PCN Care Coordinator - Older Person's Integrated Care Team

PCN Care Coordinator – Older Person's Integrated Care Team

The closing date is 27 February 2026

To act as the single point of administrative and coordination support for the Older Persons Integrated Care (OPIC) Team within the Barnstaple Alliance Primary Care Network. This role, alongside the OPIC Team clinicians, will work closely with the member practices to provide care to our care home and housebound patients registered within the PCN.

Hours available are 26 hrs to 30 hrs a week, worked over 4 or 5 days.

Interviews planned for 10th March 2026.

The OPIC Team consists of Nurse Practitioners and a GP Clinical Lead. The PCN care co‑ordinator role will be pivotal in ensuring all patients receive the best possible care and service through coordinating and supporting the delivery of all key activities of the OPIC Team. This includes access to services, advice and information, ensuring a patient‑centred approach with timely and effective care planning and organisation.

The role will involve coordination of OPIC home visits for older people living in their own homes and those living in care homes. This will involve identifying patients for visits, making bookings, preparing visit paperwork and entering data onto the patient record, following visits from the OPIC clinicians. There will also be a role in vaccine planning and coordination for the PCN.

The role will also include supporting digital initiatives.

The Barnstaple Alliance PCN is a proactive and supportive network of four General Practitioner surgeries:
Brannam, Fremington, Litchdon and Queens Medical Centres. Between us we provide care to over 55 000 patients in the Barnstaple area. Whilst retaining our independent surgeries, we are working together on collaborative projects to improve and develop the healthcare services we offer to patients.

MAIN DUTIES & RESPONSIBILITIES

The tasks and responsibilities to be undertaken may include any or all the items in the following lists, but they are not limited to this list and are dependent on current and evolving PCN workload and staffing levels.

• Provide efficient and comprehensive administrative and clerical support to the OPIC Team on a day‑to‑day basis.
• Coordinate and arrange Annual Review visits and Proactive Care visits for the OPIC team, identifying patients for these visits, contacting patients to make bookings, preparing visit paperwork and inputting data after visits.
• Continuously monitor, manage, and prioritise all incoming and outgoing correspondence and workflow for the OPIC Team (such as the OPIC team’s email inbox and TPPSystm
  
  One task boxes), initiating responses where appropriate.
• Being the single point of contact for the OPIC team for the member practices and teams within the Barnstaple Alliance PCN, Care Homes and other healthcare professionals.
• Support the OPIC Team with inputting data and maintaining patient records and patient lists.
• Day‑to‑day support to the OPIC nurses – preparing paperwork for visits, printing blood labels, supporting with admin.
• Practical application of TPP Systm One and Microsoft Teams for coordinating workload, organising individual team members' caseloads and appointments, and developing reporting mechanisms.
• Coordinate agendas, prepare patient lists and take minutes of key meetings including relevant Multidisciplinary Team meetings.
• Produce via TPPSystm
  
  One and other digital tools reports to support the work of the team.
• Support the PCN, its member practices and the Clinical Lead of the OPIC Team with aspects of the Network Contract Directed Enhanced Service (DES). Including the Enhanced Health in Care Homes (EHCH) and Structured Medication Review (SMR) areas.
• Coordinate Care Home Ward Rounds, liaising with staff at all relevant organisations and booking patients into the Weekly Care Home Round appointment template within TPPSystm
  
  One as needed.
• Help Care Home Managers and GP Practices address their patients’ needs through answering queries, managing diaries and appointments, and delivering care plans.
• Support the OPIC Team in the development of robust care plans in line with best practice.
• Organise which elements of…