Care Coordinators work alongside GPs and other primary care professionals within Primary Care Networks (PCNs) to support Multi-Disciplinary Teams to bring together multiple services around a person to ensure that their individual needs are addressed through a single personalised care plan.
Care Coordinators play an important role within a PCN to proactively identify and work with people, including the frail/elderly and those with long-term conditions, to provide coordination and navigation of care and support across health and care services.
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 will work closely with the GPs and other primary care professionals within the PCN to identify and manage a caseload of identified patients, making sure that appropriate support is made available to them and their carers, and ensuring that their changing needs are addressed. This is achieved by bringing together all the information about a person’s identified care and support needs and exploring options to meet these within a single personalised care and support plan, based on what matters to the person.
Key Information
Scope of Practice
- Provides co-ordination and navigation through the health and care systems
- Facilitates joint working across organisations and MDTs
- Makes referrals to services and other health and care professionals
- Helps patients prepare for/follow-up
- Supports patients to book appointments
- Signposts patients to information
- Works in partnership with MDT colleagues including social prescribing link worker(s) and health and wellbeing coach(es)
Training Requirements
Enrolled in, undertaking or qualified from appropriate two-day care co-ordination training as accredited by the Personalised Care Institute. Accredited e-learning completed in personalised care and support planning and shared decision making.
Funding
Care Coordinators are reimbursable under the ARRS scheme. Salary range – AfC up to 4.
Supervision Requirements
A named first point of contact in the PCN (including GP). Monthly supervision can be provided by an appropriate member of the MDT including an advanced practitioner.
Further guidance on supervision, education and training can be found in the workforce development framework for care co-ordinators.
Devon Training Hub have recently produced a summary guide covering the supervision of all roles including GPs, Nurses, Non-Medical Prescribers, Advanced Practitioners and new roles funded through the ARRS scheme.
The guide contains the latest information on supervision requirements for each role, which team members of the team can supervise them, & details of training requirements & CPD opportunities for supervisors.
Learning & Development
The Personalised Care Institute offers free e-learning courses, accreditation and CPD and is recommended to access all personalised care foundation learning.
The Community Health and Wellbeing Worker Apprenticeship is aligned to Personalised Care, Social Prescribing Link Worker, Care Coordinator and Health and Wellbeing Coach.
IT Skills Resources
Link Workers, Care Coordinators and Health Coaches may be required to use GP Clinical IT Systems in partnership with the primary care MDT:
NHSE Future Learn Care Coordinators Workspace
NHS England has developed learning and support for care coordinators – including regular webinars, an online learning programme, regional training workshops and informal peer support. To access this learning and become part of the online learning community, or for further information, please email SSM england.supportedselfmanagement@nhs.net with your name, PCN and contact details.
Wellbeing & Coaching for Personalised Care Roles
Devon Wellbeing Hub. If you are struggling with any aspect of your wellbeing at all, or you lead a team who would benefit from support, find out more about Devon Wellbeing Hub can help you.
There are a range of resources to help support your own health & wellbeing on the NHS People website:
Confidential support is also available by phone on 0800 06 96 222 (7am-11pm) for any general support, or 0300 303 4434 (8am-8pm) for bereavement-specific support.
For support by text message, text ‘FRONTLINE’ to 85258 (available 24 hours a day, seven days a week).
Devon Training Hub Offers
Check Ins for New Starters within Devon’s PCN Personalised Care Workforce
Devon Training Hub is hosting regular virtual check ins for anyone who is in their first year of employment within a PCN Personalised Care Workforce role. Typically, this workforce group will include Social Prescribers, Health & Wellbeing Coaches and Care Co-ordinators.
The check ins will be an informal, safe space for new starters to meet, share experiences and provide peer support to one another. Becki White, our Personalised Care Fellow will be facilitating these sessions and will be able to provide advice, support and information for any induction, training and job role queries you may have. Please contact us for more details.
Web-Based Collaborative for Devon’s PCN Personalised Care Workforce
A Devon wide Microsoft Teams Channel has been created for Personalised Care roles (Social Prescribers, Health and Wellbeing Coaches and Care co-ordinators) and Personalised Care Role Team Leads. This web-based collaborative is utilised for Personalised Care roles across Devon to communicate and connect with an intention to share best practice, create new knowledge, and support one another! The channel is used to share the Personalised Care Community of Practice dates and to also share relevant updates and useful information. Please contact us if you would like access to this collaborative.
Learning and Developing Community of Practice for Devon PCNs Personalised Care Workforce
If you are currently within a Personalised Care role (Social Prescribers, Health and Wellbeing Coaches and Care co-ordinators) or are someone who leads a team of personalised care roles within a PCN, you are invited to our Community of Practices to communicate and connect with colleagues across Devon. The intention of these Community of Practices is to share best practice, create new knowledge, and support one another! There is a separate Community of Practice for Social Prescribers, Health and Wellbeing Coaches & Wellbeing Team Leads. Please contact us if you would like access to any of these Community of Practices.
