What is the Care Coordination system?

Care Coordination is an integrated and person-centred approach to services that ensures people with long-term and complex needs are fully supported and assisted during every stage of their care.

We offer a single point of access to all our community health care services through our Care Co-ordination Centre, making sure the right professional is selected for the right person at the right time.  We work closely with partners including Age UK and adult social care and will signpost people to other services if required.  Our CCC allows people to access planned services which aim to keep them well and independent, but also rapid access to community based urgent care services to keep people safe at home if they become unwell.

Through our CCC we co-ordinate the care of people who are at high risk of admission to hospital and work closely with partners in the local hospital, adult social care, mental health and Age UK to do this. We hold multi-disciplinary meetings including colleagues from across these organisations and make sure people have a shared care plan.  This ensures all parties work together so that you are placed at the centre of your care and only need to tell your story once.

The next few months will see a phased integration of relevant parts of your health and care records from services currently involved with your care, across the East Staffordshire area.

The aim of the Care Coordination System

The Improving Lives Programme supports the Care Coordination System to improve collaborative working for health and care professionals, supporting patients with long-term conditions, such as diabetes, COPD and heart conditions and also older people in need of extra support. The aim of the programme is to help patients to:

  • have more control over their own care;
  • improve the health of those cared for under the programme; and
  • improve their experience of living with their long-term conditions.