

This is an exciting opportunity to contribute to the delivery of high-quality, patient-centred primary care across our three member GP practices, supporting initiatives that improve population health, patient access and the overall efficiency of our services.

The successful candidate will play an important role in coordinating patient care, supporting recall and screening programmes, managing online consultation workflows and helping patients access appropriate healthcare services.

We are looking for a motivated individual with excellent communication, organisational and IT skills who is passionate about improving patient outcomes, reducing health inequalities and supporting the continued development of our Primary Care Network.

Main duties of the job

The PCN Care Coordinator will provide essential administrative and care coordination support across Harrow East PCN, working collaboratively with clinical and non-clinical colleagues to improve patient access, care delivery and operational efficiency.

The role will involve coordinating patient recall programmes, supporting immunisations, cancer screening, NHS Health Checks and learning disability health checks, alongside population health initiatives focused on diabetes, hypertension and mental health.

The postholder will support the processing and care navigation of online consultation requests, ensuring patients are directed to appropriate services in accordance with agreed protocols and escalation pathways.

Additional responsibilities include monitoring outstanding appointments and follow-up actions, maintaining accurate patient records, supporting service performance reporting and engaging with patients who may experience barriers to accessing healthcare.

The successful candidate will contribute to new PCN initiatives, help reduce unnecessary administrative pressures on clinical teams and support the delivery of effective, coordinated and culturally sensitive care.

About us

Harrow East Primary Care Network (PCN) is a collaborative network of three GP practices: Honeypot Medical Practice, Bacon Lane Surgery and Mollison Way Surgery.

We serve a diverse local population with a high prevalence of diabetes, pre-diabetes, cardiovascular disease, hypertension and frailty, and are committed to providing accessible, effective and culturally sensitive healthcare.

Our PCN brings together GPs, Advanced Practitioners, Clinical Pharmacists, Practice Nurses, Healthcare Assistants, Care Coordinators and wider primary care professionals to deliver integrated, patient-centred services.

We place a strong emphasis on preventative healthcare, population health management, reducing health inequalities and improving access through effective care navigation and digital healthcare systems.

We offer a supportive and collaborative working environment, opportunities for professional development and the opportunity to contribute to meaningful service improvements across our three practices.

Details

Date posted

27 October 2026

Pay scheme

Other

Salary

Depending on experience

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

A1952-26-0008

Job locations

Honeypot Medical Centre - Charlton Annexe

223 Charlton Road

Kenton

Harrow

Middlesex

HA3 9HT

United Kingdom

Job description

Job responsibilities

PCN Care Coordinator

Employer: Harrow East Primary Care Network (PCN)

Location: Harrow / Stanmore, London

Practice sites: Honeypot Medical Practice, Bacon Lane Surgery and Mollison Way Surgery

Salary: From £13.00 per hour, dependent on relevant experience and suitability against the person specification.

Working hours: Full-time, with part-time arrangements considered.

Reports to: PCN Manager

Accountable to: PCN Clinical Director and PCN Practices

Work location: In person, across PCN practice sites as required.

Job purpose

The PCN Care Coordinator will play a key role in supporting the delivery of proactive, coordinated and patient-centred healthcare across Harrow East Primary Care Network.

Working collaboratively with clinical and non-clinical colleagues, the postholder will support population health management, patient recall programmes, care navigation, online consultation workflows and initiatives aimed at improving patient access and reducing health inequalities.

The role is integral to improving the efficiency of PCN services, ensuring patients receive timely and appropriate care while reducing duplication of administrative tasks across member practices.

The successful candidate will be expected to manage allocated responsibilities independently, maintain accurate records, follow up outstanding actions and contribute to the ongoing development of effective and sustainable primary care services.

Key responsibilities

1. Population health management and patient recalls

• Support the delivery of population health initiatives, including programmes focused on diabetes, pre-diabetes, hypertension, cardiovascular disease and mental health.
• Coordinate patient recall programmes in accordance with agreed PCN and practice protocols.
• Support the organisation and monitoring of NHS Health Checks, learning disability health checks, immunisations and cancer screening programmes.
• Identify patients requiring appointments, reviews or follow-up using approved clinical searches and patient lists.
• Contact patients through appropriate communication channels, including telephone, SMS and written correspondence.
• Monitor outstanding recalls and appointments, following up with patients and escalating concerns where necessary.
• Maintain accurate recall records and support the achievement of agreed service objectives.
• Work collaboratively with clinical teams to improve patient engagement and uptake of preventative healthcare services.

2. Online consultations and care navigation

• Support the administration and processing of online consultation requests using the PCN's approved digital consultation systems.
• Review and categorise incoming requests in accordance with established non-clinical care navigation protocols.
• Direct patients to appropriate appointments, healthcare professionals or services within agreed pathways.
• Recognise requests requiring urgent clinical attention and escalate these promptly to the appropriate clinician.
• Support the effective management of digital consultation workflows, ensuring requests are processed accurately and within agreed timescales.
• Maintain clear and accurate records of patient communications and actions undertaken.
• Identify recurring operational issues and support improvements to patient access and care navigation processes.
• Ensure clinical decisions and assessments remain the responsibility of appropriately qualified healthcare professionals.

