CVD Health & Prevention Coordinator

The CVDHealth & Prevention Coordinator will play a key role in delivering neighbourhood-based cardiovascular disease prevention and management programmes across the South East Neighbourhood of Hillingdon.

This is apredominantly field-based role, working across community settings,outreach venues and GP practices. The post holder will lead and coordinate initiatives to identify, support and manage patients at risk of, or living with, cardiovascular disease, including hypertension, atrial fibrillation,diabetes, coronary heart disease and stroke.

The role combines clinical support and care coordination, focusing on case finding, health promotion, referral facilitation and personalised care planning, with a strong emphasis on addressing health inequalities through community engagement.

The Confederation, Hillingdon

CIC works with General Practice and other healthcare providers to deliver itsvision for Hillingdon to deliver the best primary care outcomes for patients in the whole of London. We are a not-for-profit community interest company. The Confederation works to develop and support individual GP practices, PCNs and Neighbourhoods and their changing needs. We deliver excellent clinical services ourselves, both at scale and complementary to General Practice.

We are the provider representative voice for local

General Practice in the wider NHS and other Partners. We are of the NHSbut independent, innovative and transformational.

The Confederation determines to develop as an attractive place to work, providing rewarding roles and opportunities to grow in order to attract and retain great staff that in turn delivers our vision.

Our Values

• We work together to make a difference for patients
• We care enough to go the extra mile
• We support, trust, and empower
• We sincerely value each other
• We support primary care to own its destiny

Clinical Support

• Undertake targeted case finding and screening for CVD, including NHS Health Checks, blood pressure, atrial fibrillation and diabetes risk assessment, in line with agreed protocols.
• Conduct or assist with clinical risk assessments (for example blood pressure monitoring, risk scoring) and refer appropriately
• Accurately record findings in clinical systems and ensure appropriate communication of results, escalation of concerns and onward referral.
• Work with neighbourhood partners to identify barriers to access, using population health data to improve detection,prevalence and optimisation of care.
• Deliver health promotion advice on lifestyle, smoking cessation, weight management, physical activity and mentalwell being, signposting to relevant services as required.

Care Coordination and Addressing Health Inequalities

• Support patients, families andcarers to understand conditions and develop personalised care and support plans.
• Improve health literacy and engagement, particularly within underserved or disengaged communities.
• Build and maintain relationships with community groups and leaders where language, culture or access present barriers.
• Attend and support community outreach and engagement events, including evenings and weekends, delivering screening and health education.

Administrative and Operational Duties

• Contribute to neighbourhood KPIsand service delivery targets.
• Maintain high-quality, up-to-date clinical records and support data quality improvements.
• Access and interpret data from systems such as EMIS and WSIC for reporting, audit and service evaluation.
• Contribute to the development and improvement of assessment tools, service pathways, or quality improvement initiatives aligned with evidence and NICE guidance.
• Support audit, evaluation and reporting requirements to monitor service impact and outcomes.

• Minimum GCSE Grade C or equivalent in English and Maths
• Care coordination training course or be willing to complete one before taking referrals.

• Experienced Care Coordinator with EMIS experience
• Good IT Skills
• Ability to actively listen, empathise with people and provide personalised support in a non-judgemental way
• Ability to provide a culturally sensitive service supporting people from all backgrounds and communities, respecting lifestyles and diversity
• Commitment to reducing health inequalities and proactively working to reach people from diverse communities
• Ability to support people in a way that inspires trust and confidence, motivating others to reach their potential
• Ability to communicate effectively, both verbally and in writing, with people, their families, carers, partner agencies and stakeholders
• Ability to identify risk and assess/manage risk when working with individuals
• Strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the care coordinator role, e.g. when there is a mental health need requiring a qualified practitioner
• Ability to maintain effective working relationships and to promote collaborative…