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Care Co Colleague Feedback Form

1.  

Select probation review stage:

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5.  

Base Practice(s)

Section 1: Induction & Orientation

6.  

Was a structured induction provided to the Care Coordinator upon starting?

7.  

Was the Care Coordinator introduced effectively to key team members, systems, and community services?

8.  

Does the Care Coordinator appear to understand their role and responsibilities clearly?

Section 2: Community Integration & Role Delivery

9.  

Do they maintain good communication and collaboration with wider community partners (e.g., social prescribers, voluntary organisations, care homes)?

10.  

Are they connecting clients effectively to community-based services and following up appropriately?

11.  

Do they demonstrate awareness of health inequalities and take steps to help address them within the patient population?

12.  

How effectively does the Care Coordinator communicate and collaborate with other team members to support patient care?

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Section 3: Case Management & Data Capture

14.  

Are you confident in their understanding of safeguarding and escalation procedures?

15.  

Are they comfortable using shared record systems, databases, referrals, and relevant IT tools? 

Section 4: Support & Supervision

16.  

Have they been receptive to feedback and shown development since starting?

17.  

Have they had adequate support from supervisors or mentors?

Section 5: Professionalism, Wellbeing & Integration

18.  

Are there any concerns regarding performance, confidence, workload, or wellbeing?

19.  

How well has the Care Coordinator adapted to the team, practice, and community environment?

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Final Comments

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