3. Patient communication and engagement

• Communicate with patients professionally, sensitively and compassionately.
• Support patients in understanding appointment arrangements, referral processes and available services.
• Assist patients who experience difficulties accessing healthcare, including those with language, cultural, digital or communication barriers.
• Promote patient engagement in preventative healthcare, screening and long-term condition management.
• Use culturally sensitive and inclusive communication approaches to engage diverse patient communities.
• Support initiatives aimed at reducing health inequalities and improving healthcare access for underserved groups.
• Escalate clinical, safeguarding or patient safety concerns to the appropriate healthcare professional.

4. Administrative and operational coordination

• Provide high-quality administrative and coordination support to PCN clinical and operational teams.
• Maintain accurate patient records, administrative documentation and service activity trackers.
• Support the management of appointment lists, patient correspondence and outstanding administrative tasks.
• Monitor allocated workstreams and ensure actions are completed within agreed timescales.
• Liaise with clinical and non-clinical colleagues across all three practices to support effective communication and service delivery.
• Maintain organised and efficient systems for managing administrative workflows.
• Identify delays, incomplete actions or operational concerns and raise these with the appropriate team member or PCN Manager.
• Support the preparation of reports, spreadsheets and documentation relating to PCN services and activity.

5. Clinical systems and data management

• Use EMIS Web, AccuRx, Microsoft Office and other approved systems to support effective service delivery.
• Undertake appropriate training to develop competency in PCN clinical and administrative systems.
• Maintain accurate and timely records of patient contact, recalls and completed actions.
• Support the use of clinical searches, patient lists and reporting tools in accordance with agreed processes.
• Assist with the collection, collation and monitoring of service activity and performance information.
• Ensure information is handled securely and in accordance with NHS information governance requirements.
• Identify data quality issues and contribute to improving the accuracy and completeness of administrative records.

6. Multidisciplinary team working

• Work collaboratively with GPs, Advanced Practitioners, Clinical Pharmacists, Practice Nurses, Healthcare Assistants, Care Coordinators and wider PCN colleagues.
• Support communication and coordination between the PCN's three member practices.
• Liaise with community healthcare services, hospitals, social care teams and other relevant organisations where appropriate.
• Assist with coordinating patient pathways and ensuring appropriate administrative follow-up.
• Support the sharing of relevant information between professionals in accordance with organisational policies.
• Contribute to a positive, collaborative and efficient multidisciplinary working environment.

7. Service development and quality improvement

• Support the introduction and delivery of new PCN initiatives and enhanced services.
• Contribute to projects aimed at improving patient access, preventative care and population health outcomes.
• Identify opportunities to reduce administrative duplication and improve operational efficiency.
• Participate in service audits, activity monitoring and quality improvement initiatives.
• Work with the PCN Manager and wider team to improve administrative systems, clinical support processes and patient pathways.
• Support the achievement of relevant PCN objectives, contractual requirements and service priorities.
• Demonstrate flexibility in supporting changing service needs and organisational priorities.

Confidentiality and information governance

The postholder will have access to confidential and sensitive information relating to patients, colleagues, healthcare professionals and partner organisations.

All information must be handled appropriately and in accordance with UK GDPR, the Data Protection Act 2018, NHS information governance requirements and relevant organisational policies.

Patient information must only be accessed, recorded or shared where there is a legitimate professional requirement to do so.

Safeguarding and patient safety

The postholder must recognise and appropriately escalate safeguarding concerns, patient safety issues and situations requiring urgent clinical attention.

The Care Coordinator is a non-clinical role and must not undertake independent clinical assessments, provide clinical advice or make clinical decisions outside their responsibilities.

Appropriate training and support will be provided in accordance with organisational requirements.

Personal and professional development

The postholder will receive line management support from the PCN Manager and will be encouraged to take an active role in their own learning and development.

They will be expected to participate in relevant training, supervision, mandatory learning and professional development activities.

The PCN is committed to supporting staff in developing their knowledge, confidence and skills while contributing positively to the delivery of high-quality patient care.

General responsibilities

The postholder will be expected to:

• Demonstrate professionalism, compassion and a commitment to patient-centred care.
• Work collaboratively across the PCN's three member practices.
• Manage their workload effectively and meet agreed deadlines.
• Take ownership of allocated tasks and ensure appropriate follow-up.
• Maintain accurate records and comply with relevant organisational policies.
• Promote equality, diversity and inclusion in all aspects of their work.
• Maintain confidentiality and appropriate professional boundaries.
• Undertake other reasonable duties consistent with the nature and level of the role.

This job description is not exhaustive and may be reviewed in accordance with changing organisational and service requirements, following appropriate discussion with the postholder.

Benefits

• Company pension
• Free on-site parking
• Opportunities for training and professional development
• Supportive multidisciplinary working environment

