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Care Coordinator (CCO)

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Role Description

Care Coordinators work alongside GPs and other primary care professionals within Primary Care Networks (PCNs) to provide extra capacity, support and expertise to patients who are having clinical conversations. Their primary role is 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.

What can Care Coordinators offer to patients in a Primary Care setting?

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 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 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 carer’s 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.

Registrable Qualification

No registrable qualification required.

Care Coordinators are not registered with a professional body and the employer is accountable for their actions and omissions. Employers have a duty to ensure that Care Coordinators are properly trained and supervised and work within the limits of their competence.

Additional Qualifications Required for Advanced Practice in Primary Care

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 and additional training as guided by Health Education England.

Care coordinators should also access statuary and mandatory training, including but not limited to:

  • Principles of information governance, accountability, and clinical governance
  • Maintenance of accurate and relevant records of agreed care and support needs
  • Identify when it is appropriate to share information with carers and do so
  • The professional and legal aspects of consent, capacity, and safeguarding.

Care Coordinators should be familiar with the six components of the universal model for personalised care with a specific focus on:

  • Support for self-management
  • Personalised care and support planning
  • Shared decision making
  • Social prescribing and community-based support
  • Personal Health Budgets
  • Enabling choice

Regulatory Body

Not applicable

Supervision Requirements

  • Access to a first point of contact for general advice and support
  • If this is not a GP – then a GP must provide supervision. This could be provided by one or more named individuals within the PCN.
  • The GP will discuss patient related concerns and provide support to follow appropriate safeguarding procedures (e.g., abuse, domestic violence, and support with mental health)

What can the Training Hub offer you?

  • Accredited PCI 2-day Personalised Care training
  • Access to online courses and workshops on various topics related to care coordination.
  • Tools and resources for improving communication and coordination skills.
  • Best practices and guidelines for effective care coordination
  • Networking opportunities with other care coordinators and healthcare professionals
  • Continued education and professional development opportunities.
  • Access to the latest research and information on care coordination

Useful Resources

Care Coordinators - FutureNHS Collaboration Platform

Personalised Care Collaborative Network - FutureNHS Collaboration Platform

Personalised Care Institute

Training standards for Personalised Care Roles

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