Case Management Competences: Leading Complex Care Co-ordination

The aim of this domain is to ensure that the community matron or case manager is competent in proactively co-ordinating and organising complex care packages to support personalised care plans being delivered efficiently, effectively and to the highest quality standard ensuring the desired outcome is achieved. They must monitor the care provided to those people with multiple long term conditions who are most at risk of deterioration, which may result in a hospital admission and readmission.

CM.B1 Plan, implement, monitor and review individualised careplans with individuals who have a long term condition and their carers (PDF, 41KB)
CM.B2 Co-ordinate and review the delivery of care plans to meet the needs of individuals with long term conditions (PDF, 39KB)
CM.B3 Develop risk management plans to support individual's independence and daily living within their home (PDF, 40KB)
CM.B4 Use and develop methods and systems to communicate, record and report (PDF, 40KB)
CM.B5 Present individuals needs and preferences (PDF, 36KB)
CM.B6 Procure services for individuals (PDF, 31KB)
CM.B7 Manage the use of physical resources (PDF, 30KB)
CM.B8 Support the protection of individuals, key people and others (PDF, 39KB)

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