Job description Job responsibilities PCN Care CoordinatorEmployer: Harrow East Primary Care Network (PCN)Location: Harrow / Stanmore, LondonPractice sites: Honeypot Medical Practice, Bacon Lane Surgery and Mollison Way SurgerySalary: From £13.00 per hour, dependent on relevant experience and suitability against the person specification.Working hours: Full-time, with part-time arrangements considered.Reports to: PCN ManagerAccountable to: PCN Clinical Director and PCN PracticesWork location: In person, across PCN practice sites as required.Job purposeThe PCN Care Coordinator will play a key role in supporting the delivery of proactive, coordinated and patient-centred healthcare across Harrow East Primary Care Network.Working collaboratively with clinical and non-clinical colleagues, the postholder will support population health management, patient recall programmes, care navigation, online consultation workflows and initiatives aimed at improving patient access and reducing health inequalities.The role is integral to improving the efficiency of PCN services, ensuring patients receive timely and appropriate care while reducing duplication of administrative tasks across member practices.The successful candidate will be expected to manage allocated responsibilities independently, maintain accurate records, follow up outstanding actions and contribute to the ongoing development of effective and sustainable primary care services.Key responsibilities1. Population health management and patient recallsSupport the delivery of population health initiatives, including programmes focused on diabetes, pre-diabetes, hypertension, cardiovascular disease and mental health.Coordinate patient recall programmes in accordance with agreed PCN and practice protocols.Support the organisation and monitoring of NHS Health Checks, learning disability health checks, immunisations and cancer screening programmes.Identify patients requiring appointments, reviews or follow-up using approved clinical searches and patient lists.Contact patients through appropriate communication channels, including telephone, SMS and written correspondence.Monitor outstanding recalls and appointments, following up with patients and escalating concerns where necessary.Maintain accurate recall records and support the achievement of agreed service objectives.Work collaboratively with clinical teams to improve patient engagement and uptake of preventative healthcare services.2. Online consultations and care navigationSupport the administration and processing of online consultation requests using the PCN's approved digital consultation systems.Review and categorise incoming requests in accordance with established non-clinical care navigation protocols.Direct patients to appropriate appointments, healthcare professionals or services within agreed pathways.Recognise requests requiring urgent clinical attention and escalate these promptly to the appropriate clinician.Support the effective management of digital consultation workflows, ensuring requests are processed accurately and within agreed timescales.Maintain clear and accurate records of patient communications and actions undertaken.Identify recurring operational issues and support improvements to patient access and care navigation processes.Ensure clinical decisions and assessments remain the responsibility of appropriately qualified healthcare professionals.3. Patient communication and engagementCommunicate with patients professionally, sensitively and compassionately.Support patients in understanding appointment arrangements, referral processes and available services.Assist patients who experience difficulties accessing healthcare, including those with language, cultural, digital or communication barriers.Promote patient engagement in preventative healthcare, screening and long-term condition management.Use culturally sensitive and inclusive communication approaches to engage diverse patient communities.Support initiatives aimed at reducing health inequalities and improving healthcare access for underserved groups.Escalate clinical, safeguarding or patient safety concerns to the appropriate healthcare professional.4. Administrative and operational coordinationProvide high-quality administrative and coordination support to PCN clinical and operational teams.Maintain accurate patient records, administrative documentation and service activity trackers.Support the management of appointment lists, patient correspondence and outstanding administrative tasks.Monitor allocated workstreams and ensure actions are completed within agreed timescales.Liaise with clinical and non-clinical colleagues across all three practices to support effective communication and service delivery.Maintain organised and efficient systems for managing administrative workflows.Identify delays, incomplete actions or operational concerns and raise these with the appropriate team member or PCN Manager.Support the preparation of reports, spreadsheets and documentation relating to PCN services and activity.5. Clinical systems and data managementUse EMIS Web, AccuRx, Microsoft Office and other approved systems to support effective service delivery.Undertake appropriate training to develop competency in PCN clinical and administrative systems.Maintain accurate and timely records of patient contact, recalls and completed actions.Support the use of clinical searches, patient lists and reporting tools in accordance with agreed processes.Assist with the collection, collation and monitoring of service activity and performance information.Ensure information is handled securely and in accordance with NHS information governance requirements.Identify data quality issues and contribute to improving the accuracy and completeness of administrative records.6. Multidisciplinary team workingWork collaboratively with GPs, Advanced Practitioners, Clinical Pharmacists, Practice Nurses, Healthcare Assistants, Care Coordinators and wider PCN colleagues.Support communication and coordination between the PCN's three member practices.Liaise with community healthcare services, hospitals, social care teams and other relevant organisations where appropriate.Assist with coordinating patient pathways and ensuring appropriate administrative follow-up.Support the sharing of relevant information between professionals in accordance with organisational policies.Contribute to a positive, collaborative and efficient multidisciplinary working environment.7. Service development and quality improvementSupport the introduction and delivery of new PCN initiatives and enhanced services.Contribute to projects aimed at improving patient access, preventative care and population health outcomes.Identify opportunities to reduce administrative duplication and improve operational efficiency.Participate in service audits, activity monitoring and quality improvement initiatives.Work with the PCN Manager and wider team to improve administrative systems, clinical support processes and patient pathways.Support the achievement of relevant PCN objectives, contractual requirements and service priorities.Demonstrate flexibility in supporting changing service needs and organisational priorities.Confidentiality and information governanceThe postholder will have access to confidential and sensitive information relating to patients, colleagues, healthcare professionals and partner organisations.All information must be handled appropriately and in accordance with UK GDPR, the Data Protection Act 2018, NHS information governance requirements and relevant organisational policies.Patient information must only be accessed, recorded or shared where there is a legitimate professional requirement to do so.Safeguarding and patient safetyThe postholder must recognise and appropriately escalate safeguarding concerns, patient safety issues and situations requiring urgent clinical attention.The Care Coordinator is a non-clinical role and must not undertake independent clinical assessments, provide clinical advice or make clinical decisions outside their responsibilities.Appropriate training and support will be provided in accordance with organisational requirements.Personal and professional developmentThe postholder will receive line management support from the PCN Manager and will be encouraged to take an active role in their own learning and development.They will be expected to participate in relevant training, supervision, mandatory learning and professional development activities.The PCN is committed to supporting staff in developing their knowledge, confidence and skills while contributing positively to the delivery of high-quality patient care.General responsibilitiesThe postholder will be expected to:Demonstrate professionalism, compassion and a commitment to patient-centred care.Work collaboratively across the PCN's three member practices.Manage their workload effectively and meet agreed deadlines.Take ownership of allocated tasks and ensure appropriate follow-up.Maintain accurate records and comply with relevant organisational policies.Promote equality, diversity and inclusion in all aspects of their work.Maintain confidentiality and appropriate professional boundaries.Undertake other reasonable duties consistent with the nature and level of the role.This job description is not exhaustive and may be reviewed in accordance with changing organisational and service requirements, following appropriate discussion with the postholder.BenefitsCompany pensionFree on-site parkingOpportunities for training and professional developmentSupportive multidisciplinary working environment

