Care Coordination | HealthHero

Care Coordination Model

This service is a system-wide service staffed by Advanced Clinical Practitioners, General Practitioners, and Emergency Department consultants.
It is overseen by an onsite clinical lead and is linked to locality hubs. Staff work from the central hub or are able to support working and accessing the service remotely.
The service provides referrals via ambulance Computer Aided Dispatch, paramedics on scene, healthcare professionals, care homes, and patients on the End of Life Register.
The team supports patients across the age, speciality, and acuity spectrum, and paramedics can pull cases to avoid ambulance dispatch.

Care Coordination Principles

Provide care in the most appropriate setting: For example, at home utilising the Urgent Community Response; or at an Urgent Treatment Centre.
Optimise clinician and patient contact time, utilising a personalised approach – increasing patient satisfaction and reducing inequalities
Facilitate early clinical conversations and connect the patient to the right care needs, providing timely access to the correct care pathway, reducing stops along the way
Adaptable, multi-professional workforce, working across traditional boundaries – true integrated working and organisationally agnostic