Care Coordinators proactively identify and work with people to coordinate and navigate their support across health and care services. They work closely with GPs and other primary care professionals within the Primary Care Network (PCN) to identify a caseload of vulnerable and frail patients and patients with long term conditions.
Care Coordinators could potentially provide extra time, capacity and expertise to support patients in preparing for or in following-up clinical conversations they have with primary care professionals. They work with patients to develop an integrated personalised care and support plan with a strong focus on prevention, based on what matters to the patient.
Download Care Coordinator job role, job descriptions and case studies
Training
Care Coordinators require a strong foundation in enabling and communication skills as set out in the core Curriculum for Personalised Care. These can be achieved via a two day health coaching skills course as set out in this Health coaching guide published by NHS England.
Care coordinators should also be trained in:
- information governance, accountability and clinical governance
- record keeping and sharing appropriate information with carers
- the professional and legal aspects of consent, capacity, and safeguarding
Funding
The payband for a Care Coordinator is usually AfC Band 4.
From April 2020, this role will be reimbursed at 100% of actual salary plus defined on-costs, up to the maximum reimbursable amount of £29,135 over 12 months.
Comprehensive Model for Personalised Care
The NHS Long Term Plan states that personalised care will become ‘business as usual’ across the health and care system. Universal personalised care: Implementing the Comprehensive Model confirms how we will do this by 2023/24. It is the action plan for the rolling out personalised care across England and follows a decade of evidence-based research working with patients and community groups.
Care Coordinators should be familiar with the six components of the Comprehensive Model for Personalised Care with a specific focus on:
- Shared decision making
- Personalised care and support planning
- Enabling choice
- Social prescribing and community based support
- Support for self-management
- Personal health budgets and integrated personal budgets