Person Specification

Experience

Essential

• -Demonstrable experience in an administrative, coordination or patient-facing support role
• -Experience managing administrative workloads, meeting deadlines and prioritising tasks
• -Experience maintaining accurate records and managing confidential information
• -Experience using Microsoft Office, including Word, Excel, Outlook and Teams
• -Experience communicating effectively with a range of colleagues, service users or external organisations
• -Experience completing process-driven tasks accurately and methodically

Desirable

• -Experience working within an NHS, GP practice or Primary Care Network setting
• -Experience coordinating patient recall or screening programmes
• -Experience using EMIS Web, AccuRx or Pinnacle
• -Experience processing online consultation requests
• -Experience supporting population health management or enhanced services
• -Experience working with diverse or underserved patient populations

Knowledge and Skills

Essential

• -Excellent organisational and time management skills
• -Strong written and verbal communication skills
• -Proficiency in Microsoft Office applications and ability to learn new systems
• -Ability to manage competing priorities while maintaining accuracy and attention to detail
• -Ability to communicate sensitively and professionally with patients
• -Understanding of confidentiality, data protection and information governance
• -Strong problem-solving skills and ability to use initiative
• -Ability to recognise concerns requiring escalation to an appropriate healthcare professional
• -Ability to maintain accurate administrative records and monitor outstanding actions

Desirable

• -Understanding of NHS primary care services and PCN structures
• -Knowledge of population health management and health inequalities
• -Knowledge of screening, immunisation and long-term condition recall programmes
• -Understanding of online consultation systems and care navigation pathways
• -Experience using clinical searches and patient reporting tools
• -Knowledge of NHS enhanced services and quality improvement processes
• -Understanding of culturally sensitive patient engagement

Qualifications

Essential

• -GCSEs (Grade 4/C or above) in English Language and Mathematics, or equivalent qualifications
• -Good standard of general education and IT literacy
• -Willingness to undertake mandatory training and continuing professional development

Desirable

• -Qualification in health and social care, business administration or a related field
• -Care Coordinator or personalised care training
• -Additional training in healthcare administration, care navigation or population health

Person Specification Experience Essential -Demonstrable experience in an administrative, coordination or patient-facing support role -Experience managing administrative workloads, meeting deadlines and prioritising tasks -Experience maintaining accurate records and managing confidential information -Experience using Microsoft Office, including Word, Excel, Outlook and Teams -Experience communicating effectively with a range of colleagues, service users or external organisations -Experience completing process-driven tasks accurately and methodically Desirable -Experience working within an NHS, GP practice or Primary Care Network setting -Experience coordinating patient recall or screening programmes -Experience using EMIS Web, AccuRx or Pinnacle -Experience processing online consultation requests -Experience supporting population health management or enhanced services -Experience working with diverse or underserved patient populations Knowledge and Skills Essential -Excellent organisational and time management skills -Strong written and verbal communication skills -Proficiency in Microsoft Office applications and ability to learn new systems -Ability to manage competing priorities while maintaining accuracy and attention to detail -Ability to communicate sensitively and professionally with patients -Understanding of confidentiality, data protection and information governance -Strong problem-solving skills and ability to use initiative -Ability to recognise concerns requiring escalation to an appropriate healthcare professional -Ability to maintain accurate administrative records and monitor outstanding actions Desirable -Understanding of NHS primary care services and PCN structures -Knowledge of population health management and health inequalities -Knowledge of screening, immunisation and long-term condition recall programmes -Understanding of online consultation systems and care navigation pathways -Experience using clinical searches and patient reporting tools -Knowledge of NHS enhanced services and quality improvement processes -Understanding of culturally sensitive patient engagement Qualifications Essential -GCSEs (Grade 4/C or above) in English Language and Mathematics, or equivalent qualifications -Good standard of general education and IT literacy -Willingness to undertake mandatory training and continuing professional development Desirable -Qualification in health and social care, business administration or a related field -Care Coordinator or personalised care training -Additional training in healthcare administration, care navigation or population health

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

Honeypot Medical Centre

Address

Honeypot Medical Centre - Charlton Annexe

223 Charlton Road

Kenton

Harrow

Middlesex

HA3 9HT

United Kingdom

Employer's website

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

Employer details

Employer name

Honeypot Medical Centre

Address

Honeypot Medical Centre - Charlton Annexe

223 Charlton Road

Kenton

Harrow

Middlesex

HA3 9HT

United Kingdom

Employer's website

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

Job summary

Harrow East Primary Care Network (PCN) is seeking an enthusiastic, compassionate and highly organised Frailty Care Coordinator to join our friendly and forward-thinking multidisciplinary team.

This is an exciting opportunity to play a key role in supporting our established frailty service, working closely with the Frailty GP, Advanced Practitioners and wider healthcare professionals to improve the care and experience of older and vulnerable patients.

