Neighbourhood Care Coordinator


Company:	NHS Jobs
Salary:	Negotiable
Hours:	Full-time
Location:	London, SE5 7JZ
Job type:	Contract
Posting date:	26 Aug 2026
Closing date:	6 Sept 2026

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Summary

Key Responsibilities Neighbourhood Care Coordination Act as a senior point of contact for patients, carers, practices and partner organisations. Proactively contact patients to understand their needs, priorities, goals and barriers to care. Complete structured holistic reviews, capturing clinical, social and wider wellbeing factors and providing good quality written or verbal information to assist with choices about care. Prepare for clinics by ensuring patient records are up to date and include any tests required by the clinic. Follow up on post clinic tasks effectively (such as making referrals, multiple disciplinary team (MDT) meeting preparation etc). Develop, record and coordinate personalised care plans in line with patient goals and local protocols. Arrange any follow-ups, updating patient notes accordingly and pro-actively check these tasks have been completed. Signpost or refer patients to appropriate health, social care, voluntary sector and community services. Maintain accurate records, including Universal Care Plans and shared care records where appropriate. Prioritise caseload activity and escalate risks, safeguarding concerns or clinical issues appropriately. Provide guidance and day-to-day support to care coordination colleagues to share learning and best practice. Ad-hoc neighbourhood tasks as and when services require this. Support the CYP Programme by coordinating recalls for children and young people with tracer conditions, ensuring timely follow-up and accurate record keeping. MDT and Partnership Working Work with the neighbourhood primary care team to identify cohorts of patients who are eligible for neighbourhood services. In Southwark we currently have 3 priority areas: frailty, multiple long term conditions and children & young people but as neighbourhood services expand, additional priority areas will be identified. Prepare, coordinate and refer appropriate cases for MDT discussion. Track MDT actions and escalate delays or unresolved issues. Work with the MDT to ensure consistent, patient-centered support across the INT pathway. Collaborate with primary care, mental health, nursing teams, community services, social care, and voluntary sector partners. Support safe information sharing and improvements to neighbourhood pathways. Help to embed the MDT approach across the neighbourhood. Collaborate with administrative teams to support the organisation, coordination and smooth running of MDT meetings. Build strong relationships with local partners and help shape the services to improve outcomes for all. Service Improvement Support daily workflow, caseload prioritisation and task allocation. Build and maintain effective relationships with neighbourhood practices, Primary Care Network (PCN), existing practice-based primary care co-ordinators and neighbourhood teams. Provide coaching and support to colleagues. Contribute to SOPs, templates and pathway improvements. Support audit, reporting and quality improvement activity by collating patient data to help inform future service decisions. Identify key themes, escalate and report service risks, challenges and improvement opportunities to the INT Manager Resident Engagement and Support Build trusting relationships to understand patient needs, priorities and barriers. Use motivational interviewing and goal-setting techniques to support engagement in the INT programme. Encourage and empower patients to take an active role in their health and care planning. Support patients with low health and digital literacy, communication needs or complex social circumstances. Promote self-management, prevention and access to community support. Support patients to access and manage their Universal Care Plans through the NHS App including signposting to digital inclusion and support services.

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