Question

Who is coordinating within the care for the patient within the network and can propose an intervention by the 2a-team?

Problem description

At his moment we don’t have care coordinators at patient level.  The GP can’t fulfil this role, and the family can’t address their demands to the specialist services.  There are plenty of specialised services in are working area that may, whether or not in crisis situations, intervene

Impact - effect

As a 2b-team we intervene in situations that could be easily done by other competent professionals.   We are not utilizing enough the already existing network in our region

To do

To do: within a network the interventions should be coordinated by a named or assigned, or a voluntary reference person, who knows the network and who can appeal to  the right people and the teams at the right moment.  This person should be in the heart of the network around the client: a GP could appeal to this reference person, the mobile team would be accountable towards this reference person and the GP.  This reference person should focus on improving quality of care, introduce and maintain common evaluations scales.

Theme

Hospitalisation

Topic

useful in facilitating coordination between mobile teams and hospital

Reference -  contact

Kévin Merchez

Mobile team

2A

Project

Hainaut Occidental

Intership abroad - place

Birmingham (CRHT Solihull)

Date

February 2013