The successful candidate will support the coordination of care for patients living with moderate and severe frailty, ensuring appointments, referrals, multidisciplinary discussions and follow-up arrangements are managed effectively.

We are looking for a proactive individual with excellent organisational and communication skills who is passionate about delivering patient-centred care and helping patients remain safe, well and independent within their own homes and communities.

Main duties of the job

The Frailty Care Coordinator will provide dedicated administrative and care coordination support to the Frailty GP and wider multidisciplinary team across Harrow East PCN.

The role will involve coordinating appointments, home visits, referrals and follow-up reviews for patients identified as living with moderate or severe frailty, while maintaining accurate patient records and monitoring outstanding actions.

The postholder will organise and support multidisciplinary team (MDT) meetings, prepare agendas, record agreed actions and ensure these are appropriately followed up.

Working closely with GP practices, community healthcare services, hospitals, social care teams and other organisations, the successful candidate will support effective communication, timely referrals and continuity of care.

The role also involves communicating with patients, families and carers, escalating concerns appropriately and supporting the ongoing improvement of the PCN frailty service.

About us

Harrow East Primary Care Network (PCN) is a collaborative network of three GP practices: Honeypot Medical Practice, Bacon Lane Surgery and Mollison Way Surgery.

Together, we serve a diverse local population with a range of healthcare needs, including diabetes, cardiovascular disease, hypertension, multiple long-term conditions and frailty.

We are a friendly, supportive and forward-thinking organisation committed to delivering accessible, coordinated and culturally sensitive healthcare.

Our multidisciplinary teams bring together GPs, Advanced Practitioners, Clinical Pharmacists, Practice Nurses, Healthcare Assistants and wider primary care professionals, working collaboratively with community and secondary care services.

We have an established and evolving frailty service focused on proactive care, early intervention, effective multidisciplinary working and reducing avoidable hospital admissions.

We offer a collaborative working environment, opportunities for professional development and the chance to make a meaningful difference to the lives of our patients and their families.

Job summary

Harrow East Primary Care Network (PCN) is seeking an enthusiastic, experienced and highly motivated Advanced Frailty Practitioner (Advanced Nurse Practitioner or Advanced Paramedic Practitioner) to join our established multidisciplinary team.

This is an exciting opportunity for an autonomous clinician with a passion for frailty care, proactive case management and improving outcomes for older and vulnerable patients.

The successful candidate will play a key role in delivering our frailty service across three GP practices, providing comprehensive clinical assessments, personalised care planning and timely interventions to support patients in remaining safe, independent and well within their own homes and communities.

We are looking for a confident, compassionate practitioner who enjoys collaborative working, can manage complex clinical presentations and is committed to delivering high-quality, patient-centred care while helping reduce avoidable hospital admissions.

Main duties of the job

The postholder will work autonomously within their professional scope of practice, providing advanced clinical assessment, diagnosis, treatment and ongoing management for patients with frailty, multiple long-term conditions and complex health and social care needs.

Key responsibilities include undertaking comprehensive frailty assessments, conducting home visits, developing personalised care plans and proactively case managing patients at risk of deterioration or hospital admission.

The role will involve independent prescribing, where clinically appropriate, and working closely with GPs, community services, hospitals, social care professionals and the wider multidisciplinary team to ensure coordinated, effective and responsive patient care.

The successful candidate will also support the assessment and management of minor illnesses and long-term conditions, contribute to multidisciplinary team discussions and support the ongoing development and improvement of our frailty service.

About us

Harrow East Primary Care Network is a collaborative network of three GP practices dedicated to delivering accessible, innovative and high-quality healthcare to our local population.

We are a forward-thinking, patient-centred organisation with an established multidisciplinary workforce, bringing together GPs, Advanced Practitioners, Clinical Pharmacists, Practice Nurses, Healthcare Assistants and wider healthcare professionals.

Our PCN has a strong focus on proactive care, frailty management, long-term conditions and integrated working with community and secondary care services.

We offer a supportive and collaborative working environment, access to established clinical systems including EMIS Web, Docman and AccuRx, and opportunities to contribute to service development and quality improvement.

We value clinical autonomy, professional development and multidisciplinary collaboration, and are committed to supporting our teams in delivering compassionate, coordinated and effective care.

Details

Date posted

21 October 2026

Pay scheme

Other

Salary

£50,000 a year

Contract

Permanent

Working pattern

Full-time

Reference number

A1952-26-0006

Job locations

404 Honeypot Lane

Stanmore

Middlesex

HA7 1JP

United Kingdom

Job description

Job responsibilities

Advanced Frailty Practitioner Advanced Nurse Practitioner / Advanced Paramedic Practitioner

Organisation: Harrow East Primary Care Network (PCN)

Location: Stanmore, Harrow, London

Working pattern: Full-time

Salary: Competitive, dependent on qualifications and experience (£50,000)

Accountable to: PCN Clinical Director

Job purpose

The Advanced Frailty Practitioner will provide high-quality, autonomous clinical care to patients living with frailty, multiple long-term conditions and complex healthcare needs across Harrow East PCN.

The postholder will play a central role in identifying, assessing and proactively managing vulnerable patients, supporting early intervention, preventing avoidable deterioration and reducing unnecessary hospital admissions.

Working collaboratively with GPs, community healthcare professionals, acute services and social care teams, the postholder will contribute to the delivery and ongoing development of an effective, integrated frailty service.

