Care Coordinators from Aylesbury Central PCN provide extra support to patients and their carers in Buckinghamshire. They assist with preparing for and following up on clinical conversations with primary care professionals, assess and monitor health and care needs, and take a personalised approach. The service acts as a single point of access for vulnerable patients with complex conditions and strengthens links between GP practices and other services like care homes and prevention programmes. They also help arrange diagnostic tests. Delivery includes weekly visits to care homes, appointments at health centres, and support via digital channels (telemedicine).
Service statistics
Usually replies in
10 hours
95%
of referrals accepted
Categories:
Managing a long-term health condition
Additional needs catered for:
N/A
Who can refer:
Professional referrals only