The Care Coordinator role is responsible for engaging, and supporting individuals, particularly those who are frail, elderly, or living with long-term or multiple conditions, by coordinating, navigating, and personalising their care across the health and care system. The role is central to delivering NHS Englands personalised care model, improving continuity of care and outcomes for people with complex needs. Care Coordinators act as a single, consistent point of contact for individuals, their families, and carers, ensuring timely access to well-organised, person-centred support. They bring together all elements of an individuals assessed needs into a comprehensive personalised care and support plan, enabling joined up working across primary care, community services, the voluntary sector, and wider system partners.
Working in close collaboration with GPs, practice teams, and the wider multidisciplinary team, including social prescribing link workers and health and wellbeing coaches, the Care Coordinator ensures that individuals changing needs are identified early and responded to effectively. The role supports proactive care delivery, reduces fragmentation, and strengthens communication across services. Care Coordinators also play a key role in empowering individuals to take an active role in their own health and wellbeing. This includes preparing people for shared decision-making conversations, supporting understanding of health information, and facilitating access to self-management education, peer support, and community-based interventions.
Aligned with NHS Englands personalised care framework, the Care Coordinator role contributes to improved health and wellbeing outcomes, reduced health inequalities, and an enhanced experience of care for individuals across the Primary Care Network.
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