Care Co-ordinator

Aspiro Healthcare is looking for a motivated and compassionate Care Co-ordinator to join our Community Support Team (CST) on a fixed-term maternity cover basis. This is a key primary care role supporting patients with long-term conditions, frailty, or complex needs. You will work across GP practices and partner organisations to help coordinate care, improve patient outcomes, and reduce avoidable hospital admissions. You will act as a central point of contact for patients, carers, and professionals, ensuring care plans are implemented effectively and support is joined-up and timely.

Main duties of the job

• Plan, schedule and record CST meetings, distributing agendas and documentation in advance.
• Capture accurate minutes and track progression of agreed actions.
• Maintain the CST database and produce caseload/performance summaries for the practice.
• Work with patients, families, and carers to develop, review, and maintain personalised care plans reflecting individual goals and preferences.
• Support patients in preparing for and following up on consultations, improving their understanding of treatment, medication, and self-management.
• Identify and proactively engage patients who may benefit from care coordination, particularly those with complex needs or frequent admissions.
• Act as the link between primary, secondary, community, and social care services to ensure continuity of care.
• Track hospital admissions/discharges, ensuring timely follow up and transition of care.
• Liaise closely with GPs and practice clinicians to maintain oversight of caseloads and ensure appropriate referrals.
• Maintain accurate and up to date records of patient contacts, interventions, and outcomes within the clinical system (e.g. SystmOne).
• Build strong relationships across the practice and with external partners such as social prescribing link workers, health & wellbeing coaches, and community teams.
• Undertake ongoing personal and professional development, including PCI accredited care coordinator training (if not already completed).

About You

• Organized, proactive, and patient-centred, with the ability to work across multiple teams and manage a varied workload.
• Experience in healthcare, social care, or community settings.
• Strong organisational and administrative skills, with the ability to manage competing priorities.
• Excellent communication and interpersonal skills.
• Ability to handle sensitive and confidential information appropriately.
• Experience supporting vulnerable or complex patients.
• Understanding of long-term conditions, frailty, or complex care.
• Experience using clinical systems (e.g. SystmOne).

This is a fixed-term maternity cover role, with an expected duration of 9-12 months. An earlier start is preferred to allow for a full handover.