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 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. They focus delivery of the comprehensive model to reflect local priorities, health inequalities or population health management risk stratification.

    Key role requirements

    Care coordinators will:

    • Proactively identify and work with a cohort of people to support their personalised care requirements, using the available decision support aids.
    • Bring together all of a person’s identified care and support needs, and explore their options to meet these into a single personalised care and support plan, in line with PCSP best practice.
    • Help people to manage their needs, answering their queries and supporting them to make appointments.
    • Support people to take up training and employment, and to access appropriate benefits where eligible.
    • Raise awareness of shared decision making and decision support tools, and assist people to be more prepared to have a shared decision making conversation.
    • Ensure that people have good quality information to help them make choices about their care,
    • Support people to understand their level of knowledge, skills and confidence (their “Activation” level) when engaging with their health and wellbeing, including through use of the Patient Activation Measure.
    • Assist people to access self-management education courses, peer support or interventions that support them in their health and wellbeing.
    • Explore and assist people to access personal health budgets where appropriate.
    • Provide coordination and navigation for people and their carers across health and care services, alongside working closely with social prescribing link workers, health and wellbeing coaches and other primary care roles.
    • Support the coordination and delivery of MDTs within PCNs.

    A Care Coordinator can be from a Clinical or Non-Clinical background, however experience working in a Health and Social environment is essential

    E.g. Receptionist/HCA –Care Coordinator


    2020/21 Maximum Annual Reimbursement Rates

    • Role: Care Coordinator
    • Agenda for Change: Band 4
    • Maximum Reimbursable amount over 12 months (with on costs): £29,135


    Care Coordination Course - Birmingham City University

    Birmingham City University has developed a care coordination training programme that offers a practical, step-by-step approach for the implementation of safe and successful care coordination.

    For more information, please click here


    Please click link below to open an editable version of a Care Coordinator Job Description and Person Specification:

    Editable Care Coordinator Job Description and Person Specification


    For more information on the Care Coordiantor role, please click the link below:

    Making Sense of Coordinated Care


    To view the minimum role requirements for the Care Coordinator role, please click the link below:



    The link below provides information on Training Providers who are approved to deliver training by the PCI and awaiting accreditation:



    Example Care Coordinator Interview Questions:



    Please click the link below to view a video about Personalised Care in the Black Country

    Personalised Care in the Black Country



    In 2020, NHS England will be launching the Personalised Care Institute to help staff involved in people's health and care develop the knowledge and skill to support the implementation of the NHS Long Term Plan and the Comprehensive Model for Personalised Care.

    For more information about the Personalised Care Institute, please follow the link below:

    Personalised Care Institute


    Coming Soon: Care Coordinator Ambassador

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