Care Coordinator, Sutton Community LD Health Team

Band 4

Main area

Learning Disabilities

Grade

Band 4

Contract

Fixed term: 4 months (Until 31 March 2026)

Hours

Full time hours per week (Monday to Friday)

Job ref

FM-AG

Site

Green Wrythe Lane Health Clinic

Town

Carshalton

Salary

£32,199 - £34,876 pro rata pa inc. HACS outer

Salary period

Yearly

Closing

26/11/2025 23:59

At Epsom and St Helier Hospitals, above all we value respect. We put respect at the heart of all we do, by living up to our shared behaviours of kindness, professionalism, positivity and teamwork. This enables us to provide great patient care and make ESTH a great place to work. When you sign up to work with us, you sign up to this and we welcome applicants who share our values.

Job overview

The Sutton Community Learning Disability (LD) Health Team comprises the LD Team, hosted by the London Borough of Sutton and located at the Civic Centre and the Sutton Inclusion Centre and the Dysphagia Team for Adults with LD (DTALD) hosted by Sutton Health and Care (SHC) and located at Green Wrythe Lane Health Clinic, Carshalton.

The team provides a service to adults with LD that are unable to access mainstream health services in the community. In Sutton, there are 42 LD care homes with 265 residents. To allow LD residents to stay in the care homes for as long as possible, the Growing Older with LD (GOLD) Project aims to facilitate regular reviews and screening and promote early intervention strategies to prevent hospital admissions, avoidable helath complications and promote integrated, person centred care.

Main duties of the job

The post holder will work as an integral part of the GOLD project, working with the LD nurses to increase the number of UCPs in the homes, increase the number of residents to have bowel cancer screening, annual health checks and understanding of their long term conditions.

Working for our organisation

St George's, Epsom and St Helier University Hospitals (ESTH) and Health Group cares for a population of four million people in South West London and North East Surrey.

After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce.

Surrey Health and Care (SHC) is an innovative joint venture between local partner health and social care organisations, in which Sutton community services will be fully integrated to support the delivery of a new care model for the people of Sutton. Hosted by ESTH the model ensures the breaking down of traditional organisational barriers to enable the provision of care that is wrapped around the patient. SHC's vision is to deliver seamless excellent coordinated care that is person centred and of high quality for people at risk of an unrequired hospital admission and for those that required admission ensure they are supported promptly to get them home again as quickly as possible.

We pride ourselves on having a highly dedicated team and offer a stimulating and dynamic working environment with a wide range of staff benefits and development opportunities. We are looking for employees who aspire to excellence, share our values and vision and can play a crucial role in our ongoing achievements.

Detailed job description and main responsibilities

Clinical

• Identify relevant patients and collect data for the Sutton Getting Older with Learning Disabilities (GOLD) project, including details such as age (60+), vaccination status and Health Care Passport information
• Create referrals for the nursing team, encompassing Sutton GOLD and hospital discharge follow ups
• Organise Universal Care Plans (UCP)/GOLD appointments, ensuring UCP information is sent in advance
• Gather information from relevant parties and relay it to the administrative team for transcription and submission; upload UCP information
• Manage the team's email correspondence
• Add confirmed LD diagnoses to EMIS
• Oversee the inpatient spreadsheet, providing information on confirmed LD diagnoses and open patient cases
• Record meeting minutes for nursing and Community health team (CHT) meetings
• Book nursing appointments
• Under the supervision of the nurses or clinicians, carry out agreed follow up actions
• Contribute to team meetings and service user reviews, ensuring their goals are continually reviewed and treatment plans adjusted accordingly
• Effectively plan, prioritise and manage own workload
• Promote protection of vulnerable adults, working according to policies and procedures
• Maintain accurate records of all client care activities within Community Services and professional guidelines
• Follow infection control policies, ensuring compliance with infection prevention and control practice and hand hygiene as a core component of basic infection control for self and within team
• Ensure messages are transmitted within an appropriate timeframe and using methods consistent with their urgency
• Support the team's administration as required.

Education, Development and Training

• Comply with clinical governance activities
• Identify and attend relevant or further training as appropriate to maintain skills and knowledge in the area of specialism (e.g. attendance at courses, meetings and specialist interest groups)
• Ensure that adequate records of assessment, treatment and progress are maintained in accordance with the record keeping policy
• Maintain patient confidentiality at all times
• Review, update and develop dietary information and education materials for patients and carers
• Support review, update and develop clinical policies, local protocols and procedures
• Contribute to the development and updating of departmental evidence-based clinical standards, policies, procedures and patient informatin
• Participate in research and audit within the specialist area
• Participate in identified departmental working groups as agreed with the Service Manager
• Attend and contribute to regular DTALD team meetings
• Contribute towards maintaining and improving high standards of dietetic practice through the application of clinical governance initiatives, including participation in audit and research as appropriate
• Participate in continuing professional development as identified through a performance development programme
• Contribute to effective team working and to communicate with colleagues, patients and visitors in a polite and courteous manner at all times.

