What is a PCN Care Coordinator?

Care Coordinators work as part of a multidisciplinary team in primary care to identify and provide additional assistance to people in need of proactive support. They work with a case load of patients, acting as a central point of contact to ensure appropriate support is made available to patients and their carers where relevant. Care coordinators work with people individually, building trusted relationships and focusing on what matters to the person in order to support them to develop a personalised care and support plan. They also support people in preparing for or following up on consultations with health care professionals to help them to be actively involved in managing their care and supported to make choices that are right for them.

 

 

What Can Care Coordination Offer?

• Helping you make the right connections with the right teams at the right time.
• Active and empathic listening.
• Shared agenda setting.
• Collaborative goal setting with shared follow up planning.
• Enable you to have a single support plan which identifies all your needs.
• Providing access to information and resources.
• Liaising with other professionals on your behalf.

 

Homelessness / Housing Care Coordination

• Emotional support / advocacy for patients who are rough sleeping or experiencing housing difficulties.
• Developing personalised care and support plans to enable patients to find their next steps.
• Assistance navigating housing and healthcare services.
• Signposting to wider support services.
• Support in accessing homelessness assistance.  

 

Click here for our Housing and Homelessness Resources. 

Appointments

Appointments are offered either face-to-face in the community or across the five PCN practices, or by telephone.

Referrals

Referrals can be made via your GP or other health care professional.