Care co-ordination

Care coordinators provide extra time, capacity, and expertise to support patients in preparing for clinical conversations or in following up discussions with primary care professionals. They work closely with the GPs and other primary care colleagues within the primary care network (PCN) to identify and manage a caseload of identified patients, making sure that appropriate support is made available to them and their carers (if appropriate), and ensuring that their changing needs are addressed. They focus on the delivery of personalised care to reflect local PCN priorities, health inequalities or at risk groups of patients. They can also support PCNs in the delivery of Enhanced Health in Care Homes.

Tools to implement supported self-management

TheĀ Care Coordinators’ welcome pack is designed for newly appointed care coordinators in primary care networks.

Designed to support the delivery of a care coordinator and provide an introduction in the role. The document will also point the reader in the direction of more detailed information that will be useful to their role.

Appointed care coordinators may also find this document helpful as a reference guide to their role.