Personal and People Development

• Provide training and education to qualified and unqualified staff in order to address and enhance the skills and knowledge of the workforce
• Participate in clinical supervision, appraisal and in-service training as identified on personal development plan
• Maintain clinical and professional competence by keeping up to date with nursing/allied health care and health care trends and developments by reading clinical/professional literature, research, study days and liaison with other professionals.

Service Development

• When required, participate in the identification of service development needs
• Support in the delivery of service key performance targets
• Work as an integral part of SHC
• Identify and make recommendations for service development and improvements
• Be pioneering within the service ensuring continuous improvement of the quality and safety of services by taking action on feedback and seeking to develop skills and knowledge of self and others
• Support the delivery of service objectives and KPIs

Quality

• Ensure contemporaneous records are maintained at all times to safeguard clients' confidentiality by being aware of legal and ethical responsibilities
• Record and submit data as required in a timely manner
• Ensure quality of services and make the best use of resources by minimising waste and finding the most efficient ways of working.

Research and Development

• Contribute to the development of learning disability knowledge
• Support the implementation of evidence based practice.

Communication and Working Relationships

• Work in a team structure, liaising with colleagues, community teams and other members of the multi-professional team to ensure a high standard of timely patient care is delivered
• Represent and talk on behalf of the service and give formal presentations as appropriate
• Diffuse potentially hostile, antagonistic and emotive situations with staff, patients and relatives
• Promote good practice and effective communication within and between hospital, community services, primary care, statutory and voluntary organisations on all matters relating to the patient
• Work collaboratively with colleagues, specialist community teams and other members of the multi-professional team to ensure a high standard of timely patient care is delivered.

Person specification
Education/Qualifications
Essential criteria

• Evidence of formal education with written, verbal and numeric skills to GCSE or similar level

Desirable criteria

• IT training/qualification

Experience
Essential criteria

• Experience of working in health or social care environment
• Team working

Desirable criteria

• Experience of working in the community setting

Skills/Knowledge
Essential criteria

• Recognition of own capabilities and limitations and seeking guidance when required
• Ability to take initiative and problem solve
• Excellent written and oral communication skills
• Ability to prioritise workload effectively
• Good organisation/time management
• Basic IT skills: Word, database, email, internet etc
• Ability to work independently and part of a team
• Ability to meet deadlines and manage work pressures and competing demands

Desirable criteria

• Knowledge of safeguarding and incident reporting systems (Datix)
• Experience of working with EMIS electronic patient system

Personal Qualities
Essential criteria

• Work in a cooperative and collaborative way with others
• Team player but able to work independently
• Ability to work well under stressful situations
• Trustworthy, confident and approachable
• Confident in relating to a diversity of people and situations
• Committed to an integrated approach

Desirable criteria

• Car owner/driver

Your recruitment team

The NHS South West London Recruitment Hub is your dedicated recruitment team, here to support you at every stage of the process. If you have a query, please contact us:

E:

Your application

Please ensure your supporting statement clearly reflects the job description and person specification, as shortlisting will be based on these criteria.

Please refer to the latest UKVI guidance and ensure you have the appropriate right to work before applying for this role.

Use of Artificial Intelligence

We kindly ask that you avoid using AI tools to draft your application. We value authentic, individual responses that reflect your own experience and communication style.

References

Please provide a minimum of 3 years' employment and/or education history, including professional email addresses (not personal accounts such as Hotmail or Gmail). If you cannot provide these, please inform the interview panel to avoid delays in pre-employment checks.

Closing date

To help us manage recruitment efficiently, some vacancies may close early once we have received a sufficient number of applications.

Shortlisting

If you are successfully shortlisted, you will be contacted by email or SMS from the South West London Recruitment Hub. Please check your registered TRAC email regularly.

Application feedback

If you do not hear from us within four weeks of the closing date, please assume your application has not been successful on this occasion.

Safeguarding and DBS Checks

We are committed to safeguarding children and vulnerable adults. For roles with direct access to these groups, an Enhanced Disclosure and Barring Service (DBS) check will be required. All staff are expected to understand and uphold their safeguarding responsibilities as part of their role.

Employer certification / accreditation badges
Application numbers

This vacancy may have an application cap, so please apply promptly to avoid disappointment. Ensure your supporting statement clearly shows how you meet the job specifications.

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