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Care Coordinators

Care Coordinators are working with Primary Care Networks to support GP practices and their patients. Below describers three types of care coordinators:

  1. Dementia Care Coordinator 
  2. Frailty Care Coordinator 
  3. Learning Disabilities and Serious Mental Illness (SMI) Care Coordinator 

Dementia Care Coordinator 

A dementia care coordinator is a professional working within a GP practice that can support co-ordination of care needs for individuals diagnosed with dementia and cognitive impairment. This role is supported by Dementia forward.

What is dementia?

The term ‘dementia’ is used to describe symptoms where the Brain is affected by specific diseases and conditions. The following are the most common causes of Dementia:

  • Alzheimers
  • Vascular dementia
  • Fronto-temporal Lobe dementia
  • Dementia with Lewy bodies.

There are many more causes that affect people of all ages and backgrounds. Visit the NHS website for more information.

How can a Dementia Care Coordinator help me?

A Dementia Care Coordinator will support you from the point of diagnosis throughout your journey, ensuring you are treated to evidence based standards in accordance with agreed Care Plans. They will provide a clear and accessible point of contact for guidance, support and navigation, working closely with other health, social care organisations and voluntary agencies.

Some of the support you can expect from a Dementia Care Coordinator includes:

  •  ​Support pre and post diagnosis. 
  •  To make referrals into appropriate services to help support you and your family.
  •  To help support your independence. 
  •  To help you understand a new diagnosis and what to expect.
  •   A trusted point of contact within your GP practice - who can listen and guide you on what we can do to support. 
  • To ensure you feel supported, informed and able to obtain answers and information whenever you may need it.

How do I make an appointment to see a Dementia Care Coordinator?

Please contact your GP practice to ask if there is a dementia care coordinator supporting patients from your surgery. Not all GP practices in the Vale of York offer the same support roles.

Will I need to see the Dementia Care Coordinator on a regular basis?

Once referred to the dementia care coordinator the number of times you see them will depend on your needs. It is important you feel that you can access the Dementia Care Coordinator whenever you feel appropriate It may be that regular contact is needed for a period of time but then a more 'as and when' approach is right. 

Why is a Dementia Care Coordinator based in the GP surgery?

The Dementia Care Coordinator works closely with the whole team within the GP surgery. They work closely with the clinical staff to seek advice and guidance on different aspects of your care where necessary.


Leaflet - coming soon

Poster - coming soon

Frailty Care Coordinator

A frailty care coordinator holistically supports patients with mild to moderate frailty within the community. They work with patients to create a patient-centred care plan and provide access to support services within the area that are most appropriate for them. The role is a point of contact for both patients and their families and carers, whilst working alongside other health, social care and voluntary agencies.

Learning Disabilities and Serious Mental Illness (SMI) Care Coordinator

A learning disabilities and serious mental illness care coordinator holistically supports patients with learning disabilities and their carers within the community. They ensure patients care plans are agreed and personalised. The role provides an accessible point of contact for guidance, support and navigation whilst working closely with health, social care and voluntary agencies.

Feedback from local partner organisations and patients

The care coordinator & I have been in touch weekly as & when needed regarding various clients, to share information & build relationships with clients

I am finding that clients who know of her or have already been involved with her value her contribution, as she is able to look at a more holistic picture of things (as we try to) than the GP might; offering both support & signposting, building trust & passing on anything to the GP or other professionals that needs attention.

The Dementia Care Coordinator has made a great difference in the holistic support of people with dementia and memory problems at all stages in their journey. She is also helping raise the profile of dementia and the importance of diagnosis.

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