The role requires advanced clinical assessment, diagnostic reasoning, independent prescribing and care coordination skills, alongside a commitment to maintaining the highest standards of patient safety and clinical governance.

Key responsibilities

1. Advanced clinical assessment and management

• Undertake comprehensive clinical assessments of patients presenting with complex health needs, frailty and multiple long-term conditions.
• Exercise advanced clinical reasoning and decision-making to assess, diagnose, treat and manage patients independently within professional competence.
• Develop, implement and regularly review evidence-based management and treatment plans.
• Prescribe medications safely and appropriately in accordance with independent prescribing qualifications, professional standards and local prescribing guidance.
• Recognise clinical deterioration, red flags and safeguarding concerns, escalating appropriately.
• Assess and manage minor illnesses and acute presentations where appropriate to the postholder's clinical competence.

2. Frailty and proactive case management

• Proactively identify and manage patients living with moderate and severe frailty.
• Undertake comprehensive frailty assessments, incorporating physical, psychological, functional and social care needs.
• Develop personalised care and support plans, including anticipatory and escalation planning where appropriate.
• Support patients to maintain independence and remain safely within their homes and communities.
• Identify patients at increased risk of deterioration, falls, hospital admission or readmission and coordinate timely interventions.
• Support medication reviews, falls prevention, rehabilitation planning and appropriate referrals to community services.
• Contribute to the identification and management of patients approaching the end of life, working collaboratively with GPs and specialist palliative care teams.
• Ensure patients and their families or carers are actively involved in decisions about their care.

3. Home visits and community-based care

• Undertake planned and clinically indicated home visits for housebound, frail and vulnerable patients.
• Assess patients within their home environments, identifying clinical, functional and social factors affecting their health and wellbeing.
• Initiate appropriate treatment, investigations, referrals and follow-up arrangements.
• Work closely with district nursing teams, community matrons, therapists, social care professionals and other community services.
• Recognise when urgent escalation or hospital assessment is required.

4. Multidisciplinary working and care coordination

• Work collaboratively with GPs, Advanced Practitioners, Clinical Pharmacists, care coordinators and wider PCN teams.
• Participate in multidisciplinary team meetings and frailty case discussions.
• Coordinate care across primary, community, secondary and social care services.
• Support effective communication and information sharing between professionals involved in patient care.
• Facilitate timely referrals and follow-up to promote continuity of care and reduce duplication.
• Contribute to effective discharge planning and post-discharge reviews to reduce the risk of hospital readmission.

5. Clinical governance and patient safety

• Maintain accurate, timely and comprehensive clinical records using the practice's electronic clinical systems.
• Work in accordance with relevant professional codes, clinical guidelines, local policies and evidence-based practice.
• Maintain patient confidentiality and comply with information governance requirements.
• Participate in clinical audits, quality improvement initiatives, significant event reviews and service evaluations.
• Identify and appropriately escalate clinical risks, safeguarding concerns and incidents.
• Maintain professional registration, prescribing competency and continuing professional development.

6. Service development and improvement

• Contribute to the ongoing development of the PCN frailty service, supporting proactive, coordinated and person-centred models of care.
• Identify opportunities to improve patient pathways, clinical processes and multidisciplinary working.
• Support the development of effective systems for identifying, reviewing and monitoring patients living with frailty.
• Contribute to the achievement of relevant PCN and NHS service objectives.
• Promote effective use of healthcare resources while maintaining high standards of clinical care.
• Participate in relevant training, professional development and service improvement activities.

Professional responsibilities

The postholder will be expected to exercise sound professional judgement, demonstrate accountability for their clinical practice and work effectively both independently and as part of a multidisciplinary team.

They must maintain professional registration with the Nursing and Midwifery Council (NMC) or Health and Care Professions Council (HCPC), as appropriate, and practise within their demonstrated competencies and professional scope of practice.

The above duties are not exhaustive and may be reviewed in accordance with the evolving requirements of the service, following appropriate discussion with the postholder.

