Primary Care Network Care Coordinator

Job summary

Bolton GP Federation is looking to recruit a Care Coordinator on behalf of our Primary Care Networks (PCNs).

You will have a broad portfolio of duties that originate from the requirements of the PCN contracts, including the Directed Enhanced Services (DES) and Impact & Investment Fund (IIF).

Main duties of the job

Care coordinators provide extra time, capacity and expertise to support patients. You will work closely with GPs and other primary care professionals within the PCN to proactively identify and manage a caseload of patients, making sure that holistic support is made available to them and that their complex needs are addressed. You may also be asked to contribute towards other administrative tasks within the practice or PCN.

About us

Bolton GP Federation is a collective vehicle where Boltons GP practices come together to deliver primary care, providing a place for collaboration, knowledge-sharing and coordination. The Federation is a voice of the priorities, needs and local intelligence of primary care into the wider healthcare system.

We are rated Good by the Care Quality Commission (CQC) and we are proud of the services that we run, which include Primary Care Networks, Extended Primary Care, and Experienced Nurse Network and the Covid Vaccination Programme.

Our mission is to improve health and care. We meet everyday health and care needs for people by connecting primary care systems and using creative thinking to develop, improve and support great local services.

Bolton GP Federation is committed to the Disability Confident Scheme. We guarantee an interview to disabled applicants who meet the essential criteria for the role and will provide reasonable adjustments throughout the recruitment process. If you need adjustments to enable you to apply for this role, please get in touch with the recruiting manager.

Details

• Date posted: 02 September 2026
• Pay scheme: Other
• Salary: £26,912.02 to £29,532.91 a year
• Contract: Permanent
• Working pattern: Full-time, Part-time
• Reference number: B0083-26-0017
• Job locations: Floor 2, The Hub, Bold Street, Bolton, Lancashire, BL1 1LS, United Kingdom

Job responsibilities

Key Responsibilities and Duties:

The Care Coordinator will undertake work in line with PCN and directed priorities. The following are the core responsibilities of the role:

Clinical Pharmacy Support

Use clinical system risk stratification tools and Ardens Manger to identify and call/recall patients for the Clinical Pharmacy Team to review. This includes, but is not limited to, patients for:

Structured Medication Reviews

QOF Quality Improvement indicators

QOF Medicines indicators

IIF Medicines indicators

Practice Prescribing Schemes

Audits

Early Cancer Diagnosis

Support the delivery of PCN objectives under the Early Cancer Diagnosis requirements of the PCN DES. This includes but is not limited to:

Attending Cancer Steering Group meetings

Patient follow-up from cancer screening

Cancer care planning

Patient communications

Enhanced Care in Care Homes

You will:

Support the practice team to identify gaps in existing care plans and help produce and annual Personalised Care and Support Plan (PCSP), referring to the patients named GP to complete.

Liaise with care homes to schedule the monthly Clinical Pharmacist visits.

Liaise with care homes to ensure new admissions and patients who have been discharged from hospital, are reviewed at the next Ward Round, and have an updated PCSP.

Cardiovascular Disease Prevention and Diagnosis

Support patient call and recall as directed by the Senior Network Manager.

Health Inequalities

Identify patient cohorts being targeted by the PCN health inequalities steering group, inviting them to participate in agreed interventions.

Learning disabilities care planning.

Supporting patients & Social Prescribing:

Actively sign-post patients to a variety of services including Social Prescribing, making referrals as appropriate.

Utilise population health intelligence to proactively identify a cohort of patients to deliver personalised care.

Information Technology

Write searches to identify target patient cohorts.

Write and update templates and protocols to effectively capture relevant clinical and non-clinical information.

Multi-Disciplinary Team (MDT) Meetings

Prepare agendas for MDT meetings and contact all parties to ensure attendance and to confirm patients to be discussed.

Care Planning

Support the practice objectives (local and PCN-level) to ensure care plans are actively created and updated. This includes for learning disability patients, dementia patients, care home residents and cancer patients.

Identify patients without recent care plans in place and work with their name GP to update these plans.

Ensure that preventative actions are agreed and detailed in care plans to support the reduction of unnecessary hospital admissions.

Investment and Impact Fund (IIF)

Ensure the minimum number of patient contacts by aligning multiple tests and reviews.

Support Data Collection:

Ensure timely and accurate collation of data for the PCN

Appropriate management of collected data, ensuring all data is kept and shared in accordance with all relevant governance requirements.

Validate and quality assure incoming data.

Run regular patient searches using clinical systems to have an up-to-date record of progress of achievement of Key Performance Indicators (KPIs).

Case finding to support target achievement and enhancing register prevalence.

PCN Duties

Provide an agreed Care Coordinator service to all PCN practices with duties to be defined by the PCN managers.