In April 2015 we worked with Camden Clinical Commissiong Group (CCG) to evaluate its care Navigator pilot.
The care navigator pilot is a key element of Camden CCG’s integrated care agenda. It is intended to help elderly and frail residents have better access to voluntary and community sector services in the borough, and to access the most appropriate parts of the health and social care system in order to meet their needs. Aims of the service are to:
- Link patients who are frail/pre-frail to a range of community services that will help them to meet their personal health or wellbeing goals;
- Provide additional support to those with complex needs who are confused by NHS booking systems and/or have practical difficulties leaving their home, and are therefore at risk of non-attendance at care appointments (DNAs); and
- Support Camden’s Multi-Disciplinary Team (MDT) structure in managing the most complex and/or frail patients.
- Provide personalised support to frail older people so that they are better able to self-manage;
- Improve the co-ordination of care of frail older people across different sectors (health, social care, voluntary and community sector).
Evaluation combined secondary data analysis (analysis of monitoring data, Patient Reported Outcome Measures (PROM)s data, and hospital episode statistics – inpatient, outpatient, A&E attendance among a cohort of service users before and after entering the service), with primary research with stakeholders at the CCG and professionals wider health and care system in Camden (telephone interviews), the care navigator service (focus groups with care navigators).
Our report flagged up the areas where the Care Navigator Service had been particularly successful in its aims – and flagged up suggestions where further data gathering would lead to further significant findings. The report also set out recommendations for improving the service.