Care Coordinators work as advocates for specific groups of patients, such as people who are frail or living with severe mental illness. They support people to navigate their care journey and ensure those most affected by health inequalities can benefit from personalised care and support.
They coordinate information on patients at their GP surgery or surgeries and proactively find patients with complex conditions or needs who may benefit from extra support.
They are a main point of contact between these patients and the services involved in their care, supporting person centred decision making and streamlining information for both clinicians and the patient.
As part of this, a care plan is developed to address the patient’s clinical and non-clinical needs, which could involve referring onto a Social Prescribing Link Worker and/or a Health and Wellbeing Coach.
