Tools and resources

Practice examples

Oxleas Advanced Dementia Service

This consultant-led, community based home care service is for people with advanced dementia. Focus group participants felt that this is a particularly good example of a named care coordinator role. They were positive about how the service selects the care coordinator for each person and its strong emphasis on carer support and resilience. They welcomed the clear service model, peer support for the care coordinator, and the emphasis on working together.

Sutton Vanguard programme Nursing Home Pilot Scheme

This scheme provides coordinated care to improve older residents' experience of care homes. The group felt that it was valuable to include an example of a named care coordinator role that worked specifically with older people within a care home setting. Participants thought that there were benefits to having a Senior Registered Nurse in the role – they are able to provide the personal care and empathy that the residents require but also the leadership to support the nursing home, liaising between primary care, the residents and their families.

Midhurst Macmillan Palliative Care Service

This is a consultant-led, community based palliative care service for terminally ill people living in their own homes. Although the service mainly works with younger people, participants felt strongly that the model would work well for older people with multiple long-term conditions. They felt it was a good example of how crucial the named care coordinator role is when multiple services are involved, and welcomed the benefits of the role for family members and individuals living alone. The group considered that close working with GPs, use of volunteers and support for carers were also important aspects.

The 3 examples of named care coordinator roles selected by the focus group participants are all undertaken by nurses. However, participants emphasised that the functions of a named care coordinator role could be carried out by others, including social workers and occupational therapists. It is more about what the person does and how they do it, rather than their particular job title.

This page was last updated: 15 July 2016