SAP Care Coordinator Role 1

1
The single assessment process

• The Care Coordinator Role

2
Group ExerciseCare Coordinator role what is
it?

• In your group consider the following
• What skills does an effective care coordinator
• need?
• What knowledge does an effective care
• coordinator need?
• What values and attitudes does an effective
• care coordinator need?
• In the case scenarios what illustrated effective
• communication?

3
Care coordinator role

• Required where needs are complex
• Where more than one agency involved
• Coordinates assessment
• Coordinates care planning
• Has an ongoing role acting as the focus for
  communications
• Details need to be defined and agreed locally

4
The assessment process

• Contact
• assessment

Overview assessment
Specialist (in-depth) assessment
Comprehensive assessment
Care Coordinator



5
Comprehensive assessment

• Involves (in-depth) assessment of all the domains
• May be obvious from the beginning that this is
  needed and therefore overview may not be needed
• Must be done for people where level of support is
  likely to be intensive and/or prolonged

continues



6
Comprehensive assessment continued

• Will provide information for the Registered
  Nursing Care Contribution (RNCC) determination
  (free nursing care)
• Will include assessments from a range of
  professionals and agencies
• Will need coordination by a care coordinator

7
Effective care coordination

• Person-centred
• Multi-disciplinary involvement
• Trust between members of the team
• Shared understandings
• Clarity about role and responsibilities and
  authority to delegate
• Shared understanding about decision-making
  processes including care coordination

8
Joint Working

• An essential ingredient to
• effective joint working is a
• shared value base and
• purpose

9
Group ExerciseSharing values and beliefs

• Working in multi-disciplinary groups read through
  the statements on the handout discuss and reach a
  consensus on your response to each one

10
Joint Working

• Developmental stages
• Gaining knowledge of partner agencies
• Improving communication
• Creating a system of collaboration
• Using common tools
• Generating a common culture of care
• Source Fossard (1999)

11
Degrees of partnership

• Separation
• Liaison
• Linkage
• Coordination
• Integration

12
SAP - Joint Working Opportunities
Challenges

• Greater focus on
• Joint working
• Enabling and supporting
• Less focus on
• Hierarchy and control
• Need for
• Individual and organisational change

13
Group ExerciseWhat promotes joint working?

• Review ideas gathered through the workshop
• What else could be added to this list?
• Reflect on your group work today or an example of
  when you have been involved in joint working
• What worked well?
• Were there any barriers? If so what were they?
• How could these and other barriers be overcome?

14
Group exerciseCase studies

• Working in your group read through the scenario
  you have been given and consider the following
  questions
• What promotes effective communication/relationship
  building? (skills, knowledge, values and
  attitudes etc)
• How would you negotiate with others involved?
  (include actions and skills used)
• How would you manage any tensions and /or
  conflict?
• Record the key points on flip chart feedback to
  the whole group

15
Group Individual ExerciseCare coordinator role

• What information do they need to be effective as
  a care coordinator?
• Development needs?
• Organisational changes?
• Culture changes?