Care coordination is a clinical service to ensure the client's needs are met and integrated services are provided. Complex presentations such as disability, complex trauma, and looked-after-children often have complex and multiple physical, psychological, and educational needs. The focus is on coordinating professionals from multiple agencies and disciplines in order to ensure the care provision is centred around the client's needs and based on the provision of collaborative, recovery-focused care.
Clinicians who provide care coordination is usually the expert in their field and focus on the quality of their relationships with their client and the tailoring of services, and doing the necessary work connecting people and the system of care.
PCP (also called the Circles approach) is a structured way of working out what an individual’s goals are for the future and how to help them work towards and achieve those goals. It is ideal for people with additional needs and/or complex mental health problems, as well as young people preparing to leave the care system.
Key features of PCP include:
· The person is at the centre. This is to ensure that a person who may have had limited power in the past, is listened to and their views and choices are made central to the process, including who to involve and when/where to have the meeting.
· The plan reflects what is important to the person, their capacities and what support they require. PCP seeks to develop a better understanding of the person and their situation. It focuses on a person’s capacities, not their deficits.
· The plan results in actions that are about life, not just services, and reflects what is possible, not just what is available. PCP assumes that inclusion in the community is a desired outcome for the person, rather than exclusion.
· PCP is an ongoing process. The first meeting is just the initial step in a continual process of listening, learning and further action.
To see PCP in action see: