Often patients with multiple health problems find themselves working with different professionals for different bits of their health and social care. The professionals often focus on just their area of expertise rather than the whole person. The Care Coordination Service plans to change that. It aims to make sure that patients with one or more long-term condition (like diabetes, mobility issues, hearing loss, heart conditions, cancer, learning disabilities etc.) have a well-informed team of people looking after their whole health and wellbeing. This is done by assigning them a Care Coordinator.
A Care Coordinator works with all the people involved in caring for someone and helping them remain independent at home. They coordinate that team of professionals in a way that works well.