PCN Proactive Care Connector
| Company: | NHS Jobs |
|---|---|
| Salary: | from £13.50 an hour |
| Hours: | Full-time |
| Location: | Leeds, LS12 3HD |
| Job type: | Permanent |
| Posting date: | 27 Aug 2026 |
| Closing date: | 25 Sept 2026 |
Summary
Proactive care coordination and patient support Act as a central point of contact for patients, carers, and professionals involved in care delivery. Coordinate care across primary care, community services, secondary care, social care, and voluntary organisations. Support safe and effective transitions between hospital and community-based services. Signpost patients and carers to appropriate services, resources, and support networks. Assist in identifying sources of support for patients with complex health and social care needs. Build positive working relationships that encourage engagement and shared decision-making. Support the maintenance of frailty registers and proactive patient case management programmes. Multi-disciplinary team (MDT) support Coordinate and facilitate regular Multi-Disciplinary Team (MDT) meetings across the Primary Care Network. Prepare, collate, and present relevant patient information to support effective discussion and care planning. Record meeting outcomes and ensure agreed actions are communicated and progressed appropriately. Work collaboratively with GPs, community services, social care teams, mental health services, and voluntary sector partners to support integrated care delivery. Attend MDT meetings, including those relating to frequent attenders and patients with complex needs, contributing to hospital admission avoidance initiatives. Support the development, monitoring, and review of care plans through a multidisciplinary approach. Facilitate communication between all professionals involved in patient care to ensure continuity and consistency of support. Administrative support Manage and prioritise workload effectively within a busy integrated care environment. Coordinate the administrative functions associated with MDT meetings, including scheduling, documentation, and follow-up actions. Maintain efficient filing, record-keeping, and administrative systems. Receive and manage referrals, enquiries, and correspondence from health and social care professionals. Ensure patient information is recorded accurately and shared appropriately in line with information governance requirements. Support the development and implementation of administrative processes and standard operating procedures. Produce reports and documentation required to support service delivery and performance monitoring. IT and data management Use a range of clinical and administrative systems to support patient care and service delivery. Maintain accurate electronic patient records and update systems following MDT discussions and care interventions. Extract, collate, and analyse patient information from multiple systems to support care planning and MDT decision-making. Maintain databases and registers relating to frailty, care coordination activity, and service performance. Produce statistical reports and performance data as required. Support the use of risk stratification tools to identify patients who may benefit from proactive intervention. Demonstrate proficiency in Microsoft Office applications, including Outlook, Word, Excel, Teams, and relevant clinical systems. Audit, quality improvement and service development Contribute to audit, governance, and service improvement activities. Support the collection and analysis of data to inform performance monitoring and service evaluation. Participate in projects aimed at improving patient outcomes, reducing health inequalities, and preventing unnecessary hospital admissions. Assist in identifying opportunities to enhance care pathways and operational processes. Maintain awareness of current best practice and contribute ideas to support continuous improvement. Learning and professional development Demonstrate a commitment to ongoing personal and professional development. Participate in regular supervision, appraisal, and performance review processes. Develop and maintain knowledge of local services, referral pathways, and integrated care systems. Identify training and development needs in conjunction with line management. Engage in formal and informal learning opportunities to enhance knowledge, skills, and competence within the role.