Job description Job responsibilities Advanced Frailty Practitioner Advanced Nurse Practitioner / Advanced Paramedic PractitionerOrganisation: Harrow East Primary Care Network (PCN)Location: Stanmore, Harrow, LondonWorking pattern: Full-timeSalary: Competitive, dependent on qualifications and experience (£50,000)Accountable to: PCN Clinical DirectorJob purposeThe Advanced Frailty Practitioner will provide high-quality, autonomous clinical care to patients living with frailty, multiple long-term conditions and complex healthcare needs across Harrow East PCN.The postholder will play a central role in identifying, assessing and proactively managing vulnerable patients, supporting early intervention, preventing avoidable deterioration and reducing unnecessary hospital admissions.Working collaboratively with GPs, community healthcare professionals, acute services and social care teams, the postholder will contribute to the delivery and ongoing development of an effective, integrated frailty service.The role requires advanced clinical assessment, diagnostic reasoning, independent prescribing and care coordination skills, alongside a commitment to maintaining the highest standards of patient safety and clinical governance.Key responsibilities1. Advanced clinical assessment and managementUndertake comprehensive clinical assessments of patients presenting with complex health needs, frailty and multiple long-term conditions.Exercise advanced clinical reasoning and decision-making to assess, diagnose, treat and manage patients independently within professional competence.Develop, implement and regularly review evidence-based management and treatment plans.Prescribe medications safely and appropriately in accordance with independent prescribing qualifications, professional standards and local prescribing guidance.Recognise clinical deterioration, red flags and safeguarding concerns, escalating appropriately.Assess and manage minor illnesses and acute presentations where appropriate to the postholder's clinical competence.2. Frailty and proactive case managementProactively identify and manage patients living with moderate and severe frailty.Undertake comprehensive frailty assessments, incorporating physical, psychological, functional and social care needs.Develop personalised care and support plans, including anticipatory and escalation planning where appropriate.Support patients to maintain independence and remain safely within their homes and communities.Identify patients at increased risk of deterioration, falls, hospital admission or readmission and coordinate timely interventions.Support medication reviews, falls prevention, rehabilitation planning and appropriate referrals to community services.Contribute to the identification and management of patients approaching the end of life, working collaboratively with GPs and specialist palliative care teams.Ensure patients and their families or carers are actively involved in decisions about their care.3. Home visits and community-based careUndertake planned and clinically indicated home visits for housebound, frail and vulnerable patients.Assess patients within their home environments, identifying clinical, functional and social factors affecting their health and wellbeing.Initiate appropriate treatment, investigations, referrals and follow-up arrangements.Work closely with district nursing teams, community matrons, therapists, social care professionals and other community services.Recognise when urgent escalation or hospital assessment is required.4. Multidisciplinary working and care coordinationWork collaboratively with GPs, Advanced Practitioners, Clinical Pharmacists, care coordinators and wider PCN teams.Participate in multidisciplinary team meetings and frailty case discussions.Coordinate care across primary, community, secondary and social care services.Support effective communication and information sharing between professionals involved in patient care.Facilitate timely referrals and follow-up to promote continuity of care and reduce duplication.Contribute to effective discharge planning and post-discharge reviews to reduce the risk of hospital readmission.5. Clinical governance and patient safetyMaintain accurate, timely and comprehensive clinical records using the practice's electronic clinical systems.Work in accordance with relevant professional codes, clinical guidelines, local policies and evidence-based practice.Maintain patient confidentiality and comply with information governance requirements.Participate in clinical audits, quality improvement initiatives, significant event reviews and service evaluations.Identify and appropriately escalate clinical risks, safeguarding concerns and incidents.Maintain professional registration, prescribing competency and continuing professional development.6. Service development and improvementContribute to the ongoing development of the PCN frailty service, supporting proactive, coordinated and person-centred models of care.Identify opportunities to improve patient pathways, clinical processes and multidisciplinary working.Support the development of effective systems for identifying, reviewing and monitoring patients living with frailty.Contribute to the achievement of relevant PCN and NHS service objectives.Promote effective use of healthcare resources while maintaining high standards of clinical care.Participate in relevant training, professional development and service improvement activities.Professional responsibilitiesThe postholder will be expected to exercise sound professional judgement, demonstrate accountability for their clinical practice and work effectively both independently and as part of a multidisciplinary team.They must maintain professional registration with the Nursing and Midwifery Council (NMC) or Health and Care Professions Council (HCPC), as appropriate, and practise within their demonstrated competencies and professional scope of practice.The above duties are not exhaustive and may be reviewed in accordance with the evolving requirements of the service, following appropriate discussion with the postholder.

Person Specification

Knowledge and Skills

Essential

• -Advanced clinical assessment, diagnostic reasoning and decision-making skills
• -Ability to undertake comprehensive clinical and frailty assessments
• -Sound knowledge of frailty, multimorbidity and long-term condition management
• -Safe and effective independent prescribing skills
• -Ability to recognise and appropriately manage clinical deterioration
• -Excellent communication, organisational and clinical documentation skills
• -Ability to manage an autonomous clinical caseload and prioritise competing demands
• -Understanding of safeguarding, clinical governance and information governance
• -Ability to work collaboratively across primary, community and secondary care

Desirable

• -Knowledge of local community healthcare and social care pathways
• -Experience of personalised care planning and anticipatory care approaches
• -Knowledge of relevant PCN and NHS service specifications
• -Experience supporting falls prevention and rehabilitation pathways
• -Experience in service development and clinical pathway improvement
• -Experience supporting or mentoring junior clinical colleagues

Qualifications

Essential

• -Registered Nurse (NMC) or Paramedic (HCPC) with current UK registration
• -Recognised advanced clinical practice qualification at postgraduate level, or equivalent evidenced advanced practice training and competence
• -Independent prescribing qualification (V300 or recognised equivalent) with appropriate prescribing annotation
• -Evidence of continuing professional development

Desirable

• -Relevant postgraduate qualification in frailty, older people's care or advanced clinical practice
• -MSc in Advanced Clinical Practice
• -Advanced training in comprehensive geriatric assessment, palliative care or long-term condition management
• -Leadership, mentorship or clinical education qualification

Experience

Essential

• -Significant post-registration clinical experience, including autonomous advanced clinical practice
• -Experience assessing and managing patients with complex health needs and multiple long-term conditions
• -Experience managing frail, older or vulnerable patients
• -Experience of independent clinical decision-making, diagnosis and treatment planning
• -Experience working within multidisciplinary healthcare teams
• -Experience of safeguarding and clinical risk management

Desirable

• -Previous experience working within a Primary Care Network or GP practice
• -Experience delivering a dedicated frailty service
• -Experience undertaking home visits and community-based clinical assessments
• -Experience coordinating multidisciplinary frailty meetings
• -Experience contributing to clinical audits, quality improvement or service redesign
• -Experience using EMIS Web, Docman or AccuRx

