Academy of Medical Royal Colleges, October 2015
- This report sets out a number of Principles of good care coordination to ensure accountability of clinicians to their patients in out of hospital and outpatient settings.
- Principle 1 - Clinical coordination must be based on and reinforce underpinning values of good care
- Principle 2: People with complex needs should have a care plan which includes the expected frequency of their reviews
- Principle 3: Every person should know who to approach to coordinated, and how to resolve problems with, their care
- Principle 4: Accountability for coordination is primarily to the patient
- Recommendations from the report include:
- Leadership in clinical coordination through the Lead Clinical Coordinator - generally but not necessarily always the GP, will involve overseeing all clinical decisions and interventions experienced by a patient.
- Development of the navigator role to oversees a patient’s care pathway
- High quality Care Plans be based on patient expectations
- Shared Electronic Health Records - NHS England must promote the evolution of ‘fit for purpose’ shared health records
