Dedicated ICC staff have a range of skills enable them to undertake activities and work with wider partners to catalyse new ways of working: they fulfil the following functions:
Care Coordination - oversight of the community-level care management processes to facilitate entry to the community service system
Case management – to systematically integrate community services around the needs of individuals. It is a targeted, community-based and proactive approach to care that involves case-finding, assessment, care planning, care co-ordination and - in time-limited interventions – case closure.
Personalised and integrated care planning - to address an individual’s full range of needs, taking into account their health, personal, social, economic, educational, mental health, ethnic and cultural background and circumstances. It recognises that there are other issues in addition to medical needs that can affect a person’s total health and well-being.
Care navigation is a further function that serves to manage and optimize the delivery of care inside and outside the clinical setting; coordinating care with patients, gathering information for the patient's visit, and partnering with the physician, nurses, and care team to deliver the highest levels of efficient health and social care. Key to this role is the ability to signpost to other groups and organisations.
You can find out more about our plans for the future here