PCN Care Co-ordinator

Job summary

We currently have a vacancy for a Care Co-ordinator based at Chacewater Surgery for 25 hours over 5 days Monday - Friday. There is also the possiblity of further posts available as part of our Frailty Team working in conjunction with Coastal PCN with differing hours. The Care Coordinator plays a pivotal role within the Primary
Care Network, working as part of a multidisciplinary team to support patients
in navigating health and care services, coordinating care across organisational
boundaries, and ensuring patients receive timely, appropriate and
person-centred support.

If you are interested in a role with Coastal PCN please email me your CV and covering letter to  duties of the jobThe post holder will proactively identify and support
individuals, particularly those with complex health needs, frailty, long-term
conditions, mental health needs or those requiring support from multiple
agencies. They will work closely with GP practices, community services,
voluntary sector organisations, social care providers and other healthcare
professionals to improve patient outcomes and reduce health inequalities.

The Care Coordinator will help patients understand and
manage their care pathways, ensuring services are delivered in a joined-up and
efficient manner.

Further training for the right candidate will be considered
and would include performing basic physical health checks e.g. weight, blood
pressure, blood tests etc.

About us Coastal Primary Care Network (PCN) is an NHS collaboration of four GP practices serving communities across the north and central Cornwall coastal area. The PCN works to provide high-quality, coordinated primary care services, with a focus on integrated working, prevention, proactive care, social prescribing, and support for patients with long-term conditions and frailty.

The PCN serves approximately 30,000 registered patients and has one of the highest proportions of over-65s populations in Cornwall. It works closely with community nursing teams, local health and social care providers, and voluntary sector organisations to deliver joined-up care closer to home.

We consist of Carnon Downs Surgery, Chacewater Surgery, Perranporth Surgery and St Agnes Surgery.

Through collaboration across its practices, Coastal PCN aims to:

Improve access to healthcare services.

Deliver coordinated and personalised patient care.

Support population health management.

Reduce health inequalities.

Strengthen links between primary care, community services, social care and the voluntary sector.

Provide innovative services through the Additional Roles Reimbursement Scheme (ARRS).Details Date posted
07 September 2026

Pay scheme

Other Salary
Depending on experience

Contract Permanent Working  pattern

Full-time,

Part-time,

Flexible working

Reference numberAJob locations

Chacewater Surgery Chacewater Hill Truro Cornwall TR4 8QS
United Kingdom Job description

Job responsibilities

Key Responsibilities Care Coordination Coordinate and support the delivery of personalised care plans.

Act as a central point of contact for patients and their families where appropriate.

Support patients to access the right services at the right time.

Coordinate care across primary care, secondary care, community services, social care and voluntary sector organisations.

Facilitate smooth transitions between services.

Ensure patients receive timely follow-up and ongoing support.

Provide assessment within patient home settings. Patient Identification and Case Management Identify patients who may benefit from care coordination including:

Frail and elderly patients.

Patients with multiple long-term conditions.

Patients experiencing frequent hospital admissions.

Patients with complex social needs.

Patients requiring support from multiple agencies.

Maintain…