PCN Care Coordinator

PCN Care Coordinator

Go back Bramhall and Cheadle Hulme Primary Care Network

The closing date is 16 February 2026

Please note that this position is open to new applicants only; previous applicants need not apply.

Applicants must have the right to work in the UK. Please be aware that we are unable to offer visa sponsorship for this role.

The Care Coordinator plays a pivotal role within the Primary Care Network (PCN) and GP practices, ensuring that patients receive well‑organised, person‑centred, and proactive care.

This role focuses on individuals with Serious Mental Illness (SMI), Learning Disabilities (LD), and those living with long‑term or complex health needs, supporting coordination of health checks, reviews, and care planning across primary, community, and secondary care services.

The postholder supports the PCN to deliver high‑quality care in line with NHS England's Enhanced Services, QOF, and Integrated Neighbourhood Team objectives.

This role supports the coordination and delivery of key health checks and long‑term condition reviews across the GP practice and PCN. You will oversee SMI and Learning Disability annual health checks, ensuring core assessments are completed, follow‑up actions arranged, and communication is accessible for patients, carers, and support teams. You will help organise reviews for diabetes, respiratory disease, hypertension, heart conditions, CKD, endocrine disorders, and frailty, including falls reviews, medication checks, and home visits for house‑bound patients.

The role also supports cancer care reviews, NHS Health Checks, screening programmes, contraception and women's health reviews, men's health awareness, and coordination of routine and seasonal immunisations.

You will provide care coordination and navigation, acting as a point of contact for patients and carers, supporting post‑discharge follow‑up, and ensuring smooth transitions between primary, community, and secondary care. Working within multidisciplinary teams, you will help track and complete actions, support proactive case finding, and contribute to effective communication that promotes engagement and self‑management.

The role involves maintaining accurate clinical records, supporting QOF, DES, and IIF reporting, and contributing to audits and service improvement. You will work closely with GPs, nurses, HCAs, PCN staff, community mental health and LD teams, secondary care, and local voluntary sector partners.

Bramhall and Cheadle Hulme Primary Care Network (PCN) is a thriving network of GP practices located in the Stockport area, committed to delivering high‑quality, patient care. We aim to provide innovative and coordinated care, enhancing services for patients while promoting preventative healthcare and managing long‑term conditions.

Our network is built on strong collaboration between member practices, local health services, and community partners. By working closely together, we aim to streamline patient care and improve access to essential services.

You will coordinate and support the delivery and follow‑up of all key health checks within the GP practice and PCN. This includes managing Serious Mental Illness (SMI) annual health checks by tracking completion of all core elements such as blood pressure, BMI, blood tests, lifestyle screening, medication reviews, and side‑effect monitoring. You will liaise with mental health services to ensure follow‑up actions, including ECGs and vaccinations, and promote engagement through reminders and reasonable adjustments.

For Learning Disability

LD) annual health checks, you will organise invitations and follow‑up for patients aged 14+, ensuring physical, mental health, medication, and lifestyle assessments are completed, while working closely with LD teams, carers, and advocates to support accessible communication.

You will support the scheduling and coordination of long‑term condition reviews, including diabetes, respiratory conditions, hypertension, heart failure, CHD, CKD, thyroid disorders, and other endocrine conditions. This also includes coordinating frailty assessments, falls reviews, medication checks,…