Project Team Lead & Care Coordinator

We are looking for an enthusiastic and organised Project Lead & CareCoordinator to support and develop our Proactive Care Team (PACT) across thePCN.

This variedrole combines care coordination, team leadership and service development,helping to improve outcomes for patients with complex health and social careneeds.

You will work closely with GPs, care coordinators, paramedics andpartner organisations to ensure patients receive joined-up, proactive andpersonalised care.

The successful candidate will coordinate multidisciplinary team (MDT)meetings, oversee patient pathways, monitor service performance, supportquality improvement initiatives, and provide day-to-day leadership to theProactive Care Team.

This is an exciting opportunity for someone who enjoys buildingrelationships, managing projects, leading teams and making a real difference topatient care.

Main duties of the job

• Care Coordination
• MDT & Partnership Working
• Line Management
• Data & Reporting

About us

Hedena Health is a GP practice serving patients across Oxfordshire,dedicated to providing high-quality, patient-centred primary care. The practiceoffers a wide range of healthcare services and works closely with local health,social care and community partners to deliver coordinated support for patients.With a focus on accessibility, innovation and continuous improvement, HedenaHealth is committed to improving health outcomes and delivering excellent careto its local population.

Job responsibilities

• Support the day-to-day delivery and development of the PACT service.
• Monitor activity, caseloads and performance against agreed objectives.
• Coordinate workload across the team and ensure patients receive timely follow-up and support.
• Contribute to service planning, development and quality improvement initiatives.

Care Coordination

• Identify and support patients who would benefit from proactive multidisciplinary care.
• Coordinate care plans, referrals and actions arising from MDT discussions.
• Act as a point of contact for patients, carers and professionals involved in patient care.
• Escalate concerns relating to patient safety, unmet need or service delays.

MDT & Partnership Working

• Coordinate and facilitate MDT meetings involving health, social care and voluntary sector partners.
• Prepare agendas, record actions and ensure follow-up of agreed plans.
• Build strong relationships with partner organisations to support integrated care.

Line Management

• Provide supervision and support to Care Coordinators.
• Undertake one-to-ones, appraisals and wellbeing discussions.
• Support staff development, training and workload management.

Data & Reporting

• Maintain accurate records using EMIS and reporting systems.
• Produce activity and performance reports.
• Monitor outcomes and support reporting requirements for the PCN and ICB.

Person Specification

Qualifications

• Experience working within the NHS, primary care, health or social care.
• Experience of care coordination, project coordination or service delivery.
• Excellent organisational, communication and relationship-building skills.
• Experience working with multiple stakeholders and multidisciplinary teams.
• Ability to prioritise workload and work independently.
• Experience of line management or staff supervision.
• Experience using EMIS or similar clinical systems.
• Knowledge of Primary Care Networks, community services or integrated care.
• Experience of service improvement, reporting or performance monitoring.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

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