Experience

Essential

• -Significant post-registration clinical experience, including autonomous advanced clinical practice
• -Experience assessing and managing patients with complex health needs and multiple long-term conditions
• -Experience managing frail, older or vulnerable patients
• -Experience of independent clinical decision-making, diagnosis and treatment planning
• -Experience working within multidisciplinary healthcare teams
• -Experience of safeguarding and clinical risk management

Desirable

• -Previous experience working within a Primary Care Network or GP practice
• -Experience delivering a dedicated frailty service
• -Experience undertaking home visits and community-based clinical assessments
• -Experience coordinating multidisciplinary frailty meetings
• -Experience contributing to clinical audits, quality improvement or service redesign
• -Experience using EMIS Web, Docman or AccuRx

Person Specification Knowledge and Skills Essential -Advanced clinical assessment, diagnostic reasoning and decision-making skills -Ability to undertake comprehensive clinical and frailty assessments -Sound knowledge of frailty, multimorbidity and long-term condition management -Safe and effective independent prescribing skills -Ability to recognise and appropriately manage clinical deterioration -Excellent communication, organisational and clinical documentation skills -Ability to manage an autonomous clinical caseload and prioritise competing demands -Understanding of safeguarding, clinical governance and information governance -Ability to work collaboratively across primary, community and secondary care Desirable -Knowledge of local community healthcare and social care pathways -Experience of personalised care planning and anticipatory care approaches -Knowledge of relevant PCN and NHS service specifications -Experience supporting falls prevention and rehabilitation pathways -Experience in service development and clinical pathway improvement -Experience supporting or mentoring junior clinical colleagues Qualifications Essential -Registered Nurse (NMC) or Paramedic (HCPC) with current UK registration -Recognised advanced clinical practice qualification at postgraduate level, or equivalent evidenced advanced practice training and competence -Independent prescribing qualification (V300 or recognised equivalent) with appropriate prescribing annotation -Evidence of continuing professional development Desirable -Relevant postgraduate qualification in frailty, older people's care or advanced clinical practice -MSc in Advanced Clinical Practice -Advanced training in comprehensive geriatric assessment, palliative care or long-term condition management -Leadership, mentorship or clinical education qualification Experience Essential -Significant post-registration clinical experience, including autonomous advanced clinical practice -Experience assessing and managing patients with complex health needs and multiple long-term conditions -Experience managing frail, older or vulnerable patients -Experience of independent clinical decision-making, diagnosis and treatment planning -Experience working within multidisciplinary healthcare teams -Experience of safeguarding and clinical risk management Desirable -Previous experience working within a Primary Care Network or GP practice -Experience delivering a dedicated frailty service -Experience undertaking home visits and community-based clinical assessments -Experience coordinating multidisciplinary frailty meetings -Experience contributing to clinical audits, quality improvement or service redesign -Experience using EMIS Web, Docman or AccuRx Experience Essential -Significant post-registration clinical experience, including autonomous advanced clinical practice -Experience assessing and managing patients with complex health needs and multiple long-term conditions -Experience managing frail, older or vulnerable patients -Experience of independent clinical decision-making, diagnosis and treatment planning -Experience working within multidisciplinary healthcare teams -Experience of safeguarding and clinical risk management Desirable -Previous experience working within a Primary Care Network or GP practice -Experience delivering a dedicated frailty service -Experience undertaking home visits and community-based clinical assessments -Experience coordinating multidisciplinary frailty meetings -Experience contributing to clinical audits, quality improvement or service redesign -Experience using EMIS Web, Docman or AccuRx

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Honeypot Medical Centre

Address

404 Honeypot Lane

Stanmore

Middlesex

HA7 1JP

United Kingdom

Employer's website

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

Employer details

Employer name

Honeypot Medical Centre

Address

404 Honeypot Lane

Stanmore

Middlesex

HA7 1JP

United Kingdom

Employer's website

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

Job summary

We are seeking a highly organised, proactive, and experienced Senior Administrator to join our busy and friendly primary care team at Honeypot Medical Centre.

The successful candidate will play a key role in ensuring the smooth day-to-day operation of administrative services across the practice. They will lead and support a team of administrators while delivering efficient, patient-focused services that contribute to high standards of care, regulatory compliance, and practice performance.

The role involves overseeing patient registration processes, clinical recall programmes, document management, workflow allocation, appointment administration, referral processing, prescription support, and the maintenance of accurate patient records using EMIS and Docman systems. The post holder will also support the achievement of Quality and Outcomes Framework (QOF) targets and other contractual requirements through effective patient recall and engagement processes.

As a Senior Administrator, you will act as a point of escalation for administrative queries, contribute to service improvement initiatives, support staff development, and work collaboratively with clinicians, management, and external agencies to ensure safe, efficient, and high-quality patient care.

Main duties of the job

About us

With over 80 years of service to the local community, Honeypot Medical Centre is a well-established and forward-thinking GP practice committed to delivering high-quality, patient-centred care. We combine the values of traditional family medicine with innovative approaches and modern technology to meet the evolving healthcare needs of our population.

Our modern, purpose-built premises provide an excellent working environment, featuring nine spacious consulting rooms used by our multidisciplinary team, including GPs, pharmacists, nurses, healthcare assistants, and physiotherapists.

We are committed to creating an inclusive and accessible environment for both patients and staff. The practice is fully accessible, with ramps, a disabled parking bay, accessible toilets on both floors, and lift access throughout the building.

Joining Honeypot Medical Centre means becoming part of a supportive, collaborative team dedicated to delivering outstanding care while fostering professional development and continuous improvement.