About the role
Salary: £28,392 a year
Join SHaR PCN as a Care Co-ordinator in our innovative 'Age Well' team, supporting older people across Ryedale and South Hambleton. This is a part-time post of 22.5 hours per week with a salary of £28,392pa (pro rata). This exciting role focuses on
prevention and early intervention to improve the health and wellbeing of people
over 65. You'll be working proactively to identify and support older people,
particularly those who are frail or living with long-term conditions including
cancer, helping them navigate health and care services whilst addressing wider
determinants like poor housing, loneliness and caring responsibilities. Working
within our award-winning Primary Care Network of seven GP practices, you'll be
the key contact for older people and their families, building trusted
relationships and coordinating personalised care plans based on what matters
most to them. You'll collaborate with GPs, nursing staff, Occupational
Therapists, Social Prescribers and voluntary sector partners as part of an
integrated neighbourhood team. This is an opportunity to make a genuine
difference in people's lives, enabling older people to maintain independence
and live well in their communities whilst developing your career in a
supportive, forward-thinking environment. If you're passionate about holistic
care co-ordination and want to help older people thrive, we'd love to hear from
you.Shortlisting will take place on Wednesday 21 October, with interviews planned for Wednesday 4 November
Act as first point of contact for older people entering the Age Well pathway, building trusted, therapeutic relationships
Proactively identify and engage older people based on robust data analysis, particularly those who are frail or have long-term conditions including cancer
Conduct comprehensive assessments to identify care and support needs for older people and their families/carers
Develop and coordinate personalised care and support plans (PCSP) based on what matters most to each person
Provide ongoing case management through regular check-ins, supporting people to maintain or regain independence
Coordinate care across multiple agencies including GPs, nursing staff, Occupational Therapists, social care and voluntary sector
Navigate older people and their families through health and care services, ensuring timely access to appropriate support
Support people to access enablement approaches, living skills, adaptations and simple safeguards to maintain independence
Maintain accurate, appropriately coded clinical records and communicate care plans to relevant professionals
Work as part of an integrated neighbourhood team, acting as a conduit between patients, families and health professionals
About the Role